欧洲病人对初级保健医生的倾听技巧有何看法?EUprimecare项目的结果

IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Farmeconomia-Health Economics and Therapeutic Pathways Pub Date : 2014-12-23 DOI:10.7175/FE.V15I4.979
C. Piedra, S. Garcia-Perez, F. Prado-Galbarro, A. Sarría-Santamera
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引用次数: 2

摘要

目的:EUprimecare是由欧盟第7框架计划资助的一项研究,旨在分析欧洲不同初级保健(PC)模式的质量。本研究的目的是描述和分析与患者满意度相关的决定因素与他们的PC医生的听力技巧。方法:对欧盟各成员国(德国、西班牙、爱沙尼亚、芬兰、匈牙利、意大利和立陶宛)的PC用户进行电话人口调查。问卷包括社会人口学变量、健康状况、PC服务的使用和满意度。调查对象为3020例患者。采用描述性分析、双变量相关和有序回归模型,研究患者满意度与人口统计学、状态和卫生服务等解释变量之间的直接关系。我们显示回归系数(β)与95%置信区间和统计显著性相关。结果:满意度与年龄(β = 0.016)、看专科医生(β =‑0.040)、看全科医生(β = 0.619)、患有慢性疾病(β = 0.255)、测量体重、胆固醇和血压(β = 0.650)、国家(β1爱沙尼亚= 0.938;β2德国= 0.469;β3立陶宛= 0.483;β5意大利= 0.544,β6匈牙利= 1.010)和更好的健康状况感知(β = 0.388)。专科就诊对满意度有负向影响,满意度越高。结论:总体而言,结果表明一些领域可能与更高的医患满意度有关。不同的因素共同解释了人们对听力技能的满意度。
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How do European patients feel about the listening skills of primary care physicians? Results from the EUprimecare Project
OBJECTIVE: EUprimecare is a study funded by the 7th Framework Programme of the European Union aimed at analyzing the quality of the different models of primary care (PC) in Europe. The objective of this study was to describe and analyze the determinants associated with patient satisfaction with the listening skills of their PC physicians. METHODS: Telephone population survey in each EUprimecare consortium countries (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania) among PC users. The questionnaire included sociodemographic variables, health status, use and satisfaction with PC services. The survey was conducted in 3020 patients. It was developed descriptive analysis, bivariate correlations and ordinal regression model to study the direct relation between levels of satisfaction and the explanatory variables on demographics, state and health services for patients. We show the regression coefficients (β) with 95% confidence interval and statistical significance associated. RESULTS: We found significant relation between the level of satisfaction and age (β = 0.016), visits to specialist (β = ‑0.040), having a general practitioner (GP) (β = 0.619), having a chronic disease (β = 0.255), measuring weight, cholesterol and blood pressure (β = 0.650), countries (β1 Estonia= 0.938; β2 Germany = 0.469; β3 Lithuania = 0.483; β5 Italy = 0.544 and β6 Hungary = 1.010) and a better perception of health status (β = 0.388). Specialist visits have a negative influence with the higher degree of satisfaction. CONCLUSIONS: Overall, the results indicate some areas that may be related to greater doctor‑patient satisfaction. Different factors are converging to explain satisfaction with listening skills.
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