Satisfaction with hospital care among diabetic outpatients and its associated factors Secondary use of official statistics

DOI Web Site PubMed
  • TSUBOI Satoshi
    Department of Public Health, Jichi Medical University
  • UEHARA Ritei
    Department of Public Health, Jichi Medical University
  • OGUMA Taeko
    Department of Public Health, Jichi Medical University
  • KOJO Takao
    Department of Public Health, Jichi Medical University
  • ENKH-OYUN Tsogzolbaatar
    Department of Public Health, Jichi Medical University
  • KOTANI Kazuhiko
    Department of Public Health, Jichi Medical University
  • AOYAMA Yasuko
    Department of Public Health, Jichi Medical University
  • OKAYAMA Akira
    The First Institute for Health Promotion and Health Care, Japan Anti-Tuberculosis Association
  • HASHIMOTO Shuji
    Department of Hygiene, Fujita Health University School of Medicine
  • YAMAGATA Zentaro
    Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
  • OHASHI Yasuo
    School of Public health, University of Tokyo
  • KATANODA Kota
    Surveillance Division, Center for Cancer Control and Information Services, National Cancer Center
  • NAKAMURA Yosikazu
    Department of Public Health, Jichi Medical University
  • SOBUE Tomotaka
    Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University

Bibliographic Information

Other Title
  • 外来に通う糖尿病患者の満足度とその関連要因　公的統計の二次利用
  • ガイライ ニ カヨウ トウニョウビョウ カンジャ ノ マンゾクド ト ソノ カンレン ヨウイン : コウテキ トウケイ ノ ニジ リヨウ

Search this article

Abstract

Objectives Generalizable data on current satisfaction levels are required to establish a scientific basis for the political advancement of measures to improve satisfaction with hospital care among patients with diabetes. The present study made secondary use of existing official statistics in order to demonstrate the range of satisfaction levels with hospital care among diabetic outpatients and to closely examine related factors.<br/>Methods Data sets that consolidated the Patient Survey, the Survey of Medical Care Institutions, and the Patient Behavior Survey (all from 2008) were created. Shared medical institution survey reference numbers were used to consolidate the data from the Patient Survey and the Survey of Medical Care Institutions, and in addition, sex and date of birth were used to consolidate the Patient Behavior Survey data. The range of satisfaction levels with hospital care among diabetic outpatients was investigated along with any relationship with the following potentially related factors: visitation status (first or repeat examination); waiting time until examination; examination duration; care-seeking status (any use of other medical facilities, etc.); diabetic complications; other complications; coverage under the Public Assistance Act; smoking cessation outpatient services; hospitals that specialized in treating diabetes (metabolic medicine); medical care on Saturday, Sunday, and public holidays; and provision of health checkups.<br/>Results Overall, 62.3% of diabetic outpatients were either fairly or extremely satisfied with their hospital care, whereas 5.6% expressed dissatisfaction. Satisfaction levels with hospital care were found to be significantly related to visitation status, waiting time until examination, examination duration, care-seeking status, and Saturday medical care. Multivariate analysis with the factors demonstrated to be significantly related to satisfaction revealed significant relationships between high satisfaction levels and repeat examinations, short waiting times, no use of any other medical facilities, and long examinations.<br/>Conclusion Consolidating official statistics from multiple sources indicated the range of satisfaction levels with hospital care among diabetic outpatients and facilitated the clarification of factors affecting satisfaction. Reducing waiting times and ensuring sufficient time spent on examinations are important for increasing satisfaction levels with hospital care among patients with diabetes. It is hoped that official statistics can be further applied to many future public health policy studies.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top