A total of 713 patients participated in the study and returned the questionnaires. The response rate was 90.2%. The characteristics of the patients are shown in Table 2. The majority were female, aged <30 years, married, belonged to the Han ethnic group, and had medical insurance. Waiting times were <1 hr for half of the patients and doctor consultation times ranged from 1 to 60 mins. The level of medical knowledge was average and most had a high expectation of treatment results. Most had a high level of trust in their doctor and thought the hospital environment was good.
PDRQ-nine
PDRQ-9 scores ranged from 9 to 45 (mean=; SD=7.56). The mean PDRQ-9 score of patients at the province hospital was lower than that for the city hospital (p=0.025) (Table 2). Patients of Han ethnicity had a higher PDRQ-9 score than those of Mongolian ethnicity. Patients who were satisfied with their household income reported higher PDRQ-9 scores than those who were not. Longer waiting times correlated with lower PDRQ-9 scores, while patients who spent <5 mins consulting the doctor reported lower PDPRQ-9 scores on average than patients who spent longer than 5 mins. Patients who considered the hospital environment to be good, or had a high degree of trust in doctors reported higher PDRQ-9 scores. Patients who were often influenced by negative media coverage reported a lower PDRQ-9 score compared to those who reported being less frequently influenced.
Result of the brand new regression acting are given during the Dining table step three. Predicated on several linear regression analyses, several predictors regarding DDPRQ-10 have been identified. Provincial height d;step three.24) highest score as compared to urban area-height doctors (p=0.039). Somewhat higher score had been plus located having d;forty years, in the interior Medicine company, that have an excellent master’s studies, getting let down with regards to earnings, because of the healthcare ecosystem become bad, are commonly influenced by the fresh new negative media, operating more 40 time each week, distress pressure, and having defensive behaviors.
Efficiency exhibited the effect of enough time doing work circumstances (coefficient 3.49; 95% CI=0.01, 6.97) is higher than the fresh new head impression (coefficient=1.dos8; 95% CI=?2.27, cuatro.83), exhibiting that much of one’s complete effectation of offered doing work period is generally mediated employing organization towards the advanced out of pressure regarding work. Likewise, the entire aftereffect of increased problem stated by the medical professionals in the provincial medical (coefficient=step one.66; 95% CI=0.08, step 3.twenty-four compared to new lead impression ?0.62; 95% CI=?step three.01, step 1.77) might mediated via the connections which have poorer impression of hospital ecosystem and you can big quantity of people each and every day; which of improved regularity out of negative mass media dictate (cuatro.21; 95% CI, step 1.21, 7.21 compared to brand new head impact 0.86; 95% CI=?2.98, 4.69) is mediated thru the relationships on deeper tendency to build a lot of prescriptions, an impression from tension additionally the feeling off a reduced level away from believe anywhere between physicians and you will clients. The new noticeable differences between the total and you will lead effectation of a great masters’ knowledge could not become informed me by all intermediates indicated regarding causal chart.
Situations regarding the DPR on patients’ perspective
In accordance with the multivariate investigation, 9 parameters were found to be notably associated with the PDRQ-nine (Desk cuatro). Clients in the provincial level medical got typically a ?step 1.twenty eight coefficient (95% CI, ?2.39, ?0.17) straight down PDRQ-nine score compared to the city-height people (p=0.024). Significantly all the way down PDRQ-9 ratings have been also viewed to own Mongolian customers, patients have been upset employing money, longer prepared day, smaller consultation big date which have medical professionals, lower assumption away from procedures effects, low level off trust in the doctor, bad medical ecosystem, and a lot more frequent bad news dictate. If the aftereffect of healthcare level into the patient satisfaction through the paths out of prepared some time appointment go out is checked out, brand new coefficient reduced from ?step one.twenty-eight to ?dos.sixteen demonstrating a primary contribution regarding wishing and you will consultation minutes to help you the newest what is alua poorer satisfaction away from outpatients throughout the provincial medical.