Study On Potential Factors Of Patient Satisfaction: Based On Exploratory Factor Analysis

Figures & data

Figure 1 The sampling strategy of this study.

Table 1 Descriptive Analysis And Univariate Analysis Of The Patient Overall Satisfaction

Participants		n	%	Overall Satisfaction						Chi-Square/Fisher’s Precise Test	p
				Very Dissatisfied		Moderate		Very Satisfied
				n	%	n	%	n	%
Gender	Male	1214	46.23	14	50	161	45.48	1039	46.30	0.25	0.885
	Female	1412	53.77	14	50	193	54.52	1205	53.70
Age(years)	≤35	1014	38.61	11	39.29	177	50	826	36.81	37.88	<0.001
	36–50	567	21.59	6	21.43	83	23.45	478	21.30
	51–65	570	21.71	6	21.43	64	18.08	500	22.28
	>65	475	18.09	5	17.86	30	8.47	440	19.61
Place of Residence	In wuhan	1876	71.44	24	85.71	252	71.19	1600	71.30	3.32	0.495
	Hubei province outside of wuhan	567	21.59	4	14.29	80	22.60	483	21.52
	Outside Hubei province	183	6.97	0	0	22	6.21	161	7.17
Type of medical insurance	Medical insurance systems for urban workers	1154	43.95	10	35.71	130	36.72	1014	45.19	29.51	0.002
	Medical insurance for urban residents	494	18.81	5	17.86	68	19.21	421	18.76
	New rural cooperative medical insurance	532	20.26	5	17.86	80	22.60	447	19.92
	Free medical care	155	5.90	5	17.86	20	5.65	130	5.79
	Commercial medical insurance	47	1.79	2	7.14	7	1.98	38	1.69
	Other medical insurance	82	3.12	1	3.57	11	3.11	70	3.12
	Uninsured	162	6.17	0	0	38	10.73	124	5.53
Hospital affiliation	Hospital administered by the National Health Commission	415	15.80	5	17.86	53	14.97	357	15.91	19.32	0.026
	Provincial Hospital	600	22.85	9	32.14	89	25.14	502	22.37
	Municipal hospital	810	30.85	11	39.29	96	27.12	703	31.33
	District hospital	401	15.27	2	7.14	74	20.90	325	14.48
	Military hospital	200	7.62	0	0	19	5.37	181	8.07
	Enterprise-owned hospital	200	7.62	1	3.57	23	6.50	176	7.84
Hospital level	Secondary hospital	200	7.62	0	0	30	8.47	170	7.58	2.38	0.273
	Tertiary hospital	2426	92.38	28	100	324	91.53	2074	92.42
Hospital category	General Hospital	2026	77.15	17	60.71	246	69.49	1763	78.57	59.32	<0.001
	Specialized Hospital	200	7.62	8	28.57	61	17.23	131	5.84
	Hospital of Chinese Medicine	200	7.62	2	7.14	27	7.63	171	7.62
	Maternal and Child Health Hospital	200	7.62	1	3.57	20	5.65	179	7.98
Outpatient or inpatient	Outpatient	867	33.02	20	71.43	222	62.71	625	27.85	186.90	<0.001
	Inpatient	1759	66.98	8	28.57	132	37.29	1619	72.15
Reason for medical	Be sick	2290	87.20	25	89.29	303	85.59	1962	87.43	5.15	0.452
	Prescribe drugs regularly	102	3.88	0	0	19	5.37	83	3.70
	Prescribe for others	55	2.09	1	3.57	10	2.82	44	1.96
	Prevention and healthcare	179	6.82	2	7.14	22	6.21	155	6.91
Whether this hospital is the preferred medical institution	Yes	2316	88.19	25	89.29	263	74.29	2028	90.37	62.69	<0.001
	No	310	11.81	3	10.71	91	25.71	216	9.63
Registration method	Register in the hospital	2105	80.16	24	85.71	290	81.92	1791	79.81	23.64	0.003
	Register online	407	15.50	2	7.14	48	13.56	357	15.91
	Register by phone	55	2.09	0	0	4	1.13	51	2.27
	Register by community	6	0.23	0	0	5	1.41	1	0.04
	Other methods	53	2.02	2	7.14	7	1.98	44	1.96

Notes: When the chi-square test condition is not satisfied, Fisher’s precise test will be used. Bold font indicates statistical significance.

