Abstract
BackgroundPatient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals.The aim of this study was to test whether and to what extent patient’s satisfaction with medical service delivery/patient’s assessments of various major aspects of medical service/various major aspects of patient’s trust in health delivery system influenced patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals.MethodsThis study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N = 3,386), and specified ordered probit models were established to analyze dataset from this household survey.ResultsThe key considerations in generating patient’s life satisfaction involved patient’s overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient’s life satisfaction were different among low level public hospital, high level public hospital, and private hospital.ConclusionThe promotion of patient’s overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient’s trust in prescription, the promotion of patient’s trust in doctor, and the promotion of patient’s trust in recommended medical examination could all help promote patient’s life satisfaction. But their promotion effects were different among low level public hospital, high level public hospital, and private hospital.
Highlights
Patient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals
Public hospitals in China can be divided into four categories according to “Governing rules for the management and classification of hospitals” [5]
Data In order to obtain data on patient’s life satisfaction, patient’s overall satisfaction with medical service delivery, patient’s assessment of medical service, and patient’s trust in health delivery system, this study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17
Summary
Patient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. The aim of this study was to test whether and to what extent patient’s satisfaction with medical service delivery/patient’s assessments of various major aspects of medical service/various major aspects of patient’s trust in health delivery system influenced patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. Level 1 public hospitals are “community hospitals or health clinics that provide direct prevention, treatment, health promotion, and rehabilitation services to participants of a defined community”. Level 2 public hospitals are “area hospitals that provide comprehensive medical and other healthcare services to participants of multiple communities, which may, to a certain degree, serve as teaching hospitals and research bases”. Public community health centers serve as complementary health organizations to the three-level public hospital system, their functions are similar to the functions of level 1 public hospitals, but their sizes are smaller and capacities are weaker than those of level 1 public hospitals, and generally speaking, compared with level 1 public hospitals, they mainly provide more junior direct prevention, treatment, health promotion, and rehabilitation services to participants of a defined community
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