Factors associated with homogenization management of outpatient services in multi-campus hospitals: a cross-sectional study based on Structural Equation Model

Factors associated with homogenization management of outpatient services in multi-campus hospitals: a cross-sectional study based on Structural Equation Model | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Factors associated with homogenization management of outpatient services in multi-campus hospitals: a cross-sectional study based on Structural Equation Model Huilin Wang, Hao Wang, Hongjun Fang, Sinan Guan, Hourui Ge, Hongyan Yang, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6005395/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background : The multi-campus hospitals have become increasingly prevalent in China over the past few decades, however, how to improve the quality of service and better develop the multi-campus hospitals remain insufficiently understood in the literature. Patient satisfaction is an important indicator of the measurement of service quality. This study aimed to analyze the status of patient satisfaction and its key influencing factors, in order to provide relevant reference on the homogeneous management of service and differentiated strategies aiming at consistent quality in two campuses of a tertiary hospital in Beijing. Methods : A total of 28155 surveys of outpatients who was willing to be investigated and had not been diagnosed with infectious diseases or in a state of emergency were conducted by a cross-sectional study in Beijing, China from January to April 2024. We use a 5-point likert scale with the choices of 1 (very dissatisfied), 2 (dissatisfied), 3 (Normal), 4 (satisfied), and 5 (very satisfied) to measure patient satisfaction. Statistical description, simple and multivariate logistic regression analysis were employed to analyze patient satisfaction and its associated factors. Additionally, the correlation behind the key influencing factors are revealed by the structural equation model. Results : Results of this study showed that the waiting time, responsiveness of patientneeds, doctors’ diagnosis, advice on treatment plan, assistive medical technology, and attitude of doctors are important influencing factors on satisfaction in both campuses. Outpatient environment and hygiene situation of the toilet had a significant effect on the central campus, while guidepost, the service group and patients aged 0-44 are important to explain the differences in the new hospital campus. Conclusion : For the management of multi-campushospitals, more attention should be paid to the waiting time, responsiveness of patientneeds, doctors’ diagnosis, advice on treatment plan, assistive medical technology service, and attitude of doctors in both campuses. In addition, hospital managers should focus on the service group as well as the initial settings in the new campus, while considering the substantial investment in infrastructure in the central campus. homogenization management outpatient services structural equation model influencing factors Figures Figure 1 Introduction As the the frontline of the medical service chain, outpatient plays a pivotal role in the development of healthcare system [ 1 ] . It is also the first point of entry for patients to receive inpatient service throughout the medical treatment process [ 2 ] . To obtain more efficient medical and health service, most of the patients nowadays are inclined to seek medical treatment upon outpatient basis in tertiary hospitals [ 3 ] . Therefore, according to the 《Statistical Bulletin on the Development of Health Care in China (2024)》, the number of outpatients in public hospitals have increased by 11.6%, and by 17.9% for tertiary hospitals, between 2023 and 2024 [ 4 ] . Due to the large amount of outpatient visitors, patients spend more time on waiting for registration while having less time on critical diagnosis by the doctor, and their needs cannot be responded timely [ 5 ] . To address these problems and satisfy the medical needs of the general public, in late 2022, 《the construction and management of hospital branch areas》 issued by the National Health Commission promoted the multi-campus model to coordinate the distribution of medical resources and relieve pressure of the central campus [ 6 ][ 7 ] . Furthermore, space limitation of medical institution also lay a basis for the construction of multi-campus model in some areas [ 8 ] . In recent years, this model has been established and developed in Jiangsu, Shanghai and other cities, such as Nanjing Drum Tower Hospital and Huashan Hospital of the Shanghai FuDan University to improve the medical care quality and patient satisfaction [ 8 ][ 9 ] . Although multi-campus hospitals have become increasingly prevalent in China, they also face some challenges, such as the imbalanced healthcare service between several branches, thus reasonable management is needed [ 10 ] . In addition, the differences in radiation scope of service group and environmental construction in multi-campus hospitals also require much endeavor for hospital managers and decision makers [ 11 ] . To improve medical service quality, evaluation of the multi-campus hospitals should be a component of organizational strategic planning and is the key for hospital adaption or management to know quality-related issues [ 12 ] . In view of this, evidence has proved that patient satisfaction is an important indicator of its assessment [ 13 ] . It is noteworthy that patient satisfaction is also linked to different medical service models under the healthcare system among countries [ 14 ][ 15 ] . In developed countries, such as the Singapore and United Kingdom, where there is a mandatory gatekeeper system through legislation, a well-established primary healthcare mode and an efficient hierarchical medical system (hierarchical medical system, HMS) that responsible for the classification of diseases according to their priority and difficulty to treat have already formed in these countries [ 16 ][ 17 ][ 18 ] . In some developing countries, such as China, the HMS was formally proposed in 2009 [ 19 ] . After years of practice and collaboration of multisector, in late 2015, the《Guiding opinions on promoting the construction of hierarchical medical treatment system》 issued by the Chinese government explicitly proposed the aim and pathways for the HMS to alleviate conflicts in access to healthcare service [ 20 ] . Despite this policy has been put forward for a long time, a mixed treatment model of the medical situation still exists [ 16 ][ 21 ] , thereby patients have free access to hospitals at different levels according to their own intentions [ 22 ][ 23 ][ 24 ] . Based on this free-choice system, most citizens tend to see a doctor in large hospitals with high-quality and abundant medical resources, rather than the primary medical institutions that are severely lacking of medical security, resulting in overcrowded hospitals and inefficient utilization of medical resources [ 3 ][ 25 ][ 26 ] . Furthermore, in some multi-campus hospitals, due to the objective differences between several branches and low patient trust of new branches, many patients choose the central campus as their preferred location and flow to hospitals for medical treatment, and overflow of patients means long waiting time but short visiting time, leading to dissatisfaction of patients [ 27 ][ 28 ][ 29 ] . Therefore, the situation of Chinese hospitals drives the exploration of multi-campus hospital to relieve the medical pressure and meet the basic needs of patients [ 8 ] . Studies show that by analyzing satisfaction and its influencing factors could provide information for homogenization management or differentiated strategies aiming at consistent quality that is urgently needed to solve these problems in multi-campus hospitals [ 30 ] . Patient satisfaction is one of the most important assessment tools to show how the patient perceive the medical service, and it represents a hospital’s fulfillment of its service effectiveness and systematic management [ 31 ][ 32 ][ 33 ][ 34 ] . Relevant factors of outpatient satisfaction can be categorized into the medical service, radiation scope of service group, and environmental construction, etc. As far as the service, attitudes of medical staff have a significant positive correlation with satisfaction, and doctors, nurses and other personnel are manifestations of it [ 28 ][ 35 ] . And the waiting time for receiving services as well as the quality of medical technology service which mainly refers to the medical process such as ultrasound examination, and endoscopic examination are also vitally important [ 36 ] . Furthermore, environmental factors including outpatient environment, sanitation, and accuracy of guidelines, are positively affecting satisfaction [ 37 ][ 38 ] . While a number of prior studies have focused on patient satisfaction and its relevant factors, only a few studies have analyzed these factors in multi-campus hospitals to explore the homogenization management. Moreover, a number of prior studies focused on different phases of development in different regions that are differ in the performance of patient satisfaction and are unrepresentative of development level in a certain multi-campus hospital. In the end, most of the experimental samples in this period are small, which make it difficult to draw reasonable conclusions. Hence, based on an adequate sample size of the research data collected during the initial stage of a multi-campus hospital in Beijing, our investigation on the key factors influencing outpatient satisfaction could comprehensively reflect the present state of it. Moreover, analysis of the homogenization management in multi-campuses could complement similar researches and offer relevant data that may be needed for policy making or make some recommendations for hospital managers to make homogeneous management efficiently, pushing the development of healthcare system. Methods Study Design We conducted a cross-sectional study from January to April, 2024 at the outpatient department of a tertiary hospitals in Beijing: Peking University First Hospital of both Xicheng campus and Daxing campus. Constructed in 1915, Xicheng campus has 1805 beds, 3700 staff, 53 clinical and auxiliary departments, and receive more than 1.82 million outpatient visits annually. The Daxing campus has 1200 beds, 2800 staff, 35 key clinical departments, and over 4000 outpatient visits per day, is newly-built in 2023. Based on a large research sample collected from a multi-campus hospital constructed in an initial stage, conclusions reached from the questionnaire survey were reliable and could show the influencing factors of patient satisfaction accurately. According to the inclusion criteria, each patient (1)provided their written informed consent and was willing to be investigated, and (2)was in stable condition and could explicitly express their feelings. We excluded patients who (1)were emergency patients and/or (2)had infectious diseases. As we believe that it is difficult for the children aged under 12 to understand and finish the questionnaire independently. Therefore, they were represented by their parents or other legal guardian. Respondents were convinced that their privacy was guaranteed to be protected. From the 29500 distributed questionnaires, we successfully collected 28155, including the sample size of 19607 and 8458 in Xicheng campus and Daxing campus respectively, yielding a high response rate of 95.44%. Questionnaire Design The questionnaire items were adapted from Zou and his colleagues [39] . Because there is no established assessment tools for outpatient satisfaction in China, the items were modified such that we combined expert opinion with this existing questionnaire. The questionnaire composed 12 items(i.e. "gender", "age", and "education") to describe the sociodemographic characteristics of outpatients and evaluate their level of satisfaction. In order to fully understand the specific feelings of respondents and ensure accuracy, a 5-point likert scale was applied to measure outpatient satisfaction with the choices of 1 (very dissatisfied), 2 (dissatisfied), 3 (Normal), 4 (satisfied), and 5 (very satisfied); and the higher score is equivalent to a higher assessment of patient satisfaction. Three dimensions of satisfaction were evaluated: quality of service， m edical technology service , and outpatient service. The quality of service had two factors: "doctors' attitude" and "nurses' attitude". The m edical technology service dimension consisted of seven factors: "make payment at outpatient window", "check in clinical laboratory", "check in medical imaging department " , "check in the d epartment of ultrasound " , "check in nuclear medicine department", "check in endoscopy center", and "buy medicine at outpatient". The outpatient service included five factors: "outpatient environment", "hospital services and hospital staff", "guidepost", "hygiene situation of the toilet", "responsiveness of your needs". The cronbach's alpha coefficient of the questionnaire was 0.969 and the χ 2 value of Bartlett’s test of sphericity was 6,717,92.782( P <0.001), indicating the high consistency of questionnaire and connection of those items. Statistical Analysis Data analysis was conducted using SPSS 27.0 and Amos 18.0 software. Descriptive statistics such as frequency and constituent ratio are employed for data analysis. In terms of the 5-point likert scale, the overall satisfaction of outpatients and the satisfaction of different dimensions were set as dependent variables and binary data. "satisfied", "normal", "dissatisfied", and "very dissatisfied" are coded as "0" to represent dissatisfaction, while "very satisfied" is coded as "1" to represent satisfaction. Logistic regression methods were applied on patient satisfaction for a number of variables. Firstly, a simple logistic regression analysis was conducted to explore the relationship between affecting factors and patient satisfaction. Secondly, we involved in the factors that is significant (P<0.2) to m ultivariate logistic regression and evaluated the relationships. Crude odds ratios (CORs) and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were obtained from simple and m ultivariate logistic regression models respectively. To explore the relationship of satisfaction and its influencing factors, SEM can analyze the pathway and correlation strength, processing some potential variables which can not be measured routinely. Quality Control The experiment was performed by four researchers and three postgraduate students, all of whom had abundant research experience. In addition, the necessary explanations and informed consent were provided during the survey. If participants had trouble in understanding a survey item, investigators explained it to them. The study protocol was approved by the ethics committee of the Peking University First Hospital. Results Statistical Description The characteristics of the participants in the central campus and Daxing campus are shown in Table 1. A majority of participants aged 0-44 (38.4%, the central campus; 53.3%, Daxing Campus). The majority were female (55.90%, the central campus; 60.2%, Daxing Campus), local residents (72.80%, the central campus; 74.6%, Daxing Campus). Concerning the medical insurance type, the largest percentage of people had social health insurance (76.50%, the central campus; 74.8%, Daxing Campus). Over half (59.0%, the central campus; 60.1%, Daxing Campus) had undergraduate or junior college education. In addition, 84.1%(88.9%, Daxing Campus) of the outpatients were registered in the general outpatient. For their choice for doctors, assistant director physician (39.7%, the central campus; 39.5%, Daxing Campus) accounted for the largest group, followed by doctor in charge (33.3%, the central campus; 34.1%, Daxing Campus) and director physician (27.0%, the central campus; 26.4%, Daxing Campus). 60.1% (61.7%, Daxing Campus) reported the waiting time before consultation of less than 30minutes. For the length of the communication with doctor, approximately 83.9% (79.1%, Daxing Campus) responded that it was no more than 20minutes. Outpatient Satisfaction Score Status Outpatient satisfaction score status is showed in Table 1. The overall outpatient satisfaction was 4.46±0.91 and 4.46±0.92 in the Xicheng campus and Daxing campus respectively. No significant differences in satisfaction were observed in the characteristics. On the gender factor, male scored the strongest (4.50±1.26). On aged factors, those who aged 0-44 scored the lowest (4.39±1.40) and above 60 years old scored the highest (4.52±1.17). Regarding education, the high school and below score (4.50±1.28) was the highest. Patient came from other cities compared with Beijing scored the highest (4.48±1.33). The score of patients who have medical insurance was the highest (4.49±1.24). As well as the outpatient type factor, the general outpatient score (4.47±1.28) was higher than that of the expert consultation. Regarding registered physician tittle, director physician scored (4.47±1.33) was higher than that of the doctor in charge/assistant director physician. Waiting below 30minutes scored highest (4.58±1.16). Overall satisfaction of waiting time scored (4.76±0.95). Specifically, the overall outpatient satisfaction of male, above 60 years old, high school and below, Beijing, medical insurance, general outpatient, director physician, waiting below 30 minutes, and communicating above 20 minutes was significantly stronger than that of other groups. Univariate Analysis The univariate association between predictive variables and outpatient satisfaction, together with the crude (non-controlled) risk results is showed in Table 2. Respondents aged 45-59 (the central campus: AOR 1.128, 95% CI 1.064-1.097; Daxing campus: AOR 1.237, 95% CI 1.129-1.355) and above 60 (the central campus: AOR 1.068, 95% CI 0.999-1.143; Daxing campus: AOR 1.216, 95% CI 1.090-1.357) have a higher level of satisfaction. Patients in the educational level of high school and below tend to be more satisfied than undergraduate/junior college (the central campus: AOR 0.887, 95% CI 0.825-0.954; Daxing campus: AOR 0.904, 95% CI 0.813-1.005) and postgraduate and professional (the central campus: AOR 0.783, 95% CI 0.715-0.858; Daxing campus: AOR 0.725, 95% CI 0.627-0.838). People register in doctor in charge have a higher level of satisfaction than those who register in assistant director physician (the central campus: AOR 0.914, 95% CI 0.792-1.054; Daxing campus: AOR 0.982, 95% CI 0.799-1.207), higher than director physician in central campus (AOR 0.961, 95% CI 0.895-1.030) but lower than director physician in Daxing campus (AOR 1.083, 95% CI 0.973-1.204). Patients waiting for less than 30 minutes are more satisfied than patients waiting for 31-60 minutes (the central campus: AOR 0.615, 95% CI 0.573-0.661; Daxing