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患者对医院的选择:对卫生政策和管理的影响。

Patient choice of a hospital: implications for health policy and management.

作者信息

Mosadeghrad Ali Mohammad

出版信息

Int J Health Care Qual Assur. 2014;27(2):152-64. doi: 10.1108/IJHCQA-11-2012-0119.

Abstract

PURPOSE

The purpose of this study was to identify the most important influencing factors in choosing a hospital by a patient.

DESIGN/METHODOLOGY/APPROACH: This study involved a mixed research design. Focus groups and in-depth individual interviews were conducted with patients to explore reasons for choosing a hospital. In addition, this study involved survey-based research on the patient choice.

FINDINGS

Type of the hospital, type of the service, word of mouth, cost of services, the health insurance programme, location, physical environment, facilities, providers' expertise and interpersonal behaviour, and reputation of the hospital influenced patients' choice of a hospital. Doctor recommendations and health insurance programme were the main reasons for choosing a hospital for inpatients and outpatients respectively.

PRACTICAL IMPLICATIONS

Identifying and understanding key factors that influence a patient choice of a healthcare setting helps managers and policy makers invest their resources in those critical areas and improve those aspects of their services to attract more patients.

ORIGINALITY/VALUE: This article contributes to healthcare theory and practice by developing a conceptual framework for understanding the factors that influence a patient choice of a healthcare setting.

摘要

目的

本研究旨在确定患者选择医院时最重要的影响因素。

设计/方法/途径:本研究采用混合研究设计。通过焦点小组和对患者的深入个人访谈来探究选择医院的原因。此外,本研究还涉及基于调查的患者选择研究。

研究结果

医院类型、服务类型、口碑、服务费用、医疗保险计划、地理位置、物理环境、设施、医护人员的专业知识和人际行为以及医院声誉会影响患者对医院的选择。医生推荐和医疗保险计划分别是住院患者和门诊患者选择医院的主要原因。

实际意义

识别并理解影响患者选择医疗机构的关键因素,有助于管理人员和政策制定者将资源投入到这些关键领域,并改善其服务的这些方面以吸引更多患者。

原创性/价值:本文通过构建一个概念框架来理解影响患者选择医疗机构的因素,为医疗保健理论和实践做出了贡献。

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