Patient dissatisfaction in China: What matters

Pan, Jay; Dan, Liu; Ali, Shehzad

doi:10.1016/j.socscimed.2015.08.051

Cited by 53 publications

(60 citation statements)

References 32 publications

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“…Among these factors, long waiting times is the most significant one; the number of respondents who selected this option exceeds that of respondents who chose the other ones to a very large degree. The significance of this factor may be explained by the fact that ecdemic patients are already burdened with non-medical costs including travel and accommodation during their trip, and long waiting times will increase such costs 4,7,26,37. The uneven distribution of health care resources, with the best medical facilities and equipment concentrated in large cities and large hospitals, may be the primary cause for long queues 26.…”

Section: Discussionmentioning

confidence: 99%

“…The significance of this factor may be explained by the fact that ecdemic patients are already burdened with non-medical costs including travel and accommodation during their trip, and long waiting times will increase such costs 4,7,26,37. The uneven distribution of health care resources, with the best medical facilities and equipment concentrated in large cities and large hospitals, may be the primary cause for long queues 26. Another reason for long waiting times may be that the increased specialization of medical services into professional clinical departments has complicated and elongated the treatment processes.…”

Section: Discussionmentioning

confidence: 99%

“…Government and the related policies, on the other hand, have a more limited impact on the improvement of patient satisfaction. In response to the severity of the conflict between doctors and patients,24,25 Chinese hospitals are now attempting to provide services in all aspects using the principles for patient-centered care, which may improve their service quality and efficiency, and enhance the timeliness and rationality of their decision-making on health care 26–28. In this process, patients, especially the ecdemic patients, can provide valuable opinions and suggestions that are crucial toward the development of hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

Liu

Lu²,

Wang³

et al. 2018

PPA

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PurposeThis study aimed to determine the factors that influence patient satisfaction with ecdemic medical care.Materials and methodsEight hundred and forty-four face-to-face interviews were conducted between October and November 2017 in two high-profile hospitals in Nanchang, China. Patient satisfaction was divided into lowest and highest satisfaction groups according the 80/20 rule. Demographic factors associated with patient satisfaction were identified by logistic regression models.ResultsRespondents’ main reasons for choosing a non-local hospital were “high level of medical treatment” (581/844), “good reputation of the hospital” (533/844), and “advanced medical equipment” (417/844). The top three items that dissatisfied the ecdemic patients were “long time to wait for treatment” (553/844), “complicated formalities” (307/844), and “poor overall service attitude” (288/844). Fewer female patients (adjusted odds ratio [AOR] =1.47, 95% confidence interval [CI] =1.03–2.11), patients with a family per-capita monthly income (FPMI) between 3,001 and 5,000 CNY (AOR =1.40, 95% CI =1.01–2.17), inpatients (AOR =1.46, 95% CI =1.01–2.13), and more patients with an FPMI >7,000 CNY (AOR =0.43, 95% CI =0.20–0.92) were detected in the lowest satisfaction group. Fewer patients with an associate’s or bachelor’s degree (AOR =2.40, 95% CI =1.37–4.20) and patients with an FPMI >7,000 CNY (AOR =3.02, 95% CI =1.10–8.33) were detected in the highest satisfaction group. Moreover, more inpatients (AOR =0.70, 95% CI =0.54–0.97) and those aged 46–65 years (AOR =0.63, 95% CI =0.33–0.98) were detected in the highest satisfaction group.ConclusionFindings suggested that managers of the medical facilities should note the importance of increasing their publicity through a rapidly developing media, as well as the necessity of creating a more patient-friendly medical care experience. Hospitals should also focus on the medical care experience of patients with relatively lower and higher income levels, male ecdemic patients, and ecdemic outpatients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

Liu

Lu²,

Wang³

et al. 2018

PPA

View full text Add to dashboard Cite

show abstract

“…According to a national survey of the elderly (China Longitudinal Healthy Longevity Survey) and a multicity survey of de facto residents (Urban Resident Basic Medical Insurance Survey), the introduction of both Rural Resident and Urban Resident Insurance improved self-reported health status (13,41,49,52); in the elderly population, cognitive function and daily activities improved (12). Overall, access to health insurance improves patient satisfaction, although expensive services (12,50) and variations in policy implementation, including the misalignment between patients' incentives and officials' incentives to implement reform, have both decreased patient satisfaction (58).…”

Section: Access and Utilizationmentioning

confidence: 99%

China's Health Reform Update

Liu

Vortherms

Hong

2017

Annu. Rev. Public Health

220

215

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China experienced both economic and epistemological transitions within the past few decades, greatly increasing demand for accessible and affordable health care. These shifts put significant pressure on the existing outdated, highly centralized bureaucratic system. Adjusting to growing demands, the government has pursued a new round of health reforms since the late 2000s; the main goals are to reform health care financing, essential drug policies, and public hospitals. Health care financing reform led to universal basic medical insurance, whereas the public hospital reform required more complex measures ranging from changes in regulatory, operational, and service delivery settings to personnel management. This article reviews these major policy changes and the literature-based evidence of the effects of reforms on cost, access, and quality of care. It then highlights the outlook for future reforms. We argue that a better understanding of the unintended consequences of reform policies and of how practitioners' and patients' interests can be better aligned is essential for reforms to succeed.

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“…In the last 20 years, many strange phenomena appeared, such as a confrontation between healthcare providers and patients (8). In the current days the medical resources remain limited, consumer-style relationship between doctors and patients and the option for patients choose their doctors lead further to the tension between doctors and patients, and results in the breeding bed for middlemen (9)(10)(11)(12). Public hospitals even provide platforms for some ill-regulated practice of private sectors.…”

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confidence: 99%

On the regretful death of Professor/Dr. Shi Ying-Kang

Lu¹

2016

Quant. Imaging Med. Surg.

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Patient dissatisfaction in China: What matters

Cited by 53 publications

References 32 publications

Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

China's Health Reform Update

On the regretful death of Professor/Dr. Shi Ying-Kang

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