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泌尿外科患者满意度:医院特征、人口统计学数据及患者对所接受治疗的认知的影响

Patient satisfaction in urology: effects of hospital characteristics, demographic data and patients' perceptions of received care.

作者信息

Schoenfelder Tonio, Schaal Tom, Klewer Joerg, Kugler Joachim

机构信息

Department of Public Health, Dresden Medical School, University of Dresden, Fetscherstrasse 74, 01307 Dresden,Germany.tonio.

Department of Public Health, Dresden Medical School, University of Dresden, Fetscherstrasse 74, 01307 Dresden, Germany.

出版信息

Urol J. 2014 Sep 6;11(4):1834-40.

PMID:25194086
Abstract

PURPOSE

To identify factors that are significantly associated with patient satisfaction in urology and to assess the extent to which satisfaction ratings might be related to hospital and patient characteristics.

MATERIALS AND METHODS

Data used in this study were obtained from 1040 randomly selected urology patients discharged from nine hospitals who responded to a mailed survey. Bivariate and multivariate techniques were used to reveal relations between patient assessments of received care, hospital and patient characteristics.

RESULTS

Bivariate analysis showed a strong association between satisfaction scores and length of stay, provider status, work load of nurses and hospital size, with weaker findings pertaining to type of hospital (teaching versus non-teaching) and patient demographics. The multivariate analysis identified nine vari­ables which are associated with overall satisfaction. Strong factors were treatment outcome, the interper­sonal manner of medical practitioners and nurses, as well as hotel aspects like accommodation and quality of food. Variables reflecting information receiving about the undergoing treatment were not found to have a significant influence on patient satisfaction.

CONCLUSION

This study identified variables that are related to satisfaction in a urological setting and de­livers information about aspects of the hospital stay that are not perceived as relevant by patients. These findings support healthcare professionals with valuable information to meet needs and preferences of pa­tients in urology.

摘要

目的

确定与泌尿外科患者满意度显著相关的因素,并评估满意度评分与医院及患者特征的相关程度。

材料与方法

本研究使用的数据来自对9家医院随机抽取的1040名出院泌尿外科患者进行的邮寄调查回复。采用双变量和多变量技术揭示患者对所接受护理的评估、医院及患者特征之间的关系。

结果

双变量分析显示满意度评分与住院时间、医护人员身份、护士工作量和医院规模之间存在强关联,而与医院类型(教学医院与非教学医院)及患者人口统计学特征的关联较弱。多变量分析确定了9个与总体满意度相关的变量。主要因素包括治疗结果、医生和护士的人际沟通方式,以及诸如住宿和饮食质量等医院环境方面。未发现反映患者对正在接受的治疗所获信息的变量对患者满意度有显著影响。

结论

本研究确定了泌尿外科环境中与满意度相关的变量,并提供了有关患者认为与住院无关方面的信息。这些发现为医疗保健专业人员提供了有价值的信息,以满足泌尿外科患者的需求和偏好。

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