Dai Jing, Lyu Fang, Yu Lin, Zhou Zixuan, He Yunyu
Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, Yunnan, China.
Department of Gynecology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Digit Health. 2024 Mar 6;10:20552076241233864. doi: 10.1177/20552076241233864. eCollection 2024 Jan-Dec.
In this article, we investigate how chronic noncommunicable disease (CND) patients evaluate the medical service, and what obstacles exist in this process, which is useful for hospitals to improve efficiency and enhance patient satisfaction.
Based on the total number of CND patients in China, 7 CNDs were selected as the evaluation objects, and then selected the Haodaifu website as the data source, crawled 15,682 medical service reviews, then the 9 themes were analyzed by the LDA theme model. The evaluation index system of six indicators was constructed based on quality management theory. The binary long short-term memory model was used to analyze the sentiment, and the entropy-valued, TOPSIS and gray correlation model was implemented for medical service quality evaluation; the barrier model was used to find out the key factors limiting medical services.
(a) Hypertension was rated at a good level in the degree of gray correlation closeness, bronchitis was rated at a low level and the rest were at an intermediate level. (b) The first two overall barriers were the hospitalization process and registration services which occupy about 30%, respectively. This implies that hospitals should focus on providing registration services and inpatient settings in the future.
To promote hospitals to provide better services for patients with CNDs and improve patient satisfaction with medical care. And it is necessary to optimize medical services fundamentally by optimizing the inpatient process and improving the registration process to improve efficiency.
在本文中,我们调查慢性非传染性疾病(CND)患者如何评价医疗服务,以及在此过程中存在哪些障碍,这对医院提高效率和提升患者满意度很有帮助。
基于中国CND患者总数,选取7种慢性非传染性疾病作为评价对象,然后选择好大夫网站作为数据源,爬取15682条医疗服务评价,接着通过LDA主题模型对9个主题进行分析。基于质量管理理论构建了包含六个指标的评价指标体系。使用二元长短期记忆模型分析情感倾向,并运用熵值法、TOPSIS法和灰色关联模型进行医疗服务质量评价;使用障碍模型找出限制医疗服务的关键因素。
(a)高血压在灰色关联度接近程度方面被评为良好水平,支气管炎被评为较低水平,其余处于中等水平。(b)前两个总体障碍分别是住院流程和挂号服务,各占约30%。这意味着医院未来应重点关注挂号服务和住院设置。
促进医院为CND患者提供更好的服务,提高患者对医疗护理的满意度。有必要通过优化住院流程和改进挂号流程从根本上优化医疗服务,以提高效率。