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伊朗私立医院服务质量对患者满意度影响的实证研究。

An empirical study of the impact of service quality on patient satisfaction in private hospitals, Iran.

作者信息

Zarei Ehsan, Daneshkohan Abbas, Pouragha Behrouz, Marzban Sima, Arab Mohammad

机构信息

Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Glob J Health Sci. 2014 Jul 29;7(1):1-9. doi: 10.5539/gjhs.v7n1p1.

Abstract

OBJECTIVE

Perceived service quality is the most important predictor of patient satisfaction. The purpose of this study was to investigate the impact of the service quality on the overall satisfaction of patients in private hospitals of Tehran, Iran.

METHOD

This cross-sectional study was conducted in the year 2010. The study's sample consisted of 969 patients who were recruited from eight private general hospitals in Tehran, Iran using consecutive sampling. A questionnaire was used for data collection; contacting 21 items (17 items about service quality and 4 items about overall satisfaction) and its validity and reliability were confirmed. Data analysis was performed using t-test, ANOVA and multivariate regression.

RESULT

this study found a strong relationship between service quality and patient satisfaction. About 45% of the variance in overall satisfaction was explained by four dimensions of perceived service quality. The cost of services, the quality of the process and the quality of interaction had the greatest effects on the overall satisfaction of patients, but not found a significant effect on the quality of the physical environment on patient satisfaction.

CONCLUSIONS

Constructs related to costs, delivery of service and interpersonal aspect of care had the most positive impact on overall satisfaction of patients. Managers and owners of private hospitals should set reasonable prices compared to the quality of service. In terms of process quality, waiting time for visits, admissions, and surgeries must be declined and services provided at the fastest possible time. It should be emphasized to strengthen of interpersonal aspects of care and communication skills of care providers.

摘要

目的

感知服务质量是患者满意度最重要的预测指标。本研究旨在调查服务质量对伊朗德黑兰私立医院患者总体满意度的影响。

方法

本横断面研究于2010年进行。研究样本包括969名患者,这些患者是从伊朗德黑兰的八家私立综合医院采用连续抽样法招募的。使用问卷调查收集数据;问卷包含21个项目(17个关于服务质量的项目和4个关于总体满意度的项目),其有效性和可靠性得到了确认。数据分析采用t检验、方差分析和多元回归。

结果

本研究发现服务质量与患者满意度之间存在密切关系。总体满意度中约45%的变异可由感知服务质量的四个维度来解释。服务成本、流程质量和互动质量对患者总体满意度影响最大,但未发现物理环境质量对患者满意度有显著影响。

结论

与成本、服务提供和护理人际方面相关的因素对患者总体满意度的影响最为积极。私立医院的管理者和所有者应根据服务质量制定合理价格。在流程质量方面,应减少就诊、入院和手术的等待时间,并尽快提供服务。应强调加强护理的人际方面以及护理人员的沟通技巧。

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