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南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
                                                    南                                             第6期 总第119期
              · 578  ·                       Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences)  2023年12月
                                             Journal
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                    Current situation and countermeasures of medical services in a
                 stomatological hospital in Jiangsu based on service quality gap model


                                                                        3
                                                             1,2
                                                1
                                         SHI Hao ,ZHANG Yue ,LUO Min ,XU Wentian     4
                  1. Institute of Medical Humanities,2. School of Public Health,3. School of Health Policy and Management,Nanjing Medical
               University,Nanjing 211166;4. Medical Administration Department,Nanjing Medical University Affiliated Stomatological Hospital,
                                                      Nanjing 210029,China
                   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.
                   Key words:medical disputes;service quality gap model;patient expectations;patient perception
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