关键词: China inpatient patient-centered care public healthcare system sociodemographic status

来  源:   DOI:10.1177/00469580211059482   PDF(Pubmed)

Abstract:
This study aimed to investigate the perceptions of patient-centered care (PCC) among inpatients in Guangdong Province (GD), China. Based on these perspectives, we sought to understand existing PCC practices in medical institutions and identify the impacts of inpatients\' sociodemographic status on their perceived PCC. A self-developed PCC questionnaire was used to investigate inpatients\' perceptions of PCC. A cross-sectional survey was conducted in nine tertiary-level hospitals across five cities in GD. Descriptive statistics was used to describe the levels of PCC in GD. The differences in PCC levels across different sociodemographic groups were assessed using analysis of variance and multivariate linear regression. Valid responses were provided by 1863 inpatients. The mean overall PCC score was 8.58 (standard deviation [SD] = 1.36); inpatients from the Pearl River Delta and eastern GD area reported significantly higher scores than those from western and northern GD area (P<.01). Inpatients from rural areas tended to report lower PCC scores than their urban counterparts. Among the PCC questionnaire sub-domains, inpatients scored highest and lowest in \"patient experience\" (mean = 8.96, SD = 1.34) and \"medical insurance\" (mean = 7.93, SD = 2.05), respectively. This study provided a comprehensive overview of inpatients\' perceptions of PCC in the public healthcare system in GD, China. Our findings highlighted that a majority of inpatients were satisfied with the PCC in public healthcare system; however, a significant discrepancy between inpatients with different sociodemographic status remained.
摘要:
本研究旨在调查广东省(GD)住院患者对以患者为中心的护理(PCC)的看法。中国。基于这些观点,我们试图了解医疗机构中现有的PCC实践,并确定住院患者的社会人口统计学状况对其感知PCC的影响.使用自行编制的PCC问卷调查住院患者对PCC的看法。对广东省五个城市的九家三级医院进行了横断面调查。描述性统计用于描述GD中PCC的水平。使用方差分析和多元线性回归评估了不同社会人口统计学组之间PCC水平的差异。1863名住院患者提供了有效的反应。PCC总体平均得分为8.58(标准差[SD]=1.36);珠江三角洲和东部GD地区的住院患者得分明显高于西部和北部GD地区(P<0.01)。农村地区的住院患者报告的PCC得分往往低于城市患者。在PCC问卷子领域中,住院患者在“患者体验”(平均值=8.96,SD=1.34)和“医疗保险”(平均值=7.93,SD=2.05)中得分最高和最低,分别。本研究全面概述了GD公共医疗系统中住院患者对PCC的看法,中国。我们的发现强调,大多数住院患者对公共医疗系统中的PCC感到满意;然而,不同社会人口统计学状况的住院患者之间存在显著差异.
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