Korean J Health Promot.  2017 Sep;17(3):176-183. 10.15384/kjhp.2017.17.3.176.

Experience of Lifetime Health Maintenance Clinic in a Tertiary Hospital: Patients Satisfaction and Associated Factors

• Lee SW
• Cho NR
• Yoo SH
• Sunwoo S

• KMID: 2391309
• DOI: http://doi.org/10.15384/kjhp.2017.17.3.176

Abstract

BACKGROUND
Lifetime health maintenance program (LHMP) is designed for individualized disease prevention and health promotion through regular health check-ups and improving risk factors. This study aimed to investigate patients' satisfaction of lifetime health clinic (LHC) in a tertiary hospital and to evaluate associated factors in order to support primary health care strengthening policy.
METHODS
We conducted surveys for patients, who visited LHC in a department of family medicine at a tertiary hospital from March 1st 2016 to December 31st 2016. We analyzed proportions and characteristics associated with patients, who were willing to recommend LHC. The relationship between willingness to recommend LHC and associated factors were evaluated by multivariate logistic regression analyses.
RESULTS
Among the patients who answered the questionnaires, 83.7% responded that they would recommend LHC to others. Results from multivariate analyses suggested that patients living in provinces (odds ratio [OR] 4.21, 95% confidence interval [CI], 1.36-13.02), patients who were recommend by others to visit LHC (OR 3.99, 95% CI, 1.29-12.35), and those who had a large number of medical service preference items (OR 5.91, 95% CI, 1.48-23.58) were significantly associated with willingness to recommend LHC.
CONCLUSIONS
LHC pursues the goal of primary care. Findings highlight the fact that high quality health service should be provided in small and municipal hospitals to improve patients' satisfaction. Furthermore, it is essential to establish family physician networks and health service infrastructure that can reflect various opinions.

Keyword

Lifetime Health Maintenance Program; Patient satisfaction; Primary care

MeSH Terms

Health Promotion
Health Services
Hospitals, Municipal
Humans
Logistic Models
Multivariate Analysis
Patient Satisfaction
Physicians, Family
Primary Health Care
Risk Factors
Tertiary Care Centers*

Reference

1.Starfield B., Shi L., Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005. 83(3):457–502.

2.Starfield B., Shi L. Policy relevant determinants of health: an international perspective. Health Policy. 2002. 60(3):201–18.

3.Atun R. What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services? 2004 World Health Organization Regional Office for Europe. 2004. [cited 2004 Jan 20]. Available from:. http://www.euro.who.int/document/e82997.pdf.

4.Macinko J., Starfield B., Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res. 2003. 38(3):831–65.

5.Kim EJ., Yoon SJ., Jo MW., Kim HJ. Measuring the burden of chronic diseases in Korea in 2007. Public Health. 2013. 127(9):806–13.

6.Strong K., Mathers C., Leeder S., Beaglehole R. Preventing chronic diseases: how many lives can we save? Lancet. 2005. 366(9496):1578–82.

7.Cho HJ., Shim JY., Lee HR., Lee SH. Factors associated with possession of regular doctor in Korea. J Korean Acad Fam Med. 2001. 22(11):1612–21.

8.Bong SW., Kim TH., Kim SS., Kim YS. An interview survey on opinions concerning the necessity for family doctor registration program and its major services. J Korean Acad Fam Med. 2006. 27(3):370–5.

9.Cho HJ., Shim JY., Lee HR., Lee SH. What do Korean people think of family doctor registration program? J Korean Acad Fam Med. 2002. 23(2):171–8.

10.Huh BY., Kim CH., Park TJ., Lee KY., Cho BL., Kim HJ. Development and evaluation of home doctor registration program. J Korean Acad Fam Med. 1998. 19(10):801–10.

11.Park M., Kim SY., Kim YS., Sunwoo S., Cho JJ. Periodic Health Examination and Prevention Guidelines for Koreans. Korean J Fam Med. 2009. 30(10):761–8.

12.Kim SY., Kim YS., Park MS., Sunwoo S., Cho JJ. Methodology of Korean lifetime health maintenance program. Korean J Fam Med. 2009. 30(10):769–76.

13.Hwang J., Park HA. Patient satisfaction as an outcome indicator. J Korean Acad Adult Nurs. 2001. 13(1):29–39.

14.Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Eval Program Plann. 1983. 6(3-4):185–210.

15.Linder-Pelz SU. Toward a theory of patient satisfaction. Soc Sci Med. 1982. 16(5):577–82.

16.Kim KS., Ree SB. Empirical study on customer satisfaction and others factor influencing "would recommend" in NPS(Net Promoter Score) - Focus on Kitchen furniture -. J Korean Soc Quality Manage. 2009. 37(2):58–67.

17.Ghorbani A., Raeissi P., Saffari E., Reissi N. Patient satisfaction with the Family Physician Program in Sabzevar, Iran. Glob J Health Sci. 2016. 8(2):219–29.

18.Pini A., Sarafis P., Malliarou M., Tsounis A., Igoumenidis M., Bamidis P, et al. Assessment of patient satisfaction of the quality of health care provided by outpatient services of an oncology hospital. Glob J Health Sci. 2014. 6(5):196–203.

19.Jeong H., Lee H., Lee JH., Lee T. Payment reform for the improvement of primary care in Korea. J Korean Med Assoc. 2013. 56(10):881–90.

20.Dourgnon P., Naiditch M. The preferred doctor scheme: a political reading of a French experiment of gate-keeping. Health Policy. 2010. 94(2):129–34.

21.Kralj B., Kantarevic J. Primary care in Ontario: reforms, investments and achievements. Ont Med Rev. 2012. 79(2):18–24.

22.Ganasegeran K., Perianayagam W., Manaf RA., Jadoo SA., Al-Dubai SA. Patient satisfaction in Malaysia's busiest outpatient medical care. ScientificWorldJournal. 2015. 2015:714754.

23.Li J., Wang P., Kong X., Liang H., Zhang X., Shi L. Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China. Int J Qual Health Care. 2016. 28(3):346–54.

24.Sun J., Hu G., Ma J., Chen Y., Wu L., Liu Q, et al. Consumer satisfaction with tertiary healthcare in China: findings from the 2015 China National Patient Survey. Int J Qual Health Care. 2017. 29(2):213–21.

25.Park SM., Cho JJ., Park YG., Kim YS. Public perception of the need for regular family doctors, their major role, and appropriate training duration. Korean J Fam Pract. 2013. 3(2):124–31.

26.Seo HG., Kang JH., Kim CH., Kim SW. A telephone survey on the opinions about family doctor. Korean J Prev Med. 1998. 31(2):310–22.