Bin Saeed K S
College of Administrative Sciences, King Saud University, Riyadh, Saudi Arabia.
Ann Saudi Med. 1998;18(5):420-4. doi: 10.5144/0256-4947.1998.420.
This study was conducted to determine the factors that influence a patient's choice of hospitals.
Through the use of a self-administered questionnaire, data were collected from a random sample of 541 patients in two government and two private hospitals in Riyadh. Factor analysis was used to determine the underlying hospital-related and attitudinal dimensions that influence a patient's choice of hospital. Stepwise discriminant analysis was used to determine the factors that discriminate between patients who would prefer to seek treatment in a government hospital, and those who would prefer to be treated in a private hospital.
The factor analysis revealed five underlying dimensions that influence a patient's choice of a hospital: convenient administrative procedures, quality of services, hospital image, cost of treatment, and health insurance coverage. After conducting stepwise discriminant analysis, eight variables appeared to be statistically significant in discriminating between patients who prefer government hospitals and those who prefer private hospitals. These variables were: cost of treatment, employment, quality of services, convenient administrative procedures, perceived state of health, health insurance coverage, age and sex.
The results of this study indicate that the choice of hospital is influenced by sociodemographic variables as well as hospital attributes. This implies that the government should give more effective support for the continued growth of the private healthcare sector, and also encourage further development of private health insurance.
本研究旨在确定影响患者选择医院的因素。
通过使用自填式问卷，从利雅得两家政府医院和两家私立医院的541名患者随机样本中收集数据。采用因子分析来确定影响患者选择医院的潜在医院相关维度和态度维度。采用逐步判别分析来确定区分倾向于在政府医院寻求治疗的患者和倾向于在私立医院接受治疗的患者的因素。
因子分析揭示了影响患者选择医院的五个潜在维度：便捷的行政程序、服务质量、医院形象、治疗费用和医疗保险覆盖范围。在进行逐步判别分析后，八个变量在区分倾向于政府医院的患者和倾向于私立医院的患者方面具有统计学意义。这些变量是：治疗费用、就业情况、服务质量、便捷的行政程序、健康状况感知、医疗保险覆盖范围、年龄和性别。
本研究结果表明，医院的选择受到社会人口统计学变量以及医院属性的影响。这意味着政府应更有效地支持私立医疗部门的持续增长，并鼓励进一步发展私人医疗保险。
