CAJ | 학술논문

目的：研究农村患者对乡村医生满意度的影响因素。方法：基于贵州省六盘水市的实地调查数据，采用结构方程模型，从乡村医生的外在形象、服务质量、诊疗质量和和谐医患关系四个维度进行研究。结果：研究发现诊疗质量对农村患者满意度的直接影响最大，其次为服务质量、外在形象和和谐的医患关系，农村患者满意与否对农村患者忠诚度影响比较明显。结论：农村患者对乡村医生的满意度和忠诚度主要基于亲缘和地缘关系，受诊疗技术、诊疗环境、诊疗设备、服务意识等限制，乡村医生的“守门人”角色无法体现，基层卫生体系受到严重的影响。
목적：연구농촌환자대향촌의생만의도적영향인소。방법：기우귀주성륙반수시적실지조사수거，채용결구방정모형，종향촌의생적외재형상、복무질량、진료질량화화해의환관계사개유도진행연구。결과：연구발현진료질량대농촌환자만의도적직접영향최대，기차위복무질량、외재형상화화해적의환관계，농촌환자만의여부대농촌환자충성도영향비교명현。결론：농촌환자대향촌의생적만의도화충성도주요기우친연화지연관계，수진료기술、진료배경、진료설비、복무의식등한제，향촌의생적“수문인”각색무법체현，기층위생체계수도엄중적영향。
Objective: To study the determinants that affect patient satisfaction to rural doctors. Methods:Based on survey data of Liupanshui City, Guizhou Province, structural equation modeling analysis was adopted, and the study was mainly from the following four aspects:the image of rural doctors, service quality, quality of diagnosis and treatment, and harmonious doctor-patient relationships. Results: The study found that the quality of diagnosis and treatment had the greatest direct impact on rural patient satisfaction, followed by service quality, the image of ru-ral doctors and harmonious doctor-patient relationships;rural patient satisfaction has a significant impact on rural pa-tient loyalty. Conclusion:Rural patient satisfaction and loyalty to rural doctors is mainly based on kinship and geopo-litical relations;given the state of medical technology, the medical environment, medical equipment, service aware-ness and other restrictions, rural doctors cannot fulfill the “gatekeeper” role, and consequently, the primary health-care system has been severely affected.