Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2023, 5(6); doi: 10.25236/FMSR.2023.050613.

Correlation between patient satisfaction and experience in primary care facilities: A cross-sectional study in China

Author(s)

Wenwen Xie, Huaifu Xu

Corresponding Author:
Huaifu Xu
Affiliation(s)

The Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing, 211198, Jiangsu, China

Abstract

In China, promote the utilization of primary care is a significant way to relieve the shortage of medical resources, and to enhance the overall health-seeking efficiency. Patients' satisfaction with services provided in primary care facilities highly decided whether they choose them again. To identify the key patient experience domains driving overall satisfaction with primary care from patients’ perspectives, we conducted a cross-sectional questionnaire survey for data collection, using a convenience sampling from July to August, 2021. The primary independent variable was scores measured by Chinese Primary Care Assessment Tool (PCAT-C) to quantify patient experience at primary healthcare clinics (PHCs). And the Patient Satisfaction Questionnaire Short Form (PSQ-18) was adopted to measure patient satisfaction, the dependent variable, to show patients attitude towards service in PHCs. Covariates were main socio-demographic factors. Multi-variable linear regression analysis was employed to evaluate the correlation between patients’ experience and their satisfaction. Finally, a total of 1989 qualified questionnaires were reserved. The continuity dimension showed the strongest relationship with overall satisfaction (coef. 0.014 [95% CI 0.012 to 0.016], P=0.000), followed by the Coordination and Community orientation dimension. The Comprehensiveness and Family-centered dimension also made a statistically significant difference. Besides, age, region, working status, and annual family income all played a role in influencing patient satisfaction. In Conclusion, In China, satisfaction with primary healthcare may be improved by upgrading patient experience. Build up longitudinal relationship and enhance service quality of primary care to strengthen the service continuity may be the most effective way to promote patient experience. Moreover, positive correlation between patient overall satisfaction and primary care coordination, comprehensive, family centered, as well as community orientation indicate continuous efforts on these aspects to achieve a higher level of satisfaction, and further to promote the utilization of primary care.

Keywords

China, Satisfaction, Patient experience, Primary care, Continuity

Cite This Paper

Wenwen Xie, Huaifu Xu. Correlation between patient satisfaction and experience in primary care facilities: A cross-sectional study in China. Frontiers in Medical Science Research (2023) Vol. 5, Issue 6: 81-87. https://doi.org/10.25236/FMSR.2023.050613.

References

[1] Zeng Y, Wan Y, Yuan Z, Fang Y. Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors[J]. Int J Environ Res Public Health. 2021, 18(6):2969.

[2] Chen Z. Launch of the health-care reform plan in China[J]. Lancet. 2009 Apr 18;373(9672):1322-4.

[3] Schneider J, Kaplan SH, Greenfield S, Li W, Wilson IB. Better physician-patient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection[J]. J Gen Intern Med. 2004 Nov;19(11):1096-103. 

[4] Bleustein C, Rothschild DB, Valen A, et al. Wait times, patient satisfaction scores, and the perception of care[J]. Am J Manag Care, 2014, 20(5): 393-400.

[5] Walker K. Methods for capturing patient experience and satisfaction in healthcare services[J]. Nurs Stand. 2021 Jun 7.

[6] Mcnicholas A, Mccall A, Werner A, et al. Improving Patient Experience Through Nursing Satisfaction[J]. J Trauma Nurs, 2017, 24(6): 371-375.

[7] Zhang Y, Li Q, Liu H. From patient satisfaction to patient experience: A call to action for nursing in China[J]. J Nurs Manag, 2020, 28(2): 450-456.

[8] Macinko J, Lima Costa MF. Access to, use of and satisfaction with health services among adults enrolled in Brazil's Family Health Strategy: evidence from the 2008 National Household Survey[J]. Trop Med Int Health. 2012 Jan;17(1):36-42. 

[9] Marcinowicz L, Konstantynowicz J, Chlabicz S. The patient's view of the acceptability of the primary care in Poland. Int J Qual Health Care. 2008 Aug;20(4):277-83.

[10] Marcinowicz L, Chlabicz S, Grebowski R. Understanding patient satisfaction with family doctor care[J]. Eval Clin Pract. 2010 Aug;16(4):712-5.

[11] Wang MC, Mosen D, Shuster E, Bellows J. Association of patient-reported care coordination with patient satisfaction[J]. Ambul Care Manage. 2015 Jan-Mar;38(1):69-76.

[12] Boissy A, Windover AK, Bokar D, Karafa M, Neuendorf K, Frankel RM, Merlino J, Rothberg MB. Communication Skills Training for Physicians Improves Patient Satisfaction[J]. Gen Intern Med. 2016 Jul;31(7):755-61.

[13] Paddison CA, Abel GA, Roland MO, Elliott MN, Lyratzopoulos G, Campbell JL. Drivers of overall satisfaction with primary care: evidence from the English General Practice Patient Survey[J]. Health Expect. 2015 Oct;18(5):1081-92.

[14] Safran DG, Taira DA, Rogers WH, Kosinski M, Ware JE, Tarlov AR. Linking primary care performance to outcomes of care[J]. Fam Pract. 1998 Sep;47(3):213-20.

[15] Sans-Corrales M, Pujol-Ribera E, Gené-Badia J, Pasarín-Rua MI, Iglesias-Pérez B, Casajuana-Brunet J. Family medicine attributes related to satisfaction, health and costs[J]. Fam Pract. 2006 Jun;23(3):308-16. 

[16] Rocha KB, Rodríguez-Sanz M, Pasarín MI, Berra S, Gotsens M, Borrell C. Assessment of primary care in health surveys: a population perspective[J]. Eur J Public Health. 2012 Feb;22(1):14-19.

[17] Cabana MD, Jee SH. Does continuity of care improve patient outcomes?[J]. Fam Pract. 2004 Dec; 53(12):974-80. 

[18] Hjortdahl P, Laerum E. Continuity of care in general practice: effect on patient satisfaction[J]. BMJ. 1992 May 16;304(6837):1287-90. 

[19] Thayaparan AJ, Mahdi E. The Patient Satisfaction Questionnaire Short Form (PSQ-18) as an adaptable, reliable, and validated tool for use in various settings. Med Educ Online[J]. 2013 Jul 23; 18:21747. 

[20] Rowan MS, Lawson B, MacLean C, Burge F. Upholding the principles of primary care in preceptors' practices[J]. Fam Med. 2002 Nov-Dec;34(10):744-9. 

[21] Chen A, Feng S, Zhang L, Shi L. Comparison of Patients' Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China[J]. Int J Environ Res Public Health. 2020 Jul 7;17(13):4898.

[22] Cheraghi-Sohi S, Hole AR, Mead N, McDonald R, Whalley D, Bower P, Roland M. What patients want from primary care consultations: a discrete choice experiment to identify patients' priorities[J]. Ann Fam Med. 2008 Mar-Apr;6(2):107-15.

[23] Wensing M, Jung HP, Mainz J, Olesen F, Grol R. A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain[J]. Soc Sci Med. 1998 Nov; 47(10):1573-88. 

[24] Yang H, Shi L, Lebrun L a, Et Al. Development of the Chinese primary care assessment tool: data quality and measurement properties[J]. Int J Qual Health Care, 2013, (1): 92-105.

[25] Cheraghi-Sohi S, Hole AR, Mead N, et al. What Patients Want From Primary Care Consultations: A Discrete Choice Experiment to Identify Patients' Priorities[J]. Family Medicine Yearbook. 2008, 6(2): 107-115.