BackgroundEvaluations on different aspects of the performance of public hospitals in China have been conducted, usually based on indicators developed by literature review and expert suggestions. The patient perspective was not always considered. This study aims to identify what patients care most about in China’s public hospitals exclusively from a patient perspective.MethodsA mix of stratified sampling and typical sampling was used to select 15 public hospitals in Jiangsu Province of China. In each sampled hospital, a convenient sample of six outpatients and six inpatients was selected to conduct face-to-face individual interviews. An interview guide consisting of six open-ended questions was designed. Donabedian’s quality of care framework was applied to categorize themes and subthemes, which were generated from patients’ interviews by using the conventional content analysis approach. Frequencies of themes and subthemes were counted.ResultsNine key themes were identified regarding patients’ concerns about hospital care, which were environment and facilities, professional competence, hospital reputation, and morals of medical staff in the “structure” category of Donabedian’s framework, caring attitudes and emotional support, medical costs, communication and information, and efficiency and coordination of care in the “process” category, and health outcomes in the “outcome” category.ConclusionsThis study has identified and prioritized the aspects that patients care most about in China’s public hospitals in Jiangsu Province exclusively from a patient perspective. A measurement tool of patient-reported experiences in public hospitals could be built based on this study. Efforts should be made to represent the patient perspective to further improve the reform of public hospitals in China.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-2903-6) contains supplementary material, which is available to authorized users.
Chronic atrophic gastritis (CAG) is a disease characterized by atrophy of the gastric mucosa and reduction of intrinsic glands, accompanied by intestinal hyperplasia and/or pseudopyloric glandular hyperplasia, and is a common clinical gastrointestinal lesion that can be produced by the interaction of multiple factors. The pathogenesis of CAG has not been completely clarified, and there are no specific drugs or treatment methods, and the disease is prone to recurrence. The pathogenesis of CAG is not fully understood, and there is no specific drug or treatment, and the disease is prone to recurrence. This paper reviews the treatment progress and public health implications of Western medicine, Chinese medicine, and the combination of Western and Chinese medicine in the treatment of chronic atrophic gastritis, in order to provide some reference for the clinical treatment and public prevention of chronic atrophic gastritis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.