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Journal of the Korean Academy of Family Medicine 1989;10(11):10-19.
Published online November 1, 1989.
개원가 가정의학과 내원 환자에 대한 진료 만족도 조사
곽인호 진영욱 박정현 이영진 이혜리 윤방부
연세대학교의과대학 가정의학교실
Abstract
It is a well known fact that patient satisfaction can be influenced by many factors. Factors such as personal qualities of the physician, professional competence, medical cost and convenience, availability, appointment system, doctor's response to patients' preference are important aspects and have been emphasized to have great influence in the medical service rendered.
In order to evaluate patient satisfaction of patients admitted to family practice clinics, we randomly selected 5 family practice clinics situated in Seoul and its suburbs and surveyed 138 patients with guestionnaire concerning satisfaction of care received in the family practice clinic and other special clinics previously visited.
Of the total 138 patients evaluated, the 20-29 years of age group was most common totaling 55(39.9%). The number of males was 52(38.2%) and that of females was 84(61.8%).
Mean number of visits less than 5 visits per year was most common numbering 71(54.6%). 72.4% of patients had other family members treated at the family practice clinic. The average number of treatments for other family members was 2 visits. 79.0% of patients was never referred or consulted to other special medical clinics, but 18.8% reponded that they had been referred or consulted to other specialists during their time of treatment. 86.2% never made appointments for their visits. 49.6% of patients utilized the phone services nd only 38.8% felt the need of home visits.
There was significant differences of patient satisfaction regarding their care received between family practice clinics and other special medical clinics. All aspects of medical care influencing patient satisfaction in family practice clinics were evaluated to be better than that of the other special medical clinics. Patients were more satisfied in the care received having higher scores of satisfaction using Likert scale.
Patients with high income, higher education, and had small number of family members (less than2) or rather large number(more than 6) more or less approved of the necessity for home visits by doctors. Patients with high income were more satisfied in the preventive measures such as screening procedures and consultation regarding prevention being done at the family practice clinics. Patients whose family members consisted of less than 2 or more than 6 were more satisfied regarding the use of referral or consultation requested by family physicians.
For the betterment of medical care services, family physicians should recognized the factors influencing satisfactions of patients and acquire knowledge and skills to improve situations surrounding medical community.
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