title: Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China.
abstract: OBJECTIVE
  To assess patient satisfaction with outpatient and inpatient care between primary care providers and secondary/tertiary hospitals, and to examine its association with socio-demographic characteristics and type of institution, based on self-reported survey data.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Healthcare facilities within Jilin province, China.
  
  
  METHODS
  In total, 993 outpatients and 925 inpatients aged ≥15 years old were recruited.
  
  
  METHODS
  Patient satisfaction with the care experience.
  
  
  RESULTS
  Patient satisfaction with outpatient and inpatient care was significantly associated with type of healthcare delivery setting in Jilin, China. Seeking outpatient care from community health centers (CHCs) was significantly associated with a higher ratio of patient satisfaction. Patients of county and tertiary hospitals complained about long-waiting times, bad attitudes of health workers, high expense of treatment, and their overall satisfaction towards outpatient care was lower. In the terms of inpatient care, patients were more satisfied with treatment expense in CHCs compared with county hospitals.
  
  
  CONCLUSIONS
  CHCs and hospitals face different challenges regarding patient satisfaction. Further healthcare reform in China need to adopt more measures (e.g. increasing quality of primary care, setting up a referral medical system etc.) to improve patient satisfaction.
authors.affiliation: Department of Social Medicine and Health Care Management, School of Public Health, Jilin University, 1163 Xinmin Street, Changchun City, Jilin 130021, China.
authors.forename: Jinghua
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Social Medicine and Health Care Management, School of Public Health, Jilin University, 1163 Xinmin Street, Changchun City, Jilin 130021, China.
authors.forename: Pingping
authors.initials: P
authors.lastname: Wang
authors.affiliation: Department of Social Medicine and Health Care Management, School of Public Health, Jilin University, 1163 Xinmin Street, Changchun City, Jilin 130021, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Kong
authors.affiliation: Department of Health Policy and Management and the Johns Hopkins Primary Care Policy Center, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA.
authors.forename: Hailun
authors.initials: H
authors.lastname: Liang
authors.affiliation: Department of Social Medicine and Health Care Management, School of Public Health, Jilin University, 1163 Xinmin Street, Changchun City, Jilin 130021, China.
authors.forename: Xiumin
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Health Policy and Management and the Johns Hopkins Primary Care Policy Center, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA.
authors.forename: Leiyu
authors.initials: L
authors.lastname: Shi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002681:China; D003153:Community Health Services / Q000191:economics / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D005382:Financing, Personal; D006304:Health Status; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000191:economics / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013997:Time Factors; D014850:Waiting Lists; D055815:Young Adult
keywords: China; community health centers; inpatient care; outpatient care; patient satisfaction; primary healthcare; secondary/tertiary hospitals