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埃塞俄比亚南部哈瓦萨大学教学与转诊医院患者对放射科服务的满意度及相关因素

Patients' satisfaction towards radiological service and associated factors in Hawassa University Teaching and referral hospital, Southern Ethiopia.

作者信息

Mulisa Teshome, Tessema Fasil, Merga Hailu

机构信息

Department of Radiology, Hawassa University Teaching and Referral Hospital, Hawassa, Ethiopia.

Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, Ethiopia.

出版信息

BMC Health Serv Res. 2017 Jun 26;17(1):441. doi: 10.1186/s12913-017-2384-z.

Abstract

BACKGROUND

Patient satisfaction, one of the main components of quality of care, is a crucial phenomenon for the overall health care delivery system. Even though a number of studies have been conducted about patient satisfaction in different health services, studies in radiology services are flimsy in Ethiopia. This study aimed at assessing patient satisfaction towards radiological service and associated factors in Hawassa University Teaching and Referral hospital.

METHODS

An institution based cross-sectional study was conducted among 321 adult patients presented for radiological service in the study area using stratified sampling technique. Patient satisfaction was measured using SERVQUAL (Service Quality) tool that consisted of seven items: accessibility, quality of radiological service, courtesy of radiology staff, existence of good communication with service provider and desk worker, physical environment and privacy technique. Exit interviews of patients were conducted using a structured and pretested questionnaire. Data was collected by three grade ten completed trained data collectors from May 12 to May 28, 2016. Multiple logistic regressions were used to identify independent factors associated with patient satisfaction on radiological services using SPSS version 21.

RESULTS

The overall patient satisfaction towards radiological service was 71.6%. Satisfaction to accessibility of the service was 84.5% while it was 80.6% to courtesy of the staff. Similarly, 81.6% reported satisfied with quality of the service and 59.4% and 71% of reported satisfied with physical environment and radiological service provider respectively. On the other hand, 99.7% of the respondents were dissatisfied with privacy of the service. The study revealed that patients who attended primary school (AOR = 0.317, 95% CI: 0.11-0.88), unemployed patients (AOR = 0.067, 95% CI: 0.007-0.622) and patients who had short waiting time to enter into examination room less than one hour (AOR = 4.12, 95% CI: 1.4-11.62) were factors associated with patients satisfaction.

CONCLUSION

This study found that majority of respondents was satisfied with the radiological services. Respondent's education level, occupation as well as duration of time taken to enter into examination room were important factors influencing the satisfaction condition. Hence, concerted effort is needed to constantly improve on patient satisfaction to better radiology returns arising from improved patient patronage. It is recommended to give great care and attention to clients during radiological examination procedure and also suggested that the department should decrease time taken to enter into examination room. On the other hand, the reasons behind more educated clients were less satisfied with radiologic service than more educated respondents need further investigation.

摘要

背景

患者满意度是医疗质量的主要组成部分之一,对于整个医疗服务体系而言是一个关键现象。尽管已经针对不同医疗服务中的患者满意度开展了多项研究,但埃塞俄比亚放射科服务方面的研究却很薄弱。本研究旨在评估哈瓦萨大学教学与转诊医院患者对放射科服务的满意度及相关因素。

方法

采用分层抽样技术,对研究区域内321名接受放射科服务的成年患者进行了一项基于机构的横断面研究。使用SERVQUAL(服务质量)工具测量患者满意度,该工具包含七个项目:可及性、放射科服务质量、放射科工作人员的礼貌程度、与服务提供者及前台工作人员的良好沟通、物理环境和隐私技术。通过结构化且经过预测试的问卷对患者进行出院访谈。数据由三名完成十年级学业且经过培训的数据收集员于2016年5月12日至5月28日收集。使用SPSS 21版软件通过多元逻辑回归来确定与患者对放射科服务满意度相关的独立因素。

结果

患者对放射科服务的总体满意度为71.6%。对服务可及性的满意度为84.5%,对工作人员礼貌程度的满意度为80.6%。同样,81.6%的患者表示对服务质量满意,分别有59.4%和71%的患者对物理环境和放射科服务提供者满意。另一方面,99.7%的受访者对服务隐私不满意。研究表明,上过小学的患者(调整后比值比[AOR]=0.317,95%置信区间[CI]:0.11 - 0.88)、失业患者(AOR = 0.067,95% CI:0.007 - 0.622)以及进入检查室等待时间短于1小时的患者(AOR = 4.12,95% CI:1.4 - 11.62)是与患者满意度相关的因素。

结论

本研究发现大多数受访者对放射科服务满意。受访者的教育水平、职业以及进入检查室所花费的时间是影响满意度状况的重要因素。因此,需要共同努力持续提高患者满意度,以因患者光顾增加而获得更好的放射科收益。建议在放射科检查过程中给予患者更多关怀和关注,同时建议该科室减少患者进入检查室的时间。另一方面,受教育程度较高的患者对放射科服务满意度低于受教育程度较低的受访者背后的原因需要进一步调查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d5/5485707/02112978f91b/12913_2017_2384_Fig1_HTML.jpg

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