Fleming G V
Health Serv Res. 1981 Spring;16(1):43-63.
This study examines the relationship between hospital structural characteristics and patient satisfaction with hospital care. Teaching hospitals and private hospitals were expected to receive higher ratings of patient satisfaction than were nonteaching and government-controlled hospitals, because they generally are reputed to be technologically superior. Results show that, in general, most patients are satisfied with their hospital stays, but they are clearly more dissatisfied with their stays in teaching hospitals. Although a number of other correlates of patient satisfaction with the hospital stay are identified, no measure succeeds in reducing to insignificance the strong relationship between teaching status and dissatisfaction. Some suggestions are made as to why teaching hospital receive relatively poor evaluations from their patients.
本研究考察了医院结构特征与患者对医院护理满意度之间的关系。教学医院和私立医院预计比非教学医院和政府控制的医院获得更高的患者满意度评级,因为它们通常被认为在技术上更具优势。结果表明,总体而言,大多数患者对住院期间感到满意,但他们对在教学医院的住院经历明显更不满意。尽管确定了一些与患者住院满意度相关的其他因素,但没有任何一项措施能够消除教学地位与不满之间的强烈关联,使其变得微不足道。针对教学医院为何从患者那里得到相对较差评价提出了一些建议。