3차 병원 평생건강관리클리닉의 경험: 환자 만족도와 관련 요인
Experience of Lifetime Health Maintenance Clinic in a Tertiary Hospital: Patients Satisfaction and Associated Factors
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연구방법: 평생건강관리 프로그램은 정기적인 건강진단을 통해 개개인에 적합한 질병예방과 위험요인의 개선을통한 건강증진을 목표로 고안된 정기적인 건강관리 프로그램이다. 본 연구에서는 3차병원 평생건강관리클리닉을 이용한 환자들의 만족도를 조사하고 관련 요인을 평가하여일차의료 강화정책을 뒷받침하고자 한다. 방법:2016년 3월 1일부터 12월 30일까지 3차병원 가정의학과 평생건강관리클리닉을 방문한 184명을 대상으로 만족도 조사를 시행하였다. 평생건강관리클리닉에 대한 추천의향 여부에 따른 환자들의 일반적 특성, 등록계기, 등록횟수, 질병개수, 방문목적, 의료서비스 선호도 항목의 개수의연관성을 분석하였다. 결과: 설문조사 응답자 중 83.7%가 평생건강관리클리닉을 지인에게 권유하겠다고 응답하였다. 지인에게 권유하겠다는 응답자의 관련 요인으로는 지방 거주(OR 4.21; 95% CI, 1.36-13.02), 지인 추천을 계기로 방문한 경우(OR 3.99; 95% CI, 1.29-12.35), 의료서비스 선호도 항목의 개수가 많은 경우(OR 5.91; 95% CI, 1.48-23.58)가 있었다. 결론: 평생건강관리클리닉에 대한 추천 의향도를 통하여평가된 환자의 만족도는 높았다. 환자의 만족도는 개인의특성 중에서도 거주지가 지방인 경우, 지인추천으로 등록한 경우 그리고 클리닉에서 제공받은 의료서비스 선호 항목의 개수가 많은 경우와 연관성이 있었다. 이를 토대로, 중소도시 및 지방병원에서도 만족도를 높이기 위한 양질의서비스가 제공되어야 하고, 주치의 제도 네트워크 활성화및 다양한 의견이 반영될 수 있는 의료서비스 인프라 구축이 필요할 것으로 생각된다.
Abstract
Background:Lifetime health maintenance program (LHMP) is designed for individualized disease prevention and health promotion through regular health check-ups and improving risk factors. This study aimed to investigate patients’ satisfaction of lifetime health clinic (LHC) in a tertiary hospital and to evaluate associated factors in order to support primary health care strengthening policy. Methods:We conducted surveys for patients, who visited LHC in a department of family medicine at a tertiary hospital from March 1st 2016 to December 31st 2016. We analyzed proportions and characteristics associated with patients, who were willing to recommend LHC. The relationship between willingness to recommend LHC and associated factors were evaluated by multivariate logistic regression analyses. Results:Among the patients who answered the questionnaires, 83.7% responded that they would recommend LHC to others. Results from multivariate analyses suggested that patients living in provinces (odds ratio [OR] 4.21, 95% confidence interval [CI], 1.36-13.02), patients who were recommend by others to visit LHC (OR 3.99, 95% CI, 1.29-12.35), and those who had a large number of medical service preference items (OR 5.91, 95% CI, 1.48-23.58) were significantly associated with willingness to recommend LHC. Conclusions:LHC pursues the goal of primary care. Findings highlight the fact that high quality health service should be provided in small and municipal hospitals to improve patients’ satisfaction. Furthermore, it is essential to establish family physician networks and health service infrastructure that can reflect various opinions.
참고문헌 (26)
- Starfield B, "Contribution of primary care to health systems and health", Milbank Q, 83(3), pp.457~502 (2005)
- Starfield B, "Policy relevant determinants of health: an international perspective", Health Policy, 60(3), pp.201~218 (2002)
- "What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services? 2004 World Health Organization Regional Office for Europe" (2004)[URL]
- Macinko J, "The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998", Health Serv Res, 38(3), pp.831~865 (2003)
- Kim EJ, "Measuring the burden of chronic diseases in Korea in 2007", Public Health, 127(9), pp.806~813 (2013)
- Strong K, "Preventing chronic diseases: how many lives can we save?", Lancet, 366(9496), pp.1578~1582 (2005)
- Cho HJ, "Factors associated with possession of regular doctor in Korea", J Korean Acad Fam Med, 22(11), pp.1612~1621 (2001)
- 봉승원, "주치의 제도의 필요성과 내용에 대한 인식도 조사", Korean Journal of Family Medicine, 27(5), pp.370~375 (2006), 대한가정의학회
- 조홍준, "국민은 주치의제도에 대해 어떻게 생각하나", Korean Journal of Family Medicine, 23(2), pp.171~178 (2002), 대한가정의학회
- Huh BY, "Development and evaluation of home doctor registration program", J Korean Acad Fam Med, 19(10), pp.801~810 (1998)
- 박민선, "한국인의 평생건강관리 총론", Korean Journal of Family Medicine, 30(10), pp.761~768 (2009), 대한가정의학회
- 김수영, "한국인의 평생 건강관리 리뷰 방법론", Korean Journal of Family Medicine, 30(10), pp.769~776 (2009), 대한가정의학회
- Hwang J, "Patient satisfaction as an outcome indicator", J Korean Acad Adult Nurs, 13(1), pp.29~39 (2001)
- Pascoe GC., "Patient satisfaction in primary health care: a literature review and analysis", Eval Program Plann, 6(3-4), pp.185~210 (1983)
- Linder-Pelz SU., "Toward a theory of patient satisfaction", Soc Sci Med, 16(5), pp.577~582 (1982)
- 김규식, "요소만족과 고객만족이 NPS(순추천고객지수)의 추천의향에 미치는 영향에 관한 실증 연구 - 부엌가구를 중심으로 -", 품질경영학회지, 37(2), pp.58~67 (2009), 한국품질경영학회
- Ghorbani A, "Patient satisfaction with the Family Physician Program in Sabzevar, Iran", Glob J Health Sci, 8(2), pp.219~229 (2016)
- Pini A, "Assessment of patient satisfaction of the quality of health care provided by outpatient services of an oncology hospital", Glob J Health Sci, 6(5), pp.196~203 (2014)
- 정현진, "일차의료 강화를 위한 지불제도 개편방안", 대한의사협회지, 56(10), pp.881~890 (2013), 대한의사협회
- Dourgnon P, "The preferred doctor scheme: a political reading of a French experiment of gate-keeping", Health Policy, 94(2), pp.129~134 (2010)
- Kralj B, "Primary care in Ontario: reforms, investments and achievements", Ont Med Rev, 79(2), pp.18~24 (2012)
- Ganasegeran K, "Patient satisfaction in Malaysia’s busiest outpatient medical care", ScientificWorldJournal, 2015, pp.714~754 (2015)
- Li J, "Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China", Int J Qual Health Care, 28(3), pp.346~354 (2016)
- Sun J, "Consumer satisfaction with tertiary healthcare in China: findings from the 2015 China National Patient Survey", Int J Qual Health Care, 29(2), pp.213~221 (2017)
- Park SM, "Public perception of the need for regular family doctors, their major role, and appropriate training duration", Korean J Fam Pract, 3(2), pp.124~131 (2013)
- Seo HG, "A telephone survey on the opinions about family doctor", Korean J Prev Med, 31(2), pp.310~322 (1998)