Boyer Laurent, Francois Patrice, Doutre Elisabeth, Weil Georges, Labarere Jose
Centre Hospitalier Grenoble, Unite d'Evaluation Medicale, Grenoble, France.
Int J Qual Health Care. 2006 Oct;18(5):359-64. doi: 10.1093/intqhc/mzl029. Epub 2006 Aug 24.
. The aim of this study was to assess clinical staff's opinions on the results of in-patient satisfaction surveys and their use within the quality improvement process.
The institution is a 2200-bed teaching hospital of tertiary health care employing 8000 professionals. Patient satisfaction surveys are carried out each year using a validated questionnaire mailed to a random sample of patients. The specific results of each department are sent to the medical and paramedical managers.
We conducted a questionnaire survey on 500 care providers randomly selected in every medical and surgical department.
A total of 261 questionnaires were returned and analysed. Overall, 94% of responders had a favourable opinion of the patient satisfaction surveys. They considered that the patient was able to judge hospital service quality, especially in its relational, organizational, and environmental dimensions. The specific results for the department were less well known than the overall hospital results (60 versus 76%). These results were formally discussed in the department according to 40% of responders; 40% declared that these data resulted in improvement actions and considered that they led to modifications in their behaviour with patients.
Despite a declared interest in satisfaction surveys, the results remain underused by hospital staff and insufficiently discussed within teams.
本研究旨在评估临床工作人员对住院患者满意度调查结果的看法及其在质量改进过程中的应用。
该机构是一家拥有2200张床位的三级医疗教学医院,有8000名专业人员。每年使用经过验证的问卷对随机抽取的患者样本进行患者满意度调查。每个科室的具体结果会发送给医疗和辅助医疗管理人员。
我们对每个内科和外科科室随机抽取的500名护理人员进行了问卷调查。
共收回并分析了261份问卷。总体而言,94%的受访者对患者满意度调查持积极态度。他们认为患者能够评判医院服务质量,尤其是在医患关系、组织和环境方面。科室的具体结果不如医院总体结果广为人知(分别为60%和76%)。据40%的受访者称,这些结果在科室进行了正式讨论;40%的受访者表示这些数据促使采取了改进措施,并认为这导致了他们与患者相处方式的改变。
尽管对满意度调查表示出兴趣,但医院工作人员对调查结果的利用仍然不足,且团队内部讨论不够充分。