Santos Hercos Benigno Vicente, Berezovsky Adriana
Universidade Autônoma de Barcelona, Spain.
Arq Bras Oftalmol. 2006 Mar-Apr;69(2):213-9. doi: 10.1590/s0004-27492006000200015. Epub 2006 May 8.
To identify the perception of the ophthalmic service quality provided for outpatients of the public healthcare system as well as to detect which actions should be considered necessary and priority in order to improve its quality.
A quantitative descriptive study was carried out on 100 outpatients of the public healthcare system which were submitted to ophthalmic tests at Fundação Hilton Rocha--Belo Horizonte-MG, from July 1st-July 30th 2004. Individual interviews were carried out by giving the interviewees two structured questionnaires adapted from the modified SERVQUAL. This scale is in agreement with the reality of the studied institute.
The adapted SERVQUAL scale was submitted to statistical validation and it showed a suitable internal consistency index. In general terms, a slight general dissatisfaction was detected regarding ophthalmological service quality. The interviewees cared more about safety and reliability. A higher degree of dissatisfaction was detected mainly concerning fulfillment of procedures at scheduled appointments related to the execution of services within due time-limits.
The institute is supposed to plan as well as carry out actions which lead to a general improvement in the patient's satisfaction regarding service quality and mainly reliability. Service quality monitoring through periodic use of the SERVQUAL scale will not only make it possible to plan highly precise and effective intervention strategies in these and in other healthcare services but it will also allow monitoring the responses to these actions. All these actions will contribute to the improvement of the service in the system as a whole.
确定公立医疗系统门诊患者对眼科服务质量的认知,并找出为提高服务质量应视为必要和优先采取的行动。
对2004年7月1日至7月30日期间在米纳斯吉拉斯州贝洛奥里藏特市希尔顿·罗查基金会接受眼科检查的100名公立医疗系统门诊患者进行了定量描述性研究。通过向受访者发放两份根据修改后的SERVQUAL改编的结构化问卷进行个人访谈。该量表符合所研究机构的实际情况。
对改编后的SERVQUAL量表进行了统计验证,结果显示其内部一致性指数合适。总体而言,对眼科服务质量存在轻微的普遍不满。受访者更关心安全性和可靠性。主要在按时预约的程序执行方面,即在规定时间内提供服务方面,发现了较高程度的不满。
该机构应规划并开展行动,以全面提高患者对服务质量的满意度,尤其是可靠性。通过定期使用SERVQUAL量表进行服务质量监测,不仅能够制定针对这些及其他医疗服务的高度精确且有效的干预策略,还能监测对这些行动的反应。所有这些行动都将有助于整个系统服务的改善。