campus: AOR 0.592, 95% CI 0.530-0.661) and above 60 minutes (the central campus: AOR 0.378, 95% CI 0.350-0.41; Daxing campus: AOR 0.313, 95% CI 0.278-0.353). Higher level of satisfaction is associated with male (the central campus: AOR 1.128, 95% CI 1.064-1.097; Daxing campus: AOR 1.237, 95% CI 1.129-1.355), having medical insurance (the central campus: AOR 1.078, 95% CI 1.007-1.155; Daxing campus: AOR 1.180, 95% CI 1.066-1.305), communication of over 20 minutes (the central campus: AOR 2.038, 95% CI 1.866-2.225; Daxing campus: AOR 2.096, 95% CI 1.818-2.415), satisfaction of waiting time (the central campus: AOR 10.735, 95% CI 10.024-11.495; Daxing campus: AOR 10.637, 95% CI 9.591-11.798), satisfaction of doctors’ behavior (the central campus: AOR 22.213, 95% CI 20.023-24.643; Daxing campus: AOR 17.293, 95% CI 15.036-19.888), satisfaction of doctors’ explanation or respect of their privacy (the central campus: AOR 19.961, 95% CI 18.068-22.053; Daxing campus: AOR 17.104, 95% CI 14.863-19.682), satisfaction of guidance and materials given by doctors (the central campus: AOR 20.838, 95% CI 19.053-22.791; Daxing campus: AOR 18.946, 95% CI 16.667-21.537), satisfaction of doctors’ diagnosis (the central campus: AOR 24.779, 95% CI 22.561-27.214; Daxing campus: AOR 21.445, 95% CI 18.809-24.452), satisfaction of doctors’ guidance on medicine (the central campus: AOR 22.273, 95% CI 20.363-24.362; Daxing campus: AOR 20.411, 95% CI 17.931-23.235), satisfaction of doctors’ advice on examination or treatment (the central campus: AOR 24.441, 95% CI 22.252-26.846; Daxing campus: AOR 21.919, 95% CI 19.179-25.052), satisfaction of doctors’ arrangements on followed-up (the central campus: AOR 22.585, 95% CI 20.641-24.712; Daxing campus: AOR 19.988, 95% CI 17.573-22.735), satisfaction of nurses’ behaviour (the central campus: AOR 14.544, 95% CI 13.457-15.719; Daxing campus: AOR 13.478, 95% CI 11.960-15.189), satisfaction of nurses’ careful listening (the central campus: AOR 14.394, 95% CI 13.328-15.545; Daxing campus: AOR 13.123, 95% CI 11.656-14.775), satisfaction of nurses’ question answering (the central campus: AOR 14.451, 95% CI 13.376-15.611; Daxing campus: AOR 13.246, 95% CI 11.762-14.918), buy medicine in outpatient (Daxing campus: AOR 1.081, 95% CI 0.989-1.182), check up in the nuclear medicine department (the central campus: AOR 1.111, 95% CI 0.947-1.304; Daxing campus: AOR 1.058, 95% CI 0.783-1.429) and endoscopy center (the central campus: AOR 1.094, 95% CI 0.965-1.239; Daxing campus: AOR 1.315, 95% CI 0.957-1.809). Those who satisfied with outpatient environment (the central campus: AOR 12.716, 95% CI 11.855-13.640; Daxing campus: AOR 13.835, 95% CI 12.216-15.668), hospital services and hospital staff (the central campus: AOR 12.874, 95% CI 12.005-13.807; Daxing campus: AOR 13.174, 95% CI 11.658-14.886), outpatient guidepost (the central campus: AOR 13.195, 95% CI 12.300-14.155; Daxing campus: AOR 12.186, 95% CI 10.876-13.655), hygiene situation of the toilet (the central campus: AOR 11.555, 95% CI 10.780-12.387; Daxing campus: AOR 11.810, 95% CI 10.538-13.235), and responsiveness of patients’ needs (the central campus: AOR 16.187, 95% CI 15060-17.399; Daxing campus: AOR 17.265, 95% CI 15.324-19.451) are more likely to be overall satisfied. Respondents with lower level of satisfaction were more likely to come from Beijing (the central campus: AOR 0.834, 95% CI 0.781-0.891; Daxing campus: AOR 0.800, 95% CI 0.721-0.887), register in special need clinic (the central campus: AOR 0.956, 95% CI 0.883-1.036; Daxing campus: AOR 0.942, 95% CI 0.818-1.086), make payment at the outpatient window (the central campus: AOR 0.799, 95% CI 0.749-0.851; Daxing campus: AOR 0.914, 95% CI 0.826-1.012), check up in the clinical laboratory (the central campus: AOR 0.932, 95% CI 0.877-0.992; Daxing campus: AOR 0.932, 95% CI 0.851-1.021), check up in the medical imaging department ( the central campus: AOR 0.961, 95% CI 0.892-1.036; Daxing campus: AOR 0.896, 95% CI 0.796-1.004 ), check up in the d epartment of ultrasound ( the central campus: AOR 0.794, 95% CI 0.735-0.858; Daxing campus: AOR 0.765, 95% CI 0.684-0.856 ), buy medicine in outpatient (the central campus: AOR 0.952, 95% CI 0.898-1.010). Multivariate Analysis Multiple logistic regression was performed to further determine which factors were related to satisfaction in the overall population in Table 3. Patients aged 45-59 (the central campus: AOR 1.289, 95% CI 1.158-1.434, p<0.001; Daxing campus: AOR 1.189, 95% CI 1.017-1.392, p=0.030) and above 60 (the central campus: AOR 1.474, 95% CI 1.326-1.638, p<0.001; Daxing campus: AOR 1.351, 95% CI 1.147-1.59, p<0.001) have a higher level of satisfaction. People in the educational level of undergraduate/junior college (the central campus: AOR 1.138, 95% CI 1.026-1.262, p=0.014) tend to be more satisfied than other groups. Respondents waiting for less than 30 minutes are more satisfied than respondents waiting for 31-60 minutes (the central campus: AOR 0.825, 95% CI 0.745-0.912, p<0.001; Daxing campus: AOR 0.747, 95% CI 0.640-0.872, p<0.001) and above 60 minutes (AOR: 0.551; 95% CI: 0.489-0.620, p<0.001; Daxing campus: AOR 0.404, 95% CI 0.340-0.480, p<0.001). Higher level of satisfaction is associated with male (the central campus: AOR 1.087, 95% CI 1.000-1.181, p=0.049), having medical insurance (the central campus: AOR 1.159, 95% CI 1.032-1.300, p=0.012; Daxing campus: AOR 1.267, 95% CI: 1.075-1.493, p=0.005), communication of over 20 minutes (the central campus:AOR 1.396, 95% CI 1.242-1.570, p<0.001; Daxing campus AOR 1.822, 95% CI 1.547-2.147, p<0.001), satisfaction of waiting time (the central campus:AOR 1.742, 95% CI 1.391-2.183, p<0.001; Daxing campus AOR 2.340, 95% CI 2.018-2.713, p<0.001), satisfaction of doctors’ behavior (the central campus: AOR 1.878, 95% CI 1.700-2.075, p<0.001), satisfaction of doctors’ explanation or respect of their privacy (the central campus: AOR 1.417, 95% CI 1.136-1.768, p=0.002; Daxing campus AOR: 0.557, 95% CI 0.394-0.788, p<0.001), satisfaction of guidance and materials given by doctors (the central campus: AOR 1.553; 95% CI 1.278-1.887, p<0.001; Daxing campus: AOR 1.880, 95% CI 1.392-2.539, p<0.001), satisfaction of doctors’ diagnosis (the central campus: AOR 2.301; 95% CI 1.838-2.879, p<0.001; Daxing campus: AOR 2.010, 95% CI 1.423-2.839, p<0.001), satisfaction of doctors’ advice on examination or treatment (the central campus: AOR 1.584, 95% CI 1.252-2.004, p<0.001), satisfaction of doctors’ arrangements on followed-up (the central campus: AOR 1.424; 95% CI 1.177-1.724, p<0.001; Daxing campus: AOR 1.607, 95% CI 1.194-2.162, p=0.002), checking up in the nuclear medicine department (the central campus: AOR 1.355; 95% CI 1.066-1.723, p=0.013) and endoscopy center (Daxing campus: AOR 1.699, 95% CI 1.072-2.693, p=0.024). Those with lower level of satisfaction were more likely to come from Beijing (the central campus: AOR 0.850, 95% CI 0.760-0.951, p=0.005; Daxing campus: AOR 0.803, 95% CI 0.679-0.950, p=0.010), register in general outpatient (the central campus: AOR 0.875, 95% CI 0.775-0.988, p=0.032), make payment at the outpatient window (the central campus: AOR 0.791, 95% CI 0.722-0.868, p<0.001; Daxing campus: AOR 0.762, 95% CI 0.660-0.880, p<0.001), check up in the d epartment of ultrasound ( Daxing campus: AOR 0.804, 95% CI 0.682-0.949, p=0.010 ). Satisfaction with outpatient environment is 1.667 times more likely to be overall satisfied in central campus (AOR 1.667, 95% CI 1.434-1.937, p<0.001) and guidepost is 1.555 times more likely to be overall satisfiedin Daxing campus (AOR 1.555; 95% CI 1.203-2.011, p<0.001). Patients satisfied with hygiene situation of the toilet is 1.243 times more overall satisfied in the central campus (AOR 1.243, 95% CI 1.068-1.447, p=0.005). Those who satisfied with responsiveness of patients’ needs (the central campus: AOR 2.586, 95% CI 2.236-2.990, p<0.001; Daxing campus: AOR 2.573, 95% CI 2.807-4.548, p<0.001) are more likely to be overall satisfied. Main Research Areas of Structural Equation Model and Its Reliability In Our Study The structural equation model (SEM) is a powerful framework of data analysis to prove the complex interrelationships of influencing factors and has been widely used in many research fields, such as psychology, marketing, resource management, etc. To meet the demand of service quality and improve patient experience, it is noteworthy that a large number of studies are focusing on the analysis of satisfaction. Therefore, more and more models on patient satisfaction are being constructed or validated in recent years. Based on the outpatient satisfaction model of public hospital constructed by existing research, a more targeted and explanatory satisfaction evaluation model is obtained after the appropriate increase or decrease of variables and adjustment of path relationship (Fig 1). The acceptable fit index criteria used in SEM are as follows: χ 2 / df <5.00 (P0.90, AGFI>0.90, NFI>0.90, CFI>0.90, TLI>0.90, TLI>0.90, and RMSEA<0.10. The significance level was set at α =0.05 (two-tailed). The results of analysis used in our study had an adequate fit to the data: χ 2 / df =123.553 (P<0.001), GFI=0.947, AGFI=0.924, NFI=0.982, CFI=0.982, TLI=0.977, and RMSEA=0.066, indicating that the values of the indexes were generally excellent. Relationship Between Outpatient Satisfaction and Its Related Factors Based on SEM Standardized path coefficient values and significance levels were used to indicate the relationship between outpatient satisfaction and its related factors. First, the quality of service that affect satisfaction included the doctor service of respect, privacy protection, guidance, disease diagnosis, drug use, medical explanation, followed-up information, and nurse service of respect, listening carefully, and question answering, all of which were found to have a positive impact. Investigating the influence of each factor separately, medical explanation (0.974) showed the highest influence on satisfaction, followed by disease diagnosis (0.973), medical explanation (0.970), guidance and followed-up (0.934), respect (0.881), privacy protection (0.855) by doctors; respect (0.718), question answering (0.714) and listen carefully (0.712) of nurses. Next, the environmental construction that affect patient satisfaction included outpatient surroundings, guidepost, and hygiene situation of the toilet, all of which were found to have a positive impact. Specifically, the influence of outpatient environment (0.914) was the highest on patient satisfaction, followed by guidepost (0.900) and hygiene situation of the toilet (0.849). Additionally, visiting time (0.012) — the observed variable — also raised patient satisfaction. Discussion Considering the discrepancy of medical policies in different countries and the characteristics of healthcare development in China, exploring a multi-campus model for public hospitals could relieve medical pressure and provide solutions for medical institution [3] [40] . However, due to the unevenness of medical service, radiation scope of service group, and environment are different between several branches, how to respond to these challenges actively and better develop the multi-campus hospitals count for much [10] [11] . In view of this, homogenization management or differentiated strategies aiming at consistent quality could be taken into consideration [12] . To know quality-related issues during this process, patient satisfaction is an essential element in its evaluation and improvement [41] . Based on a large research sample of a multi-campus hospital in Beijing, this research could provide relevant reference for the management by exploring the key factors that affect outpatient satisfaction. Homogeneous management on improving the quality of service in both campuses Our results showed that patients are less satisfied if they spend less time with doctors but more time waiting, and one interesting finding in our study is that the overall satisfaction of waiting time is higher in Daxing campus compared with the central campus. This could be explained by a common phenomenon for outpatient visits called “three long one short” in the tertiary public hospitals in China [5] . When the waiting time is exceeding their expectations, patients may be prone to be dissatisfied [42] . I t is noteworthy that o ne likely reason for better satisfaction in the new campus is that low patient trust and difficulties in attracting talent were bottlenecks when the new branch was developed in an early stage [27] . Therefore, many patients choose the central campus as their preferred location for medical treatment, leading to low patient flow but high efficiency of queuing up in the new campus. However, this false impression may not be long-lasting. According to a study in the United States, as the size of a hospital extended in the initial stage, outpatient satisfaction can increase to a certain level, however, as the hospital continue to scaling up after a long period of time, the level of satisfaction would remain unchanged or decline eventually [43] . Our research finding was similar to it. In order to overcome the gap in service quality between multi-campuses, application of high-tech means such as mobile APPs could be time-saving for patients during their visits, avoiding queuing up for a long time [44] . Moreover, regarding the issue of talent construction, a rotation plan should be implemented to facilitate the command of clinical skills by medical staff of the new hospital campus, and doctors with rich experience may be selected to serve as backbone in the new branches [45] [46] . These measures may ensure a high quality service. Furthermore, the study by Yan [36] and his colleagues showed that owing to the long waiting time, patient satisfaction of medical technology service in auxiliary department is a key factor for improvement. Similar to these studies, our findings further support this idea. One interpretation could be the routine procedures such as ultrasound examination and endoscopic examination usually need to be tailored to the specific situation of a patient, resulting in long waiting time [36] . On the other hand, inconsistency between the medical auxiliary examination system and the patient appointment information system may hinder the medical progress. Therefore, to some extent, concentrating on enhancing the health information system can reduce the waiting time and increase patient satisfaction [47] . Specifically, a system characterized by interconnection and interflow may be used in both campuses, ensuring that the inspection results are all recognized and reduce the time of long waiting. The results of SEM and the logistic regression analysis demonstrated that responsiveness of patient needs is most important on patient satisfaction in two campuses, furthermore, it was shown that the other two influential factors with a direct impact on outpatient satisfaction were the doctors’ diagnosis and advice on treatment plan, which is consistent with other studies [32] [48] [49] [50] . First, in China, due to the extremely strict supervision on the quality of medical services in tertiary hospitals, people have no doubt about the diagnostic accuracy of them [51] . Second, the basic objective of seeking medical service for most outpatients is to be cured, however, most of them lack basic medical knowledge [52] . Therefore, the information asymmetry may give rise to the tendency toward dependence on clinicians and willingness to received a response quickly [5] . In order to implement humanized service and meet the needs of patients, the principles called "patient‐centered decision‐making" require medical staff to understand and respect the position of patients, and provide a sufficient explanation and timely response [53] . These reasons can be explained to some extent. In congruence with Wenya Yu’s research [54] , our analysis revealed that compared with nurses, the satisfaction of doctors still has some room for improvement in both campuses. Since the beginning on the reform of Health Sciences & Nursing in China, nurse performance evaluations have been widely popularized throughout the country [55] . However, doctor-patient relationship has increasingly worsened over the past decades [56] . A new survey conducted by the Chinese Academy of Sciences reveals that each hospital has an average of 27 incidents of violent injuries to doctors every year [57] . Accordingly, more efforts are still required to improve their professional level and service attitude via performance evaluation systems to reduce doctor-patient conflicts and enhance patient satisfaction . Homogeneous management focus on the difference in radiation scope of s ervice group in the new hospital campus It was shown that overall satisfaction of Daxing campus was lower than that of the central campus, and those who aged 0-44 had the lowest level of satisfaction in the new branches. The reason for this situation might lie in the difference in radiation scope of s ervice group , such as the new hospital campus is focused on gynecology and pediatrics, which was in accordance with the existing research [13] . Daxing campus is far away from the city center that mainly serve the young people who expect to receive quick examination or treatment, and obtain medical service through informatization approach. However, much information on the construction and operational models of internet hospitals is yet to be fully uncovered, which fails to meet the needs of the young [58] . In this case, hospital managers should attach great importance to applying intelligent technology to health consultation and medical service, or providing a well-designed appointment system for the target group, such as the young [59] . Therefore, differentiated management tailored to different service groups according to group characteristics make much sense for meeting the basic needs and improving patient satisfaction. Differentiated management aiming at consistent quality of environmental construction Using an SEM model, our study also evaluates the relationship between outpatient satisfaction and environmental construction, indicating that outpatient environment，guidepost and hygiene situation of the toilet are directly associated with outpatient satisfaction and have positive impact on it. This could be supported by the research of Younis and Nehme [60] [61] . In our study, we found that a higher satisfaction in the central campus were attributed to outpatient environment and hygiene situation of the toilet, while clear signage settings in the Daxing campus is linked to higher level of outpatient satisfaction. Previous study has shown that the environmental sanitation and comfort of the hospital cannot be maintained due to the poor service of facilities [8] . Additionally, basic facilities should be improved to meet the basic needs of patients, especially in the initial stage of