Process quality, diagnosis quality, and patient satisfaction of primary care in Rural Western China: A study using standardized patients.

Autor: Wu Y; Department of Health Behavior and Social Science,West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China., Liang Y; Department of Global Health and Population, Harvard Chan School of Public Health, 677 Huntington Ave, Boston 02115, MA, USA., Cai Z; Department of Health Behavior and Social Science,West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China., Li L; Department of Health Behavior and Social Science,West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China., Sun C; Department of Health Behavior and Social Science,West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China., Sylvia S; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Zhou H; Department of Health Behavior and Social Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, No. 16, Section 3, South Renmin Road, Chengdu 610041, Sichuan, China. Electronic address: zhouhuan@scu.edu.cn., Feng J; Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA., Rozelle S; Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Jun; Vol. 123, pp. 108208. Date of Electronic Publication: 2024 Feb 15.
DOI: 10.1016/j.pec.2024.108208
Abstrakt: Objectives: Patient satisfaction is an essential indicator of the doctor-patient relationship. This study aimed to investigate the relationship between primary care quality and patient satisfaction for non-communicable diseases (NCDs) in rural western China.
Methods: The study utilized the standardized patients (SPs) approach to present typical symptoms of unstable angina and diabetes to rural healthcare providers. After the consultations, the SPs completed a satisfaction survey. Ordinary least squares and quantile regression were used to examine the association between quality of primary care and patient satisfaction.
Results: We examined 178 anonymous SPs visits. The results showed that higher process quality for angina SPs was correlated with stronger satisfaction for provider ability at a low quantile of ability satisfaction. For diabetes SPs, higher process quality increased overall satisfaction at a low quantile of overall satisfaction, whereas a correct diagnosis significantly contributed to communication satisfaction at a high quantile of communication satisfaction.
Conclusions: The study found positive associations between process and diagnosis quality and SPs satisfaction. Notably, the influence of process quality was most significant among patients with lower satisfaction levels.
Practice Implications: Provider's process quality could be a key area of improving the satisfaction levels, especially for patients with lower levels of satisfaction.
Competing Interests: Declaration of Competing Interest The authors have no competing interests to disclose.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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