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澳大利亚客户对2型糖尿病服务质量的看法。

Clients' perspective on service quality for type 2 diabetes in Australia.

作者信息

Tabrizi Jafar S, Wilson Andrew J, Coyne Eleanor T, O'Rourke Peter K

机构信息

Faculty of Health and Nutrition, Tabriz Medical Sciences University, Golgasht, Tabriz, Iran.

出版信息

Aust N Z J Public Health. 2007 Dec;31(6):511-5. doi: 10.1111/j.1753-6405.2007.00134.x.

Abstract

OBJECTIVES

To explore the needs, expectations, feelings and experiences of people with type 2 diabetes for developing quantitative instruments for a questionnaire study of service quality.

METHODS

Using two focus group discussions (n=33), potential service quality dimensions for type 2 diabetes were assessed for Australian relevance. These included 11 indicators identified from a systematic literature review: communication, autonomy, choice of care provider, continuity of care, quality of basic amenities, dignity, timeliness, prevention and early detection, safety, confidentiality and availability.

RESULTS

The focus group discussions supported the importance of the 11 service quality indicators but gave more importance to education, diet, communication, autonomy, choice of care provider and support group and less to confidentiality and availability. Three new themes were generated from the discussions: education, diet and support group.

CONCLUSION

Measuring service quality for type 2 diabetes requires considering health system, culture and disease-specific factors.

摘要

目的

为开展一项关于服务质量的问卷调查研究开发定量工具,以探究2型糖尿病患者的需求、期望、感受和经历。

方法

通过两次焦点小组讨论(n = 33),评估2型糖尿病潜在的服务质量维度与澳大利亚情况的相关性。这些维度包括从系统文献综述中确定的11项指标:沟通、自主性、护理提供者的选择、护理连续性、基本设施质量、尊严、及时性、预防与早期检测、安全性、保密性和可及性。

结果

焦点小组讨论支持了这11项服务质量指标的重要性,但更重视教育、饮食、沟通、自主性、护理提供者的选择和支持小组,而对保密性和可及性的重视程度较低。讨论产生了三个新主题:教育、饮食和支持小组。

结论

衡量2型糖尿病的服务质量需要考虑卫生系统、文化和疾病特定因素。

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