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衡量印度医疗保健服务质量的感知质量

Measuring perceived quality of measuring quality health care services in India.

作者信息

Narang Ritu

机构信息

Department of Business Administration, University of Lucknow, Lucknow, India.

出版信息

Int J Health Care Qual Assur. 2010;23(2):171-86. doi: 10.1108/09526861011017094.

Abstract

PURPOSE

The objective of this paper is to understand the perception of patients towards health care services in Lucknow based on the 20-item scale.

DESIGN/METHODOLOGY/APPROACH: The 20-item scale was administered to 500 users of health care centres comprising a tertiary health centre, a state medical university and two missionary hospitals in Lucknow, India.

FINDINGS

The scale was found to be reliable to a great extent with an overall Cronbach alpha value of 0.74. "Health personnel and practices" and "health care delivery" were found to be statistically significant in impacting the perception. Respondents were relatively less positive on items related to "access to services" and "adequacy of doctors for women". The tertiary health centre was rated poorer than the medical university and missionary hospitals.

RESEARCH LIMITATIONS/IMPLICATIONS: This tool may be applied for qualitative assessment of the services of health care programmes as well as health care centres of India.

PRACTICAL IMPLICATIONS

The paper draws the attention of health policy makers in considering the requirements and opinions of patients to effect substantial change and significant improvement in the quality of the health care services for better and increased utilization of the services.

ORIGINALITY/VALUE: The paper fulfils the need of measuring perceived quality of health care services and points out that the improvement in health care services requires immediate and urgent attention from policy makers.

摘要

目的

本文的目的是基于20项量表了解勒克瑙患者对医疗服务的看法。

设计/方法/途径:对印度勒克瑙的500名医疗中心使用者进行了20项量表调查,这些医疗中心包括一家三级医疗中心、一所邦立医科大学和两家教会医院。

研究结果

该量表在很大程度上是可靠的,总体克朗巴哈系数值为0.74。“卫生人员与做法”和“医疗服务提供”在影响看法方面具有统计学意义。受访者对与“服务可及性”和“妇产科医生充足性”相关的项目积极性相对较低。三级医疗中心的评分低于医科大学和教会医院。

研究局限/启示:该工具可用于对印度医疗保健项目以及医疗中心的服务进行定性评估。

实际意义

本文提请卫生政策制定者关注患者的需求和意见,以便在医疗服务质量方面实现实质性变革和显著改善,从而更好地利用这些服务并提高利用率。

原创性/价值:本文满足了衡量医疗服务感知质量的需求,并指出医疗服务的改善需要政策制定者立即给予紧急关注。

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