基于服务质量差距模型的江苏某口腔医院医疗服务现状与对策
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施浩(2000—),男,江苏南通人,硕士研究生在读,研究方向为医学教育、医学人文;

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R197.1

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南京医科大学党的二十大精神研究专项项目(XZ117X20230806);南京医科大学公共卫生学院“双一流”建设科研创新项目;江苏省医院协会课题“基于 CHS-DRGs 的口腔医学专业医疗质量控制评价及绩效管理体系的构建研究”(JSYGY-3-2023-347)


Current situation and countermeasures of medical services in a stomatological hospital in Jiangsu based on service quality gap model
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    摘要:

    回顾性收集江苏某口腔医院 2019—2021 年医患纠纷卷宗,建立医疗服务质量 (SERVQUAL)量表,利用二维象限分析法,分析患者就医期望与实际感知的差距和问题。结果发现,在患者期待与实际感知的测算比较中,患者就医流程(-0.35)、就医挂号时间(-0.43)、医院人文氛围(-0.37)、医护专业态度(-0.28)四个指标呈现明显排序差异;在服务质量评价二维象限分析中,医院人文氛围、医患沟通制度、医学治疗效果三个指标处于“改进区域”。研究发现,通过强化医院和医护人员服务意识,提升医院整体人文氛围,重点加强对投诉占比较高科室的管理、监督, 加强医患沟通,正确认知患者期望等对策可以有效缓解该口腔医院医疗纠纷现状。

    Abstract:

    This paper retrospectively collected doctor - patient dispute files in a hospital from 2019—2021 doctor-patient and established a Service Quality(SERVQUAL)scale to analyze the gaps and problems between patients’expectations of healthcare treatment and their actual perceptions using two - dimensional quadrant analysis. The results found that in the measured comparison between patients’ expectations and actual perceptions,four indicators demonstrated significant sorting differences,which are patients’medical process (-0.35),medical registration time(-0.43),hospital humanistic atmosphere(-0.37),and medical and nursing professional attitudes(- 0.28). In the two - dimensional quadrant analysis of service quality evaluation,three indicators,namely,hospital’s humanistic atmosphere,the doctor - patient communication system,and the medical treatment effectiveness,were in the“improvement area”. The study found that the overall humanistic atmosphere of the hospital could be improved by strengthening the service consciousness of the healthcare staff. This hospital should focus on enhancing the management and supervision of departments with a higher proportion of complaints. This study also recommends that the hospital strengthen public health education to enhance patients’perceptions about medical treatment and develop doctor - patient communication training according to dental characteristics to enhance the effectiveness of medical education and effectively alleviate medical disputes in this stomatological hospital.

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施浩,张玥,雒敏,徐文天.基于服务质量差距模型的江苏某口腔医院医疗服务现状与对策[J].南京医科大学学报(社会科学版),2023,(6):573~578

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  • 收稿日期:2023-09-06
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  • 在线发布日期: 2023-12-28
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