1.Medical Insurance Office, Chifeng Clinical Medical School of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Chifeng 024000, China; 2.Department of Scientific Research, Affiliated Hospital of Chifeng University, Inner Mongolia Autonomous Region, Chifeng 024000, China;
3.Department of Endocrinology, Chifeng Cancer Hospital, Inner Mongolia Autonomous Region, Chifeng 024000, China;
4.Xicheng Community Health Service Center of Chifeng, Inner Mongolia Autonomous Region, Chifeng 024000, China;
5.College of Health Management, Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 024000, China
Abstract：Objective To investigate and analyze the current situation of medical satisfaction of patients with five types of chronic diseases in Chifeng, Inner Mongolia Autonomous Region and to provide relevant suggestions and countermeasures for improving medical quality, optimizing medical services, and enhancing people’s sense of medical treatment. Methods Patients with renal dialysis, stroke sequelae, diabetes, chronic obstructive pulmonary disease, and rheumatoid arthritis in Chifeng, Inner Mongolia Autonomous Region were selected as the research objects. Taking a third-class hospital as the sample unit, through the questionnaire survey method, from March to October 2019, the satisfaction of patients with long-term chronic diseases was investigated. Results In this study, a total of 280 patients with five types of chronic diseases were investigated, and a total of 235 valid questionnaires were returned. The effective recovery rate was 83.93%. The per capita total score of medical satisfaction was 118.27, total scores accounted for 173 cases (73.9%) of patients ≥75%, and 11 cases (4.7%) of patients accounted for ≥95%. The analysis of the total scores of each dimension accounted for ≥75% and the number of patients showed that 51.5% were satisfied with medical expenses; 57.54% were satisfied with medical insurance services; 64.7% were satisfied with medical services. There was a statistically significant difference in the total scores of medical treatment services, medical insurance services, doctor-patient communication, medical information, medical expenses, and satisfaction of various diseases (P ＜ 0.05). The overall satisfaction of patients with sequelae of stroke was lower than that of patients with dialysis and chronic obstructive pulmonary disease, the overall satisfaction of patients with rheumatoid arthritis was higher than that of patients with sequelae of stroke, while the overall satisfaction of patients with diabetes was higher than that of patients with chronic obstructive pulmonary disease and sequelae of stroke, and the differences were statistically significant (P ＜ 0.05). Conclusion The satisfaction of patients with long-term chronic diseases needs to be further improved. Relevant management departments and medical institutions should continuously improve and perfect the weak links of services from the perspective of medical services, medical insurance services and medical expenses, so as to effectively improve patients’ sense of medical treatment.
2020, Vol. 17 
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