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波兰医院所有权变更对患者对其运作看法的影响。

Effects of changes in ownership of the Polish hospital on the patients' opinion about its functioning.

作者信息

Stelmach Wlodzimierz, Kuzdak Mateusz, Rzeznicki Adam, Stelmach Iwona, Kowalska Alina, Krakowiak Jan

机构信息

Social Medicine Institute, (Department of Social and Preventive Medicine), Medical University of Lodz

Social Medicine Institute, (Department of Social and Preventive Medicine), Medical University of Lodz.

出版信息

Inquiry. 2014 Jan 1;51. doi: 10.1177/0046958014560437. Print 2014.

Abstract

System changes in health care centers have been directed at introducing such marketing elements into the Polish health care system as managerial approach to managing the centers and contracting medical services and quality management. High quality of the medical services and patients' satisfaction became the key factors deciding about "the brand" of a health care center. The aim of the work was to assess the effect of changes in ownership of the hospital on the patients' opinion about its functioning. Patients' satisfaction survey was carried out through an anonymous questionnaire among 2702 respondents before and 2795 respondents after the transformation of the hospital. Multivariate analysis of variance (MANOVA) was used to analyze the collected empirical material. The assessment of the functioning of the admission center and hospital wards was significantly higher among the respondents asked after the transformation of the hospital as opposed to the assessment before it. Transforming the public hospital in Poland into a commercial company helped improve its functioning in the opinion of patients. There is a need to carry out further systematic research into the patients' satisfaction better adjust the hospital's offer to the needs of the hospitalized people.

摘要

医疗保健中心的系统变革旨在将诸如管理中心的管理方法、医疗服务承包和质量管理等营销元素引入波兰医疗保健系统。医疗服务的高质量和患者满意度成为决定医疗保健中心“品牌”的关键因素。这项工作的目的是评估医院所有权变更对患者对其运作看法的影响。在医院转型前,通过匿名问卷对2702名受访者进行了患者满意度调查,转型后对2795名受访者进行了调查。使用多变量方差分析(MANOVA)来分析收集到的实证材料。与转型前的评估相比,在医院转型后接受询问的受访者对入院中心和医院病房运作的评估明显更高。在患者看来,将波兰的公立医院转变为商业公司有助于改善其运作。有必要对患者满意度进行进一步的系统研究,以便更好地根据住院患者的需求调整医院的服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e029/5813619/ad8ec7b6040b/10.1177_0046958014560437-fig1.jpg

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