›› 2013, Vol. 33 ›› Issue (6): 729-.doi: 10.3969/j.issn.1674-8115.2013.06.006

• Monographic report (Health system research) • Previous Articles     Next Articles

Survey on satisfaction of inpatients in pilot public hospital of reform in Beijing

YUAN Su-wei1, GAO Xing2, LIU Wen-wei3, YANG Xiao-ran2, TAO Jing-jing1, LI Zhi-jian3, CAO Jian-tao3, ZHANG Zhe1, LU Lin1, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China; 2.Department of Health System Reform, Beijing Municipal Health Bureau, Beijing 100053, China; 3.Antai School of Economics and Management, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2013-06-28 Published:2013-06-28
  • Supported by:

    Foundation of the Ministry of Health of China, 2012YG06; Shanghai Public Health Key Discipline Construction Project, 12GWZX0601

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Abstract:

Objective To evaluate the effectiveness of reform on public hospital in Beijing by inpatients. Methods Two hundred inpatients were selected from one pilot hospital of reform (with global budget and diagnosis related groups payment reform) and non-pilot hospital (without payment reform) respectively, and the satisfaction of inpatients with reform measures was surveyed with questionnaires. Results There was no significant difference in demographic characteristics between two hospitals (P>0.05). The total score of satisfaction of pilot hospital (4.64±0.24) was significantly higher than that of non-pilot hospital (4.40±0.28)(P<0.01). Among 5 first-level indicators, the scores of hospital environment, health service providing and medical auxiliary service in polit hospital were significantly higher than those in non-pilot hospital (P<0.01). There was no significant difference in the satisfaction rate between pilot hospital (93.18%) and non-pilot hospital (90.98%)(P>0.05). The satisfaction rate of health service providing was the lowest among 5 indicators in these two hospitals, and were 84.00% and 79.58% respectively (P>0.05). The satisfaction rate of medical auxiliary service in pilot hospital (97.04%) was significantly higher than that in non-pilot hospital (87.83%)(P<0.01). Among 20 second-level indicators, except for the indicators of waiting time for admission, admission procedures, explanation of admission reason by doctor, attitude of medical technician and doctor's response to the demand of patients, the scores of satisfaction of the other 15 indicators in pilot hospital were significantly higher than those in non-pilot hospital (P<0.01). Moreover, inpatients were most satisfied with the service attitude of nurses, and were most dissatisfied with the health care cost. Convenience of bill query, satisfaction of hospital environment and food quality of hospital were second-level indicators that significantly correlated with the total satisfaction score of inpatients. Conclusion The satisfaction of inpatients in pilot hospital is relatively higher. Further efforts should be made to push forward global budget and diagnosis related groups payment reform in Beijing in order to control the medical expenditure and improve the satisfaction of inpatients.

Key words: public hospital reform, inpatients, satisfaction, questionnaire survey