Factors Affecting Patient Satisfaction with Community Health Service under the Gatekeeper System： A Cross-sectional Study in Nanjing, China

• Published in: Biomedical and environmental sciences Vol. 30; no. 9; pp. 685 - 690
• Main Authors: LI, Wen Zhen, GAN, Yong, ZHOU, Yan Feng, CHEN, Ya Wen, LI, Jing, KKANDAWIRE, Naomiem, HU, Sai, QIAO, Yan, LU, Zu Xun
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.09.2017; Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China
• Subjects: 中国; 信息支持; 南京; 可及性; 服务满意度; 横断面; 社区卫生服务; 组织
• ISSN: 0895-3988; 2214-0190
• DOI: 10.3967/bes2017.092

The gatekeeper policy has been implemented for approximately ten years on a pilot population in China. It is necessary to assess the satisfaction of patients utilizing community health service（CHS） under the gatekeeper system. Our study showed that the cognition of gatekeeper policy was associated with four dimensions including doctor‐patient relationships, information and support, organization of care, and accessibility（P 〈 0.001）. One or more factors such as gender and self‐perceived health scores also affected their satisfaction. General practitioners must be prepared to focus on these aspects of information and support, organization of care, and accessibility as indicators of potential opportunities for improvement. Additionally, policymakers can improve patients＇ satisfaction with CHS by strengthening their awareness of the gatekeeper policy.