construction. If that is not the case, for example, a lack of guidepost will further increase patient mobility and waiting time in hospital, which is not conducive to outpatients’ triage [49] [62] . Thus more preferential policies and financial support should be given to support the construction of infrastructure and initial settings, improving the outpatients’ health-seeking experiences. Limitation The limitations of this study mainly included three aspects. First, causal relationships could not be obtained through a cross-sectional study. We could only deduce the correlations between numerous factors. Moreover, the sample data were collected in Beijing, which may not fully represent patient satisfaction in other regions. Thus, in order to enhance the reliability of the results, more researches are supposed to focus on expanding the survey to a nationwide scale. Second, although the dimensions of quality of service, environmental construction, waiting and visiting time on patient satisfaction are explored in this study, we did not exclude some special factors such as stereotypes, overoptimism bias and so on. Future researchers should take these factors into consideration and gain a deeper understanding of their mechanisms. Third, accuracy or deviation may exist in the survey. This could be attributed to that the pediatric patients are unable to fully understand the content of the questionnaires, thus they were filled by their guardian. Conclusions The present study indicates that due to the influence of various factors, some differences between the central campus and the new hospital campus still exist that may adversely impact the quality of service. In view of this, how to respond to these challenges positively and better develop the multi-campus hospitals deserve our consideration. Therefore, homogenization management or differentiated strategies aiming at consistent quality is practicable and can significantly improve the medical service and patient satisfaction across different campuses. This study found that waiting time, responsiveness of patient needs, doctors’ diagnosis, advice on treatment plan, assistive medical technology service, and attitude of doctors are important to explain the differences in satisfaction scores for outpatients in the central campus and the new hospital campus. Additionally, for hospital administrators, more attention should be paid to the service group and the initial settings such as the guidepost in the new campus, while considering the substantial investment in infrastructure such as the outpatient environment and hygiene situation of the toilet in the central campus. In our study, SEM are used to reveal the relationship between patient satisfaction and its key influencing factors. Moreover, it is noteworthy that compared with the data collected from mature public hospitals in previous studies, our investigation based on the research data of a multi-campus hospital constructed in the initial stage could provide accurate reference on the homogeneous management and improve the quality of service in healthcare system. Declarations Author Contribution WH conceived and designed this study; WHL performed the statistical analysis and analyzed the data, and wrote the manuscript; YHY participated in the study design and reviewed the manuscript; GSN and GHR participated in the data collection and edited the manuscript; LJ participated in the statistical design and critical review of the manuscript; FHJ participated in the study design and helped draft the manuscript.All authors read and approved the final manuscript. 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Tables Table1 The sociodemographic characteristics and overall satisfaction towards accessibility of healthcare services [cases (percentage, %) ] Sociodemographic characteristics / accessibility of healthcare services Central Campus (n = 19607) Daxing Campus (n = 8548) Overall, mean (SD) Number ( % ) Mean ( SD ) Number ( % ) Mean ( SD ) Gender Female 10968 (55.9) 4.43 (0.93) 5148 (60.2) 4.43 (0.93) 4.43 (1.32) Male 8639 (44.1) 4.49 (0.88) 3400 (39.8) 4.50 (0.90) 4.50 (1.26) Age, y 0~44 7523 (38.4) 4.38 (1.00) 4560 (53.3) 4.40 (0.98) 4.39 (1.40) 45~59 5000 (25.5) 4.50 (0.89) 1934 (22.6) 4.53 (0.84) 4.52 (1.22) Above 60 7084 (36.1) 4.51 (0.81) 2054 (24.0) 4.53 (0.85) 4.52 (1.17) Educational status High school and below 4481 (22.9) 4.50 (0.89) 2182 (25.5) 4.49 (0.92) 4.50 (1.28) Undergraduate/junior college 11566 (59.0) 4.47 (0.89) 5141 (60.1) 4.46 (0.91) 4.47 (1.27) Postgraduate and Professional 3560 (18.2) 4.38 (0.98) 1225 (14.3) 4.36 (0.97) 4.37 (1.38) Patient source Beijing 14279 (72.8) 4.46 (0.89) 6374 (74.6) 4.44 (0.92) 4.45 (1.28) Other cities 5328 (27.2) 4.46 (0.96) 2174 (25.4) 4.50 (0.92) 4.48 (1.33) Medical insurance type No social health insurance 4598 (23.5) 4.37 (1.03) 2154 (25.2) 4.36 (1.03) 4.37 (1.46) Medical insurance 15009 (76.5) 4.49 (0.87) 6394 (74.8) 4.49 (0.88) 4.49 (1.24) Registered category General outpatient 16492 (84.1) 4.47 (0.89) 7595 (88.9) 4.46 (0.92) 4.47 (1.28) Special consultation 3115 (15.9) 4.42 (0.99) 953 (11.1) 4.46 (0.94) 4.44 (1.37) Registered physician tittle Doctor in charge 6522 (33.3) 4.47 (0.90) 2915 (34.1) 4.44 (0.92) 4.46 (1.29) Assistant director physician 7799 (39.7) 4.43 (0.94) 3380 (39.5) 4.43 (0.95) 4.43 (1.34) Director physician 5286 (27.0) 4.48 (0.92) 2253 (26.4) 4.46 (0.96) 4.47 (1.33) Waiting time before consultation , min ≤30 11777 (60.1) 4.57 (0.82) 5278 (61.7) 4.58 (0.82) 4.58 (1.16) 31-60 4567 (23.3) 4.42 (0.90) 1830 (21.4) 4.41 (0.93) 4.42 (1.29) Above 60 3263 (16.6) 4.12 (1.11) 1440 (16.8) 4.07 (1.12) 4.10 (1.58) Length of the communication with the doctor /visiting time, min ≤20 16447 (83.9) 4.42 (0.93) 6764 (79.1) 4.39 (0.97) 4.41 (1.34) Above 20 3160 (16.1) 4.67 (0.74) 1784 (20.9) 4.72 (0.65) 4.70 (0.98) Overall satisfaction of waiting time Dissatisfaction 7080 (36.1) 3.95 (1.03) 3150 (36.9) 3.94 (1.06) 3.95 (1.48) Satisfaction 12527 (63.9) 4.75 (0.68) 5398 (63.1) 4.76 (0.67 4.76 (0.95) Overall satisfaction, mean (SD) 4.46 (0.91) 4.46 (0.92) 4.46 (0.92) Table2 Factors Affecting Satisfaction of outpatient in Central Campus and Daxing Campus : S imple Logistic Regression Analysis Variables Central Campus (n = 19607) 1 Daxing Campus (n = 8548) 2 COR (95% CI) P value COR (95% CI) P value Sociodemographic characteristics/accessibility of healthcare services Gender Female 1 [Reference] 1 [Reference] Male 1.128 (1.064 to 1.097) <.001 1.237 (1.129 to 1.355) <.001 Age 0~44 1 [Reference] 1 [Reference] 45~59 1.190 (1.104 to 1.282) <.001 1.219 (1.090 to 1363) <.001 Above 60 1.068 (0.999 to 1.143) .054 1.216 (1.090 to 1.357) <.001 Educational status High school and below 1 [Reference] 1 [Reference] Undergraduate/junior college 0.887 (0.825 to 0.954) .001 0.904 (0.813 to 1.005) .061 Postgraduate and Professional 0.783 (0.715 to 0.858) <.001 0.725 (0.627 to 0.838) <.001 Patient source Other cities 1 [Reference] 1 [Reference] Beijing 0.834 (0.781 to 0.891) <.001 0.800 (0.721 to 0.887) <.001 Medical insurance type No social health insurance 1 [Reference] 1 [Reference] Medical insurance 1.078 (1.007 to 1.155) .031 1.180 (1.066 to 1.305) .001 Registered category General outpatient 1 [Reference] 1 [Reference] Special consultation 0.956 (0.883 to 1.036) .275 0.942 (0.818 to 1.086) .410 Registered physician tittle Doctor in charge 1 [Reference] 1 [Reference] Assistant director physician 0.914 (0.792 to 1.054) .216 0.982 (0.799 to 1.207) .863 Director physician 0.961 (0.895 to 1.030) .261 1.083 (0.973 to 1.204) .145 Waiting time before consultation ≤30 1 [Reference] 1 [Reference] 31-60 0.615 (0.573 to 0.661) <.001 0.592 (0.530 to 0.661) <.001 Above 60 0.378 (0.350 to 0.410) <.001 0.313 (0.278 to 0.353) <.001 Length of the communication with the doctor/Visiting time ≤20 1 [Reference] 1 [Reference] Above 20 2.038 (1.866 to 2.225) <.001 2.096 (1.818 to 2.415) <.001 Overall satisfaction of waiting time Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 10.735 (10.024 to 11.495) <.001 10.637 (9.591 to 11.798) <.001 Quality of services Satisfaction with behaviour of treating doctor Dissatisfaction 1 [Reference] 1 Satisfaction 22.213 (20.023 to 24.643) <.001 17.293 (15.036 to 19.888) <.001 Doctor explained your treatment and Respect privacy Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 19.961 (18.068 to 22.053) <.001 17.104 (14.863 to 19.682) <.001 Doctor gave some guidance and materials Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 20.838 (19053 to 22.791) <.001 18.946 (16.667 to 21.537) <.001 Doctor diagnosed diseases Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 24.779 (22.561 to 27.214) <.001 21.445 (18.809 to 24.452) <.001 Doctor explained why and how to use medicine Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 22.273 (20.363 to 24.362) <.001 20.411 (17.931 to 23.235) <.001 Doctor advised the examination and treatment plan Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 24.441 (22.252 to 26.846) <.001 21.919 (19.179 to 25.052) <.001 Doctor informed followed-up arrangements Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 22.585 (20.641 to 24.712) <.001 19.988 (17.573 to 22.735) <.001 Satisfaction with behaviour of nurses Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 14.544 (13.457 to 15.719) <.001 13.478 (11.960 to 15.189) <.001 Nurses listen to your questions and problems Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 14.394 (13.328 to 15.545) <.001 13.123 (11.656 to 14.775) <.001 Nurses answer the questions correctly Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 14.451 (13.376 to 15.611) <.001 13.246 (11.762 to 14.918) <.001 Medical technology service Whether the payment made at the outpatient window No 1 [Reference] 1 [Reference] Yes 0.799 (0.749 to 0.851) <.001 0.914 (0.826 to 1.012) .084 Whether you check up in the CI No 1 [Reference] 1 [Reference] Yes 0.932 (0.877 to 0.992) .026 0.932 (0.851 to 1.021) .131 Whether you check up in the MID No 1 [Reference] 1 [Reference] Yes 0.961 (0.892 to 1.036) .301 0.896 (0.796 to 1.004) .060 Whether you check up in the UD No 1 [Reference] 1 [Reference] Yes 0.794 (0.735 to 0.858) .001 0.765 (0.684 to 0.856) <.001 Whether you check up in the NMD No 1 [Reference] 1 [Reference] Yes 1.111 (0.947 to 1.304) .197 1.058 (0.783 to 1.429) .715 Whether you check up in the EC No 1 [Reference] 1 [Reference] Yes 1.094 (0.965 to 1.239) .159 1.315 (0.957 to 1.809) .092 Whether you buy medicine in outpatient No 1 [Reference] 1 [Reference] Yes 0.952 (0.898 to 1.010) .102 1.081 (0.989 to 1.182) .086 Outpatient service Satisfaction with outpatient environment 12.716 (11.855 to 13.640) <.001 13.835 (12.216 to 15.668) <.001 Satisfaction with hospital services and hospital staff 12.874 (12.005 to 13.807) <.001 13.174 (11.658 to 14.886) <.001 Satisfaction with outpatient guidepost 13.195 (12.300 to 14.155) <.001 12.186 (10.876 to 13.655) <.001 Satisfaction with h ygiene situation of the toilet 11.555 (10.780 to 12.387) <.001 11.810 (10.538 to 13.235) <.001 Satisfaction with responsiveness of your needs 16.187 (15060 to 17.399) <.001 17.265 (15.324 to 19.451) <.001 Note: CI, clinical laboratory; MID, medical imaging department; US, ultrasound department; NMD, nuclear medicine department; EC, Endoscopy Center. 1 Central Campus is the Xicheng Campus 2 Daxing Campus is the new branch of hospital Table3 Factors Affecting Satisfaction of outpatient in Central Campus and Daxing Campus : Multivariate Logistic Regression Analysis Variables Central Campus (n = 19607) 1 Daxing Campus (n = 8548) 2 AOR (95% CI) P value AOR (95% CI) P value Sociodemographic characteristics / accessibility of healthcare services Gender Female 1 [Reference] 1 [Reference] Male 1.087 (1.000 to 1.181) .049 1.067 (0.940 to 1.212) .318 Age 0~44 1 [Reference] 1 [Reference] 45~59 1.289 (1.158 to 1.434) <.001 1.189 (1.017 to 1.392) .030 Above 60 1.474 (1.326 to 1.638) <.001 1.351 (1.147 to 1.590) <.001 Educational status High school and below 1 [Reference] 1 [Reference] Undergraduate/junior college 1.138 (1.026 to 1.262) .014 1.005 (0.864 to 1.168) .953 Postgraduate and Professional 1.122 (0.979 to 1.287) .098 0.896 (0.727 to 1.104) .301 Patient source Other cities 1 [Reference] 1 [Reference] Beijing 0.850 (0.760 to 0.951) .005 0.803 (0.679 to 0.950) .010 Medical insurance type No social health insurance 1 [Reference] 1 [Reference] Medical insurance 1.159 (1.032 to 1.300) .012 1.267 (1.075 to 1.493) .005 Registered category Special outpatient 1 [Reference] 1 [Reference] General consultation 0.875 (0.775 to 0.988) .032 0.959 (0.779 to 1.181) .692 Registered physician tittle Doctor in charge 1 [Reference] 1 [Reference] Assistant director physician 0.959 (0.959 to 0.785) .680 0.937 (0.706 to 1.243) .650 Director physician 1.207 (0.931 to 1.133) .594 1.072 (0.926 to 1.241) .351 Waiting time before consultation ≤30 1 [Reference] 1 [Reference] 31-60 0.825 (0.745 to 0.912) <.001 0.747 (0.640 to 0.872) <.001 Above 60 0.551 (0.489 to 0.620) <.001 0.404 (0.340 to 0.480) <.001 Length of the communication with the doctor ≤20 1 [Reference] 1 [Reference] Above 20 1.396 (1.242 to 1.570) <.001 1.822 (1.547 to 2.147) <.001 Overall satisfaction of waiting time Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.742 (1.391 to 2.183) <.001 2.340 (2.018 to 2.713) <.001 Quality of services Satisfaction with behaviour of treating doctor Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.878 (1.700 to 2.075) <.001 0.996 (0.718 to 1.382) .983 Doctor explained your treatment and Respect privacy Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.417 (1.136 to 1.768) .002 0.557 (0.394 to 0.788) <.001 Doctor gave some guidance and materials Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.553 (1.278 to 1.887) <.001 1.880 (1.392 to 2.539) <.001 Doctor diagnosed diseases Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 2.301 (1.838 to 2.879) <.001 2.010 (1.423 to 2.839) <.001 Doctor explained why and how to use medicine Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.141 (0.911 to 1.429) .252 1.323 (0.914 to 1.915) .138 Doctor advised the examination and treatment plan Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.584 (1.252 to 2.004) <.001 1.396 (0.942 to 2.071) .097 Doctor informed followed-up arrangements Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.424 (1.177 to 1.724) <.001 1.607 (1.194 to 2.162) .002 Satisfaction with behaviour of nurses Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.096 (0.837 to 1.436) .504 1.055 (0.666 to 1.670) .820 Nurses listen to your question s and problems Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 0.959 (0.683 to 1.347) .809 0.752 (0.419 to 1.351) .341 Nurses answer the questions correctly Dissatisfaction 1 [Reference] 1 [Reference] Satisfaction 1.107 (0.821 to 1.494) .504 1.061 (0.643 to 1.750) .818 Medical technology service Whether the payment made at the outpatient window No 1 [Reference] 1 [Reference] Yes 0.791 (0.722 to 0.868) <.001 0.762 (0.660 to 0.880) <.001 Whether you check up in the CI No 1 [Reference] 1 [Reference] Yes 0.915 (0.832 to 1.007) .069 1.040 (0.910 to 1.188) .565 Whether you check up in the MID No 1 [Reference] 1 [Reference] Yes 0.991 (0.878 to 1.117) .877 0.965 (0.813 to 1.144) .679 Whether you check up in the US No 1 [Reference] 1 [Reference] Yes 0.894 (0.789 to 1.013) .078 0.804 (0.682 to 0.949) .010 Whether you check up in the NMD No 1 [Reference] 1 [Reference] Yes 1.355 (1.066 to 1.723) .013 0.959 (0.629 to 1.461) .844 Whether you check up in the EC No 1 [Reference] 1 [Reference] Yes 1.162 (0.969 to 1.394) .105 1.699 (1.072 to 2.693) .024 Whether you buy medicine in outpatient No 1 [Reference] 1 [Reference] Yes 0.929 (0.856 to 1.008) .076 0.933 (0.825 to 1.055) .269 Outpatient service Satisfaction with outpatient environment 1.667 (1.434 to 1.937) <.001 1.131 (0.860 to 1.487) .379 Satisfaction with hospital services and hospital staff 1.139 (0.963 to 1.347) .128 0.869 (0.651 to 1.161) .341 Satisfaction with outpatient guidepost 1.175 (0.997 to 1.386) .055 1.555 (1.203 to 2.011) <.001 Satisfaction with h ygiene situation of the toilet 1.243 (1.068 to 1.447) .005 1.106 (0.859 to 1.425) .434 Satisfaction with r esponsiveness of your needs 2.586 (2.236 to 2.990) <.001 3.573 (2.807 to 4.548) <.001 Note: CI, clinical laboratory; MID, medical imaging department; UD, ultrasound department; NMD, nuclear medicine department; EC, Endoscopy Center. 1 Central Campus is the Xicheng Campus 2 Daxing Campus is the new branch of hospital Additional Declarations No competing interests reported. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6005395","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":414150016,"identity":"855a1329-45ed-46fe-9d3a-fe1b37b12f0b","order_by":0,"name":"Huilin Wang","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Huilin","middleName":"","lastName":"Wang","suffix":""},{"id":414150017,"identity":"ef8d70d4-7a50-40a4-9d2d-a0e401f90b27","order_by":1,"name":"Hao Wang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA20lEQVRIiWNgGAWjYJACZjjrg4GNHGlaGGcUpBmTpoWZ58PhRILKDY6fPfy6oMaGwVwiO/GzjQFzAgP74aMb8Go5k5dmPeNYGoPljNzN0jkGbHkMPGlpN/BpMTuQY2bMw3aYweBG7jbmHAOeYgYJHjP8Ws6/AWr5B9ViYSCR2EBQy40c48e8bVAtDAYGhLXY33hjxszbB/RLz9vNkj0GCcZshPwi2Z9j/JnnGzDE2HM3fvjx578cP/vhY3i1AAGbBJCoh4crGwHlIMD8AUQaEKFyFIyCUTAKRigAAIplRqbUL9khAAAAAElFTkSuQmCC","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":true,"prefix":"","firstName":"Hao","middleName":"","lastName":"Wang","suffix":""},{"id":414150019,"identity":"60e63e11-a1e3-45b7-9777-e53b78a3ffa8","order_by":2,"name":"Hongjun Fang","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Hongjun","middleName":"","lastName":"Fang","suffix":""},{"id":414150022,"identity":"91bfbd9f-26f2-49d3-81a0-b733c269f627","order_by":3,"name":"Sinan Guan","email":"","orcid":"","institution":"Peking University","correspondingAuthor":false,"prefix":"","firstName":"Sinan","middleName":"","lastName":"Guan","suffix":""},{"id":414150023,"identity":"f6c3515c-2a5f-4893-b18b-d2d8a2f8cf3a","order_by":4,"name":"Hourui Ge","email":"","orcid":"","institution":"Peking University","correspondingAuthor":false,"prefix":"","firstName":"Hourui","middleName":"","lastName":"Ge","suffix":""},{"id":414150024,"identity":"97fe39af-e5b9-401e-a972-f553f5dda9a1","order_by":5,"name":"Hongyan Yang","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Hongyan","middleName":"","lastName":"Yang","suffix":""},{"id":414150025,"identity":"7d03c9f5-e193-4a65-803f-9fdd845d0d07","order_by":6,"name":"Jing Li","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Jing","middleName":"","lastName":"Li","suffix":""}],"badges":[],"createdAt":"2025-02-11 08:38:49","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6005395/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6005395/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":76193975,"identity":"b7d338bc-da5d-44f1-9807-effad1d57fdd","added_by":"auto","created_at":"2025-02-13 10:05:50","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":270419,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eThe corrected model of outpatient satisfaction\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSource: own research.