未经评估:患者满意度是评估医疗机构护理质量的重要指标。然而,中国癌症医院的患者满意度基准尚未建立。
未经评估:为了检查中国三级癌症医院的患者满意度,病例组合调整后的医院间差异。
UNASSIGNED:2021年1月至3月进行的全国横断面医院绩效调查。
未经授权:在中国30家三级癌症医院。
UNASSIGNED:纳入了30家三级癌症医院连续招募的4,847名成人住院患者。
未经评估:患者特征包括人口统计学特征(性别,年龄,教育,和家庭年收入),临床特征(癌症类型,癌症阶段,自我报告的健康状况,和停留时间),和问卷的实际受访者。
未经评估:使用涵盖五个方面的23项测量患者满意度,行政程序,医院环境,医疗保健,症状管理,和总体满意度。使用5点Likert量表记录对每个项目的反应。在个人和医院级别描述了每个方面的患者满意度。使用多水平逻辑回归,我们将与患者满意度相关的患者特征作为病例混合调节因子,并确定医院间差异.
未经评估:症状管理的满意率,行政程序,医院环境,总体满意度,和医疗保健方面分别为74.56、81.70、84.18、84.26和90.86%,临界值为4。患者满意度的重要预测因素包括性别,年龄,癌症类型,癌症阶段,自我报告的健康状况,和实际应答者(代表或患者)(均P<0.05)。在病例组合调整后,医院满意度的排名发生了变化。但即使在调整后,医院之间的满意度仍然存在显著差异。
未经评估:这项研究指出症状管理是一个特殊领域,政策制定者和医院管理者应该给予高度重视。医院之间的满意度仍然存在很大差异,这意味着未来的研究应该检查影响变异的主要因素。在审查中,在绩效低下的医院需要有针对性的干预措施.
Patient satisfaction is a crucial indicator for assessing quality of care in healthcare settings. However, patient satisfaction benchmark for cancer hospitals in China is not established.
To examine patient satisfaction levels in tertiary cancer hospitals in China, and inter-hospital variations after case-mix adjustment.
A nationwide cross-sectional hospital performance survey conducted from January to March 2021.
At 30 tertiary cancer hospitals in China.
A total of 4,847 adult inpatients consecutively recruited at 30 tertiary cancer hospitals were included.
Patient characteristics included demographic characteristics (sex, age, education, and annual family income), clinical characteristics (cancer type, cancer stage, self-reported health status, and length of stay), and actual respondents of questionnaire.
Patient satisfaction was measured using 23 items covering five aspects, administrative process, hospital environment, medical care, symptom management, and overall satisfaction. Responses to each item were recorded using a 5-point Likert scale. Patient satisfaction level for each aspect was described at individual and hospital levels. Using multilevel logistic regression, patient characteristics associated with patient satisfaction were examined as case-mix adjusters and inter-hospital variation were determined.
The satisfaction rates for symptom management, administrative process, hospital environment, overall satisfaction, and medical care aspects were 74.56, 81.70, 84.18, 84.26, and 90.86% with a cut-off value of 4, respectively. Significant predictors of patient satisfaction included sex, age, cancer type, cancer stage, self-reported health status, and actual respondent (representative or patient) (all P < 0.05). The ranking of the hospitals\' performance in satisfaction was altered after the case-mix adjustment was made. But even after the adjustment, significant variation in satisfaction among hospitals remained.
This study pointed to symptom management as a special area, to which a keen attention should be paid by policymakers and hospital administrators. Significant variation in satisfaction among hospitals remained, implying that future studies should examine major factors affecting the variation. In review, target interventions are needed in low-performing hospitals.