Analysis on the composition, satisfaction and related factors of outpatient visits with different registration methods
ZHU Yanping1 ZHU Xiaobo1▲ WANG Zhe2
1.Information Management Office, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Department of Radiotherapy, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China
Abstract：Objective To analyze the composition, satisfaction and related factors of outpatient registration with different registration methods. Methods From January 2017 to January 2018, 9874 outpatients in the First Affiliated Hospital of Hebei North University ("our hospital" for short) were investigated and analyzed. According to the different registration methods, they were divided into window payment registration patients and network reservation registration patients. The satisfaction evaluation between different registration methods was compared. Logistic regression analysis equation was used to calculate and analyze the related factors affecting patients′satisfaction. Results Of the 9860 questionnaires recovered, 5065 were registered by the window, accounted for 51.37%. There were 4795 cases of network reservation registration, accounted for 48.63%. The total satisfaction rate of outpatient registration was 83.63% (8246/9860). The total satisfaction rate of window payment registration (69.60%) was significantly lower than that of network reservation registration (98.46%). The treatment process, experience, environment, overall evaluation, doctor-patient relationship and overall satisfaction evaluation of the window payment registration patients were lower than those of the network reservation registration patients, the differences were statistically significant (P ＜ 0.05). There were significant differences in residence, educational level, economic income, whether there were fixed doctors, registered departments, visiting times, waiting time between the patients with satisfactory registration and those with unsatisfactory registration (P ＜ 0.05). Logistic regression analysis showed that residence, educational level, economic income, whether there were fixed doctors, registered departments, visits times, waiting time were the main factors affecting the satisfaction evaluation of outpatient registered patients (P ＜ 0.01). Conclusion Promoting the registration method of network reservation is helpful to improve the satisfaction evaluation of outpatients. At the same time, in practice, we should pay more attention to the patients with lower educational level, higher economic income, first visit, and from other places, so as to shorten the waiting time of patients as much as possible.
朱艳平1 朱晓勃1▲ 王喆2. 门诊患者不同挂号方式就诊的构成、满意度及相关影响因素分析[J]. 中国医药导报, 2019, 16(6): 40-44.
ZHU Yanping1 ZHU Xiaobo1▲ WANG Zhe2. Analysis on the composition, satisfaction and related factors of outpatient visits with different registration methods. 中国医药导报, 2019, 16(6): 40-44.
[1] 于凯，赵鹏宇，黄智然，等.不同挂号方式门诊患者就诊满意度分析[J].中华医院管理杂志，2018，34（2）：114-117.
[2] 杨骅，蔡全才，王铁军，等.某医院门诊医患双方对预约挂号需求的调查研究[J].中国医院，2012，16（3）：32-35.
[3] 雷祎，李葆华，魏霞，等.北京某三甲医院预约挂号满意度及影响因素调查[J].中国医院管理，2012，32（2）：29-30.
[4] 朱颖，汪新，吴瑞春，等.门诊多渠道预约挂号平台下患者满意度调查[J].解放军医院管理杂志，2016，23（6）：521-522，534.
[5] 侯城北，孙华银，刘力松，等.门诊老年患者总体满意度及影响因素分析[J].中华医院管理杂志，2012，28（3）：217-221.
[6] 卢武红，尼木格日勒，霍永胜，等.大型综合性医院门诊预约挂号存在的问题及对策探讨[J].中国数字医学，2015， 10（9）：55-56，72.
[7] 王肖然，吕方，石斌，等.某院门诊患者退号现状的调查分析[J].中国病案，2015，16（12）：39-40.
[8] 宓轶群，李娜，滕德，等.门诊预约管理策略评估研究[J].中国卫生质量管理，2018，25（3）：45-47.
[9] 史晨辰，钟晓珠，程文瑾，等.三甲医院乳腺专科门诊患者就诊体验及影响因素研究[J].中国妇幼保健，2016，31（16）：3364-3367.
[10] 汪洪明，赵志芳，张秋霞，等.门诊挂号流程优化的实践与体会[J].医院管理论坛，2013，30（3）：35-37.
[11] 陈英，焦蓓蓓.基层中医院医患友好度示范基地门诊患者就诊满意度分析[J].中国农村卫生事业管理，2017， 37（1）：47-48.
[12] 王昊，许春红，刘龙秀，等.专家门诊预约挂号影响因素分析[J].中国医院管理，2013，33（10）：33-35.
[13] 傅丽燕.门诊多渠道预约挂号平台下患者满意度调查[J].医学理论与实践，2018，31（4）：621-623.
[14] 赵静.我院门诊预约挂号现状调查及失约相关影响因素分析[J].西南国防医药，2016，26（1）：110-112.
[15] 沈俭，王昊.外科门诊就诊者挂号错误原因分析及护理管理对策[J].齐鲁护理杂志，2015，21（18）：107-109.
[16] 陆秉，姚革，是俊凤，等.专家门诊预约挂号的实践效果及体会[J].现代医院管理，2014，12（4）：66-69.
[17] Stübig T，Zeckey C，Min W，et al. Effects of a WLAN-based real time location system on outpatient contentment in a Level Ⅰ trauma center [J]. Int J Med Inform，2014，83（1）：19-26.
[18] Arraras JI，Illarramendi JJ，Viudez A，et al. The cancer outpatient satisfaction with care questionnaire for chem-otherapy，OUT-PATSAT35 CT：A validation study for Spanish patients [J]. Support Care Cancer，2012，20（12）：3269-3278.
[19] Pineda J，Dadds MR. Family intervention for adolescents with suicidal behavior：A randomized controlled trial and mediation analysis [J]. J Am Acad Child Adolesc Psychiatry，2013，52（8）：851-862.
[20] Kisa K，Kawabata H，Itou T，et al. Survey of patient and physician satisfaction regarding patient-centered outpatient consultations in Japan [J]. Intern Med，2011，50（13）：1403-1408.
2019, Vol. 16 
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