\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-6005395/v1/c7d326a09a898ffda37fcaca.png"},{"id":76215111,"identity":"4da2274d-7314-4f9d-bbf2-16b7fdc596b4","added_by":"auto","created_at":"2025-02-13 14:17:21","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3197688,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6005395/v1/8afaa3eb-6a42-4d2b-8962-fc8941a4eb67.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Factors associated with homogenization management of outpatient services in multi-campus hospitals: a cross-sectional study based on Structural Equation Model","fulltext":[{"header":"Introduction","content":"\u003cp\u003eAs the the frontline of the medical service chain, outpatient plays a pivotal role in the development of healthcare system\u003csup\u003e[\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]\u003c/sup\u003e. It is also the first point of entry for patients to receive inpatient service throughout the medical treatment process\u003csup\u003e[\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]\u003c/sup\u003e. To obtain more efficient medical and health service, most of the patients nowadays are inclined to seek medical treatment upon outpatient basis in tertiary hospitals\u003csup\u003e[\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]\u003c/sup\u003e. Therefore, according to the 《Statistical Bulletin on the Development of Health Care in China (2024)》, the number of outpatients in public hospitals have increased by 11.6%, and by 17.9% for tertiary hospitals, between 2023 and 2024\u003csup\u003e[\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e]\u003c/sup\u003e. Due to the large amount of outpatient visitors, patients spend more time on waiting for registration while having less time on critical diagnosis by the doctor, and their needs cannot be responded timely\u003csup\u003e[\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e]\u003c/sup\u003e. To address these problems and satisfy the medical needs of the general public, in late 2022, 《the construction and management of hospital branch areas》 issued by the National Health Commission promoted the multi-campus model to coordinate the distribution of medical resources and relieve pressure of the central campus\u003csup\u003e[\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e][\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]\u003c/sup\u003e. Furthermore, space limitation of medical institution also lay a basis for the construction of multi-campus model in some areas\u003csup\u003e[\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]\u003c/sup\u003e. In recent years, this model has been established and developed in Jiangsu, Shanghai and other cities, such as Nanjing Drum Tower Hospital and Huashan Hospital of the Shanghai FuDan University to improve the medical care quality and patient satisfaction\u003csup\u003e[\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e][\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e]\u003c/sup\u003e. Although multi-campus hospitals have become increasingly prevalent in China, they also face some challenges, such as the imbalanced healthcare service between several branches, thus reasonable management is needed\u003csup\u003e[\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]\u003c/sup\u003e. In addition, the differences in radiation scope of service group and environmental construction in multi-campus hospitals also require much endeavor for hospital managers and decision makers\u003csup\u003e[\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]\u003c/sup\u003e. To improve medical service quality, evaluation of the multi-campus hospitals should be a component of organizational strategic planning and is the key for hospital adaption or management to know quality-related issues\u003csup\u003e[\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]\u003c/sup\u003e. In view of this, evidence has proved that patient satisfaction is an important indicator of its assessment\u003csup\u003e[\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e]\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eIt is noteworthy that patient satisfaction is also linked to different medical service models under the healthcare system among countries\u003csup\u003e[\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e][\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e]\u003c/sup\u003e. In developed countries, such as the Singapore and United Kingdom, where there is a mandatory gatekeeper system through legislation, a well-established primary healthcare mode and an efficient hierarchical medical system (hierarchical medical system, HMS) that responsible for the classification of diseases according to their priority and difficulty to treat have already formed in these countries\u003csup\u003e[\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e][\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e][\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e]\u003c/sup\u003e. In some developing countries, such as China, the HMS was formally proposed in 2009\u003csup\u003e[\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e]\u003c/sup\u003e. After years of practice and collaboration of multisector, in late 2015, the《Guiding opinions on promoting the construction of hierarchical medical treatment system》 issued by the Chinese government explicitly proposed the aim and pathways for the HMS to alleviate conflicts in access to healthcare service\u003csup\u003e[\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e]\u003c/sup\u003e. Despite this policy has been put forward for a long time, a mixed treatment model of the medical situation still exists\u003csup\u003e[\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e][\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e]\u003c/sup\u003e, thereby patients have free access to hospitals at different levels according to their own intentions\u003csup\u003e[\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e][\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e][\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e]\u003c/sup\u003e. Based on this free-choice system, most citizens tend to see a doctor in large hospitals with high-quality and abundant medical resources, rather than the primary medical institutions that are severely lacking of medical security, resulting in overcrowded hospitals and inefficient utilization of medical resources\u003csup\u003e[\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e][\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e][\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e]\u003c/sup\u003e. Furthermore, in some multi-campus hospitals, due to the objective differences between several branches and low patient trust of new branches, many patients choose the central campus as their preferred location and flow to hospitals for medical treatment, and overflow of patients means long waiting time but short visiting time, leading to dissatisfaction of patients\u003csup\u003e[\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e][\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e][\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e]\u003c/sup\u003e. Therefore, the situation of Chinese hospitals drives the exploration of multi-campus hospital to relieve the medical pressure and meet the basic needs of patients\u003csup\u003e[\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]\u003c/sup\u003e. Studies show that by analyzing satisfaction and its influencing factors could provide information for homogenization management or differentiated strategies aiming at consistent quality that is urgently needed to solve these problems in multi-campus hospitals\u003csup\u003e[\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e]\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003ePatient satisfaction is one of the most important assessment tools to show how the patient perceive the medical service, and it represents a hospital\u0026rsquo;s fulfillment of its service effectiveness and systematic management\u003csup\u003e[\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e][\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e][\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e][\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e]\u003c/sup\u003e. Relevant factors of outpatient satisfaction can be categorized into the medical service, radiation scope of service group, and environmental construction, etc. As far as the service, attitudes of medical staff have a significant positive correlation with satisfaction, and doctors, nurses and other personnel are manifestations of it\u003csup\u003e[\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e][\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e]\u003c/sup\u003e. And the waiting time for receiving services as well as the quality of medical technology service which mainly refers to the medical process such as ultrasound examination, and endoscopic examination are also vitally important\u003csup\u003e[\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e]\u003c/sup\u003e. Furthermore, environmental factors including outpatient environment, sanitation, and accuracy of guidelines, are positively affecting satisfaction\u003csup\u003e[\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e][\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e]\u003c/sup\u003e. While a number of prior studies have focused on patient satisfaction and its relevant factors, only a few studies have analyzed these factors in multi-campus hospitals to explore the homogenization management. Moreover, a number of prior studies focused on different phases of development in different regions that are differ in the performance of patient satisfaction and are unrepresentative of development level in a certain multi-campus hospital. In the end, most of the experimental samples in this period are small, which make it difficult to draw reasonable conclusions.\u003c/p\u003e \u003cp\u003eHence, based on an adequate sample size of the research data collected during the initial stage of a multi-campus hospital in Beijing, our investigation on the key factors influencing outpatient satisfaction could comprehensively reflect the present state of it. Moreover, analysis of the homogenization management in multi-campuses could complement similar researches and offer relevant data that may be needed for policy making or make some recommendations for hospital managers to make homogeneous management efficiently, pushing the development of healthcare system.\u003c/p\u003e"},{"header":"Methods","content":"\u003ch3\u003eStudy Design\u003c/h3\u003e\n\u003cp\u003eWe conducted a cross-sectional study from January to April, 2024 at the outpatient department of a tertiary hospitals in Beijing: Peking University First Hospital of both Xicheng campus and Daxing campus. Constructed in 1915, Xicheng campus has 1805 beds, 3700 staff, 53 clinical and auxiliary departments, and receive more than 1.82 million outpatient visits annually. The Daxing campus has 1200 beds, 2800 staff, 35 key clinical departments, and over 4000 outpatient visits per day, is newly-built in 2023. Based on a large research sample collected from a multi-campus hospital constructed in an initial stage, conclusions reached from the questionnaire survey were reliable and could show the influencing factors of patient satisfaction accurately. According to the inclusion criteria, each patient (1)provided their written informed consent and was willing to be investigated, and (2)was in stable condition and could explicitly express their feelings. We excluded patients who (1)were emergency patients and/or (2)had infectious diseases. As we believe that it is difficult for the children aged under 12 to understand and finish the questionnaire independently. Therefore, they were represented by their parents or other legal guardian. Respondents were convinced that their privacy was guaranteed to be protected. From the 29500 distributed questionnaires, we successfully collected 28155, including the sample size of 19607 and 8458 in Xicheng campus and Daxing campus respectively, yielding a high response rate of 95.44%.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eQuestionnaire Design\u003c/h3\u003e\n\u003cp\u003eThe questionnaire items were adapted from Zou and his colleagues\u003csup\u003e[39]\u003c/sup\u003e. Because there is no established assessment tools for outpatient satisfaction in China, the items were modified such that we combined expert opinion with this existing questionnaire. The questionnaire composed 12 items(i.e. \u0026quot;gender\u0026quot;, \u0026quot;age\u0026quot;, and \u0026quot;education\u0026quot;) to describe the sociodemographic characteristics of outpatients and evaluate their level of satisfaction. In order to fully understand the specific feelings of respondents and ensure accuracy, a 5-point likert scale was applied to measure outpatient satisfaction with the choices of 1 (very dissatisfied), 2 (dissatisfied), 3 (Normal), 4 (satisfied), and 5 (very satisfied); and the higher score is equivalent to a higher assessment of patient satisfaction. Three dimensions of satisfaction were evaluated: quality of service， m\u003cem\u003eedical technology service\u003c/em\u003e, and\u0026nbsp;outpatient service.\u0026nbsp;The\u0026nbsp;quality of service\u0026nbsp;had\u0026nbsp;two\u0026nbsp;factors:\u0026nbsp;\u0026quot;doctors\u0026apos;\u0026nbsp;attitude\u0026quot; and \u0026quot;nurses\u0026apos;\u0026nbsp;attitude\u0026quot;.\u0026nbsp;The\u0026nbsp;m\u003cem\u003eedical technology service\u003c/em\u003e dimension consisted of seven factors: \u0026quot;make payment at outpatient window\u0026quot;, \u0026quot;check in clinical laboratory\u0026quot;, \u0026quot;check in \u003cem\u003emedical imaging department\u003c/em\u003e\u0026quot;\u003cem\u003e,\u0026nbsp;\u003c/em\u003e\u0026quot;check in the d\u003cem\u003eepartment of ultrasound\u003c/em\u003e\u0026quot;\u003cem\u003e,\u0026nbsp;\u003c/em\u003e\u0026quot;check in nuclear medicine department\u0026quot;, \u0026quot;check in endoscopy center\u0026quot;, and \u0026quot;buy medicine at outpatient\u0026quot;. The outpatient service included five factors: \u0026quot;outpatient environment\u0026quot;, \u0026quot;hospital services and hospital staff\u0026quot;, \u0026quot;guidepost\u0026quot;, \u0026quot;hygiene situation of the toilet\u0026quot;, \u0026quot;responsiveness of your needs\u0026quot;. The cronbach\u0026apos;s alpha coefficient of the questionnaire was 0.969 and the \u003cem\u003e\u0026chi;\u003c/em\u003e\u003csup\u003e2\u003c/sup\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003evalue of Bartlett\u0026rsquo;s test of sphericity was 6,717,92.782(\u003cem\u003eP\u003c/em\u003e\u0026lt;0.001), indicating the high consistency of questionnaire and connection of those items.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eStatistical Analysis\u003c/h3\u003e\n\u003cp\u003eData analysis was conducted using SPSS 27.0 and Amos 18.0 software.\u0026nbsp;Descriptive statistics such as frequency and constituent ratio are employed for data analysis. In terms of the 5-point likert scale, the overall satisfaction of outpatients\u0026nbsp;and the satisfaction of different dimensions were set as dependent variables\u0026nbsp;and binary data. \u0026quot;satisfied\u0026quot;, \u0026quot;normal\u0026quot;, \u0026quot;dissatisfied\u0026quot;,\u0026nbsp;and \u0026quot;very dissatisfied\u0026quot;\u0026nbsp;are coded as\u0026nbsp;\u0026quot;0\u0026quot;\u0026nbsp;to represent\u0026nbsp;dissatisfaction, while\u0026nbsp;\u0026quot;very satisfied\u0026quot;\u0026nbsp;is\u0026nbsp;coded as\u0026nbsp;\u0026quot;1\u0026quot;\u0026nbsp;to represent satisfaction.\u0026nbsp;Logistic regression methods were applied on\u0026nbsp;patient\u0026nbsp;satisfaction for a number of variables. Firstly, a\u0026nbsp;simple logistic regression analysis\u0026nbsp;was conducted\u0026nbsp;to explore the relationship between affecting factors and patient satisfaction.\u0026nbsp;Secondly, we\u0026nbsp;involved in\u0026nbsp;the factors that\u0026nbsp;is significant (P\u0026lt;0.2)\u0026nbsp;to m\u003cem\u003eultivariate logistic regression\u003c/em\u003e and evaluated the relationships. Crude odds ratios (CORs) and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were obtained from simple and m\u003cem\u003eultivariate\u003c/em\u003e logistic regression models respectively. To explore the relationship of satisfaction and its influencing factors, SEM can analyze the pathway and correlation strength, processing some potential variables which can not be measured routinely.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eQuality Control\u0026nbsp;\u003c/h3\u003e\n\u003cp\u003eThe experiment was performed by four researchers and three postgraduate students, all of whom had abundant research experience. In addition, the necessary explanations and informed consent were provided during the survey. If participants had trouble in understanding a survey item, investigators explained it to them. The study protocol was approved by the ethics committee of the Peking University First Hospital.\u003c/p\u003e"},{"header":"Results","content":"\u003ch3\u003eStatistical Description\u003c/h3\u003e\n\u003cp\u003eThe characteristics of the participants in the central campus and Daxing\u0026nbsp;campus\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003eare shown in Table 1. A majority of participants aged 0-44 (38.4%, the central campus; 53.3%, Daxing Campus). The majority were female (55.90%, the central campus; 60.2%, Daxing Campus), local residents (72.80%, the central campus; 74.6%, Daxing Campus). Concerning the medical insurance type, the largest percentage of people had social health insurance (76.50%, the central campus; 74.8%, Daxing Campus). Over half (59.0%, the central campus; 60.1%, Daxing Campus) had undergraduate or junior college education. In addition, 84.1%(88.9%, Daxing Campus) of the outpatients were registered in the general outpatient. For their choice for doctors, assistant director physician (39.7%, the central campus; 39.5%, Daxing Campus) accounted for the largest group, followed by doctor in charge (33.3%, the central campus; 34.1%, Daxing Campus) and director physician (27.0%, the central campus; 26.4%, Daxing Campus). 60.1% (61.7%, Daxing Campus) reported the waiting time before consultation of less than 30minutes. For the length of the communication with doctor, approximately 83.9% (79.1%, Daxing Campus) responded that it was no more than 20minutes.