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医院响应能力及其对患者总体满意度的影响。

Hospital responsiveness and its effect on overall patient satisfaction.

作者信息

Ahmadi Kashkoli Sadegh, Zarei Ehsan, Daneshkohan Abbas, Khodakarim Soheila

机构信息

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

出版信息

Int J Health Care Qual Assur. 2017 Oct 9;30(8):728-736. doi: 10.1108/IJHCQA-07-2016-0098.

Abstract

Purpose Hospital responsiveness to the patient expectations of non-medical aspect of care can lead to patient satisfaction. The purpose of this paper is to investigate the relationship between the eight dimensions of responsiveness and overall patient satisfaction in public and private hospitals in Tehran, Iran. Design/methodology/approach This cross-sectional study was conducted in 2015. In all, 500 patients were selected by the convenient sampling method from two public and three private hospitals. All data were collected using a valid and reliable questionnaire consisted of 32 items to assess the responsiveness of hospitals across eight dimensions and four items to assess the level of overall patient satisfaction. Data analysis was performed using descriptive statistics and multivariate regression was performed by SPSS 18. Findings The mean score of hospital responsiveness and patient satisfaction was 3.48±0.69 and 3.54±0.97 out of 5, respectively. Based on the regression analysis, around 65 percent of the variance in overall satisfaction can be explained by dimensions of responsiveness. Seven independent variables had a positive impact on patient satisfaction; the quality of basic amenities and respect for human dignity were the most powerful factors influencing overall patient satisfaction. Originality/value Hospital responsiveness had a strong effect on overall patient satisfaction. Health care facilities should consider including efforts to responsiveness improvement in their strategic plans. It is recommended that patients should be involved in their treatment processes and have the right to choose their physician.

摘要

目的 医院对患者护理非医疗方面期望的响应能力可带来患者满意度。本文旨在调查伊朗德黑兰公立和私立医院响应能力的八个维度与患者总体满意度之间的关系。

设计/方法/途径 这项横断面研究于2015年进行。通过方便抽样法从两家公立医院和三家私立医院共选取了500名患者。所有数据均使用一份有效且可靠的问卷收集,该问卷由32个项目组成以评估医院在八个维度上的响应能力,以及4个项目以评估患者总体满意度水平。数据分析采用描述性统计方法,并使用SPSS 18进行多元回归分析。

结果 医院响应能力和患者满意度的平均得分分别为3.48±0.69(满分5分)和3.54±0.97(满分5分)。基于回归分析,约65%的总体满意度差异可由响应能力的各个维度来解释。七个自变量对患者满意度有积极影响;基本便利设施的质量和对人的尊严的尊重是影响患者总体满意度的最有力因素。

原创性/价值 医院响应能力对患者总体满意度有很大影响。医疗保健机构应考虑在其战略计划中纳入提高响应能力的努力。建议患者应参与其治疗过程并有权选择他们的医生。

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