Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

Figures & data

Figure 1 Patients’ main reasons for choosing the hospital.

Figure 2 Patients’ most unsatisfactory items regarding hospital services.

Table 1 Demographic information of the participants (N=844)

Variables	Demographic characteristics	n	%
Gender	Male	402	47.63
	Female	442	52.37
Age (years)	≤25	273	32.35
	26–45	289	34.24
	46–65	215	25.47
	>65	67	7.94
Education level	≤Elementary school	321	38.03
	Middle/high school	204	24.17
	Associate’s/bachelor’s degree	210	24.88
	≥Master’s degree	109	12.91
Marital status	Married	543	64.34
	Unmarried	293	34.72
	Widowed	7	0.83
	Other	1	0.12
FPMI (CHY)	≤3,000	408	48.34
	3,001–5,000	322	38.15
	5,001–7,000	71	8.41
	>7,000	43	5.09
Household registration	City	289	34.24
	Countryside	555	65.76
Type of patient	Outpatient	507	60.07
	Inpatient	337	39.93
Type of health insurance	MIUR	239	28.32
	NRCMI	418	49.53
	MIUW	145	17.18
	CMI	42	4.98
Total	–	844	100.00

Abbreviations: FPMI, family per-capita monthly income; MIUR, medical insurance for urban residents; NRCMI, new-type rural cooperative medical insurance; MIUW, medical insurance for urban workers; CMI, commercial medical insurance.

Table 2 Logistic regression analysis of influencing factors associated with patient satisfaction (for lowest score group)

Demographic factors	Scored 1–5 (n=170, 20.14%)	Scored 6–9 (n=674, 79.86%)	Crude OR (95% CI)	Adjusted OR (95% CI)
Gender
Male	91 (22.34)	311 (77.36)	–	–
Female	79 (17.87)	363 (82.13)	1.34 (0.96–1.88)	1.47 (1.03–2.11)*
Age (years)
≤25	55 (20.15)	218 (79.85)	–	–
26–45	66 (22.84)	223 (77.16)	0.85 (0.57–1.28)	0.79 (0.42–1.49)
46–65	37 (17.21)	178 (82.79)	1.21 (0.77–1.93)	0.99 (0.46–2.10)
>65	12 (17.91)	55 (82.09)	1.16 (0.58–2.31)	0.96 (0.38–2.40)
Education level
≤Elementary school	64 (19.94)	257 (80.06)	–	–
Middle/high school	26 (12.75)	178 (87.25)	1.71 (1.04–2.80)*	1.61 (0.95–2.75)
Associate’s/bachelor’s degree	56 (26.67)	154 (73.33)	0.69 (0.45–0.99)*	0.68 (0.37–1.24)
≥Master’s degree	24 (22.02)	85 (77.98)	0.88 (0.52–1.49)	0.82 (0.39–1.75)
Marital status
Married	107 (19.71)	436 (80.29)	–	–
Other	63 (20.93)	238 (79.07)	0.93 (0.65–1.31)	1.09 (0.56–2.14)
FPMI (CNY)
≤3,000	84 (20.59)	324 (79.41)	–	–
3,001–5,000	49 (15.22)	273 (84.78)	1.44 (1.01–2.13)*	1.40 (1.01–2.17)*
5,001–7,000	19 (26.76)	52 (73.24)	0.71 (0.40–1.26)	0.83 (0.43–1.59)
>7,000	18 (41.86)	25 (58.14)	0.36 (0.19–0.69)***	0.43 (0.20–0.92)**
Household registration
City	60 (20.76)	229 (79.24)	–	–
Countryside	110 (19.82)	445 (80.18)	1.06 (0.75–1.51)	0.86 (0.53–1.39)
Type of patient
Outpatient	113 (22.89)	394 (77.71)	–	–
Inpatient	57 (16.91)	280 (83.09)	1.41 (1.01–2.01)*	1.46 (1.01–2.13)*
Type of health insurance
MIUR	49 (20.50)	190 (79.50)	–	–
NRCMI	82 (19.62)	336 (80.38)	1.06 (0.71–1.57)	0.99 (0.57–1.72)
MIUW	33 (22.76)	112 (77.24)	0.88 (0.53–1.44)	0.96 (0.53–1.75)
CMI	6 (14.29)	36 (85.71)	1.55 (1.00–3.88)	1.93 (1.00–2.14)

