Kasena Anthony, Antonio Ferdi
Department of Hospital Administration, Faculty of Medicine, Universitas Pelita Harapan, Daerah Khusus Ibukota Jakarta, Indonesia.
Health SA. 2023 Dec 13;28:2245. doi: 10.4102/hsag.v28i0.2245. eCollection 2023.
Private radiotherapy (RT) facilities in emerging countries are growing with cancer incidence. Private healthcare providers must provide better care based on patient perspectives to reach more patients.
This study investigated the relationship between antecedents of patient health engagement (PHE) with revisit intention (RVI) and intent to recommend (ITR) in private RT facilities.
The survey was conducted in a private hospital with a RT service in Central Java province, Indonesia.
A quantitative, cross-sectional design with a purposive sampling method was used. Patient questionnaire survey modified from validated self-administered radiotherapy experience (RTEQ) and PHE questionnaire were used to collect data. Partial least squares-structural equation modelling was used to analyse the data.
In this study, 173 respondents consented to participate, which demonstrated that seven of the eight experience antecedents of PHE measured by reliable and valid RTEQ and were significantly related to PHE (-value <0.05). At the same time, the degree of PHE has a significant relationship with RVI and ITR (-value <0.05).
Patient informational needs elements from the patient experience, followed by situational repose, were shown to have a prominent relation to PHE. The management of private RT facilities needs to focus more on these elements to encourage PHE to establish hospital performance.
The findings denote that six elements of RTEQ relate to PHE and further hospital outcomes. Hospital management could utilise this approach to improve the quality of care in RT facilities, specifically in private hospitals in emerging countries.
随着癌症发病率的上升，新兴国家的私立放射治疗（RT）机构不断增加。私立医疗服务提供者必须从患者的角度提供更好的护理，以吸引更多患者。
本研究调查了私立RT机构中患者健康参与（PHE）的前因与复诊意愿（RVI）和推荐意愿（ITR）之间的关系。
调查在印度尼西亚中爪哇省一家提供RT服务的私立医院进行。
采用定量、横断面设计和目的抽样方法。使用从经过验证的自我管理放射治疗经验（RTEQ）修改而来的患者问卷调查和PHE问卷收集数据。采用偏最小二乘结构方程模型分析数据。
在本研究中，173名受访者同意参与，这表明通过可靠有效的RTEQ测量的PHE的八个经验前因中的七个与PHE显著相关（P值<0.05）。同时，PHE的程度与RVI和ITR显著相关（P值<0.05）。
患者体验中的患者信息需求要素，其次是情境反应，与PHE有显著关系。私立RT机构的管理需要更多地关注这些要素，以鼓励PHE来提升医院绩效。
研究结果表明，RTEQ的六个要素与PHE及进一步的医院结局相关。医院管理层可以利用这种方法来提高RT机构的护理质量，特别是在新兴国家的私立医院。
