Multivariate analysis of influencing factors of inpatients′satisfaction in hospitals of different types / 中华医院管理杂志

ABSTRACT

Objective To explore the influencing factors of inpatients′satisfaction in different types of hospitals from the perspective of demand and supply sides,and to generate evidence for further healthcare improvement in different types of hospitals.Methods Based on the inpatient satisfaction survey results of the third party evaluation of the National Healthcare Improvement Initiative in 136 public tertiary hospitals, the discharged inpatients were divided in four groups according to the hospital types as general, traditional Chinese medicine(TCM), maternal and child(MCH)and specialty hospitals.SPSS 22.0 and SAS 9.4 softwares were used to conduct the Pearson chi-square test,variance analysis, Bonferroni test for univariate analysis,and binary multivariate logistic regression analysis,to explore the influencing factors of inpatients′satisfaction in different types of hospitals.Results The social and demographic characteristics were adjusted.Reasonable hospitalization expenditure was the most common influencing factor of inpatients ′satisfaction in general hospitals,TCM hospitals and MCH hospitals(P<0.01,OR=2.89,2.53,2.98). Quiet hospitalization environment was the most significant influencing factor of inpatients satisfaction in specialty hospitals(P <0.01, OR =2.32).Time-phased appointment for tests and examinations was another significant influencing factor of inpatients satisfaction of MCH hospitals(P<0.01, OR=2.25)and TCM hospitals(P<0.01, OR=1.91).Convenient admission was another influencing factor of inpatients satisfaction in specialty hospitals(P<0.01, OR=2.21).Conclusions In the next stage of healthcare improvement,different types of hospitals should take targeted actions.Specialty hospitals should control the visiting schedule and strengthen sound blocking facilities in the ward,in order to keep a quiet environment for inpatients, and further simplify the admission procedures.MCH and TCM hospitals should further promote the precise appointment system for tests and examinations.