中国卫生事业管理2025，Vol.42Issue(2)：150-154,222,6.
基于标准化病人对基层医生"以患者为中心"医疗服务质量评估研究
Study on the Patient-Centered Medical Service Quality Assessment of Primary Care Physicians Based on Standard-ized Patients Sampled with Diabetes Mellitus
摘要
Abstract
Objective To understand the current situation of"patient-centered medical service quality of primary care phy-sicians and its influencing factors,and provide a research basis for the improvement of"patient-centered"medical service quali-ty of primary care physicians.Methods An on-site survey was conducted using the standardized patient method from March 2021 to December 2022,which included 194 items of physician-patient communication data generated by 194 physicians and 9 stand-ardized patients from 194 primary care facilities.Physician demographic characteristics and consultation information were collected from the surveyed organizations.A Chinese version of the Patient Perception of Patient-Centeredness-CN(PPPC-CN)was used to assess the impact of patient-centeredness on the quality of healthcare services using a multiple linear regression model.The factors were analyzed using multiple linear regression models.Results The mean score of"patient-centeredness"was(2.75±0.51),with an overall lower level.The lowest mean score(2.41±0.58)was for the dimension of Exploring the Disease Expe-rience,while the highest mean score(2.94±0.58)was for the dimension of Understanding the Whole Person.The mean score for the dimension of enhancing the Physician-Patient Relationship and Searching for Consensus was(2.70±0.67)and(2.90±0.51),respectively.The median consultation time was 7.00(5.00,10.00)minutes,the median waiting time was 3.00(1.00,11.00)minutes,and the median number of questioning entries was 8.00(6.00,11.00).The results of multiple linear regres-sion showed that the number of consultation entries,waiting time,doctor's age,and province were the factors influencing the quali-ty of"patient-centered"healthcare services(P＜0.05).Conclusion The quality of"patient-centered"medical services pro-vided by primary care doctors still needs to be further improved.It is recommended to strengthen the professional training of prima-ry care doctors on"patient-centeredness",emphazing on comprehensive consultation of patients.关键词
基层全科医生/标准化患者/以患者为中心/医疗服务质量Key words
grassroots general practitioner/standardized patients/patient-centered/quality of medical service分类
医药卫生引用本文复制引用
张加才,蔡毅媛,徐东,王晓辉,廖婧,卢芸..基于标准化病人对基层医生"以患者为中心"医疗服务质量评估研究[J].中国卫生事业管理,2025,42(2):150-154,222,6.基金项目
国家自然科学基金面上项目"基于标准化病人方法的民营和公立基层卫生机构医疗质量评估与比较研究"(71974211) （71974211）
瑞士发展与合作署"丝绸之路卫生体系研究实验室:通过卫生体系加强促进健康海上丝绸之路发展项目研究合作协议"(81067392) （81067392）
贵州省大学生创新创业项目"糖尿病标准化病人评估基层全科医师"以患者为中心"的医疗服务质量研究"(202010660055) （202010660055）
美国中华医学基金会公开竞标项目"丝绸之路卫生体系研究实验室:通过卫生体系加强促进健康海上丝绸之路发展项目研究合作协议"(CMB16-260) （CMB16-260）