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eOutpatient Satisfaction Score Status\u003c/h3\u003e\n\u003cp\u003eOutpatient satisfaction score status is showed in Table 1. The overall outpatient satisfaction was 4.46\u0026plusmn;0.91 and 4.46\u0026plusmn;0.92 in the Xicheng campus and Daxing campus respectively. No significant differences in satisfaction were observed in the characteristics. On the gender factor, male scored the strongest (4.50\u0026plusmn;1.26). On aged factors, those who aged 0-44 scored the lowest (4.39\u0026plusmn;1.40) and above 60 years old scored the highest (4.52\u0026plusmn;1.17). Regarding education, the high school and below score (4.50\u0026plusmn;1.28) was the highest. Patient came from other cities compared with Beijing scored the highest (4.48\u0026plusmn;1.33). The score of patients who have medical insurance was the highest (4.49\u0026plusmn;1.24). As well as the outpatient type factor, the general outpatient score (4.47\u0026plusmn;1.28) was higher than that of the expert consultation. Regarding registered physician tittle, director physician scored (4.47\u0026plusmn;1.33) was higher than that of the doctor in charge/assistant director physician. Waiting below 30minutes scored highest (4.58\u0026plusmn;1.16). Overall satisfaction of waiting time scored (4.76\u0026plusmn;0.95). Specifically, the overall outpatient satisfaction of male, above 60 years old, high school and below, Beijing, medical insurance, general outpatient, director physician, waiting below 30 minutes, and communicating above 20 minutes was significantly stronger than that of other groups.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eUnivariate Analysis\u003c/h3\u003e\n\u003cp\u003eThe univariate association between predictive variables and outpatient satisfaction, together with the crude (non-controlled) risk results is showed in Table 2.\u0026nbsp;Respondents aged 45-59 (the central campus:\u0026nbsp;AOR 1.128, 95% CI\u0026nbsp;1.064-1.097;\u0026nbsp;Daxing campus: AOR\u0026nbsp;1.237, 95% CI 1.129-1.355)\u0026nbsp;and above 60 (the central campus:\u0026nbsp;AOR 1.068, 95% CI\u0026nbsp;0.999-1.143;\u0026nbsp;Daxing campus: AOR\u0026nbsp;1.216, 95% CI 1.090-1.357)\u0026nbsp;have a higher level of satisfaction. Patients in the educational level of high school and below tend to be more satisfied than undergraduate/junior college\u0026nbsp;(the central campus:\u0026nbsp;AOR 0.887, 95% CI\u0026nbsp;0.825-0.954;\u0026nbsp;Daxing campus: AOR\u0026nbsp;0.904, 95% CI 0.813-1.005)\u0026nbsp;and postgraduate and\u0026nbsp;professional\u0026nbsp;(the central campus:\u0026nbsp;AOR 0.783, 95% CI\u0026nbsp;0.715-0.858;\u0026nbsp;Daxing campus: AOR 0.725, 95% CI 0.627-0.838). People\u0026nbsp;register in doctor in charge\u0026nbsp;have a higher level of satisfaction than those who register in assistant director physician (the central campus:\u0026nbsp;AOR 0.914, 95% CI\u0026nbsp;0.792-1.054;\u0026nbsp;Daxing campus: AOR 0.982, 95% CI 0.799-1.207), higher than director physician in central campus (AOR 0.961, 95% CI\u0026nbsp;0.895-1.030) but lower than director physician in Daxing campus (AOR 1.083, 95% CI\u0026nbsp;0.973-1.204). Patients waiting for less than 30 minutes are more satisfied than patients waiting for 31-60 minutes (the central campus:\u0026nbsp;AOR 0.615, 95% CI\u0026nbsp;0.573-0.661;\u0026nbsp;Daxing campus: AOR 0.592, 95% CI 0.530-0.661) and above 60 minutes (the central campus:\u0026nbsp;AOR 0.378, 95% CI\u0026nbsp;0.350-0.41;\u0026nbsp;Daxing campus: AOR 0.313, 95% CI 0.278-0.353). Higher level of satisfaction is associated with male (the central campus:\u0026nbsp;AOR 1.128, 95% CI\u0026nbsp;1.064-1.097;\u0026nbsp;Daxing campus: AOR 1.237, 95% CI 1.129-1.355), having\u0026nbsp;medical insurance\u0026nbsp;(the central campus:\u0026nbsp;AOR 1.078, 95% CI\u0026nbsp;1.007-1.155;\u0026nbsp;Daxing campus: AOR 1.180, 95% CI 1.066-1.305),\u0026nbsp;communication\u0026nbsp;of over 20 minutes (the central campus:\u0026nbsp;AOR 2.038, 95% CI\u0026nbsp;1.866-2.225;\u0026nbsp;Daxing campus: AOR 2.096, 95% CI 1.818-2.415), satisfaction of waiting time (the central campus:\u0026nbsp;AOR 10.735, 95% CI\u0026nbsp;10.024-11.495;\u0026nbsp;Daxing campus: AOR 10.637, 95% CI 9.591-11.798), satisfaction of doctors\u0026rsquo; behavior (the central campus:\u0026nbsp;AOR 22.213, 95% CI\u0026nbsp;20.023-24.643;\u0026nbsp;Daxing campus: AOR 17.293, 95% CI 15.036-19.888), satisfaction of doctors\u0026rsquo; explanation or respect of their privacy (the central campus:\u0026nbsp;AOR 19.961, 95% CI\u0026nbsp;18.068-22.053; Daxing campus:\u0026nbsp;AOR 17.104, 95% CI\u0026nbsp;14.863-19.682), satisfaction of\u0026nbsp;guidance and materials given by doctors (the central campus:\u0026nbsp;AOR 20.838, 95% CI\u0026nbsp;19.053-22.791; Daxing campus:\u0026nbsp;AOR 18.946, 95% CI\u0026nbsp;16.667-21.537),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; diagnosis (the central campus:\u0026nbsp;AOR 24.779, 95% CI\u0026nbsp;22.561-27.214; Daxing campus:\u0026nbsp;AOR 21.445, 95% CI\u0026nbsp;18.809-24.452),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; guidance on medicine (the central campus:\u0026nbsp;AOR 22.273, 95% CI\u0026nbsp;20.363-24.362; Daxing campus:\u0026nbsp;AOR 20.411, 95% CI\u0026nbsp;17.931-23.235),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; advice on examination or treatment (the central campus:\u0026nbsp;AOR 24.441, 95% CI\u0026nbsp;22.252-26.846; Daxing campus:\u0026nbsp;AOR 21.919, 95% CI\u0026nbsp;19.179-25.052),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; arrangements on followed-up\u0026nbsp;(the central campus:\u0026nbsp;AOR 22.585, 95% CI\u0026nbsp;20.641-24.712; Daxing campus:\u0026nbsp;AOR 19.988, 95% CI\u0026nbsp;17.573-22.735), satisfaction of nurses\u0026rsquo; behaviour (the central campus:\u0026nbsp;AOR 14.544, 95% CI\u0026nbsp;13.457-15.719; Daxing campus:\u0026nbsp;AOR 13.478, 95% CI\u0026nbsp;11.960-15.189), satisfaction of nurses\u0026rsquo;\u0026nbsp;careful listening (the central campus:\u0026nbsp;AOR 14.394, 95% CI\u0026nbsp;13.328-15.545; Daxing campus:\u0026nbsp;AOR 13.123, 95% CI\u0026nbsp;11.656-14.775), satisfaction of nurses\u0026rsquo; question answering (the central campus:\u0026nbsp;AOR 14.451, 95% CI\u0026nbsp;13.376-15.611; Daxing campus:\u0026nbsp;AOR 13.246, 95% CI\u0026nbsp;11.762-14.918),\u0026nbsp;buy medicine in outpatient\u0026nbsp;(Daxing campus:\u0026nbsp;AOR 1.081, 95% CI\u0026nbsp;0.989-1.182),\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003echeck up in the nuclear medicine department (the central campus: AOR 1.111, 95% CI 0.947-1.304; Daxing campus: AOR 1.058, 95% CI 0.783-1.429) and endoscopy center (the central campus: AOR 1.094, 95% CI 0.965-1.239; Daxing campus: AOR 1.315, 95% CI 0.957-1.809). Those who satisfied with outpatient environment (the central campus: AOR 12.716, 95% CI 11.855-13.640; Daxing campus: AOR 13.835, 95% CI 12.216-15.668), hospital services and hospital staff (the central campus: AOR 12.874, 95% CI 12.005-13.807; Daxing campus: AOR 13.174, 95% CI 11.658-14.886), outpatient guidepost (the central campus: AOR 13.195, 95% CI 12.300-14.155; Daxing campus: AOR 12.186, 95% CI 10.876-13.655), hygiene situation of the toilet (the central campus: AOR 11.555, 95% CI 10.780-12.387; Daxing campus: AOR 11.810, 95% CI 10.538-13.235), and responsiveness of patients\u0026rsquo; needs (the central campus: AOR 16.187, 95% CI 15060-17.399; Daxing campus: AOR 17.265, 95% CI 15.324-19.451) are more likely to be overall satisfied. Respondents with lower level of satisfaction were more likely to come from Beijing (the central campus: AOR 0.834, 95% CI 0.781-0.891; Daxing campus: AOR 0.800, 95% CI 0.721-0.887), register in special need clinic (the central campus: AOR 0.956, 95% CI 0.883-1.036; Daxing campus: AOR 0.942, 95% CI 0.818-1.086), make payment at the outpatient window (the central campus: AOR 0.799, 95% CI 0.749-0.851; Daxing campus: AOR 0.914, 95% CI 0.826-1.012), check up in the clinical laboratory (the central campus: AOR 0.932, 95% CI 0.877-0.992; Daxing campus: AOR 0.932, 95% CI 0.851-1.021), check up in the \u003cem\u003emedical imaging department (\u003c/em\u003ethe central campus:\u0026nbsp;AOR 0.961, 95% CI\u0026nbsp;0.892-1.036; Daxing campus:\u0026nbsp;AOR 0.896, 95% CI\u0026nbsp;0.796-1.004\u003cem\u003e),\u0026nbsp;\u003c/em\u003echeck up in the d\u003cem\u003eepartment of ultrasound (\u003c/em\u003ethe central campus:\u0026nbsp;AOR 0.794, 95% CI\u0026nbsp;0.735-0.858; Daxing campus:\u0026nbsp;AOR 0.765, 95% CI\u0026nbsp;0.684-0.856\u003cem\u003e),\u0026nbsp;\u003c/em\u003ebuy medicine in outpatient (the central campus: AOR 0.952, 95% CI 0.898-1.010).\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eMultivariate Analysis\u003c/h3\u003e\n\u003cp\u003eMultiple logistic regression was performed to further determine which factors were related to satisfaction in the overall population in Table 3. Patients aged 45-59 (the central campus:\u0026nbsp;AOR 1.289, 95% CI 1.158-1.434, p\u0026lt;0.001;\u0026nbsp;Daxing campus: AOR\u0026nbsp;1.189, 95% CI 1.017-1.392, p=0.030)\u0026nbsp;and above 60 (the central campus:\u0026nbsp;AOR 1.474, 95% CI 1.326-1.638, p\u0026lt;0.001;\u0026nbsp;Daxing campus: AOR\u0026nbsp;1.351, 95% CI 1.147-1.59, p\u0026lt;0.001)\u0026nbsp;have a higher level of satisfaction. People in the educational level of undergraduate/junior college\u0026nbsp;(the central campus:\u0026nbsp;AOR 1.138, 95% CI\u0026nbsp;1.026-1.262, p=0.014)\u0026nbsp;tend to be more satisfied than other groups.\u0026nbsp;Respondents waiting for less than 30 minutes are more satisfied than respondents waiting for 31-60 minutes (the central campus:\u0026nbsp;AOR 0.825, 95% CI 0.745-0.912,\u0026nbsp;p\u0026lt;0.001;\u0026nbsp;Daxing campus: AOR 0.747, 95% CI\u0026nbsp;0.640-0.872, p\u0026lt;0.001) and above 60 minutes (AOR: 0.551; 95% CI: 0.489-0.620,\u0026nbsp;p\u0026lt;0.001;\u0026nbsp;Daxing campus: AOR 0.404, 95% CI\u0026nbsp;0.340-0.480, p\u0026lt;0.001).\u0026nbsp;Higher level of satisfaction is associated with male (the central campus:\u0026nbsp;AOR 1.087, 95% CI 1.000-1.181, p=0.049),\u0026nbsp;having\u0026nbsp;medical insurance\u0026nbsp;(the central campus: AOR 1.159, 95% CI 1.032-1.300, p=0.012; Daxing campus:\u0026nbsp;AOR 1.267, 95% CI:\u0026nbsp;1.075-1.493, p=0.005),\u0026nbsp;communication\u0026nbsp;of over 20 minutes (the central campus:AOR 1.396, 95% CI 1.242-1.570, p\u0026lt;0.001; Daxing campus\u0026nbsp;AOR 1.822, 95% CI\u0026nbsp;1.547-2.147, p\u0026lt;0.001), satisfaction of waiting time (the central campus:AOR 1.742, 95% CI 1.391-2.183, p\u0026lt;0.001;\u0026nbsp;Daxing campus\u0026nbsp;AOR 2.340, 95% CI\u0026nbsp;2.018-2.713, p\u0026lt;0.001), satisfaction of doctors\u0026rsquo; behavior (the central campus: AOR 1.878, 95% CI 1.700-2.075, p\u0026lt;0.001), satisfaction of doctors\u0026rsquo; explanation or respect of their privacy (the central campus: AOR 1.417, 95% CI 1.136-1.768, p=0.002; Daxing campus\u0026nbsp;AOR: 0.557, 95% CI\u0026nbsp;0.394-0.788, p\u0026lt;0.001), satisfaction of\u0026nbsp;guidance and materials given by doctors (the central campus:\u0026nbsp;AOR 1.553; 95% CI 1.278-1.887, p\u0026lt;0.001;\u0026nbsp;Daxing campus:\u0026nbsp;AOR 1.880, 95% CI\u0026nbsp;1.392-2.539, p\u0026lt;0.001),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; diagnosis (the central campus:\u0026nbsp;AOR 2.301; 95% CI 1.838-2.879, p\u0026lt;0.001;\u0026nbsp;Daxing campus:\u0026nbsp;AOR 2.010, 95% CI\u0026nbsp;1.423-2.839, p\u0026lt;0.001),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; advice on examination or treatment (the central campus:\u0026nbsp;AOR 1.584, 95% CI\u0026nbsp;1.252-2.004, p\u0026lt;0.001),\u0026nbsp;satisfaction of\u0026nbsp;doctors\u0026rsquo; arrangements on followed-up\u0026nbsp;(the central campus: AOR 1.424; 95% CI 1.177-1.724,\u0026nbsp;p\u0026lt;0.001; Daxing campus:\u0026nbsp;AOR 1.607, 95% CI\u0026nbsp;1.194-2.162, p=0.002),\u0026nbsp;checking up in the\u0026nbsp;nuclear medicine department (the central campus: AOR 1.355; 95% CI\u0026nbsp;1.066-1.723,\u0026nbsp;p=0.013) and endoscopy center (Daxing campus:\u0026nbsp;AOR 1.699, 95% CI\u0026nbsp;1.072-2.693, p=0.024).\u0026nbsp;Those with lower level of\u0026nbsp;satisfaction\u0026nbsp;were more likely to\u0026nbsp;come from Beijing (the central campus: AOR 0.850, 95% CI 0.760-0.951,\u0026nbsp;p=0.005;\u0026nbsp;Daxing campus: AOR 0.803, 95% CI 0.679-0.950,\u0026nbsp;p=0.010), register in\u0026nbsp;general outpatient (the central campus: AOR 0.875, 95% CI 0.775-0.988,\u0026nbsp;p=0.032), make\u0026nbsp;payment\u0026nbsp;at the outpatient window\u0026nbsp;(the central campus: AOR 0.791, 95% CI 0.722-0.868,\u0026nbsp;p\u0026lt;0.001;\u0026nbsp;Daxing campus: AOR 0.762, 95% CI 0.660-0.880,\u0026nbsp;p\u0026lt;0.001),\u003cem\u003e\u0026nbsp;\u003c/em\u003echeck up in the d\u003cem\u003eepartment of ultrasound (\u003c/em\u003eDaxing campus: AOR 0.804, 95% CI 0.682-0.949,\u0026nbsp;p=0.010\u003cem\u003e).\u0026nbsp;\u003c/em\u003eSatisfaction with outpatient environment is 1.667 times more likely to be overall satisfied in central campus (AOR 1.667, 95% CI 1.434-1.937, p\u0026lt;0.001) and guidepost is 1.555 times more likely to be overall satisfiedin Daxing campus (AOR 1.555; 95% CI 1.203-2.011, p\u0026lt;0.001). Patients satisfied with hygiene situation of the toilet is 1.243 times more overall satisfied in the central campus (AOR 1.243, 95% CI 1.068-1.447, p=0.005). Those who satisfied with responsiveness of patients\u0026rsquo; needs (the central campus: AOR 2.586, 95% CI 2.236-2.990, p\u0026lt;0.001; Daxing campus: AOR 2.573, 95% CI 2.807-4.548, p\u0026lt;0.001) are more likely to be overall satisfied.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eMain Research Areas of Structural Equation Model and Its Reliability In Our Study\u003c/h3\u003e\n\u003cp\u003eThe structural equation model (SEM) is a powerful framework of data analysis to prove the complex interrelationships of influencing factors and has been widely used in many research fields, such as\u0026nbsp;psychology, marketing, resource management, etc. To meet the demand of service quality and improve patient experience, it is noteworthy that a large number of studies are focusing on the analysis of satisfaction. Therefore, more and more models\u0026nbsp;on\u0026nbsp;patient satisfaction\u0026nbsp;are being constructed\u0026nbsp;or\u0026nbsp;validated\u0026nbsp;in recent years.\u003c/p\u003e\n\u003cp\u003eBased on the outpatient satisfaction model of public hospital constructed by existing research, a more targeted and explanatory satisfaction evaluation model is obtained after the appropriate increase or decrease of variables and adjustment of path relationship (Fig 1). The acceptable fit index criteria used in SEM are as follows: \u003cem\u003e\u0026chi;\u003c/em\u003e\u003csup\u003e2\u003c/sup\u003e/\u003cem\u003edf\u003c/em\u003e\u0026lt;5.00 (P\u0026lt;0.05), GFI\u0026gt;0.90, AGFI\u0026gt;0.90, NFI\u0026gt;0.90, CFI\u0026gt;0.90, TLI\u0026gt;0.90, TLI\u0026gt;0.90, and RMSEA\u0026lt;0.10. The significance level was set at \u003cem\u003e\u0026alpha;\u003c/em\u003e=0.05 (two-tailed). The results of analysis used in our study had an adequate fit to the data: \u003cem\u003e\u0026chi;\u003c/em\u003e\u003csup\u003e2\u003c/sup\u003e/\u003cem\u003edf\u003c/em\u003e=123.553 (P\u0026lt;0.001), GFI=0.947, AGFI=0.924, NFI=0.982, CFI=0.982, TLI=0.977, and RMSEA=0.066, indicating that the values of the indexes were generally excellent.\u003c/p\u003e\n\u003ch3\u003eRelationship Between Outpatient Satisfaction and Its Related Factors Based on SEM\u003c/h3\u003e\n\u003cp\u003eStandardized path coefficient values and significance levels were used to indicate the relationship between outpatient satisfaction and its related factors. First, the quality of service that affect satisfaction included the doctor service of respect, privacy protection, guidance, disease diagnosis, drug use, medical explanation, followed-up information, and nurse service of respect, listening carefully, and question answering, all of which were found to have a positive impact. Investigating the influence of each factor separately, medical explanation (0.974) showed the highest influence on satisfaction, followed by disease diagnosis (0.973), medical explanation (0.970), guidance and followed-up (0.934), respect (0.881), privacy protection (0.855) by doctors; respect (0.718), question answering (0.714) and listen carefully (0.712) of nurses. Next, the environmental construction that affect patient satisfaction included outpatient surroundings, guidepost, and hygiene situation of the toilet, all of which were found to have a positive impact. Specifically, the influence of outpatient environment (0.914) was the highest on patient satisfaction, followed by guidepost (0.900) and hygiene situation of the toilet (0.849). Additionally, visiting time (0.012) \u0026mdash; the observed variable \u0026mdash; also raised patient satisfaction.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eConsidering the discrepancy of medical policies in different countries and the characteristics of healthcare development in China,\u0026nbsp;exploring a multi-campus model for public hospitals could relieve medical pressure and provide solutions for medical institution\u003csup\u003e[3]\u003c/sup\u003e\u003csup\u003e[40]\u003c/sup\u003e.\u0026nbsp;However, due to the unevenness of medical service, radiation scope of service group, and environment are different between several branches, how to respond to these challenges actively and better develop the multi-campus hospitals count for much\u003csup\u003e[10]\u003c/sup\u003e\u003csup\u003e[11]\u003c/sup\u003e. In view of this, homogenization management or differentiated strategies aiming at consistent quality could be taken into consideration\u003csup\u003e[12]\u003c/sup\u003e.\u0026nbsp;To\u0026nbsp;know quality-related issues\u0026nbsp;during this process, patient satisfaction is an essential element in\u0026nbsp;its\u0026nbsp;evaluation\u0026nbsp;and improvement\u003csup\u003e[41]\u003c/sup\u003e. Based on\u0026nbsp;a\u0026nbsp;large research sample\u0026nbsp;of\u0026nbsp;a multi-campus\u0026nbsp;hospital in\u0026nbsp;Beijing, this research could provide\u0026nbsp;relevant\u0026nbsp;reference for the management\u0026nbsp;by exploring\u0026nbsp;the key factors that affect outpatient\u0026nbsp;satisfaction.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eHomogeneous management on improving the quality of service in both campuses\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOur results showed that patients are less satisfied if they spend less time with doctors but more time waiting, and one interesting finding in our study is that the overall satisfaction of waiting time is higher in Daxing campus compared with the central campus. This could be explained by a common phenomenon for outpatient visits called \u0026ldquo;three long one short\u0026rdquo; in the tertiary public hospitals in China\u003csup\u003e[5]\u003c/sup\u003e.