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医院服务质量评估:克尔曼医科大学的医院,作为发展中国家的一个切实例证。

Hospital services quality assessment: hospitals of Kerman University of Medical Sciences, as a tangible example of a developing country.

作者信息

Nekoei-Moghadam Mahmood, Amiresmaili Mohammadreza

机构信息

Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Int J Health Care Qual Assur. 2011;24(1):57-66. doi: 10.1108/09526861111098247.

Abstract

PURPOSE

Although quality orientation is one of the main priorities of any progressive organization, quality evaluation in organizations providing services such as hospitals is one of the key challenges, because in this sector quality is determined by many intangible factors. Applying the service quality gap model is one of the common tools for quality evaluation in the service sector. This paper seeks to evaluate this issue.

DESIGN/METHODOLOGY/APPROACH: The present descriptive study was carried out through a cross-sectional method in 2008. The participants of this study were patients who had been referred to Kerman University of Medical Sciences hospitals. The sample comprised 385 patients, the data were collected by SERVQUAL as a standard questionnaire, and data analysis was carried out on 385 completed questionnaires.

FINDINGS

In all five dimensions of quality, a gap was observed between patients' perceptions and expectations as follows: Assurance: -1.28, Empathy: -1.36, Responsiveness: -1.80, Tangibles: -1.86 and Reliability: -1.69. A paired T-test showed that the differences between quality perceptions and expectations are significant (p value < 0.05). Based on the findings of this research, the hospitals in the study did not meet the expectations of patients and were unable to provide health care services according to patients' expectations. Hence rearranging the service delivery and deploying better facilities and equipment in order to decrease the gap between patients' perceptions and expectations may be helpful.

ORIGINALITY/VALUE: The paper reports an original application of the SERVQUAL approach to hospital services of a developing country.

摘要

目的

尽管质量导向是任何进步组织的主要优先事项之一,但在医院等提供服务的组织中进行质量评估是关键挑战之一,因为在这个领域,质量由许多无形因素决定。应用服务质量差距模型是服务部门质量评估的常用工具之一。本文旨在评估这一问题。

设计/方法/途径:本描述性研究于2008年通过横断面方法进行。本研究的参与者是被转诊至克尔曼医科大学附属医院的患者。样本包括385名患者,数据通过SERVQUAL标准问卷收集,并对385份完整问卷进行数据分析。

研究结果

在质量的所有五个维度上,患者的感知与期望之间均存在差距,具体如下:保证性:-1.28,移情性:-1.36,响应性:-1.80,有形性:-1.86,可靠性:-1.69。配对t检验表明,质量感知与期望之间的差异具有显著性(p值<0.05)。基于本研究结果,研究中的医院未达到患者期望,无法按照患者期望提供医疗服务。因此,重新安排服务提供并部署更好的设施和设备,以缩小患者感知与期望之间的差距可能会有所帮助。

原创性/价值:本文报告了SERVQUAL方法在一个发展中国家医院服务中的首次应用。

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