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浙江大学学报(医学版)  2014, Vol. 43 Issue (2): 240-244    DOI: 10.3785/j.issn.1008-9292.2014.03.018
卫生决策     
基于患者体验的医疗服务满意度测评指标研究
沈晓思1,张婷婷2, 陈蓓1,陈敏生1
1.上海申康医院发展中心,上海 200041
2.上海市中医医院,上海 200071
Design of a satisfaction evaluation indicator system based on patients′ experience of medical services
SHEN Xiao-si1, ZHANG Ting-ting2, CHEN Bei1, CHEN Min-sheng1
1. Shanghai Shenkang Hospital Management Center,Shanghai 200041,China;2. Shanghai Traditional Chinese Medicine Hospital,Shanghai 200071,China
全文: PDF(620 KB)  
摘要: 

目的:基于患者就诊感受和体验了解患者对医疗服务各环节的认同度和完善建议,探索建立患者满意度评估指标体系。方法:以上海市5家三甲医院门诊和住院患者为研究对象,通过问卷调查、专家访谈、文献检索等方法,了解患者对医疗服务过程中各项影响因素重要程度的评估,确定测评体系中各级指标的认同度、重要度均值及其权重等测量值。结果:共发放400份问卷,成功回收有效问卷396份,有效率99%。结合各项评估指标给予各题项赋值,提出就医环境、服务流程、服务态度、医疗质量、患者权利5项一级指标和25项二级指标构成患者满意度评估指标体系。结论:本研究结合上海市三级公立医院医疗服务特点,基于患者直接就医体验,按照医疗服务项目分类设计的满意度测评体系,不仅适用于多种医疗服务部门的满意度测评,更有利于查找医院服务过程中的薄弱环节,推进医疗服务持续改进。

关键词 住院病人门诊病人病人满意度卫生服务评价研究质量指标 卫生保健    
Abstract

Objective:  To construct a satisfaction evaluation indicator system based on patients′ experiences of medical services. Methods: A questionnaire was designed by expert interview and literature review and 400 copies were randomly handed out to inpatients and outpatients from five 3A-public hospitals in Shanghai. The patient′s evaluation of importance of various factors in medical services was analyzed and the mean and weight of indicators in terms of recognition, importance and evaluation were determined to establish a satisfaction evaluation indicator system.Results: A total of 396 valid questionnaires were retrieved, with an effective response rate of 99%. By analyzing survey data, the patient satisfaction evaluation indicator system was constructed with 5 primary indicators (hospital environment, medical procedures, attitude, and quality of care and patient rights) and 25 secondary indicators (convenient hospital environment, auxiliary facilities, reasonable arrangement, clearly mark, convenient appointment, simple procedures, short time, the attitude of medical staff,  solutions of medical dispute,  medical technology, treatment,  medical equipment, medical expenses, respect,  patient privacy, etc.). Conclusion: A patient satisfaction evaluation indicator system has been established based on patients′ experience of medical services in the study, which may be applicable to measure patients′ satisfaction and to improve medical services in hospitals.

Key wordsInpatients    Outpatients    Patient satisfaction    Health     services    Evaluation studies    Quality indicators, health care
收稿日期: 2013-08-21     
基金资助:

上海市卫生系统党建研究重点课题资助项目(201214).

通讯作者: 陈敏生(1954-),男,本科,研究员,主要从事医院管理工作;E-mail:chenminsheng@smhb.gov.cn   
Corresponding author: CHEN Min-sheng, E-mail: chenminsheng@smhb.gov.cn   
作者简介: 沈晓思(1984-),女,硕士,中级经济师,主要从事医院管理工作;E-mail:ruoyuci@163.com
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引用本文:

沈晓思,张婷婷,陈蓓,陈敏生. 基于患者体验的医疗服务满意度测评指标研究[J]. 浙江大学学报(医学版), 2014, 43(2): 240-244.
SHEN Xiao-si, ZHANG Ting-ting, CHEN Bei, CHEN Min-sheng. Design of a satisfaction evaluation indicator system based on patients′ experience of medical services. Journal of ZheJiang University(Medical Science), 2014, 43(2): 240-244.

链接本文:

http://www.zjujournals.com/xueshu/med/CN/10.3785/j.issn.1008-9292.2014.03.018      或      http://www.zjujournals.com/xueshu/med/CN/Y2014/V43/I2/240

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