\u0026nbsp;When the waiting time is exceeding their expectations, patients may be prone to\u0026nbsp;be dissatisfied\u003csup\u003e[42]\u003c/sup\u003e.\u0026nbsp;I\u003cstrong\u003et is noteworthy that\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;o\u003c/strong\u003ene likely reason for better satisfaction in\u0026nbsp;the new campus\u0026nbsp;is\u0026nbsp;that\u0026nbsp;low patient trust and difficulties in attracting talent were bottlenecks when the new branch was developed in an early stage\u003csup\u003e[27]\u003c/sup\u003e. Therefore, many patients choose the central campus as their preferred location for medical treatment, leading to low patient flow but high efficiency of queuing up in the new campus. However, this false impression may not be long-lasting. According to a study in the United States,\u0026nbsp;as the\u0026nbsp;size\u0026nbsp;of\u0026nbsp;a\u0026nbsp;hospital extended\u0026nbsp;in the initial stage, outpatient satisfaction\u0026nbsp;can\u0026nbsp;increase to a certain level, however, as\u0026nbsp;the hospital continue to\u0026nbsp;scaling up after a long period of time, the level of satisfaction would remain unchanged\u0026nbsp;or\u0026nbsp;decline\u0026nbsp;eventually\u003csup\u003e[43]\u003c/sup\u003e. Our research finding was similar to it. In order to overcome the gap in service quality between multi-campuses, application of \u003cem\u003ehigh-tech means\u003c/em\u003e such as mobile APPs could be time-saving for patients during their visits, avoiding queuing up for a long time\u003csup\u003e[44]\u003c/sup\u003e.\u0026nbsp;Moreover, regarding the issue of talent construction, a rotation plan should be implemented to facilitate the command of clinical skills by medical staff of the new hospital campus, and doctors with rich experience may be selected to serve as backbone in the new branches\u003csup\u003e[45]\u003c/sup\u003e\u003csup\u003e[46]\u003c/sup\u003e.\u0026nbsp;These measures\u0026nbsp;may\u0026nbsp;ensure a\u0026nbsp;high quality service.\u003c/p\u003e\n\u003cp\u003eFurthermore, the study by\u0026nbsp;Yan\u003csup\u003e[36]\u003c/sup\u003e and his colleagues showed that owing to the long waiting time, patient satisfaction of medical technology service in auxiliary department is a key factor for improvement. Similar to these studies, our findings further support this idea. One interpretation could be the routine procedures such as ultrasound examination and endoscopic examination usually need to be tailored to the specific situation of a patient, resulting in long waiting time\u003csup\u003e[36]\u003c/sup\u003e.\u0026nbsp;On the other hand, inconsistency between the medical auxiliary examination system and the patient appointment information system may hinder the medical progress. Therefore, to some extent, concentrating on enhancing the health information system can reduce the waiting time and increase patient satisfaction\u003csup\u003e[47]\u003c/sup\u003e.\u0026nbsp;Specifically, a system characterized by interconnection and interflow\u0026nbsp;may be used in both campuses, ensuring that the inspection results are all recognized and reduce the time of long waiting.\u003c/p\u003e\n\u003cp\u003eThe results of\u0026nbsp;SEM and\u0026nbsp;the\u0026nbsp;logistic regression analysis demonstrated that\u0026nbsp;responsiveness of\u0026nbsp;patient\u0026nbsp;needs\u0026nbsp;is most\u0026nbsp;important\u0026nbsp;on patient satisfaction\u0026nbsp;in two campuses, furthermore, it was shown that the other two influential factors with a direct impact on outpatient satisfaction were the doctors\u0026rsquo; diagnosis and\u0026nbsp;advice on treatment plan,\u0026nbsp;which\u0026nbsp;is\u0026nbsp;consistent with other studies\u003csup\u003e[32]\u003c/sup\u003e\u003csup\u003e[48]\u003c/sup\u003e\u003csup\u003e[49]\u003c/sup\u003e\u003csup\u003e[50]\u003c/sup\u003e.\u0026nbsp;First,\u0026nbsp;in China, due to the\u0026nbsp;extremely strict\u0026nbsp;supervision on\u0026nbsp;the quality of medical services in\u0026nbsp;tertiary hospitals, people have no doubt about the diagnostic accuracy of\u0026nbsp;them\u003csup\u003e[51]\u003c/sup\u003e. Second, the\u0026nbsp;basic objective\u0026nbsp;of seeking medical service for most outpatients is to be cured, however, most of them lack\u0026nbsp;basic\u0026nbsp;medical\u0026nbsp;knowledge\u003csup\u003e[52]\u003c/sup\u003e.\u0026nbsp;Therefore, the information asymmetry may\u0026nbsp;give rise\u0026nbsp;to the tendency toward dependence on clinicians\u0026nbsp;and willingness to received a response quickly\u003csup\u003e[5]\u003c/sup\u003e. In order to\u0026nbsp;implement humanized service\u0026nbsp;and\u0026nbsp;meet the needs of patients, the\u0026nbsp;principles\u0026nbsp;called \u0026quot;patient‐centered decision‐making\u0026quot; require medical staff to\u0026nbsp;understand and respect the position of patients,\u0026nbsp;and\u0026nbsp;provide\u0026nbsp;a sufficient explanation and\u0026nbsp;timely\u0026nbsp;response\u003csup\u003e[53]\u003c/sup\u003e.\u0026nbsp;These reasons can be explained to some extent.\u003c/p\u003e\n\u003cp\u003eIn congruence with Wenya Yu\u0026rsquo;s research\u003csup\u003e[54]\u003c/sup\u003e, our analysis revealed\u0026nbsp;that\u0026nbsp;compared with nurses, the satisfaction of doctors still has some room for improvement in both campuses.\u0026nbsp;Since the beginning\u0026nbsp;on\u0026nbsp;the reform of\u0026nbsp;Health Sciences\u0026nbsp;\u0026amp; Nursing\u0026nbsp;in China, nurse performance evaluations have been widely\u0026nbsp;popularized\u0026nbsp;throughout the country\u003csup\u003e[55]\u003c/sup\u003e.\u0026nbsp;However,\u0026nbsp;doctor-patient relationship has increasingly worsened over the past decades\u003csup\u003e[56]\u003c/sup\u003e.\u0026nbsp;A\u0026nbsp;new survey conducted by the Chinese Academy of Sciences\u0026nbsp;reveals that\u0026nbsp;each hospital has an average of 27 incidents of violent injuries to doctors every year\u003csup\u003e[57]\u003c/sup\u003e. Accordingly, more efforts are still required to improve \u003cem\u003etheir professional level and\u003c/em\u003e service attitude via performance evaluation systems to\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003cem\u003ereduce doctor-patient conflicts and enhance patient satisfaction\u003c/em\u003e.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eHomogeneous management focus on\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003edifference in \u003cem\u003eradiation scope of\u0026nbsp;\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003es\u003c/strong\u003e\u003cem\u003e\u003cstrong\u003eervice group in the new hospital campus\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eIt was shown that overall satisfaction of Daxing campus was lower than that of the central campus, and those who aged 0-44 had the lowest level of satisfaction in the new branches. The reason for this situation might lie in the difference in \u003cem\u003eradiation scope of\u0026nbsp;\u003c/em\u003es\u003cem\u003eervice group\u003c/em\u003e, such as the new hospital campus is focused on gynecology and pediatrics, which\u0026nbsp;was\u0026nbsp;in accordance\u0026nbsp;with\u0026nbsp;the existing research\u003csup\u003e[13]\u003c/sup\u003e. Daxing campus is far away from the city center that mainly serve the young people who expect to receive quick examination or treatment, and obtain medical service through informatization approach. However,\u0026nbsp;much information on the construction and operational models of internet hospitals is yet to be\u0026nbsp;fully\u0026nbsp;uncovered, which fails to meet the needs of the young\u003csup\u003e[58]\u003c/sup\u003e. In this case, hospital managers should attach great importance to applying \u003cstrong\u003eintelligent technology\u003c/strong\u003e to health consultation and medical service, or providing a well-designed appointment system for the target group, such as the young\u003csup\u003e[59]\u003c/sup\u003e.\u0026nbsp;Therefore, differentiated management tailored to different\u0026nbsp;service groups according to group characteristics\u0026nbsp;make much sense for\u0026nbsp;meeting the basic needs and\u0026nbsp;improving patient satisfaction.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDifferentiated management aiming at\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003econsistent\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;quality\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;of environmental construction\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eUsing an SEM model, our study also evaluates the relationship between outpatient satisfaction and environmental construction, indicating that\u0026nbsp;outpatient environment，guidepost and\u0026nbsp;hygiene situation of\u0026nbsp;the\u0026nbsp;toilet\u0026nbsp;are directly associated with outpatient satisfaction\u0026nbsp;and have\u0026nbsp;positive impact\u0026nbsp;on it.\u0026nbsp;This could be supported by the research of\u0026nbsp;Younis\u0026nbsp;and\u0026nbsp;Nehme\u003csup\u003e[60]\u003c/sup\u003e\u003csup\u003e[61]\u003c/sup\u003e.\u0026nbsp;In our study,\u0026nbsp;we found that a higher satisfaction in the central campus were attributed to\u0026nbsp;outpatient environment and\u0026nbsp;hygiene situation of\u0026nbsp;the\u0026nbsp;toilet, while\u0026nbsp;clear signage settings\u0026nbsp;in the Daxing campus is linked to higher level of outpatient satisfaction.\u0026nbsp;Previous study has shown that the environmental sanitation and comfort of the hospital cannot be maintained due to\u0026nbsp;the poor service of facilities\u003csup\u003e[8]\u003c/sup\u003e. Additionally, basic facilities should be improved to meet the basic needs of patients, especially\u0026nbsp;in the initial stage of construction. If that is not the case, for example, a\u0026nbsp;lack of\u0026nbsp;guidepost\u0026nbsp;will further increase patient mobility and waiting time in\u0026nbsp;hospital, which is not conducive to\u0026nbsp;outpatients\u0026rsquo; triage\u003csup\u003e[49]\u003c/sup\u003e\u003csup\u003e[62]\u003c/sup\u003e. Thus more preferential policies and financial support should be given to support the construction of infrastructure and initial settings, improving the outpatients\u0026rsquo; health-seeking experiences.\u003c/p\u003e\n\u003ch2\u003eLimitation\u003c/h2\u003e\n\u003cp\u003eThe limitations of this study mainly included three aspects. First, causal relationships could not be obtained through a cross-sectional study. We could only deduce the correlations between numerous factors. Moreover, the sample data were collected in Beijing, which may not fully represent patient satisfaction in other regions. Thus, in order to enhance the reliability of the results, more researches are supposed to focus on expanding the survey to a nationwide scale.\u003c/p\u003e\n\u003cp\u003eSecond, although the dimensions of quality of service, environmental construction, waiting and visiting time on patient satisfaction are explored in this study, we did not exclude some special factors such as stereotypes, overoptimism bias and so on. Future researchers should take these factors into consideration and gain a deeper understanding of their mechanisms.\u003c/p\u003e\n\u003cp\u003eThird, accuracy or deviation may exist in the survey. This could be attributed to that the pediatric patients are unable to fully understand the content of the questionnaires, thus they were filled by their guardian.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eThe present study indicates that due to the influence of various factors, some differences between the central campus and the new hospital campus still exist that may adversely impact the quality of service. In view of this, how to respond to these challenges positively and better develop the multi-campus hospitals deserve our consideration. Therefore, homogenization management or differentiated strategies aiming at consistent quality is practicable and can significantly improve the medical service and patient satisfaction across different campuses. This study found that waiting time, responsiveness of patient needs, doctors\u0026rsquo; diagnosis, advice on treatment plan, assistive medical technology service, and attitude of doctors are important to explain the differences in satisfaction scores for outpatients in the central campus and the new hospital campus. Additionally, for hospital administrators, more attention should be paid to the service group and the initial settings such as the guidepost in the new campus, while considering the substantial investment in infrastructure such as the outpatient environment and hygiene situation of the toilet in the central campus. In our study, SEM are used to reveal the relationship between patient satisfaction and its key influencing factors. Moreover, it is noteworthy that compared with the data collected from mature public hospitals in previous studies, our investigation based on the research data of a multi-campus hospital constructed in the initial stage could provide accurate reference on the homogeneous management and improve the quality of service in healthcare system.\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eWH conceived and designed this study; WHL performed the statistical analysis and analyzed the data, and wrote the manuscript; YHY participated in the study design and reviewed the manuscript; GSN and GHR participated in the data collection and edited the manuscript; LJ participated in the statistical design and critical review of the manuscript; FHJ participated in the study design and helped draft the manuscript.All authors read and approved the final manuscript.\u003c/p\u003e\u003ch2\u003eAcknowledgments\u003c/h2\u003e \u003cp\u003eThe authors of this study thanked the Xicheng campus and Daxing campus of Peking University First Hospital for their support, and all the investigators and interviewed patients.\u003c/p\u003e\n\u003ch3\u003eData availability\u003c/h3\u003e\n\u003cp\u003eNo datasets were generated or analysed during the current study.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eLi H, Mu DM, Yang XY, Zhang XY, Wang ST, Wang DX, et al\u003cem\u003e.\u003c/em\u003e\u003cem\u003e \u003c/em\u003eResearch on outpatient capacity planning combining lean thinking and integer linear programming. 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Med. 2020; 47: 2195-2198.\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Tables","content":"\u003cp\u003e\u003cstrong\u003eTable1 The\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003esociodemographic\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003echaracteristics\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;and\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eoverall satisfaction towards\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eaccessibility of healthcare services\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e[cases (percentage, %)\u0026nbsp;]\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"557\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSociodemographic\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003echaracteristics\u003c/strong\u003e\u003cstrong\u003e/\u003c/strong\u003e\u003cstrong\u003eaccessibility of healthcare services\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 150px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCentral Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 19607)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDaxing Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 8548)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall,\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003emean (SD)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNumber (\u003c/strong\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;(\u003c/strong\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNumber (\u003c/strong\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;(\u003c/strong\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e10968 (55.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.43 (0.93)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e5148 (60.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.43 (0.93)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.43 (1.32)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e8639 (44.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.49 (0.88)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e3400 (39.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.50 (0.90)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.50 (1.26)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge, y\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e0~44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e7523 (38.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.38 (1.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e4560 (53.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.40 (0.98)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.39 (1.40)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e45~59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e5000 (25.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.50 (0.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e1934 (22.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.53 (0.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.52 (1.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e7084 (36.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.51 (0.81)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2054 (24.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.53 (0.85)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.52 (1.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eHigh school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e4481 (22.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.50 (0.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2182 (25.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.49 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.50 (1.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eUndergraduate/junior college\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e11566 (59.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.47 (0.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e5141 (60.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.46 (0.91)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.47 (1.27)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003ePostgraduate and Professional\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e3560 (18.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.38 (0.98)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e1225 (14.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.36 (0.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.37 (1.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePatient source\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eBeijing\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e14279 (72.