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Background: To promote the integration of medical resources, Beijing has built medical alliances since 2012, but this reform has not changed 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? To explore the reasons behind this preference for high-level medical treatment among patients and to guide patients to make visits in an orderly manner, we conducted this study and compared patients' satisfaction with hospitals of different levels in the context of 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. Patient satisfaction was the main outcome, and descriptive analysis, chi-square tests, nonparametric tests 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 was 3.375, and the satisfaction scores of core hospitals and cooperative hospitals were 2.77 and 3.07, respectively. The overall patient satisfaction rate was 44.62%, and the satisfaction rates of core hospitals and cooperative hospitals were 34.34% and 50.43%, respectively. The type of hospital and understanding of medical alliance policy were the factors associated with patient satisfaction with the medical alliance.
Conclusions: The patients’ satisfaction with cooperative hospitals was higher than their satisfaction with core hospitals. Although the patients were more satisfied with the service attitude of the cooperative hospitals, they still preferred core hospitals due to their higher expectations for their medical treatment and greater trust in their medical technology. It is necessary to explore the establishment of closed medical alliances under the unified management of human and financial resources to enable medical alliances to become a community of common interests and provide integrated medical services for patients.
Keywords
Comparative Study, Patients’ Satisfaction, Integration of Medical Resources, Medical Alliance
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View the published article at BMC Health Services Research.
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Posted 13 May, 2020
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Editor assigned
On 29 Apr, 2020
Editor invited
On 28 Apr, 2020
Submission checks complete
On 13 Sep, 2019
No comments provided
Editorial decision: Major revision
On 06 Apr, 2020
Review #1 received
Received 23 Mar, 2020
Reviewer #1 agreed
On 03 Mar, 2020
Reviewers invited
Invitations sent on 26 Feb, 2020
Editor assigned
On 05 Feb, 2020
Submission checks complete
On 04 Feb, 2020
Editor invited
On 04 Feb, 2020
No comments provided
Editorial decision: Major revision
On 13 Jan, 2020
Review #3 received
Received 04 Jan, 2020
Reviewer #3 agreed
On 20 Dec, 2019
Review #2 received
Received 21 Oct, 2019
Review #1 received
Received 29 Sep, 2019
Reviewer #2 agreed
On 23 Sep, 2019
Reviewers invited
Invitations sent on 20 Sep, 2019
Reviewer #1 agreed
On 20 Sep, 2019
Submission checks complete
On 13 Sep, 2019
Editor assigned
On 03 Sep, 2019
Editor invited
On 02 Sep, 2019
First submitted
On 30 Aug, 2019
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Subject Areas
Health Policy
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See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
Version 3
Posted 13 May, 2020
No community comments so far
Editor assigned
On 29 Apr, 2020
Editor invited
On 28 Apr, 2020
Submission checks complete
On 13 Sep, 2019
No comments provided
Editorial decision: Major revision
On 06 Apr, 2020
Review #1 received
Received 23 Mar, 2020
Reviewer #1 agreed
On 03 Mar, 2020
Reviewers invited
Invitations sent on 26 Feb, 2020
Editor assigned
On 05 Feb, 2020
Submission checks complete
On 04 Feb, 2020
Editor invited
On 04 Feb, 2020
No comments provided
Editorial decision: Major revision
On 13 Jan, 2020
Review #3 received
Received 04 Jan, 2020
Reviewer #3 agreed
On 20 Dec, 2019
Review #2 received
Received 21 Oct, 2019
Review #1 received
Received 29 Sep, 2019
Reviewer #2 agreed
On 23 Sep, 2019
Reviewers invited
Invitations sent on 20 Sep, 2019
Reviewer #1 agreed
On 20 Sep, 2019
Submission checks complete
On 13 Sep, 2019
Editor assigned
On 03 Sep, 2019
Editor invited
On 02 Sep, 2019
First submitted
On 30 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background: To promote the integration of medical resources, Beijing has built medical alliances since 2012, but this reform has not changed 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? To explore the reasons behind this preference for high-level medical treatment among patients and to guide patients to make visits in an orderly manner, we conducted this study and compared patients' satisfaction with hospitals of different levels in the context of 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. Patient satisfaction was the main outcome, and descriptive analysis, chi-square tests, nonparametric tests 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 was 3.375, and the satisfaction scores of core hospitals and cooperative hospitals were 2.77 and 3.07, respectively. The overall patient satisfaction rate was 44.62%, and the satisfaction rates of core hospitals and cooperative hospitals were 34.34% and 50.43%, respectively. The type of hospital and understanding of medical alliance policy were the factors associated with patient satisfaction with the medical alliance.
Conclusions: The patients’ satisfaction with cooperative hospitals was higher than their satisfaction with core hospitals. Although the patients were more satisfied with the service attitude of the cooperative hospitals, they still preferred core hospitals due to their higher expectations for their medical treatment and greater trust in their medical technology. It is necessary to explore the establishment of closed medical alliances under the unified management of human and financial resources to enable medical alliances to become a community of common interests and provide integrated medical services for patients.
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