合肥地区县级公立医院住院患者就医体验影响因素研究
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安徽医科大学

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国家社会科学基金资助项目(15BGL190)


Study on Influencing Factors of Inpatients Experience in County-level Public Hospitals in Hefei
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anhui medical university

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    摘要:

    目的:了解合肥地区公立医院住院患者就医体验情况,并探讨影响患者体验的相关因素,为进一步改善医疗服务质量和提高患者感受提供参考。 方法:以合肥市两家县级医院2019年3-4月的住院患者作为研究对象,在不同科室采取随机抽样的方法进行现场调查。综合运用描述性分析、t检验、单因素分析和多元线性回归分析的方法探讨住院患者就医体验现状和影响因素。 结果:住院患者服务态度维度得分最高(4.38±0.64),医疗费用维度得分最低(2.80±0.62),总体就医体验得分4.31±0.59。影响患者体验的自身因素包括就诊科室、自评情绪状况;医院相关因素包括医生查房时对病情的询问、病房环境、医疗价格、入院手续办理、安排出院服务、解释药物、医生诊疗水平。 结论:建议县级公立医院可以通过提高收费透明性、改善医院环境、加强信息化建设等方面改善患者就医体验。

    Abstract:

    Objective: To investigate the experience of medical care of inpatients in public hospital in hefei and exploring the factors which influence the experience of inpatients to provide references for improving medical service quality and inpatient experience. Methods:A questionnaire survey was conducted among 448 inpatients in two County-level hospitals in Hefei from March to April in 2019. Randomly sampling survey was used in the investigation. Descriptive statistics, t-test, single factor analysis, and multiple linear regression analysis were used to analyze the status and influencing factors of patient's medical experience. Results: Inpatients have the higest scores in “Service attitude” (4.38±0.64) and the lowest scores in “Medical expenses”(2.80±0.62) , the overall experience scores was 4.31±0.59. Influencing factors of patient's experience including department and self-evaluation of emotional condition, the hospital-related factors including inquire, the ward environment, the medical price, the admission procedure, arranges the discharge service, explains the medicine and the treatment leve of doctor's diagnosis. Conclusion: It is suggested to improve the patient experience by increaseing fee transparency, improving the hospital environment, and strengthening information construction in County-level public hospital.

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  • 收稿日期:2019-12-09
  • 最后修改日期:2020-02-29
  • 录用日期:2020-06-19
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