Otani Koichiro, Herrmann Patrick A, Kurz Richard S
Division of Public and Environmental Affairs, Indiana University-Purdue University Fort Wayne, Fort Wayne, IN 46805, USA.
Health Serv Manage Res. 2011 Nov;24(4):163-9. doi: 10.1258/hsmr.2011.011008.
Health-care managers have to address many aspects of the organization, and patient satisfaction is clearly one of the critical aspects for managers. To respond to the need of health-care managers, there have been many patient satisfaction studies. However, these studies focus on which attributes (factors such as nursing care and physician care) are more influential; they do not provide specific aspects for each attribute. In order to develop an effective intervention programme to improve patient satisfaction, more specific research outcomes are needed. This study utilized data collected between January 2007 and June 2008 from 32 hospitals representing a large, national private not-for-profit hospital system. The patient satisfaction survey included the Consumer Assessment of Healthcare Providers and Systems, Hospital version questionnaire items, and there are 31,471 cases. Two-stage multiple linear regression analyses were conducted with control variables (age, gender, perceived health, education and race). It was found that patients' highest priority is to be treated with courtesy and respect by nurses and physicians. An effective intervention programme to improve patient satisfaction would include a training programme, where care providers understand that patients want them to show courtesy and respect. Then, well-trained and empathetic nurses and staff members can comfort patients, and consequently improve patient satisfaction.
医疗保健管理人员必须处理组织的诸多方面,而患者满意度显然是管理人员的关键考量因素之一。为响应医疗保健管理人员的需求,已经开展了许多患者满意度研究。然而,这些研究关注的是哪些属性(如护理和医生诊疗等因素)更具影响力;它们并未针对每个属性提供具体方面。为了制定有效的干预计划以提高患者满意度,需要更具体的研究成果。本研究利用了2007年1月至2008年6月期间从代表一个大型全国性私立非营利医院系统的32家医院收集的数据。患者满意度调查包括《医疗服务提供者与系统消费者评估》医院版问卷项目,共有31471个案例。进行了两阶段多元线性回归分析,并纳入了控制变量(年龄、性别、健康感知、教育程度和种族)。研究发现,患者最优先考虑的是得到护士和医生的礼貌和尊重对待。一个有效的提高患者满意度的干预计划将包括一个培训项目,让护理人员明白患者希望他们表现出礼貌和尊重。然后,训练有素且富有同理心的护士和工作人员可以安慰患者,从而提高患者满意度。