Berg A, Yuval D
JDC-Brookdale Institute of Gerontology and Human Development, Jerusalem.
Harefuah. 1998 Mar 1;134(5):348-51, 423.
Patient satisfaction with the hospitalization process is an important element in the measurement of quality of care. Information from a survey of patients' experiences could therefore help hospitals improve their service, and provide decision-makers with relevant information. We present the findings of a study of some 4,500 patients, aged 18+, released from hospitals in the fall of 1993 and of 1995 from the wards of 9 acute care hospitals, psychiatric and geriatric wards excluded. Self-administered questionnaires were sent and returned by mail, with an overall response rate of 82%. Despite the many changes in Israel's health system in general and its hospital system in particular, and the social and demographic changes between those 2 periods, patient satisfaction remained constant. Of those discharged from medical or surgical wards, 70% were satisfied to a "great" or "ver great" extent with their hospital experience. There was improvement in most areas of hospitalization in the course of the 2 years. The greatest improvement was with regard to admission, nursing staff, hotel services, in patient satisfaction food and supplies. On the other hand there was deterioration in visiting conditions and hours. Satisfaction with physicians, nurses and hotel services had the strongest links with general satisfaction.
患者对住院过程的满意度是衡量医疗质量的一个重要因素。因此,患者体验调查所获得的信息有助于医院改善服务,并为决策者提供相关信息。我们展示了一项针对约4500名18岁及以上患者的研究结果,这些患者于1993年秋季和1995年从9家急症医院的病房出院,不包括精神科和老年病房。自行填写的调查问卷通过邮寄方式发送并回收,总体回复率为82%。尽管以色列的医疗系统,尤其是其医院系统发生了诸多变化,且这两个时期之间也存在社会和人口结构的变化,但患者满意度保持不变。在从内科或外科病房出院的患者中,70%对其住院体验“非常”或“极其”满意。在这两年中,住院的大多数方面都有所改善。改善最大的方面是入院、护理人员、酒店服务、患者对食物和用品的满意度。另一方面,探视条件和时间有所恶化。对医生、护士和酒店服务的满意度与总体满意度的关联最为紧密。