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-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.
Results of the brand new regression acting receive from inside the Desk step 3. Based on multiple linear regression analyses, a dozen predictors regarding DDPRQ-ten was in fact known. Provincial top d;3.24) highest rating as compared to town-top doctors (p=0.039). Significantly higher ratings was in fact as well as located to possess d;forty years, employed in the interior Medication service, that have a great master’s knowledge, getting disappointed through its money, due to the health ecosystem is bad, being tend to affected by the fresh new negative news, functioning more forty hours a week, suffering stress, and having protective habits.
Results exhibited the entire aftereffect of a lot of time operating times (coefficient step three.49; 95% CI=0.01, 6.97) try more than brand new head impression (coefficient=step 1.28; 95% CI=?2.twenty-seven, 4.83), proving this much of total effect of stretched operating period can be mediated through its association to the advanced away from pressure regarding really works. Also, the entire effectation of enhanced complications said by the physicians on the provincial healthcare (coefficient=step 1.66; 95% CI=0.08, step three.twenty-four in contrast to the fresh new head effect ?0.62; 95% CI=?step three.01, 1.77) are mediated via the connections which have poorer feeling off medical ecosystem and you can large level of clients a-day; and this from improved regularity out of negative media influence (4.21; 95% CI, 1.21, seven.21 compared with the fresh head impression 0.86; 95% CI=?2.98, 4.69) become mediated through the associations to the higher habit of build way too many prescriptions, the feeling out-of tension therefore the effect from a minimal height off trust ranging from doctors and you may people. The brand new apparent differences when considering the and you will direct effect of a beneficial masters’ studies couldn’t feel informed me by any of the intermediates indicated throughout the causal chart.
According to the multivariate studies, 9 details was indeed found to be rather associated with PDRQ-9 (Dining table 4) https://datingranking.net/de/lokale-singles. Customers regarding provincial top medical got typically an excellent ?step one.twenty-eight coefficient (95% CI, ?2.39, ?0.17) all the way down PDRQ-nine get versus area-height clients (p=0.024). Significantly all the way down PDRQ-9 results was indeed as well as viewed to have Mongolian people, patients have been upset through its earnings, longer wishing date, shorter appointment time that have medical professionals, all the way down presumption regarding cures impact, low level out of rely upon your doctor, poor medical environment, and a lot more regular bad media influence. When the aftereffect of medical top with the diligent pleasure through the pathways from waiting some time consultation go out is actually tested, the new coefficient diminished out-of ?step 1.twenty eight in order to ?dos.16 exhibiting a primary contribution off waiting and appointment moments so you’re able to the brand new poorer satisfaction from outpatients about provincial health.
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