Investigation and multivariate analysis of humanistic care experience among patients visiting traditional Chinese medicine outpatient clinics
10.12026/j.issn.1001-8565.2025.11.17
- VernacularTitle:中医门诊就诊人员人文关怀体验调查及多因素分析
- Author:
Hongxia WANG
1
;
Xu CHE
1
;
Haiying CAO
1
;
Haixin ZHANG
2
;
Shujie GUO
2
;
Yilan LIU
3
;
Heng ZHANG
2
Author Information
1. Department of Nursing， Henan Provincial Hospital of Traditional Chinese Medicine/the Second Affiliated Hospital of Henan University of Chinese Medicine， Zhengzhou 450002， China
2. Outpatient Department， Henan Provincial People’s Hospital， Zhengzhou 450003， China
3. Department of Nursing， Union Hospital， Tongji Medical College， Huazhong University of Science and Technology， Wuhan 430022， China
- Publication Type:Journal Article
- Keywords:
traditional Chinese medicine outpatient clinic;
humanistic care;
multicenter study;
doctor-patient communication
- From:
Chinese Medical Ethics
2025;38(11):1498-1509
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the current situation and influencing factors of humanistic care experience among patients visiting traditional Chinese medicine （TCM） outpatient clinics in China， and to provide a basis for optimizing TCM-characterized services in both TCM and Western medicine hospitals. MethodsA multi-center cross-sectional study was conducted using convenience sampling to select 35 hospitals across 13 provinces in China （including 3 TCM hospitals and 32 TCM outpatient clinics in general hospitals）. A total of 3，430 patients were surveyed using the general information questionnaire and the Outpatient Humanistic Care Experience Questionnaire， with data collected via Questionnaire Star. Univariate analysis and multiple linear regression were employed to examine the impacts of patient characteristics， visit characteristics， hospital type （TCM hospital/general hospital）， and geographic region （eastern/central/western） on humanistic care experience. ResultsThe total score of humanistic care experience was 194 （188， 233）. Univariate analysis showed that gender， educational level， current residence， per capita monthly household income， location attribute of medical institutions， number of previous visits to this hospital， payment method of medical expenses， previous hospitalization history in this hospital， frequency of outpatient visits within the past 12 months， self-rated disease severity， familiarity with the outpatient procedures， implementation of the follow-up service provided by the hospital， satisfaction with follow-up services， the grade of the hospital visited， geographical region of the hospital visited， and the department visited had an impact on the humanistic care experience during outpatient visits （P<0.05）. Multivariate analysis demonstrated that educational level （β=0.609， P=0.011）， self-rated disease severity （β=-0.646， P=0.047）， familiarity with outpatient procedures （β=4.784， P<0.001）， satisfaction with follow-up services （β=6.365， P<0.001）， and the grade of the hospital visited （β=-5.487， P<0.001） affected the humanistic care experience in outpatient medical treatment， explaining 24.4% of the total variation. ConclusionHumanistic care experience in TCM outpatient clinics is influenced by multiple factors. It is recommended to optimize the medical treatment process， strengthen doctor-patient communication training， and establish a precise follow-up mechanism， with a focus on improving care perceptions among patients with lower education levels and those attending primary-level hospitals， to refine the TCM-characterized service system.
