School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, No.13 Hangkong Road, Wuhan, 430030, China.
Jingmen No. 2 People's Hospital, Jingmen, China.
BMC Health Serv Res. 2023 Aug 11;23(1):852. doi: 10.1186/s12913-023-09817-6.
Focusing on patients' perceived values is essential for patient-centered health care. Only by identifying the patient's preferred values can we better meet their needs and provide them with valuable medical services. This study aimed to construct and validate a research model to obtain an overall quantification of patient value during outpatient encounters.
The development of the research model was based on the reviewed literature, and an initial theoretical framework was formed by an expert panel discussion. A scale questionnaire for all the items was adapted from previous research related to patient value, verified using a presurvey, and thus used for data collection for this study. The structural equation model was used to determine and evaluate the research model of the values patients perceived during outpatient encounters.
572 eligible respondents who completed outpatient visits from a typical public hospital in China participated in this study from November 2020 to February 2021. We constructed the patient perceived value (PPV) model to identify core values, which includes eight dimensions and 29 items in terms of functional value (installation, efficiency, price, service quality), emotional value (interactive, control), and social value (accessibility, image) from two subgroups of patient value outside and in the outpatient visit process. Cronbach's alpha for the whole model was 0.950. The confirmatory factor analysis showed that the PPV model fits well, with a correlation of 0.83 between the two subgroups.
It is essential to recognize the values based on patients' perceptions and experiences throughout the entire visit process. Our findings offer targeted insights for healthcare administrators, enabling them to holistically optimize outpatient service processes and continually enhance the quality of outpatient medical services from the patient's perspective.
关注患者的感知价值对于以患者为中心的医疗保健至关重要。只有确定患者的偏好价值，我们才能更好地满足他们的需求，并为他们提供有价值的医疗服务。本研究旨在构建和验证一个研究模型，以获得门诊就诊期间患者总体价值的定量评估。
研究模型的开发基于文献回顾，并通过专家小组讨论形成了初步的理论框架。所有项目的量表问卷均来自先前与患者价值相关的研究，并通过预调查进行验证，因此用于本研究的数据收集。使用结构方程模型来确定和评估门诊就诊期间患者感知价值的研究模型。
2020 年 11 月至 2021 年 2 月，来自中国一家典型公立医院的 572 名符合条件的门诊就诊患者完成了本研究。我们构建了患者感知价值（PPV）模型，以确定核心价值，该模型包括功能价值（安装、效率、价格、服务质量）、情感价值（互动、控制）和社会价值（可及性、形象），来自门诊就诊过程中外和内两个患者价值子组，共 29 个项目。整个模型的克朗巴赫 α 系数为 0.950。验证性因子分析表明，PPV 模型拟合良好，两个子组之间的相关性为 0.83。
在整个就诊过程中识别基于患者感知和体验的价值至关重要。我们的研究结果为医疗保健管理人员提供了有针对性的见解，使他们能够从整体上优化门诊服务流程，并从患者角度不断提高门诊医疗服务质量。
