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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1.南京医科大学;2.南京医科大学附属口腔医院

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南京医科大学党的二十大精神研究专项项目;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2023年度课题“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 Sastomatological Hospital in Jiangsu Based on Service Quality Gap Model
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Nanjing Medical University

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    摘要:

    回顾性收集该医院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)4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3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:

    The hospital's 2019-2021 doctor-patient dispute files were retrospectively collected, and the SERVQUAL scale of medical service quality was established to analyse the gaps and problems between patients' expectations of medical care and their actual perceptions using two-dimensional quadrant analysis. The results found that in the measured comparison between patients' expectations and actual perceptions, the four indicators of patients' medical process (-0.35), medical registration time (-0.43), hospital humanistic atmosphere (-0.37), and medical and nursing professional attitudes (-0.28) showed obvious sorting differences; in the two-dimensional quadrant analysis of service quality evaluation, the three indicators of the hospital's humanistic atmosphere, the doctor-patient communication system, and the effectiveness of medical treatment were in the "improvement area". It was found that the current situation of medical disputes in this dental hospital can be effectively mitigated by strengthening the service consciousness of the hospital and its medical staff and enhancing the overall humanistic atmosphere of the hospital; focusing on strengthening the management and supervision of the departments that account for a relatively high percentage of complaints; and strengthening the communication between doctors and patients and correctly recognizing the expectations of the patients, among other countermeasures.

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  • 收稿日期:2023-09-06
  • 最后修改日期:2023-10-25
  • 录用日期:2023-10-26
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