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印度阿利普尔都尔地区患者对医疗服务质量体验的研究。

A Study on the Experience of Patients regarding the Quality of Healthcare services provided in the Alipurduar District of India.

机构信息

Department of Geography, Cooch Behar Panchanan Barma University, Vivekananda Street, Cooch Behar-736101, West Bengal, India.

Department of Geography, Cooch Behar Panchanan Barma University, Vivekananda Street, Cooch Behar-736101, West Bengal, India.

出版信息

J Healthc Qual Res. 2020 Jul-Aug;35(4):237-244. doi: 10.1016/j.jhqr.2020.06.003. Epub 2020 Jul 18.

Abstract

BACKGROUND

Patient experience is considered an important tool to measure the quality of healthcare, which is a treatment efficiency and effectiveness outcome. This study aims to measure the level of quality provided by three hospitals in Alipurduar District, India with a focus on the patient satisfaction and to identify inequality of service received by patients from different backgrounds.

METHODS

By using stratified random sampling technique and seven points Likert scale, the required primary data were collected from the patients of these hospitals with a selected sample size of 300 patients. Exploratory Factor Analysis (EFA) was used in grouping the items and Multiple Linear Regression, ANOVA, and T-test were used for analysing the data.

RESULTS

The services delivered in these hospitals moderately (4.660 ± .787) satisfy the patients, showing an average quality of healthcare. Therefore, patients from better income groups tend to have paid caregivers to provide better care. Moreover, quality of healthcare has a significant impact (R = .770) on patient satisfaction which varied between respondent groups, indicating inequality in the services delivered.

CONCLUSIONS

In these Govt. hospitals where every patient has an equal right to receive quality care, due to the inequality in the patients' socio-economic background, this is still not possible. Hospital authorities should improve the quality of healthcare by identifying deficiencies and by taking feedback from patients.

摘要

背景

患者体验被认为是衡量医疗保健质量的重要工具,是治疗效率和效果的结果。本研究旨在衡量印度阿利普尔杜阿尔区三家医院提供的质量水平,重点是患者满意度,并确定来自不同背景的患者所获得服务的不平等。

方法

通过使用分层随机抽样技术和七点李克特量表,从这些医院的患者中收集了所需的原始数据,选择了 300 名患者的样本量。采用探索性因素分析(EFA)对项目进行分组,采用多元线性回归、方差分析和 T 检验进行数据分析。

结果

这些医院提供的服务(4.660 ±.787)中等程度地满足了患者,表明医疗保健质量平均。因此,来自收入较高群体的患者往往有付费护理人员提供更好的护理。此外,医疗保健质量对患者满意度有显著影响(R =.770),这在受访者群体之间存在差异,表明服务提供存在不平等。

结论

在这些政府医院,每个患者都有平等获得优质护理的权利,但由于患者社会经济背景的不平等,这仍然不可能实现。医院管理部门应通过识别缺陷并从患者那里获得反馈来提高医疗保健质量。

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