Harpole L H, Orav E J, Hickey M, Posther K E, Brennan T A
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
J Gen Intern Med. 1996 Jul;11(7):431-4. doi: 10.1007/BF02600192.
To evaluate the impact of patient characteristics and method of data collection on satisfaction results used for the comparison of practice locations, questionnaires were distributed to 1,208 adult outpatients at five medicine clinics, either on-site or by mail. Patient dissatisfaction with three service domains was measured: communication with the provider, courtesy of the office staff, and timeliness of care. Practice location, survey methodology, and patient characteristics were significant predictors of dissatisfaction, and adjustment for the latter two factors affected the rankings of practices by dissatisfaction rates for all three domains. Further study of the impact of patient characteristics and method of data collection should be conducted before the comparison of unadjusted satisfaction results becomes the accepted standard.
为评估患者特征和数据收集方法对用于比较医疗机构的满意度结果的影响,在五家内科诊所,通过现场或邮寄的方式,向1208名成年门诊患者发放了问卷。测量了患者对三个服务领域的不满:与医护人员的沟通、办公室工作人员的礼貌程度以及护理的及时性。医疗机构地点、调查方法和患者特征是不满的重要预测因素,对后两个因素进行调整会影响所有三个领域按不满率对医疗机构的排名。在未调整的满意度结果比较成为公认标准之前,应进一步研究患者特征和数据收集方法的影响。