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- W4233279610 abstract "Abstract Background: In order to promote integration of medical resources, Beijing built medical alliances since 2012, but this reform did not change the state of disordered medical treatment. Patients are still willing to go to high-level hospitals for medical treatment. What causes patients to prefer high-level hospitals? In order to explore the reasons for the high-level medical treatment behavior of patients and guide patients to visits orderly, we conducted the study and compared the patients' satisfaction in different level hospitals under the background of the medical resource integration. Methods: This study conducted a questionnaire survey among 1,250 patients who were selected in 18 medical alliances in Beijing from October to December 2016. The study type is a comparative study based on cross-sectional data. The patients’ satisfaction was the main outcome, descriptive analysis, a chi-square test, a nonparametric test and binary logistic regression analysis were used. The level of statistical significance was set at p<0.05. Results: The overall satisfaction score of the medical alliances is 3.375, and the satisfaction score of core hospitals and cooperative hospitals is 2.77 and 3.07. The overall patient satisfaction rate is 44.62%, and the satisfaction rate of core hospitals and cooperative hospitals is 34.34% and 50.43%. The type of hospital and understanding of medical alliance policy are the associated factors of the patients’ satisfaction with the medical alliance. Conclusions: The patients’ satisfaction of cooperative hospitals was higher than that of core hospitals. Although the patients are more satisfied with the service attitude of the cooperative hospitals, they still prefer core hospitals due to their higher expectation for medical treatment and greater trust in the medical technology of the core hospitals. It is necessary to explore the establishment of the closed medical alliances under the unified management of human and financial resources, to promote medical alliances to become a community of common interests and provide integrated medical services for patients." @default.
- W4233279610 created "2022-05-12" @default.
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- W4233279610 date "2020-02-06" @default.
- W4233279610 modified "2023-10-16" @default.
- W4233279610 title "A comparative study of patients’ satisfaction in different levels of hospitals in Beijing: Why do patients prefer high-level hospitals?" @default.
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- W4233279610 doi "https://doi.org/10.21203/rs.2.14586/v2" @default.
- W4233279610 hasPublicationYear "2020" @default.
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