Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지

Determinants of Multidimensional Outcomes of Patient Satisfaction in Operated Cataract Patients

백내장 환자의 수술후 진료만족도의 다면적 평가와 결정요인

  • 최윤정 (연세대학교 보건대학원) ;
  • 김한중 (연세대학교 의과대학 예방의학교실) ;
  • 박은철 (연세대학교 의과대학 예방의학교실) ;
  • 손명세 (연세대학교 의과대학 예방의학교실) ;
  • 강형곤 (포천중문의대 예방의학교실) ;
  • 이상규 (연세대학교 의과대학 예방의학교실)
  • Published : 2001.06.01
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Abstract

This study was to compare multidimensional outcomes of patient's satisfaction after cataract surgery and to identify factors influencing satisfaction after operation. Patient's satisfaction was measured with three dimensions : interpersonal care, physician explanation and hospital care. Overall satisfaction was measured as means of three dimensional scores. For the study, a prospective study was performed with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was performed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data (the visual acuity of operated eye, visual function, symptom score and satisfaction with vision) were obtained. The doctors were questioned with self-reported questionnaire forms. Medical records were also examined to understand surgery Process. The survey was conducted before(389) and after operation(327). Alter excluding cases with incomplete data, 3n cases were enrolled In this study. Both the overall satisfaction and the satisfaction with physician explanation increased after the operation whereas the satisfaction with interpersonal care and hospital care did not change significantly. Multiple regression analysis showed that the level of education, baseline satisfaction scores and the degree of vision improvement were statistically significant variables. The preoperative lower level of education, higher level of overall satisfaction (interpersonal care, physician explanation, hospital care scores) and the more the satisfaction with vision improvement were associated with the improvement of postoperative satisfaction scores.

Keywords

References

  1. 한국의료QA학회지 v.5 no.1 백내장 수술환자 진료결과들간의 관계 - 사전연구를 중심으로 박은철;김한중;홍영재;조우현;손명세;임승정;강형곤;최윤정
  2. 예방의학과 공중보건 강복수(외)
  3. 대한병원협회지 v.24 no.9 병원의 의료서비스와 경쟁력 강화 전략 유승흠
  4. 대한병원협회지 v.22 no.11 환자들이 바라는 의료시설 이평수
  5. Ophthalmology v.104 International applicability of the VF-14;An index of visual function in patients with cataracts Alonso J.;Espallargues M.
  6. Medical Care Review v.50 Patient satisfaction;What we still need to explore Arahony L.;Strasser S.
  7. Medical Care v.33 no.4 sup. Comparing prospective and retrospective measures of treatment outcomes Aseltine RH. Jr.;Carlson KJ.;Fowler FJ.;Barry MJ.
  8. Medical Care v.27 Health services research and quality of care;Assignments for the 1990s Berwick DM.
  9. Inquiry v.25 Patient satisfaction as an indicator of quality care Cleary PD.;Mcneil BJ.;Cassel JC.;Thompson SJ.
  10. Controlled Clin Trials v.12 no.sup. Assessing quality of life after surgery Cleary PD;Greenfield S;McNeil BJ.
  11. J. Chronic Disease v.32 An examination of the covergent validity of three measures of patient satisfaction in an outpatient treatment center Counte MA.
  12. J Community Health The significance of patients' perceptions of physician conduct;A study of patient satisfaction in a family practice in a family practice center DiMatteo MR;Hays R.
  13. A Explorations in quality assesment and monitoring Donabedian A.
  14. Evaluation and the Health Professions v.8 Twenty years of research on the quality of medical care Donabedian A.
  15. Inquiry v.25 Quality assessment ans assurance;Unity of purpose, diversity of means Donabedian A.
  16. Medical Care v.31 A causal model of health status and satisfaction with medical care Hall JA.;Milburn MA;Epstein AM.
  17. Medical Care v.33 no.10 sup. Why is important to demonstrate linkages between outcomes of care and process and structures of care Hammermeister KE;Shroyer AL;Sethi GK;Grover FL.
  18. J. Chronic Disease v.24 Satisfaction with medical care in a low income population Hulka BS;Zyzanski SJ;Cassel JC;Thompson SJ.
  19. Medical Care v.8 Scale for the measurement of atitudes toward physicians ans primary medical care Hulka BS;Zyzanski SJ;Cassel JC;Thompson SJ.
  20. Medical Care v.35 The Relationship to Patient satisfaction with care and clinical outcomes Kane RL;Mattew M;Finch M.(et. al.)
  21. Soc Sci Med v.16 Toward a theory of patient satisfaction Linder-Pelz S.
  22. Clinical Practice Guideline Num.4 Cataract in Adults;Management of Function Impairment O'Day DM;Adams AJ;Cassem EH.(et. al.)
  23. J Ambulatory Care Management Administering patient satisfaction questionnaires at diverse ambulatory care sites Osterweis M;Howell JR.
  24. Medical Care v.17 no.5 Satisfaction with medical care;It measurement and relation to utilization Roghmann KJ.;Hengst A.;Zastowny TR.
  25. Ophthalmology v.101 Variation in cataract surgery practice and clinical outcomes Schein OD.;Steinberg EP.;Javitt JC.;Cassard SD.;Tielsch JM.;Steiwachs DM.;Legro MW.;Diener-West M.;Sommer A.
  26. Ophthalmology v.101 National study of cataract surgery outcomes;Variation in 4-month postoperative outcomes as reflected in multiple outcome measure Steinberg EP.;Tielsch JM.;Schein OD.;Javitt JC.;Sharkey P.;Cassard SD.;Legro MW.;Diener-West M.;Bass EB.;Diamiano AM.;Steinwachs DM.;Sommer A.
  27. Arch Ophthal v.112 The VF-14;An index of functional impairment in patients with contract Steinberg EP.;Tielsch JM.;Schein OD.;Javitt JC.;Sharkey P.;Cassard SD.;Legro MW.;Diener-West M.;Bass EB.;Diamiano AM.;Steinwachs DM.;Sommer A.
  28. Medical Care Review v.50 The patient satisfaction process;Moving toward a comprehensive model Strasser S.;Arahony L.;Greenberger D.
  29. Medical Care v.33 Measuring patient satisfaction with physicians among older and diseased adults in a primary care municipal outpatient setting;An examination of three instruments Stump TE.;Dexter PR.;Tiemey WM.;Wolinsky FD.
  30. JAMA v.262 no.7 The Medical outcome study Tarlov AR.;Ware JE.;Greenfield S.;Nelson EC.;Perrin E.;Zubkoff M.
  31. J. Marketing Research v.25 Models of consumer satisfaction;An extension Tse DK.;Wilton PC.
  32. Medical Care v.26 Methods for measuring patient satisfaction with specifec medical encounters Ware JE.;Hays RD.;
  33. Review of Literature, Overview of Methods and Results Regarding Construction of Scales Development and validation of scales to measure patient satisfaction with health care services;Volume Ⅰof a Final Report. Part A. Ware JE.;Snyder MK.;Wright WR.
  34. Arch Ophthal v.97 Scaling of visual acuity measurements Westheimer G.
  35. J. Behav Med. v.1 The medical interview satisfaction scale;Development of a scale to measure patient perceptions of physician behavior Wolf MH.;Putnam SM.;James SA.;Stiles WB.