Notes:

* p<0.05,

** p<0.01,

*** p<0.001.

Abbreviations: FPMI, family per-capita monthly income; MIUR, medical insurance for urban residents; NRCMI, new-type rural cooperative medical insurance; MIUW, medical insurance for urban workers; CMI, commercial medical insurance; OR, odds ratio; CI, confidence interval.

Table 3 Logistic regression analysis of influencing factors associated with patient satisfaction (for highest score group)

Demographic factors	Scored 8–9 (n=250, 29.62%)	Scored 1–7 (n=594, 70.38%)	Crude OR (95% CI)	Adjusted OR (95% CI)
Gender
Male	124 (30.85)	278 (69.15)	–	–
Female	126 (28.51)	316 (71.49)	1.12 (0.83–1.50)	1.14 (0.83–1.57)
Age (years)
≤25	69 (25.27)	204 (74.73)	–	–
26–45	81 (28.03)	208 (71.97)	0.87 (0.60–1.26)	0.78 (0.44–1.43)
46–65	83 (38.60)	132 (61.40)	0.54 (0.37–0.79)**	0.63 (0.33–0.98)*
>65	17 (25.37)	50 (74.63)	1.00 (0.54–1.84)	1.37 (0.60–3.11)
Education level
≤Elementary school	110 (34.27)	211 (65.73)	–	–
Middle/high school	67 (32.84)	137 (67.16)	1.07 (0.74–1.55)	1.05 (0.70–1.58)
Associate’s/bachelor’s degree	36 (17.14)	174 (82.86)	2.52 (1.65–3.86)***	2.40 (1.37–4.20)**
≥Master’s degree	37 (33.94)	72 (66.06)	1.01 (0.64–1.61)	0.95 (0.50–1.83)
Marital status
Married	170 (31.31)	373 (68.69)	–	–
Others	80 (26.58)	221 (73.42)	1.26 (0.92–1.72)	0.96 (0.53–1.76)
FPMI (CNY)
≤3,000	136 (33.33)	272 (66.67)	–	–
3,001–5,000	92 (28.57)	230 (71.43)	1.25 (0.91–1.72)	1.15 (0.80–1.66)
5,001–7,000	17 (23.94)	54 (76.06)	1.59 (0.89–2.84)	1.22 (0.64–2.33)
>7,000	5 (11.63)	38 (88.37)	3.80 (1.46–9.87)**	3.02 (1.10–8.33)*
Household registration
City	87 (30.10)	202 (69.90)	–	–
Countryside	163 (29.37)	392 (70.63)	1.04 (0.76–1.41)	1.28 (0.84–1.94)
Type of patient
Outpatient	134 (26.43)	373 (73.57)	–	–
Inpatient	116 (34.42)	221 (65.58)	0.68 (0.51–0.92)**	0.70 (0.54–0.97)*
Type of health insurance
MIUR	80 (33.47)	159 (66.53)	–	–
NRCMI	123 (29.43)	295 (70.57)	1.21 (0.86–1.70)	1.57 (0.96–2.56)
MIUW	37 (25.52)	108 (74.48)	1.47 (0.93–2.33)	1.43 (0.84–2.45)
CMI	10 (23.81)	32 (76.19)	1.61 (0.75–3.44)	1.56 (0.70–3.48)

Notes:

* p<0.05,

** p<0.01,

*** p<0.001.

Abbreviations: FPMI, family per-capita monthly income; MIUR, medical insurance for urban residents; NRCMI, new-type rural cooperative medical insurance; MIUW, medical insurance for urban workers; CMI, commercial medical insurance; OR, odds ratio; CI, confidence interval.