广东省异地就医住院患者满意度调查
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摘要
目的探讨广东省异地就医住院患者对就医过程的满意情况及影响因素,分析异地就医存在的问题并提出政策建议。方法采用问卷调查方法,于2017年8月,在广东省所有异地就医定点医疗机构中,针对广东省异地就医住院患者发放6 000份调查问卷,并对数据进行描述性统计分析、χ~2检验及二分类logistic回归分析。结果在5 786例被调查者中,对异地就医总体满意的有4 861例(占84.0%);不满意的有925例(占16.0%)。多因素logistic回归分析显示,入院手续、就医环境、异地就医便捷性、政策了解情况、异地就医直接结算5个变量是异地就医住院患者满意度的影响因素(P<0.05)。结论异地就医住院患者满意率有待提高,可通过宣传普及异地就医政策,改善医务人员服务态度,提高医院技术水平,完善异地就医直接结算系统,提高异地就医患者满意度。
Objective To investigate the satisfaction to medical service and its influencing factors among inpatients having the medication which could not be reimbursed by the local medical care system in Guangdong province and to analyze obstacles for medication with cross-region reimbursement for making relevant strategies. Methods With convenient sampling, we conducted a questionnaire survey among 6 000 patients hospitalized in all designated medical institutions providing medication with cross-region reimbursement during August 2017 in Guangdong province. We used descriptive analysis, chi-square test, and binary logistic regression in data analyses. Results Of the 5 786 participants providing valid information, 84.0%(4 861) were satisfactory to the medication they received and 16.0%(925) were unsatisfactory. The results of logistic regression analysis revealed that main influencing factors of satisfaction to medication with cross-region reimbursement were admission procedure, hospital environment, convenience of medication, awareness of relevant regulations, and direct settlement of cost for medication with cross-region reimbursement(P < 0.05 for all). Conclusion The satisfaction to medical service among inpatients without locality medical care remains to be improved by popularizing relevant regulations, perfecting service attitude of medical personnel, upgrading medication quality, and optimizing direct settlement system for medication with cross-region reimbursement.
Objective To investigate the satisfaction to medical service and its influencing factors among inpatients having the medication which could not be reimbursed by the local medical care system in Guangdong province and to analyze obstacles for medication with cross-region reimbursement for making relevant strategies. Methods With convenient sampling, we conducted a questionnaire survey among 6 000 patients hospitalized in all designated medical institutions providing medication with cross-region reimbursement during August 2017 in Guangdong province. We used descriptive analysis, chi-square test, and binary logistic regression in data analyses. Results Of the 5 786 participants providing valid information, 84.0%(4 861) were satisfactory to the medication they received and 16.0%(925) were unsatisfactory. The results of logistic regression analysis revealed that main influencing factors of satisfaction to medication with cross-region reimbursement were admission procedure, hospital environment, convenience of medication, awareness of relevant regulations, and direct settlement of cost for medication with cross-region reimbursement(P < 0.05 for all). Conclusion The satisfaction to medical service among inpatients without locality medical care remains to be improved by popularizing relevant regulations, perfecting service attitude of medical personnel, upgrading medication quality, and optimizing direct settlement system for medication with cross-region reimbursement.
引文
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[2]陈齐.上海市医疗保险异地结算困境研究[D].上海:华东政法大学硕士学位论文,2015.
[3]李淑春.破解异地就医“报销难”与“监管难”[J].中国社会保障,2015(02):71-72.
[4]张晗.上海市外来就医现状及住院患者满意度分析[D].上海:第二军医大学硕士学位论文,2015.
[5]刘晓萌.当前异地就医管理流程[J].健康必读:医保天地,2010(8):16.
[6]方建平.推进异地就医方便参保群众——关于医疗保险异地就医制度的思考[J].长江大学学报:自然科学版医学卷,2012,09(3):61-62,64.
[7]戴伟,龚勋.异地就医管理存在的问题与对策[J].中国药物经济学,2007(05):67-70.
[8]邱伟,龚忆莼,贺国俊,等.参保人“异地就诊”现金结算管理探讨[J].中国卫生资源,2006(05):227-228.
[9]夏鞾,仝晶晶,张晓.医疗保险异地就医问题初探[J].金融与经济,2009(04):90-91.
[10]郑先平,刘雅,傅强辉.社会医疗保险异地结算问题及对策探讨[J].中国卫生经济,2015(2):25-27.