Table 2 Correlation Of Sub-Aspects Of Patient Satisfaction

Spearman’s Rho	Overall Satisfaction	Degree Of Hospital Convenience	Hospital Facilities And Environment	Medical Staff Services Technology	Medical Staff Service Attitude	Medical Expense	Reimbursement Ratio For Medical Expenses	Drug Cost
Overall satisfaction	1.000	0.414**	0.339**	0.455**	0.492**	0.192**	0.278**	0.314**
Degree of hospital convenience	0.414**	1.000	0.291**	0.269**	0.306**	0.220**	0.322**	0.297**
Hospital facilities and environment	0.339**	0.291**	1.000	0.443**	0.334**	0.075**	0.252**	0.246**
Medical staff services technology	0.455**	0.269**	0.443**	1.000	0.461**	0.106**	0.232**	0.244**
Medical staff service attitude	0.492**	0.306**	0.334**	0.461**	1.000	0.160**	0.221**	0.273**
Medical expense	0.192**	0.220**	0.075**	0.106**	0.160**	1.000	0.352**	0.271**
Reimbursement ratio for medical expenses	0.278**	0.322**	0.252**	0.232**	0.221**	0.352**	1.000	0.384**
Drug cost	0.314**	0.297**	0.246**	0.244**	0.273**	0.271**	0.384**	1.000

Note: ** Means that the correlation is significant at the 0.01 level (2-tailed).

Table 3 Rotated Component Matrix For Exploratory Factor Analysis

	Component
	1	2	3
Medical Staff Services Technology	0.806	0.098	0.173
Hospital facilities and environment	0.795	0.163	−0.006
Medical staff service attitude	0.589	0.072	0.491
Medical expense	−0.076	0.773	0.103
Reimbursement ratio for medical expenses	0.198	0.749	0.123
Drug cost	0.255	0.646	0.131
Degree of hospital convenience	0.117	0.243	0.896

Notes: Extraction method is Maximum Likelihood Analysis. Rotation method is Varimax with Kaiser Normalization.

Table 4 Factor Scores In Different Groups

Groups		Medical Service Quality Factor	Medical Expenditure Factor	Medical Convenience Factor
Age(years)	≤35	0.0051853	−0.1548774	−0.1818298
	36–50	−0.0886779	0.0256898	0.0125917
	51–65	0.0126208	0.0688324	0.1059938
	>65	0.0798072	0.2178167	0.2464547
Type of medical insurance	Medical insurance systems for urban workers	−0.0299155	0.0549549	0.1280445
	Medical insurance for urban residents	0.0357993	−0.0439278	0.0120216
	New rural cooperative medical insurance	0.0741289	−0.0515778	−0.1323169
	Free medical care	−0.1484481	0.3306353	0.0546125
	Commercial medical insurance	−0.2412072	−0.0674209	−0.2357191
	Other medical insurance	0.1224841	0.0149690	−0.2489350
	Uninsured	0.0109735	−0.3928205	−0.3729336
Hospital affiliation	Hospital administered by the National Health Commission	0.3769911	−0.0771360	−0.1187690
	Provincial Hospital	0.1331978	−0.0613493	−0.1448917
	Municipal hospital	−0.0379098	−0.0906600	0.0755827
	District hospital	−0.4929232	0.1158093	0.1076157
	Military hospital	0.2216255	0.1614452	−0.0804113
	Enterprise-owned hospital	−0.2597446	0.3172499	0.2390590
Hospital category	General Hospital	0.0013487	0.0898781	0.0633417
	Specialized Hospital	0.1052291	−0.6617428	−0.6638779
	Hospital of Chinese Medicine	−0.2355338	−0.0142916	0.1672345
	Maternal and Child Health Hospital	0.1166487	−0.2339808	−0.1446908
Outpatient or inpatient	Outpatient	−0.2595344	−0.2946935	−0.3022979
	Inpatient	0.1279956	0.1453352	0.1490855
Whether this hospital is the preferred medical institution	Yes	0.0317631	0.0274312	0.0530739
	No	−0.2371989	−0.2048493	−0.3963425
Registration method	Register in the hospital	−0.0474414	−0.0023267	0.0322159
	Register online	0.2314087	0.0035107	−0.1292960
	Register by phone	0.3754661	0.1232778	0.0671057
	Register by community	−1.1080680	−0.5165606	−1.2747718
	Other methods	−0.1579027	−0.0040463	−0.2113376
	Mean	0.0000000	0.0000000	0.0000000

Notes: The factor score is a continuous variable and standardized data, the average value was ‘0ʹ and the standard deviation was ‘1ʹ. A positive value of the factor score indicated that the factor score of this group was higher than that of the total sample, while a negative value indicates that the factor score of this group was lower than that of the total sample.