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从患者角度评估物理治疗与康复科患者满意度背景下的医疗质量。

Assessing quality of health care in the context of patient satisfaction from patients' perspective among a physical therapy and rehabilitation unit.

作者信息

Akin Turkan

机构信息

Balikesir Ataturk City Hospital, PM&R Clinic, Balikesir, Turkey.

出版信息

BMC Health Serv Res. 2025 Jan 13;25(1):66. doi: 10.1186/s12913-025-12214-w.

Abstract

Health service policies are evolving into qualified health care providing best possible outcomes as well as focused on patient satisfaction. Hence the qualification valued health care includes patient satisfaction measurements, it is suggested to get feedbacks during the assessment of outcomes from the patient's perspective. Aging of the world population accelerates demand on rehabilitation medicine which means recovering impairments so is directly related with quality of life. This study measures the patient satisfaction among 286 patients referring to outpatient clinics and receiving therapy within Physical Medicine and Rehabilitation Unit of City Hospital in Balikesir, Turkey. Results showed 63.4 ± 2.6 years mean of age and female majority (63.6%). Region of therapy included 9.8% for total body, plegic syndromes, 19.6% for neck, 25.2% for shoulder, 21.6% for knee and 23.8% for lumbar regions. Patients are grouped in two according to 'yes' or 'no' answer of the question 'Do you agree with you have benefit from applied treatment, does the treatment met your expectations?'. 274 patients (95.8%) were agree with therapy met their expectations. Article discusses one of the valid patient satisfaction questionnaire as evidence based outcome measures. In divisions the means of query scores were 3.9 for technical quality, 4.2 for communication with therapist, 3.6 for physical comfort, 3.9 for communication with secretary, 4.1 for communication with doctor, 3.5 for accessibility and 3.5 for cleanliness. Comparison of means among groups did not seem statistically significant as result of Mann-Whitney U test, p > 0.05. In conclusion in the context of qualified health service providing, it is essential to get feedback from health care receivers to measure satisfaction and this needs improvement of generally valid questionnairres. Improved communication and greater provider sensitivity towards patients can enhance patient satisfaction resulting as meeting the expectation.

摘要

医疗卫生服务政策正在演变为提供尽可能最佳结果并注重患者满意度的优质医疗服务。因此,优质医疗服务重视患者满意度测量,建议从患者角度在结果评估过程中获取反馈。世界人口老龄化加速了对康复医学的需求,康复医学旨在恢复功能障碍,这与生活质量直接相关。本研究对土耳其巴勒克埃西尔市立医院物理医学与康复科门诊就诊并接受治疗的286名患者的患者满意度进行了测量。结果显示,患者平均年龄为63.4±2.6岁,女性占多数(63.6%)。治疗部位包括全身、瘫痪综合征占9.8%,颈部占19.6%,肩部占25.2%,膝盖占21.6%,腰部占23.8%。根据“您是否认为所接受的治疗使您受益,治疗是否符合您的期望?”这一问题的“是”或“否”答案,将患者分为两组。274名患者(95.8%)认为治疗符合他们的期望。本文讨论了一种有效的患者满意度调查问卷,作为基于证据的结果测量方法。在各项中,询问分数的平均值分别为:技术质量3.9分,与治疗师沟通4.2分,身体舒适度3.6分,与秘书沟通3.9分,与医生沟通4.1分,可及性3.5分,清洁度3.5分。经曼-惠特尼U检验,组间均值比较差异无统计学意义,P>0.05。总之,在提供优质医疗卫生服务的背景下,从医疗服务接受者那里获取反馈以测量满意度至关重要,这需要改进普遍有效的调查问卷。改善沟通以及提高医疗服务提供者对患者的敏感度能够提升患者满意度,从而达到患者的期望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6533/11730146/f104786cfea2/12913_2025_12214_Fig1_HTML.jpg

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