Back to Journals » Patient Preference and Adherence » Volume 12

Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

Authors Liu X, Lu H, Wang Y, Wang W, Hou Z, Tan A, Mao Z

Received 4 March 2018

Accepted for publication 25 May 2018

Published 30 July 2018 Volume 2018:12 Pages 1373—1382


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu

Xiaojun Liu,1,2 Hanson Lu,3 Yanan Wang,1 Wenjie Wang,1 Zhaoxun Hou,1 Anran Tan,2,4 Zongfu Mao1,2

1School of Health Sciences, Wuhan University, Wuhan, China; 2Global Health Institute, Wuhan University, Wuhan, China; 3University of Chicago, Chicago, IL, USA; 4Global Health Research Center, Duke Kunshan University, Kunshan, China

Purpose: This study aimed to determine the factors that influence patient satisfaction with ecdemic medical care.
Materials and methods: Eight hundred and forty-four face-to-face interviews were conducted between October and November 2017 in two high-profile hospitals in Nanchang, China. Patient satisfaction was divided into lowest and highest satisfaction groups according the 80/20 rule. Demographic factors associated with patient satisfaction were identified by logistic regression models.
Results: Respondents’ main reasons for choosing a non-local hospital were “high level of medical treatment” (581/844), “good reputation of the hospital” (533/844), and “advanced medical equipment” (417/844). The top three items that dissatisfied the ecdemic patients were “long time to wait for treatment” (553/844), “complicated formalities” (307/844), and “poor overall service attitude” (288/844). Fewer female patients (adjusted odds ratio [AOR] =1.47, 95% confidence interval [CI] =1.03–2.11), patients with a family per-capita monthly income (FPMI) between 3,001 and 5,000 CNY (AOR =1.40, 95% CI =1.01–2.17), inpatients (AOR =1.46, 95% CI =1.01–2.13), and more patients with an FPMI >7,000 CNY (AOR =0.43, 95% CI =0.20–0.92) were detected in the lowest satisfaction group. Fewer patients with an associate’s or bachelor’s degree (AOR =2.40, 95% CI =1.37–4.20) and patients with an FPMI >7,000 CNY (AOR =3.02, 95% CI =1.10–8.33) were detected in the highest satisfaction group. Moreover, more inpatients (AOR =0.70, 95% CI =0.54–0.97) and those aged 46–65 years (AOR =0.63, 95% CI =0.33–0.98) were detected in the highest satisfaction group.
Conclusion: Findings suggested that managers of the medical facilities should note the importance of increasing their publicity through a rapidly developing media, as well as the necessity of creating a more patient-friendly medical care experience. Hospitals should also focus on the medical care experience of patients with relatively lower and higher income levels, male ecdemic patients, and ecdemic outpatients.

Keywords: patient satisfaction, ecdemic medical care, ecdemic patients, the 80/20 rule

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]