Analysis of Factors Influencing Inpatient and Outpatient Satisfaction with the Chinese Military Health Service

PLoS One. 2016 Mar 23;11(3):e0151234. doi: 10.1371/journal.pone.0151234. eCollection 2016.

Abstract

Background: Relatively few articles have focused on exploring factors influencing soldiers' overall satisfaction and differences between inpatients' and outpatients' satisfaction, particularly in the Chinese army. Elucidating factors influencing military inpatient and outpatient care separately and analyzing their differences may provide more information for the health system.

Methods: The Revised China National Health Service Survey questionnaire was used in the survey. The questionnaire included 5 sections and 32 items concerning demographic, inpatient, and outpatient characteristics and perception variables for both inpatients and outpatients. Bivariate and multivariate techniques were used to reveal relationships between satisfaction and the variables assessed.

Results: Outpatients' and inpatients' overall satisfaction rates were 19.0% and 18.5%, respectively. The strongest determinant of outpatients' satisfaction was satisfaction with doctor's communication regarding therapeutic regimen followed by length of military service, level of trust in medical staff, and disease severity. Determinants of inpatients' satisfaction included staff categories, satisfaction with environment, and satisfaction with medical quality.

Conclusion: The factors influencing military outpatients' satisfaction differed from those of inpatients. Exploring the causes of satisfaction and dissatisfaction with military health institutions is important in their fulfillment of their responsibility to maintain soldiers' health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • China
  • Humans
  • Inpatients / psychology*
  • Military Medicine*
  • Outpatients / psychology*
  • Patient Satisfaction*

Grants and funding

The research was supported by the major project in the ‘12th Five-Year Plan’ of the People's Liberation Army (LZ grant number: AWS12J002), the major program of National Nature Science Foundation Project of China (LZ grant number: 71233008),the joint research project of major diseases of Shanghai health system (LZ grant number 2013ZYJB0006), and the National Natural Science Foundation of China (YL grant number: 71103194, XL grant number: 71303249, LZ grant number: 91224005). These associations had no further role in the study design; collection, analysis, and interpretation of data; writing the paper; or the decision to submit the paper for publication.