Izugami Satoko, Takase Kozo
Department of Research Development, Division of Public Health, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
PLoS One. 2016 Nov 10;11(11):e0166117. doi: 10.1371/journal.pone.0166117. eCollection 2016.
Although it is currently popular to reflect consumers' perspectives to medical service management, insufficient attempts have been made to understand detailed perception of the consumer side of medical services to promote medical services' evaluation from the consumer viewpoint. The aim of this study was to descriptively reveal how consumers perceive medical services that they receive, focusing on inpatient medical services. We conducted semi-structured interviews with 10 adults who experienced hospitalization of five or more days. Constant comparative analysis was performed on the obtained descriptive data. We identified 1) medical procedures, 2) explanations from medical professionals, 3) behavior of medical service providers, 4) somatic sensations, and 5) self-perceived physical conditions as target factors that medical service consumers perceived during hospitalization. The response to the perceived target factors, "compared with the expectation that the consumer had before the hospitalization," suggests that it is an important medical service consumer reaction to check if the service met their expectations for perceived factors. The response to the medical services perception targets suggested that medical service consumers are involved in medical services and interested in various perception targets. The expectations that medical service consumers have prior to hospitalization can largely influence inpatient medical services evaluation.
尽管目前在医疗服务管理中反映消费者观点很流行,但在从消费者视角促进医疗服务评价方面,对于了解医疗服务消费者一方的详细认知所做的尝试还不够。本研究的目的是描述性地揭示消费者如何看待他们所接受的医疗服务,重点是住院医疗服务。我们对10名住院5天及以上的成年人进行了半结构化访谈。对获得的描述性数据进行了持续比较分析。我们确定了1)医疗程序、2)医疗专业人员的解释、3)医疗服务提供者的行为、4)身体感觉和5)自我感知的身体状况,作为住院期间医疗服务消费者所感知的目标因素。针对所感知的目标因素的反应,“与消费者住院前的期望相比”,表明检查服务是否符合他们对所感知因素的期望是一种重要的医疗服务消费者反应。对医疗服务感知目标的反应表明,医疗服务消费者参与医疗服务并对各种感知目标感兴趣。医疗服务消费者住院前的期望会在很大程度上影响住院医疗服务评价。