论文部分内容阅读
目的分析重庆市民营医院住院患者流失倾向影响因素。方法利用二阶段随机抽样方法对重庆市主城区20家大型民营医院共600名住院患者进行问卷调查,调查患者一般社会学特征、患者感知的医疗服务质量、住院患者流失倾向等情况。运用SPSS21.0软件进行描述性统计分析、χ~2检验和二分类Logistic回归分析。结果共回收有效问卷552份,有效率92.00%。95名住院患者有流失倾向,占18.20%。逐步Logistic回归分析显示,男性(OR=0.520,P=0.022)和综合民营医院(OR=0.130,P<0.001)为住院患者流失倾向的危险因素;年龄≥60岁(OR=3.128,P=0.002)、家庭人均月收入≥4 000元(OR=15.292,P<0.001)、对民营医院持信任态度(OR=3.429,P=0.015)、赞同医疗服务可靠性(OR=9.443,P=0.006)、赞同医疗服务响应性(OR=8.025,P=0.031)和赞同医疗服务经济性(OR=16.198,P<0.001)是住院患者流失倾向的保护因素。结论重庆市主城区民营医院患者流失倾向总体较低。民营医院管理者应从相关影响因素入手,采取有效措施,提高住院患者再次就诊意愿。
Objective To analyze the influencing factors of the loss tendency of inpatients in private hospitals in Chongqing. Methods A total of 600 inpatients from 20 large-scale private hospitals in the main urban area of Chongqing were surveyed by two-stage random sampling method to investigate the general sociological characteristics, the quality of medical services perceived by the patients, and the tendency of loss of inpatients. SPSS21.0 software was used for descriptive statistical analysis, χ ~ 2 test and binary logistic regression analysis. Results A total of 552 valid questionnaires were collected, with an effective rate of 92.00%. 95 hospitalized patients tend to drain, accounting for 18.20%. The stepwise Logistic regression analysis showed that the risk factors for the loss of inpatients were male (OR = 0.520, P = 0.022) and general private hospitals (OR = 0.130, P <0.001) ), And the per capita monthly household income was more than 4000 yuan (OR = 15.292, P <0.001). The trustworthiness of private hospitals (OR = 3.429, P = 0.015) (OR = 8.025, P = 0.031), and agreeing that the medical service economy (OR = 16.198, P <0.001) is a protective factor for the loss of inpatient status. Conclusion The loss tendency of patients in private hospitals in the main urban area of Chongqing is generally low. Private hospital managers should start with the relevant factors and take effective measures to improve inpatient re-visit wishes.