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Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China

Author

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  • Jinlin Liu

    (Walter H. Shorenstein Asia-Pacific Research Center, Stanford University, Stanford, CA 94305, USA
    Research Center for the Belt and Road Health Policy and Health Technology Assessment, Xi’an Jiaotong University, Xi’an 710049, China)

  • Ying Mao

    (Research Center for the Belt and Road Health Policy and Health Technology Assessment, Xi’an Jiaotong University, Xi’an 710049, China
    School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

Abstract

Rural medical services play an important role in protecting and promoting the health of the rural population; however, patient satisfaction with rural medical services has been understudied in China. A better understanding of the actual situation and the determinants involved will provide evidence for health-related policy makers and hospital managers to further improve rural medical services. A total of 9811 patients (5208 outpatients and 4603 inpatients) were included in this study from a cross-sectional survey conducted in rural hospitals from 11 western provinces in China. Three in five patients (including outpatients and inpatients) were satisfied with rural medical services. The mean overall satisfaction scores were 3.61 ± 0.857 and 3.80 ± 0.829 (out of a maximum of 5) for rural outpatients and inpatients, respectively. The most satisfying domains for outpatients and inpatients were medical service attitude and illness explanation, and waiting time and medical expenses were the domains that outpatients and inpatients were least satisfied with. Satisfaction with medical technology (OR: 1.73; 95% CI: 1.57–1.92) and satisfaction with trust in physicians (OR: 2.05; 95% CI: 1.85–2.28) were identified as the strongest predictors of outpatients’ and inpatients’ overall satisfaction with rural medical services, respectively. This study might shed light on rural medical services management in China.

Suggested Citation

  • Jinlin Liu & Ying Mao, 2019. "Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China," IJERPH, MDPI, vol. 16(20), pages 1-15, October.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3968-:d:277752
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    References listed on IDEAS

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    1. Weinhold, Ines & Gurtner, Sebastian, 2018. "Rural - urban differences in determinants of patient satisfaction with primary care," Social Science & Medicine, Elsevier, vol. 212(C), pages 76-85.
    2. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
    3. Linghan Shan & Ye Li & Ding Ding & Qunhong Wu & Chaojie Liu & Mingli Jiao & Yanhua Hao & Yuzhen Han & Lijun Gao & Jiejing Hao & Lan Wang & Weilan Xu & Jiaojiao Ren, 2016. "Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-18, October.
    4. Ware, John E. & Snyder, Mary K. & Wright, W. Russell & Davies, Allyson R., 1983. "Defining and measuring patient satisfaction with medical care," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 247-263, January.
    5. Muhammad Majid Aziz & Wenjing Ji & Imran Masood & Muhammad Farooq & Muhammad Zubair Malik & Jie Chang & Minghuan Jiang & Naveel Atif & Yu Fang, 2018. "Patient Satisfaction with Community Pharmacies Services: A Cross-Sectional Survey from Punjab; Pakistan," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    6. Jiang Wu & Shengchao Zhang & Huiqing Chen & Yingyu Lin & Xiaoxin Dong & Xiaoxu Yin & Zuxun Lu & Shiyi Cao, 2016. "Patient Satisfaction with Community Health Service Centers as Gatekeepers and the Influencing Factors: A Cross-Sectional Study in Shenzhen, China," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-9, August.
    7. Becker, G. & Newsom, E., 2003. "Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African Americans," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 742-748.
    8. Abid Hussain & Muhammad Safdar Sial & Sardar Muhammad Usman & Jinsoo Hwang & Yushi Jiang & Awaisra Shafiq, 2019. "What Factors Affect Patient Satisfaction in Public Sector Hospitals: Evidence from an Emerging Economy," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
    9. Dongxiao Gu & Xuejie Yang & Xingguo Li & Changyong Liang & Jinhong Zhong & Nanping Feng, 2018. "Innovating New Rural Cooperative Medical Scheme (NCMS) for Better Patient Satisfaction in Rural China," IJERPH, MDPI, vol. 15(9), pages 1-14, September.
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