Most health systems provide the most specialized, and presumably also the highest quality of care at a central level. This study assessed parental satisfaction and its determinants in the context of neonatal care in a provincial as well as a national hospital of Vietnam. In this cross-sectional quantitative study, parents of 340 preterm infants admitted to neonatal care units of a national and a provincial hospital in 2018 were interviewed using structured questionnaires. Unadjusted and adjusted linear regression models were used to assess the relationship between parental satisfaction and hospital rank. The mean parental satisfaction score was 3.74 at the provincial, and 3.56 at the national hospital. These satisfaction differences persisted when parent and child characteristics were adjusted for in multivariate analysis. Longer length of stay and worsening infant health status were associated with parents reporting lower levels of satisfaction with the quality of care being provided at the healthcare facility. This study suggests that parents of preterm infants admitted in a provincial hospital were more satisfied with the quality of care received than those in a specialized national hospital. Length of stay and infant health status were the two most important determinants of level of parental satisfaction.

中文翻译：

---

父母对各级医院对新生儿护理质量的满意度：越南的证据

大多数卫生系统在中央级别提供最专业的服务，大概也是最高质量的服务。这项研究评估了越南省级和国立医院在新生儿护理方面的父母满意度及其决定因素。在这项横断面定量研究中，使用结构化问卷对2018年入选国家和省级医院新生儿护理部门的340名早产儿父母进行了采访。未经调整和调整后的线性回归模型用于评估父母满意度和医院等级之间的关系。省级家长平均满意度为3.74，国立医院为3.56。当调整父母和孩子的特征以进行多变量分析时，这些满意度差异仍然存在。住院时间较长和婴儿健康状况恶化与父母报告对医疗机构提供的护理质量的满意度较低有关。这项研究表明，在省级医院收治的早产儿的父母比在国家专科医院接受治疗的质量更满意。住院时间和婴儿健康状况是父母满意度水平的两个最重要的决定因素。