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Patient satisfaction is an important indicator of hospital healthcare quality. Little up-to-date information of patient satisfaction in China is available. This study attempts to gain a holistic understanding of patient satisfaction in China and identify the key antecedents of patient satisfaction. A cross-sectional national survey was conducted in 2018. Hospitals in 27 provinces and 4 municipalities in 4 regions of China. A random sample of 15 699 patients who visited 1304 hospitals were surveyed, with around 500 from each of the 27 pr