Satisfaction survey among primary health care outpatients in the backward region: an empirical study from rural Western China

He, Xin; Li, Lingui; Bian, Ying

doi:10.2147/ppa.s172021

Cited by 20 publications

(30 citation statements)

References 33 publications

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“…In line with previous studies, elderly people were more satisfied with health care services compared to younger people, although contradictory results have also been found [ 7 – 9 , 20 ]. Older people might consider their illness and treatments a burden [ 15 ], and dissatisfied elderly patients are more likely to be chronically ill [ 14 ].…”

Section: Discussionsupporting

confidence: 88%

“…The patient's perceptions, previous experiences, and fulfilment of expectations influence health care satisfaction [7,8]. Relevant factors affecting patient satisfaction include the population's demographic characteristics, health status, and chronic illnesses [7,[9][10][11][12][13][14][15][16][17][18]. Among the Finnish population, multimorbidity is rising [19].…”

Section: Introductionmentioning

confidence: 99%

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Continuity of care is associated with satisfaction with local health care services

et al. 2020

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Background: Satisfaction is a major element in assessing quality of care. It has decreased in Finland in recent decades as well as continuity of care. We investigated which demographic, health-related, and local health care service factors, especially continuity of care, are associated with the population's satisfaction with local health care services. Methods: The data are part of the Health and Social Support (HeSSup) study's follow-up questionnaire in 2012. The study is based on a random Finnish population sample. Satisfaction was studied based on the question "How satisfied are you with your local health care services?" Demographic factors, obesity, self-assessed health status, depressive mood (BDI-12 questionnaire), New York Heart Association class, and chronic diseases were asked in the questionnaire. Questions describing local health care services were also presented. We assessed the association of an assigned and named GP and the respondents' proactivity in contacting the same doctor with satisfaction. We used crosstabulation and binary logistic regression in the analyses. Results: The Health and Social Support study was answered in 2012 by 15,993 participants (45.4%) and majority (61.3%) was satisfied with their local health care services. An assigned and named GP (OR 1.79; 95% CI 1.67-1.92) and the respondent's proactivity in contacting the same doctor (OR 1.23; 95% CI 1.15-1.32) were associated with satisfaction in the adjusted multivariate analysis. BDI score < 19 had the strongest association with satisfaction (OR 1.91; 95% CI 1.65-2.23). Older participants, males, and those in a relationship were more likely to be satisfied. Conclusions: A named GP in primary care proved to have a positive correlation with patient satisfaction. Depression was associated with decreased satisfaction. A named GP indicates continuity of care, and it should be seriously considered when planning treatment for patients with chronic conditions.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Continuity of care is associated with satisfaction with local health care services

et al. 2020

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“…A study from rural western China showed that patients in primary healthcare were relatively less satisfied with medical services than developed areas. 49 Our study may have indicated this too.…”

Section: Patients' Characteristicsmentioning

confidence: 75%

“…Moreover, hospitals in a less developed area may face a larger proportion of patients with a lower education level. 49 They may have more demands of medical knowledge. However, with such a workload, nurses were eager to educate patients and therefore provide incomplete information that could not meet patients' needs.…”

Section: Patients' Characteristicsmentioning

confidence: 99%

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

et al. 2020

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ObjectivesThe aim of the study was to examine the level of patient satisfaction with nursing care and identify the factors affecting satisfaction from the inpatient’s perspective in a backward region of China.DesignThis was a cross-sectional study.SettingThe study was conducted at a tertiary hospital located in northwest China.ParticipantsPatients admitted to the ward for at least 48 hours were chosen to participate in the survey.Primary outcome measureThe Newcastle Satisfaction with Nursing Care Scale was used. Data were collected from 219 patients.ResultsThe overall inpatient satisfaction with nursing care was 78.15±4.74. Patients were more satisfied with nurses who respected their privacy and treated them as individuals (67.7%). Patients were least satisfied with the type of information nurses gave them (11.7%) and with the sufficient awareness of their needs. Patients who were married, had a history of hospitalisation, surgery and were taken charge of by junior nurses had higher satisfaction.ConclusionsThe overall level of patient satisfaction was moderate. Patient-centred individualised care and providing sufficient information model of care are needed. There was a need for nurses to be aware of patients’ individualised care needs and to provide them with more information. This study may suggest/urge hospital administrators, policymakers and nurses to be more sensitive with patients’ married status, history of hospitalisation and surgery, the professional title of in charged nurses when care is provided. Ultimately to achieve better outcome of patients’ hospitalisation.

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“…61 Due to the shortage of health resources, barefoot doctors with low-educational level and informal identity recognition still served as community health workers in the rural areas, 62 which accounted for some complaints in the study about their incompetent professional. 63 Besides, owning less awareness to seek appropriate selfmanagement strategies, people in such areas were easily trapped in a health-product sale scheme. 64 Cultural setting, including cuisines culture, traditional norms, and values, is another implication that should be highlighted.…”

Section: Discussionmentioning

confidence: 99%

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

Qiu¹,

Schick‐Makaroff²,

Tang³

et al. 2020

PPA

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Purpose: This study is aiming to investigate cardiovascular patients' attitudes towards selfmanagement during hospitalization in China. Patients and Methods: Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audiorecorded, transcribed and analyzed by thematic analysis to develop the results. Results: Four themes were identified from the qualitative data: (1): Responsibilities of selfmanagement; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence. Conclusion: This study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.

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Satisfaction survey among primary health care outpatients in the backward region: an empirical study from rural Western China

Cited by 20 publications

References 33 publications

Continuity of care is associated with satisfaction with local health care services

Continuity of care is associated with satisfaction with local health care services

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

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