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基于患者感知,采用IPA方法评估安全牙科服务质量:管理者的强大诊断工具。

Evaluation of the quality of safe dental services based on the perception of patients with the IPA approach: a powerful diagnostic tool for managers.

作者信息

Keikavoosi-Arani Leila, Moghadasi Javad

机构信息

Department of Healthcare Services Management, School of Health, Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran.

Department of Higher Education Administration, School of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran.

出版信息

BMC Health Serv Res. 2024 Dec 24;24(1):1647. doi: 10.1186/s12913-024-11955-4.

Abstract

BACKGROUND

In today's competitive world, especially in critical situations, dental clinic managers seek to retain customers and allocate more market share. The importance-performance analysis (IPA) technique is a powerful diagnostic tool that helps managers identify fundamental deficiencies, establish priorities and provide insights into which service improvement areas managers should focus on. This study aimed to improve the quality of life of patients at the Alborz Dental Clinic based on their perception of safe services during the coronavirus pandemic using IPA.

MATERIALS AND METHODS

In this analytical cross-sectional study, 324 patients referred to at Alborz Dental Clinic from April 2021 to February 2022 were enrolled in the study through simple random sampling. The data collection tool used was a researcher-designed questionnaire based on the indicators of the quality improvement model and the guidelines of the Ministry of Health, Medical Education and Health of Iran regarding the provision of dental services in the context of COVID-19, the validity and reliability of which were measured. The gap analysis results and determination of areas of improvement were obtained using IPA. The data analysis was performed using SPSS26 and Excel software.

RESULTS

The results of the paired ttest showed that the difference between importance and performance for all the research variables was significant (significance level less than 5%).The importance of the components exceeded their performance. The deepest gap among the five components of the model was related to accountability. IPA revealed that two variables, reliability and responsiveness, are placed in quadrant A, and three variables, tangibility, assurance, and empathy, are placed in quadrant B.

CONCLUSION

To improve the quality of safe services, dental clinic managers need to pay attention to the three dimensions of "tangibility", "assurance" and "empathy" and plan and make decisions about the two dimensions of "reliability" and "responsiveness".

摘要

背景

在当今竞争激烈的世界中,尤其是在关键情况下,牙科诊所经理们致力于留住客户并争取更多的市场份额。重要性-绩效分析(IPA)技术是一种强大的诊断工具,可帮助经理们识别基本缺陷、确定优先事项,并深入了解经理们应关注哪些服务改进领域。本研究旨在基于患者在新冠疫情期间对安全服务的认知,运用IPA改善阿尔伯兹牙科诊所患者的生活质量。

材料与方法

在这项分析性横断面研究中,通过简单随机抽样,选取了2021年4月至2022年2月期间转诊至阿尔伯兹牙科诊所的324名患者参与研究。所使用的数据收集工具是研究人员根据质量改进模型指标以及伊朗卫生、医学教育与健康部关于在新冠疫情背景下提供牙科服务的指南设计的问卷,并对其有效性和可靠性进行了测量。使用IPA获得差距分析结果并确定改进领域。数据分析使用SPSS26和Excel软件进行。

结果

配对t检验结果表明,所有研究变量的重要性与绩效之间的差异均具有统计学意义(显著性水平小于5%)。各组成部分的重要性超过了其绩效。模型五个组成部分中差距最大的与问责制有关。IPA显示,可靠性和响应性这两个变量位于A象限,有形性、保证性和移情性这三个变量位于B象限。

结论

为提高安全服务质量,牙科诊所经理需要关注“有形性”“保证性”和“移情性”这三个维度,并针对“可靠性”和“响应性”这两个维度进行规划和决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2540/11667921/9e1822c92086/12913_2024_11955_Fig1_HTML.jpg

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