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医院环境对感知到的医疗保健结果的影响。

Impact of hospital atmosphere on perceived health care outcome.

作者信息

Narang Ritu, Polsa Pia, Soneye Alabi, Fuxiang Wei

机构信息

Department of Business Administration, University of Lucknow, Lucknow, India.

出版信息

Int J Health Care Qual Assur. 2015;28(2):129-40. doi: 10.1108/IJHCQA-12-2013-0142.

Abstract

PURPOSE

Healthcare service quality studies primarily examine the relationships between patients' perceived quality and satisfaction with healthcare services, clinical effectiveness, service use, recommendations and value for money. These studies suggest that patient-independent quality dimensions (structure, process and outcome) are antecedents to quality. The purpose of this paper is to propose an alternative by looking at the relationship between hospital atmosphere and healthcare quality with perceived outcome.

DESIGN/METHODOLOGY/APPROACH: Data were collected from Finland, India, Nigeria and the People's Republic of China. Regression analysis used perceived outcome as the dependent variable and atmosphere and healthcare service quality as independent variables. Findings - Results showed that atmosphere and healthcare service quality have a statistically significant relationship with patient perceived outcomes.

RESEARCH LIMITATIONS/IMPLICATIONS: The sample size was small and the sampling units were selected on convenience; thus, caution must be exercised in generalizing the findings.

PRACTICAL IMPLICATIONS

The study determined that service quality and atmosphere are considered significant for developing and developed nations. This result could have significant implications for policy makers and service providers developing healthcare quality and hospital atmosphere.

ORIGINALITY/VALUE: Studies concentrate on healthcare outcome primarily regarding population health status, mortality, morbidity, customer satisfaction, loyalty, quality of life, customer behavior and consumption. However, the study exposes how patients perceive their health after treatment. Furthermore, the authors develop the healthcare service literature by considering atmosphere and perceived outcome.

摘要

目的

医疗服务质量研究主要考察患者对医疗服务的感知质量与满意度、临床疗效、服务利用、推荐以及性价比之间的关系。这些研究表明,独立于患者的质量维度(结构、过程和结果)是质量的前提条件。本文的目的是通过考察医院氛围与医疗质量以及感知结果之间的关系,提出一种替代方法。

设计/方法/途径:数据收集自芬兰、印度、尼日利亚和中华人民共和国。回归分析以感知结果作为因变量,氛围和医疗服务质量作为自变量。研究结果——结果显示,氛围和医疗服务质量与患者的感知结果存在统计学上的显著关系。

研究局限性/启示:样本量较小,抽样单位是基于便利性选取的;因此,在推广研究结果时必须谨慎。

实际意义

该研究确定,服务质量和氛围对发展中国家和发达国家都很重要。这一结果可能对制定医疗质量和医院氛围的政策制定者和服务提供者具有重要意义。

原创性/价值:研究主要集中在医疗结果方面,主要涉及人群健康状况、死亡率、发病率、客户满意度、忠诚度、生活质量、客户行为和消费。然而,该研究揭示了患者在治疗后如何感知自己的健康。此外,作者通过考虑氛围和感知结果拓展了医疗服务文献。

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