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.46 (0.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e6374 (74.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.44 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.45 (1.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eOther cities\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e5328 (27.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.46 (0.96)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2174 (25.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.50 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.48 (1.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMedical insurance type\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eNo social health insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e4598 (23.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.37 (1.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2154 (25.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.36 (1.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.37 (1.46)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eMedical insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e15009 (76.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.49 (0.87)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e6394 (74.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.49 (0.88)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.49 (1.24)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered category\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eGeneral outpatient\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e16492 (84.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.47 (0.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e7595 (88.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.46 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.47 (1.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eSpecial consultation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e3115 (15.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.42 (0.99)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e953 (11.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.46 (0.94)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.44 (1.37)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered physician tittle\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eDoctor in charge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e6522 (33.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.47 (0.90)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2915 (34.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.44 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.46 (1.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eAssistant director physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e7799 (39.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.43 (0.94)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e3380 (39.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.43 (0.95)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.43 (1.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eDirector physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e5286 (27.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.48 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e2253 (26.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.46 (0.96)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.47 (1.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWaiting time before consultation\u003c/strong\u003e\u003cstrong\u003e, min\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 184px;\"\u003e\n \u003cp\u003e\u0026le;30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e11777 (60.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.57 (0.82)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e5278 (61.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.58 (0.82)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.58 (1.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 184px;\"\u003e\n \u003cp\u003e31-60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e4567 (23.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.42 (0.90)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e1830 (21.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.41 (0.93)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.42 (1.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 184px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e3263 (16.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.12 (1.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e1440 (16.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.07 (1.12)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.10 (1.58)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLength of the communication with the doctor\u003c/strong\u003e\u003cstrong\u003e/visiting time, min\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 184px;\"\u003e\n \u003cp\u003e\u0026le;20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e16447 (83.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.42 (0.93)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e6764 (79.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.39 (0.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.41 (1.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 184px;\"\u003e\n \u003cp\u003eAbove 20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e3160 (16.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.67 (0.74)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e1784 (20.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.72 (0.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.70 (0.98)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall satisfaction of waiting time\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e7080 (36.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e3.95 (1.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e3150 (36.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e3.94 (1.06)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e3.95 (1.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e12527 (63.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 58px;\"\u003e\n \u003cp\u003e4.75 (0.68)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e5398 (63.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 61px;\"\u003e\n \u003cp\u003e4.76 (0.67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.76 (0.95)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall satisfaction, mean (SD)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 150px;\"\u003e\n \u003cp\u003e4.46 (0.91)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e4.46 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.46 (0.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eTable2\u0026nbsp;\u003c/strong\u003e\u003c/em\u003e\u003cem\u003e\u003cstrong\u003eFactors Affecting Satisfaction\u003c/strong\u003e\u003c/em\u003e\u003cem\u003e\u003cstrong\u003e\u0026nbsp;of outpatient in\u0026nbsp;\u003c/strong\u003e\u003c/em\u003e\u003cstrong\u003eCentral Campus and\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eDaxing Campus\u003c/strong\u003e\u003cem\u003e\u003cstrong\u003e:\u0026nbsp;\u003c/strong\u003e\u003c/em\u003e\u003cem\u003e\u003cstrong\u003eS\u003c/strong\u003e\u003c/em\u003e\u003cstrong\u003eimple Logistic Regression Analysis\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"567\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 193px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCentral Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 19607)\u003csup\u003e1\u003c/sup\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 188px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDaxing Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 8548)\u003csup\u003e2\u003c/sup\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCOR\u003cem\u003e\u0026nbsp;\u003c/em\u003e(95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 52px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eP value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCOR\u003cem\u003e\u0026nbsp;\u003c/em\u003e(95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 47px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eP value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSociodemographic characteristics/accessibility of healthcare services\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.128 (1.064 to 1.097)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.237 (1.129 to 1.355)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e0~44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e45~59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.190 (1.104 to 1.282)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.219 (1.090 to 1363)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.068 (0.999 to 1.143)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.054\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.216 (1.090 to 1.357)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eHigh school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eUndergraduate/junior college\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.887 (0.825 to 0.954)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.904 (0.813 to 1.005)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.061\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003ePostgraduate and Professional\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.783 (0.715 to 0.858)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.725 (0.627 to 0.838)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePatient source\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eOther cities\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eBeijing\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.834 (0.781 to 0.891)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.800 (0.721 to 0.887)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMedical insurance type\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eNo social health insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eMedical insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.078 (1.007 to 1.155)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.180 (1.066 to 1.305)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered category\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eGeneral outpatient\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSpecial consultation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.956 (0.883 to 1.036)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.275\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.942 (0.818 to 1.086)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.410\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered physician tittle\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDoctor in charge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eAssistant director physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.914 (0.792 to 1.054)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.216\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.982 (0.799 to 1.207)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.863\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDirector physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.961 (0.895 to 1.030)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.261\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.083 (0.973 to 1.204)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.145\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWaiting time before consultation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u0026le;30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e31-60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.615 (0.573 to 0.661)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.592 (0.530 to 0.661)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.378 (0.350 to 0.410)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.313 (0.278 to 0.353)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLength of the communication with the doctor/Visiting time\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u0026le;20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eAbove 20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e2.038 (1.866 to 2.225)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e2.096 (1.818 to 2.415)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall satisfaction of waiting time\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e10.735 (10.024 to 11.495)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e10.637 (9.591 to 11.798)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eQuality of services\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with behaviour of treating doctor\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e22.213 (20.023 to 24.643)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e17.293 (15.036 to 19.888)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor explained your treatment and\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eRespect privacy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e19.961 (18.068 to 22.053)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e17.104 (14.863 to 19.682)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor gave some guidance and materials\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e20.838 (19053 to 22.791)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e18.946 (16.667 to 21.537)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor diagnosed diseases\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e24.779 (22.561 to 27.214)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e21.445 (18.809 to 24.452)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor explained why and how to use medicine\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e22.273 (20.363 to 24.362)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e20.411 (17.931 to 23.235)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor advised the examination and treatment plan\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e24.441 (22.252 to 26.846)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e21.919 (19.179 to 25.052)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor informed followed-up arrangements\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e22.585 (20.641 to 24.712)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e19.988 (17.573 to 22.735)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with behaviour of nurses\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e14.544 (13.457 to 15.719)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.478 (11.960 to 15.189)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNurses listen to your questions and problems\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e14.394 (13.328 to 15.545)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.123 (11.656 to 14.775)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNurses answer the questions correctly\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 186px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e14.451 (13.376 to 15.611)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.246 (11.762 to 14.918)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cem\u003e\u003cstrong\u003eMedical technology service\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe payment made at the outpatient window\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.799 (0.749 to 0.851)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.914 (0.826 to 1.012)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.084\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the CI\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.932 (0.877 to 0.992)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.026\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.932 (0.851 to 1.021)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.131\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the\u0026nbsp;\u003c/strong\u003e\u003cem\u003e\u003cstrong\u003eMID\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.961 (0.892 to 1.036)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.301\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.896 (0.796 to 1.004)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.060\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the\u0026nbsp;\u003c/strong\u003e\u003cem\u003e\u003cstrong\u003eUD\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.794 (0.735 to 0.858)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.765 (0.684 to 0.856)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eNMD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.111 (0.947 to 1.304)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.197\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.058 (0.783 to 1.429)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.715\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the EC\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.094 (0.965 to 1.239)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.159\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.315 (0.957 to 1.809)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.092\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you buy medicine in outpatient\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e0.952 (0.898 to 1.010)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e.102\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e1.081 (0.989 to 1.182)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e.086\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOutpatient service\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with outpatient environment\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e12.716 (11.855 to 13.640)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.835 (12.216 to 15.668)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with hospital services and hospital staff\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e12.874 (12.005 to 13.807)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.174 (11.658 to 14.886)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with outpatient guidepost\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e13.195 (12.300 to 14.155)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e12.186 (10.876 to 13.655)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with h\u003c/strong\u003e\u003cstrong\u003eygiene situation of\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003etoilet\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e11.555 (10.780 to 12.387)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e11.810 (10.538 to 13.235)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 186px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with responsiveness of your needs\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e16.187 (15060 to 17.399)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 141px;\"\u003e\n \u003cp\u003e17.265 (15.324 to 19.451)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 47px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eNote: CI, clinical laboratory; MID, \u003cem\u003emedical imaging department; US, ultrasound department; NMD,\u0026nbsp;\u003c/em\u003enuclear medicine department; EC,\u0026nbsp;Endoscopy Center.