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医院服务对 OPD 患者满意度的影响:来自巴基斯坦旁遮普南部向数字化系统过渡的证据。

The influence of hospital services on patient satisfaction in OPDs: evidence from the transition to a digital system in South Punjab, Pakistan.

机构信息

School of Management, Jiangsu University, Zhenjiang, 212013, People's Republic of China.

Accounting Research Institute (HiCOE), Universiti Teknologi MARA (UiTM), Shah Alam, Malaysia.

出版信息

Health Res Policy Syst. 2024 Aug 5;22(1):93. doi: 10.1186/s12961-024-01178-8.

Abstract

BACKGROUND

Pakistani's health services delivery system has been rarely evaluated regarding patient satisfaction. This study examined the performance of the Pakistani health system from the perspective of doctor services (DS), digital payment system (DPS), nurses' services (NS), laboratory services (LS), pharmacy services (PHS), registration services (RS), physical services (environmentally and tangible) and doctor-patient communication (DPC) about patient satisfaction. A random sampling technique was adopted for data collection.

METHODOLOGY

The Social Science Statistical Package (SPSS), analysis of moment structures (AMOS), and structural equation modeling were used to analyze the data for reliability, validity, correlations, and descriptive findings. The 879 responses were used for study analysis.

RESULTS

The study revealed that patient satisfaction was found to be significantly affected positively by LS, PHS, DS, NS, and DPS, while DPC, RS, and PF were impacted non-significantly. Consequently, there is a considerable communication gap in the doctor-patient interaction, and Pakistan's healthcare system is confronted with a shortage of physical infrastructure and challenges in the digital system.

CONCLUSION

Furthermore, the insufficient emphasis on registration services necessitates immediate action to improve the entire patient experience and satisfaction. Identifying these shortcomings has the potential to result in a healthcare system that is more efficient and focused on the needs of the patients.

摘要

背景

巴基斯坦的卫生服务提供系统在患者满意度方面鲜有评估。本研究从医生服务(DS)、数字支付系统(DPS)、护士服务(NS)、实验室服务(LS)、药房服务(PHS)、注册服务(RS)、物理服务(环境和有形)和医患沟通(DPC)的角度来评估巴基斯坦卫生系统的绩效。采用随机抽样技术收集数据。

方法

采用社会科学统计软件包(SPSS)、矩结构分析(AMOS)和结构方程模型对数据进行可靠性、有效性、相关性和描述性分析。本研究共使用了 879 份回复进行分析。

结果

研究表明,患者满意度显著受到 LS、PHS、DS、NS 和 DPS 的积极影响,而 DPC、RS 和 PF 的影响不显著。因此,医患互动存在相当大的沟通差距,巴基斯坦的医疗体系面临着物理基础设施不足和数字系统挑战的问题。

结论

此外,注册服务的重视程度不足,需要立即采取行动,以改善患者的整体体验和满意度。识别这些不足之处有可能使医疗系统更高效,并更关注患者的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3c0/11302220/fd122abc8186/12961_2024_1178_Fig1_HTML.jpg

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