Health Promotion Interventions Using WeChat Apps in Improving Patient Satisfaction with Primary Health Services in Xian China: Protocol of a Randomized Controlled Trial
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Abstract
Introduction: Health promotion can effectively help people change their way of life and plays an important role in primary health care. Patient satisfaction is a measure of the effectiveness of healthcare services and has become a key indicator of the comprehensive evaluation of the medical system. WeChat is a social software widely used in Chi¬na. This study explores the effectiveness of health promotion interventions via WeChat apps in improving patients’ satisfaction with primary health services. Methods: Patients who volunteered to participate in the study and met sample inclusion criteria were randomly selected from Xian Primary Health Service Centre, Shaanxi Province, China, and Randomized into the intervention group and control group for a Randomized controlled trial. The intervention group will receive health education intervention, the main intervention measures include 1. What is community health service; 2. The rights or benefits enjoyed by patients attending community health service centres; 3. The basic workflow of staff; 4. Introduction of routine physical examination items for patients; 5. Popularizing common medical knowledge; 6. Self-protection and nutrition during COVID-19; 8. Communication skills between patients and medical workers; 9. Discuss. The control group received the usual greeting and care. Outcome Measurements: Social demographic questionnaire and PSQ-18 questionnaire. Discussion: This study provides health promotion in¬terventions for patients in primary health centres through WeChat to explore the factors affecting patient satisfaction and effective intervention measures. The research results will provide suggestions for improving primary healthcare services and provide a referential experience for health education research.
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Yu ZY. Evaluation and influencing factors of patients’ satisfaction with rural primary medical and health services in Chang ‘a District, Xi ‘an City. Master’s thesis, Shaanxi Normal University.2017.
Wang JJ, Shen X, Tian XY, Xu JH, Zhao Y. Interview research on the status quo of basic public health service provision in community health service institutions. Science and Technology Innovation Guide.2017;(31),90-91.
Chen YG. Research community elderly medical and health service system construction of our country town. (EDS.) Deepening Reform, seek improvement in stability: Perspectives on Insurance and Social Security -- Proceedings of CCISSR Forum.2012; 2012(pp. 172-189).
Ma YW. Research on basic medical service capacity development of Xinjiang Community Health Service Center. Master thesis, Xinjiang Medical University.2021.
Yan GUO, Siwei SUN. sustainable development goals1 viewing the progress of primary health care from Declaration of Alma- Ata and Declaration of Astana. 2019(01),7-11.
Zhang ZY, Xu Y, Pu YB, Xu XJ, Hu RP. Investigation and development countermeasures of TCM service capacity of community health service center in Chenggong District, Kunming City. Forum on Primary Medicine.2021;(28),4013-4017.
Ding H. Study on the Job Satisfaction of Community Health Service Workers in Anhui Province. Ph.D. dissertation, Anhui Medical University. 2013.
Yang YQ.A survey of patients’ satisfaction with medical and health system reform and its influencing factors in non-urban areas of Chongqing. Master thesis, Chongqing Medical University. 2012.
Cheng SD, Lu ZY, Gao YJ, Du WJ, Wang Q, Kong DC. Current status and influencing factors of health promoting lifestyle of medical nurses. Nursing management in China. 2010;(07),1038-1042.
Chen ZN, Dai Y. Health promotion lifestyle status and its influencing factors of elderly people in Taijiang District.Fuzhou City. Medicine and Society. 2020;(07),50-54.
Baltaci D, Eroz R, Ankarali H, Erdem O, Celer A, Korkut Y. Association between patients’ sociodemographic characteristics and their satisfaction with primary health care services in Turkey. Kuwait Med J. 2013;45(4):291–9.
Cui Y. Study on the Evaluation Index System of Health Service Capacity of Village Hygiene in Western China. PhD Dissertation, Huazhong University of Science and Technology. 2009.
Cheng HZ, Guo B. Discussion on strengthening primary health care based on community health services. Chinese Journal of Social Medicine.2015;(03),213-215.
Ganasegeran K, Perianayagam W, Abdul Manaf R, Ali Jadoo SA, Al-Dubai SAR. Patient satisfaction in Malaysia’s busiest outpatient medical care. Sci World J. 2015;2015:714754. doi: 10.1155/2015/714754
Hu JL. Study on residents’ satisfaction with community health service and its influencing factors based on PSQ-18 scale. Modern Preventive Medicine. 2017, (11).
Marshall GN, Ron HD. The Patient Satisfaction Questionnaire Short Form. Vol. P, Santa Monica. 1994. p. 1–36.
Liao Y, Wang Y, Liu Y, McNeill A, Tang J. Effectiveness of the WeChat-based smoking cessation intervention (‘WeChat WeQuit’ program) in China: study protocol for a randomized controlled trial. Addiction. 2021;116(5):1279–90. doi: 10.1111/add.15166.
Mohd Tahir NA, Li SC, Thomas P. Challenges and Opportunities in the Malaysian Health Care System. Value in health. Value Health. 2014; 17(7):A802. doi: 10.1016/j.jval.2014.08.499.
Yao H. Community health service satisfaction and its influencing factors in Pingshan New District, Shenzhen city. Chinese general practice. 2017; (08):34-35.
Yuan SS, Wang F, Heng C, Yang T, Li CC. Quality assessment for primary health care in practice: A descriptive systematic Review. Chinese J Evidence-Based Med. 2016;16(6):719–29.
Li WZ, Gan Y, Zhou YF, Chen YW, Li J, Kkandawire N, et al. Factors Affecting Patient Satisfaction with Community Health Service under the Gatekeeper System: A Cross-sectional Study in Nanjing, China. Biomed Environ Sci [Internet]. 2017;30(9):685–90. doi:10.3967/bes2017.092
Kelarijani SEJ, Jamshidi R, Heidarian AR, Khorshidi M. Evaluation of factors influencing patient satisfaction in social security hospitals in Mazandaran province, North of Iran. Casp J Intern Med. 2014;5(4):232–4.
Chandra S, Ward P, Mohammadnezhad M. Factors associated with patient satisfaction in outpatient department of Suva sub-divisional health center, Fiji, 2018: A mixed method study. Front Public Heal. 2019;7:183. doi: 10.3389/fpubh.2019.00183.
Hong JW. Research on the Design of Community Health Service Center Adapting to the Medical Demand of the Elderly. Master’s Thesis, Beijing University of Civil Engineering and Architecture.2019.
Zhang T. A comparative study of service quality, patient satisfaction and experience under the model of general practice team and community family doctor. Master’s thesis, Henan University. 2019.
Xing K. A study on the current situation and satisfaction of primary medical and health service institutions in Shenyang City. Master’s thesis, Shenyang Medical College.2018.
Ye J. Research on the reform of China’s basic medical and health system. PhD dissertation, Soochow University.2016.
Yan Y. Survey on the needs and utilization of community health services among elderly residents in Changsha and the basic data set of community health services. PhD dissertation, Central South University.2007.
Chen XY, You LL, Wang HQ, Lian J.Study on Job satisfaction and Influencing factors of basic public health service practitioners in grassroots medical and health institutions. Chinese General Practice. 2021;24(28):3597–601. doi: 10.12114/j.issn.1007-9572.2021.00.285