\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e1\u003c/sup\u003eCentral Campus is the Xicheng Campus\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e2\u003c/sup\u003eDaxing Campus is the new branch of hospital\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eTable3 Factors Affecting Satisfaction of outpatient in\u0026nbsp;\u003c/strong\u003e\u003c/em\u003e\u003cstrong\u003eCentral Campus and Daxing Campus\u003cem\u003e: Multivariate Logistic Regression Analysis\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"572\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 189px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCentral Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 19607)\u003csup\u003e1\u003c/sup\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 188px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDaxing Campus\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(n = 8548)\u003csup\u003e2\u003c/sup\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eP value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eP value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSociodemographic\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003echaracteristics\u003c/strong\u003e\u003cstrong\u003e/\u003c/strong\u003e\u003cstrong\u003eaccessibility of healthcare services\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.087 (1.000 to 1.181)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.049\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.067 (0.940 to 1.212)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.318\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e0~44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e45~59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.289 (1.158 to 1.434)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.189 (1.017 to 1.392)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.030\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.474 (1.326 to 1.638)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.351 (1.147 to 1.590)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eHigh school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eUndergraduate/junior college\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.138 (1.026 to 1.262)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.014\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.005 (0.864 to 1.168)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.953\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003ePostgraduate and Professional\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.122 (0.979 to 1.287)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.098\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.896 (0.727 to 1.104)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.301\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePatient source\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eOther cities\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eBeijing\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.850 (0.760 to 0.951)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.803 (0.679 to 0.950)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.010\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMedical insurance type\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eNo social health insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eMedical insurance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.159 (1.032 to 1.300)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.012\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.267 (1.075 to 1.493)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.005\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered category\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 59px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 81px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSpecial outpatient\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eGeneral consultation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.875 (0.775 to 0.988)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.032\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.959 (0.779 to 1.181)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.692\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegistered physician tittle\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDoctor in charge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eAssistant director physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.959 (0.959 to 0.785)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.680\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.937 (0.706 to 1.243)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.650\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDirector physician\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.207 (0.931 to 1.133)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.594\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.072 (0.926 to 1.241)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.351\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWaiting time before consultation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u0026le;30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e31-60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.825 (0.745 to 0.912)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.747 (0.640 to 0.872)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eAbove 60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.551 (0.489 to 0.620)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.404 (0.340 to 0.480)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLength of the communication with the doctor\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u0026le;20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eAbove 20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.396 (1.242 to 1.570)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.822 (1.547 to 2.147)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall satisfaction of waiting time\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.742 (1.391 to 2.183)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e2.340 (2.018 to 2.713)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eQuality of services\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with behaviour of treating doctor\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.878 (1.700 to 2.075)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.996 (0.718 to 1.382)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.983\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor explained your treatment\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eand\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eRespect privacy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.417 (1.136 to 1.768)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.002\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.557 (0.394 to 0.788)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor gave some guidance and materials\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.553 (1.278 to 1.887)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.880 (1.392 to 2.539)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor diagnosed diseases\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e2.301 (1.838 to 2.879)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e2.010 (1.423 to 2.839)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor explained why and how to use medicine\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.141 (0.911 to 1.429)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.252\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.323 (0.914 to 1.915)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.138\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor advised the examination and treatment plan\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.584 (1.252 to 2.004)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.396 (0.942 to 2.071)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.097\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eDoctor informed followed-up arrangements\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.424 (1.177 to 1.724)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.607 (1.194 to 2.162)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.002\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with behaviour of nurses\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.096 (0.837 to 1.436)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.504\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.055 (0.666 to 1.670)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.820\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNurses\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003elisten to your question\u003c/strong\u003e\u003cstrong\u003es\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;and problems\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.959 (0.683 to 1.347)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.809\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.752 (0.419 to 1.351)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.341\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNurses answer the questions correctly\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eDissatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 195px;\"\u003e\n \u003cp\u003eSatisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.107 (0.821 to 1.494)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.504\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.061 (0.643 to 1.750)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.818\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cem\u003e\u003cstrong\u003eMedical technology service\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe payment made at the outpatient window\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.791 (0.722 to 0.868)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.762 (0.660 to 0.880)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the CI\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.915 (0.832 to 1.007)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.069\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.040 (0.910 to 1.188)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.565\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the MID\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.991 (0.878 to 1.117)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.877\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.965 (0.813 to 1.144)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.679\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the\u0026nbsp;\u003c/strong\u003e\u003cem\u003e\u003cstrong\u003eUS\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.894 (0.789 to 1.013)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.078\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.804 (0.682 to 0.949)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.010\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the NMD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.355 (1.066 to 1.723)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.013\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.959 (0.629 to 1.461)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.844\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you check up in the EC\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.162 (0.969 to 1.394)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.105\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.699 (1.072 to 2.693)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.024\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether you buy medicine in outpatient\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1 [Reference]\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e0.929 (0.856 to 1.008)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.076\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.933 (0.825 to 1.055)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.269\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOutpatient service\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with outpatient environment\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.667 (1.434 to 1.937)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.131 (0.860 to 1.487)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.379\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;hospital services and hospital staff\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.139 (0.963 to 1.347)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.128\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e0.869 (0.651 to 1.161)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.341\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with outpatient guidepost\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.175 (0.997 to 1.386)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.055\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.555 (1.203 to 2.011)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with h\u003c/strong\u003e\u003cstrong\u003eygiene situation of\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003etoilet\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e1.243 (1.068 to 1.447)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e.005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e1.106 (0.859 to 1.425)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e.434\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSatisfaction with r\u003c/strong\u003e\u003cstrong\u003eesponsiveness of your needs\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\n \u003cp\u003e2.586 (2.236 to 2.990)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 140px;\"\u003e\n \u003cp\u003e3.573 (2.807 to 4.548)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 195px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd style=\"width: 140px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd style=\"width: 49px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd style=\"width: 59px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd style=\"width: 81px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eNote: CI, clinical laboratory; MID, \u003cem\u003emedical imaging department; UD, ultrasound department; NMD,\u0026nbsp;\u003c/em\u003enuclear medicine department; EC,\u0026nbsp;Endoscopy Center.\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e1\u003c/sup\u003eCentral Campus is the Xicheng Campus\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e2\u003c/sup\u003eDaxing Campus is the new branch of hospital\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"homogenization management, outpatient services, structural equation model, influencing factors","lastPublishedDoi":"10.21203/rs.3.rs-6005395/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6005395/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e: The multi-campus hospitals have become increasingly prevalent in China over the past few decades, however, how to improve the quality of service and better develop the multi-campus hospitals remain insufficiently understood in the literature. Patient satisfaction is an important indicator of the measurement of service quality. This study aimed to analyze the status of patient satisfaction and its key influencing factors, in order to provide relevant reference on the homogeneous management of service and differentiated strategies aiming at consistent quality in two campuses of a tertiary hospital in Beijing.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e: A total of 28155 surveys of outpatients who was willing to be investigated and had not been diagnosed with infectious diseases or in a state of emergency were conducted by a cross-sectional study in Beijing, China from January to April 2024. We use a 5-point likert scale with the choices of 1 (very dissatisfied), 2 (dissatisfied), 3 (Normal), 4 (satisfied), and 5 (very satisfied) to measure patient satisfaction. Statistical description, simple and multivariate logistic regression analysis were employed to analyze patient satisfaction and its associated factors. Additionally, the correlation behind the key influencing factors are revealed by the structural equation model.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: Results of this study showed that the waiting time, responsiveness of patientneeds, doctors’ diagnosis, advice on treatment plan, assistive medical technology, and attitude of doctors are important influencing factors on satisfaction in both campuses. Outpatient environment and hygiene situation of the toilet had a significant effect on the central campus, while guidepost, the service group and patients aged 0-44 are important to explain the differences in the new hospital campus.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: For the management of multi-campushospitals, more attention should be paid to the waiting time, responsiveness of patientneeds, doctors’ diagnosis, advice on treatment plan, assistive medical technology service, and attitude of doctors in both campuses. In addition, hospital managers should focus on the service group as well as the initial settings in the new campus, while considering the substantial investment in infrastructure in the central campus.\u003c/p\u003e","manuscriptTitle":"Factors associated with homogenization management of outpatient services in multi-campus hospitals: a cross-sectional study based on Structural Equation Model","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-02-13 09:57:45","doi":"10.21203/rs.3.rs-6005395/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6670252b-66b6-4cb5-ac23-9f6f1aeb6df8","owner":[],"postedDate":"February 13th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-02-13T14:08:51+00:00","versionOfRecord":[],"versionCreatedAt":"2025-02-13 09:57:45","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6005395","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6005395","identity":"rs-6005395","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}