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Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care

In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-cen...

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Autores principales: Wang, Wenhua, Loban, Ekaterina (Katya), Dionne, Emilie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352089/
https://www.ncbi.nlm.nih.gov/pubmed/30641915
http://dx.doi.org/10.3390/ijerph16020193
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author Wang, Wenhua
Loban, Ekaterina (Katya)
Dionne, Emilie
author_facet Wang, Wenhua
Loban, Ekaterina (Katya)
Dionne, Emilie
author_sort Wang, Wenhua
collection PubMed
description In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-centeredness, among inpatients with different socioeconomic status and geographical residency in China. 1471 respondents who received inpatient care in public hospitals were included in our analysis. Patient-centeredness performance was assessed on the dimensions of Communication, Autonomy, Dignity, and Confidentiality. Variations of inpatient experience were estimated using binary logistic regression models according to: residency, region, age, gender, education, income quintile, self-rated health, and number of hospital admissions. Our results indicate that older patients, and patients living in rural areas and Eastern China are more likely to report positive experience of their public hospital stay according to the care aspects of Dignity, Communication, Confidentiality and Autonomy. However, there remains a gap between China and other countries in relation to inpatient experience. Noticeable disparities in inpatient experience also persist between different geographical regions in China. These variations of patient experience pose a challenge that China’s health policy makers would need to consider in their future reform efforts.
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spelling pubmed-63520892019-02-01 Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care Wang, Wenhua Loban, Ekaterina (Katya) Dionne, Emilie Int J Environ Res Public Health Article In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-centeredness, among inpatients with different socioeconomic status and geographical residency in China. 1471 respondents who received inpatient care in public hospitals were included in our analysis. Patient-centeredness performance was assessed on the dimensions of Communication, Autonomy, Dignity, and Confidentiality. Variations of inpatient experience were estimated using binary logistic regression models according to: residency, region, age, gender, education, income quintile, self-rated health, and number of hospital admissions. Our results indicate that older patients, and patients living in rural areas and Eastern China are more likely to report positive experience of their public hospital stay according to the care aspects of Dignity, Communication, Confidentiality and Autonomy. However, there remains a gap between China and other countries in relation to inpatient experience. Noticeable disparities in inpatient experience also persist between different geographical regions in China. These variations of patient experience pose a challenge that China’s health policy makers would need to consider in their future reform efforts. MDPI 2019-01-11 2019-01 /pmc/articles/PMC6352089/ /pubmed/30641915 http://dx.doi.org/10.3390/ijerph16020193 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wang, Wenhua
Loban, Ekaterina (Katya)
Dionne, Emilie
Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title_full Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title_fullStr Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title_full_unstemmed Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title_short Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care
title_sort public hospitals in china: is there a variation in patient experience with inpatient care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352089/
https://www.ncbi.nlm.nih.gov/pubmed/30641915
http://dx.doi.org/10.3390/ijerph16020193
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