中国全科医学2018，Vol.21Issue(7)：774-777,4.DOI:10.3969/j.issn.1007-9572.2018.07.005
综合性三级甲等医院全科门诊患者就诊体验及影响因素研究
Experience and Associated Factors of Consultation among Primary Care Outpatients from the Grade A Tertiary General Hospital
摘要
Abstract
Objective To investigate the consultation experience and associated factors among primary care outpatients from a grade A tertiary general hospital. Methods In March 2017, from General Practice Department, West China Hospital, Sichuan University, we recruited 200 outpatients and surveyed them by self-developed Consultation Experience of Primary Care Outpatients Questionnaire, for collecting their sociodemographic characteristics, and status and thoughts about the consultation. Totaled 185 returned responsive questionnaires, achieving a response rate of 92.5%. Results Of the 185 patients, 31 (16.8%) obtained the initial consultation from the nearest township hospital/community hospital, 105 (56.8%) acquired initial consultation from the general practice department, and 112 (60.5%) had never heard of general practitioners (GPs). The overall level of satisfaction with the consultation among them was 87.6% (162/185). Specifically, 136 (73.5%) thought that the doctor had spent sufficient time on communicating with them, 153 (82.7%) considered that the doctor had inquired their conditions in detail, and 167 (90.3%) considered that the doctor had explained the illness conditions clearly. Multivariate Logistic regression analysis showed that consultation length, detail level of the doctor's inquiry, clarity level of doctor's explanation of the illness conditions were associated factors for the level of satisfaction with consultation among the primary care outpatients (P<0.05). Conclusion Primary outpatient care delivered by this grade A tertiary general hospital achieved high level of patient satisfaction. GPs often or always spend sufficient time on communicating with patients, inquiring their conditions detailedly, and explain the illness conditions well, can improve the level of patient satisfaction with consultation.关键词
全科医学科/门诊病人/就诊体验/影响因素分析Key words
General practice department/Outpatients/Medical experience/Root cause analysis分类
医药卫生引用本文复制引用
孙俊杰,李双庆..综合性三级甲等医院全科门诊患者就诊体验及影响因素研究[J].中国全科医学,2018,21(7):774-777,4.基金项目
四川省科技厅软科学研究计划项目(16RKX0536) （16RKX0536）
