The prisoner as patient - a health services satisfaction survey
The prisoner as patient - a health services satisfaction survey
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DOI：
10.1186/1472-6963-9-176
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发表时间：
2009-09-28
影响因子：
2.8
通讯作者：
Kjelsberg, Ellen
中科院分区：
文献类型：
--
作者：
Bjorngaard, Johan Hakon;Rustad, Ase-Bente;Kjelsberg, Ellen
背景：有证据表明监狱囚犯的发病率高于普通人群。尽管如此，患者对监狱卫生服务的满意度却很少被调查。本研究的目的是调查挪威监狱卫生服务的患者满意度，并分析可能对患者和服务产生的影响。 方法：本次调查在挪威南部和中部的 29 所监狱进行，占挪威监狱总容量的 62%。共有 1,150 名有监狱卫生服务经验的监狱服刑人员完成了满意度调查问卷（回复率为 90%）。患者的满意度通过12项指标来衡量。使用多层次分析来分析患者和服务特征，作为满意度的预测因素。结果：研究表明，人们对监狱卫生服务高度不满意。服务之间存在显着差异，服务间差异占总差异的 9%。满意度与高级工作人员对拥有充足资源的卫生服务和药物滥用治疗质量的评价密切相关。在患者层面，满意度与年龄较大、经常就诊和自我感觉健康状况良好显着相关。结论：与其他卫生领域的患者满意度相比，监狱囚犯对所提供的卫生服务的满意度较低。即使在调整与患者满意度相关的几个已知因素后，服务之间观察到的巨大差异也表明质量改进的潜力。
Background: There is evidence for higher morbidity among prison inmates than in the general population. Despite this, patient satisfaction with the prison health services is scarcely investigated. The aim of the present study was to investigate patient satisfaction with prison health services in Norway and to analyze possible patient and service effects.Methods: The survey took part in 29 prisons in the southern and central part of Norway, representing 62% of the total prison capacity in Norway. A total of 1,150 prison inmates with prison health services experiences completed a satisfaction questionnaire (90% response rate). The patients' satisfaction was measured on a 12-item index. Multilevel analyses were used to analyze both patient and service characteristics as predictors of satisfaction.Results: The study revealed high levels of dissatisfaction with prison health services. There were substantial differences between services, with between-service-variance accounting for 9% of the total variance. Satisfaction was significantly associated with a senior staff member's evaluation of the health services possessing adequate resources and the quality of drug abuse treatment. At the patient level, satisfaction was significantly associated with older age, frequent consultations and better self-perceived health.Conclusion: Prison inmates' satisfaction with the health services provided are low compared with patient satisfaction measured in other health areas. The substantial differences observed between services - even when adjusting for several known factors associated with patient satisfaction indicate a potential for quality improvement.