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Relationship between Perceived Health Status and Patient Satisfaction in Outpatient Settings - Korean National Health and Nutrition Examination Survey 2015

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초록

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

Abstract

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

참고문헌 (27)

  1. 박형욱, "한국 의료의 질 향상 방안", 대한의사협회지, 55(10), pp.969~977 (2012), 대한의사협회[DOI]
  2. Cho YH, "Definition and necessity of QI activity", Clin Endosc, 14(Suppl 2), pp.179~182 (2010)
  3. Groene O, "Patient centredness and quality improvement efforts in hospitals: Rationale, measurement, implementation", Int J Qual Health Care, 23(5), pp.531~537 (2011)
  4. National and cross-national surveys of patient experiences: A structures Review, "Garratt A", Norwegian Knowledge Centre for the Health Services, ~, pp.Report from Norwegian Knowledge Centre for the Health Services (NOKC) No. 07-2008
  5. Pascoe GC, "Patient satisfaction in primary health care: A literature review and analysis", Eval Program Plann, 6(3-4), pp.185~210 (1983)
  6. Xiao H, "The effect of perceived health status on patient satisfaction", Value Health, 11(4), pp.719~725 (2008)
  7. Vranceanu A, "Factors associated with patient satisfaction", J Hand Surg Am, 36(9), pp.1504~1508 (2011)
  8. Linn LS, "Physician and patient satisfaction as factors related to the organization of internal medicine group practices", Med Care, 23(10), pp.1171~1178 (1985)
  9. Renzi C, "Factors associated with patient satisfaction with care among dermatological outpatients", Br J Dermatol, 145(4), pp.617~623 (2001)
  10. 강태경, "가정의학과 외래 환자의 진료 만족도에 영향을 주는 요인", Korean Journal of Family Medicine, 24(4), pp.5~352 (2003), 대한가정의학회
  11. Hall JA, "Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis", Soc Sci Med, 30(7), pp.811~818 (1990)
  12. Mortsiefer A, "Satisfaction with general practice care in german patients with multimorbidity: A cross-sectional study", Fam Pract, 34(4), pp.452~458 (2017)
  13. 조성현, "입원환자의 사회인구학적 요인 및 의료이용 특성과 환자만족?불만족간의 관련성", Journal of Korean Academy of Nursing, 35(4), pp.535~545 (2005), 한국간호과학회
  14. Hall JA, "A causal model of health status and satisfaction with medical care", Med Care, 31(1), pp.84~94 (1993)
  15. Zapka JG, "Relationships of patient satisfaction with experience of system performance and health status", J Ambul Care Manage, 18(1), pp.73~83 (1995)
  16. AlMandhari AS, "Association between perceived health status and satisfaction with quality of care: Evidence from users of primary health care in oman", Fam Pract, 21(5), pp.519~527 (2004)
  17. Williams SJ, "Convergence and divergence: Assessing criteria of consumer satisfaction across general practice, dental and hospital care settings", Soc Sci Med, 33(6), pp.707~716 (1991)
  18. Fox JG, "A different approach to sociodemographic predictors of satisfaction with health care", Soc Sci Med A, 15(5), pp.557~564 (1981)
  19. Roberts RE, "Relationship of service satisfaction to life satisfaction and perceived well-being", Eval Program Plann, 6(3-4), pp.373~383 (1983)
  20. Paul P, "The association between self-perceived health status and satisfaction with healthcare services: Evidence from armenia", BMC Health Serv Res, 16, pp.67~ (2016)
  21. Robertsson O, "Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients", J Arthroplasty, 16(4), pp.476~482 (2001)
  22. Russell MB, "Determinants of patient satisfaction in chronic illness", ArthritisCare Res, 47(5), pp.494~500 (2002)
  23. Hall JA, "Why are sicker patients less satisfied with their medical care? tests of two explanatory models", Health Psycholo, 17(1), pp.70~ (1998)
  24. Ren XS, "Health status and satisfaction with health care: A longitudinal study among patients served by the veterans health administration", Am J Med Qual, 16(5), pp.166~173 (2001)
  25. Peto V, "Self-reported health status and access to health services in a community sample with parkinson’s disease", Disabil Rehabil, 19(3), pp.97~103 (1997)
  26. Piedra CS, "Factors associated with patient satisfaction with primary care in europe: Results from the EUprimecare project", Qual Prim Care, 22(3), pp.147~155 (2014)
  27. "Result report" (2012)[URL]

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