Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Inpatient Satisfaction and Dissatisfaction in Relation to Socio-demographics and Utilization Characteristics

입원환자의 사회인구학적 요인 및 의료이용 특성과 환자만족$\cdot$불만족간의 관련성

  • Cho Sung-Hyun (Department of Nursing, College of Medicine, Hanyang University)
  • 조성현 (한양대학교 의과대학 간호학과)
  • Published : 2005.06.01
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Abstract

Purpose: This paper reports a study exploring factors related to patient satisfaction and dissatisfaction with inpatient care. Method: A cross-sectional study design was used, employing data from the National Health and Nutrition Survey conducted in 2001. Socio-demographic factors, utilization, self-rated health status, and disease characteristics were assessed by employing univariate comparisons and multivariate logistic regression analyses. Result: Out of 37,769 respondents, 1,043 aged 20 years and over had been admitted to a hospital or clinic at least once during the past year. About a quarter of the respondents were discharged from tertiary hospitals and $21\%$ from clinics. The majority of patients ($58\%$) were satisfied with inpatient care received, whereas $11\%$ were dissatisfied. Greater satisfaction was found in patients aged 45-64 years and those having formal education, discharge from tertiary hospitals, national health insurance as a payer, medical expenses not being burdensome, good self-rated health status, and neoplasm. Living in non-metropolitan urban areas, shorter length of stay, and musculoskeletal diseases were associated with greater dissatisfaction. Conclusion: Different factors were related to patient satisfaction and dissatisfaction with care. Those factors need to be taken into account when evaluating and comparing satisfaction levels between health care institutions.

Keywords

References

  1. Aharony, L., & Strasser, S. (1993). Patient Satisfaction: What we know about and what we still need to explore. Med Care Rev, 50, 49-79 https://doi.org/10.1177/002570879305000104
  2. Choi, J. S., Kim, J. H., Nam, J. J., Go, M. J., Jo, J. G., & Lee, Y. H. (2002a). 2001 National Health and Nutrition Survey: Acute Diseases, injuries & Poisoning. Ministry of Health & Welfare
  3. Choi, J. S., Kim, J. H., Nam, J. J., Go, M. J., Jo, J. G., & Lee, Y. H. (2002b). 2001 National Health and Nutrition Survey: Chronic Diseases. Ministry of Health & Welfare
  4. Choi, J. S., Nam, J. J., Kim, J. H., & Go, M. J. (2002). 200i National Health and Nutrition Survey Progress Report. Ministry of Health & Welfare, & Korea Institute for Health & Social Affairs
  5. Cohen, G. (1996). Age and health status in a patient satisfaction survey. Soc Sci Med, 42, 1085-1093 https://doi.org/10.1016/0277-9536(95)00315-0
  6. Donabedian, A. (1980). Exploration in Quality Assessment and Monitoring (Volume I): The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI: Health Administration Press
  7. Donabedian, A. (2003). An introduction to Quality Assurance in Health Care. New York: Oxford University Press
  8. Eom, A. Y. (2001). Patients' perception and satisfaction with nursing care in Korea. J Korean Acad Soc Adult Nurs, 13, 581-590
  9. Hall, J. A., & Doman, M. C. (1990). Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Soc Sci Med, 30, 811-818 https://doi.org/10.1016/0277-9536(90)90205-7
  10. Hargraves J. L., Wilson, I. B., Zaslavsky, A., James, C., Walker, J. D., Rogers, G., & Cleary, P. D. (2001). Adjusting for patient characteristics when analyzing reports from patients about hospital care. Med Care, 39, 635-641 https://doi.org/10.1097/00005650-200106000-00011
  11. Kocher, M. S., Steadman, J. R., Briggs, K., Zurakowski, D., Strerett, W. I., & Hawkins, R. J. (2002). Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg, 84, 1560-1572
  12. Korea National Statistical Office (2004). 2003 Report on the Social Statistics Survey. Korea National Statistical Office
  13. Lee, M. A. (2002). A study of the nursing service quality and satisfaction that admitted patients perceived: being used SERVQUAL. J Korean Acad Nurs, 32, 506-518
  14. Lee, M. A., Kim, I. H., & Baek, S. H. (2003). Perceived consumers satisfaction with nursing and medical service and hospital revisiting intent. J Korean Acad Nurs Adm, 9, 403-414
  15. Lee, S. I. (1994). Measurement of ambulatory patients' satisfaction and its influencing factors in a tertiary hospital. Korean J Prev Med, 27, 366-376
  16. Lee, S., Kim, J. I., Cho, W., & Lee, J. (1998). A Study on the patient satisfaction survey at the general hospitals in Korea. J Korean Soc Qual Assur Health Care, 5(1), 42-57
  17. Linder-Pelz, S. (1982). Toward a theory of patient satisfaction. Soc Sci Med, 16, 577-582 https://doi.org/10.1016/0277-9536(82)90311-2
  18. Ministry of Health & Welfare (2002). Users Guide for 2001 National Health and Nutrition Survey Data. Ministry of Health & Welfare
  19. Ministry of Health & Welfare (2004). 2004 Guidelines for Hospital Evaluation Programme. Ministry of Health & Welfare
  20. Nam, J. J., Kim, H. R., Lee, S. H., Choi, E. Y., Yoon, K. J., Park, I. H., & Kwon, S. H. (1999). 1998 National Health and Nutrition Survey: Health Interview Survey. Ministry of Health & Welfare
  21. Nguyen Thi, P. L.., Briancon, S., Empereur, F., & Guillemin, F. (2002). Factors determining inpatient satisfaction with care. Soc Sci Med, 54, 493-504 https://doi.org/10.1016/S0277-9536(01)00045-4
  22. Organisation for Economic Co-operation and Development (2003). OECD Health Data 2003, OECD
  23. Park, H. R., Moon, J. S., & Youn, S. J. (2000). Satisfaction regarding the usage of emergency treatment service. J Korea Community Health Nurs Acad Soc, 14, 293-303
  24. Pascoe, G. C. (1983). Patient satisfaction in primary health care: A literature review and analysis. Eval Program Plann, 6, 185-210 https://doi.org/10.1016/0149-7189(83)90002-2
  25. Pemeger, T. V. (2004). Adjustment for patient characteristics in satisfaction surveys. Int J Qual Health Care, 16, 433-435 https://doi.org/10.1093/intqhc/mzh090
  26. Sofaer, S., & Firminger, K. (2005). Patient perceptions of the quality of health services. Annu Rev Public Health, 26, 513-559 https://doi.org/10.1146/annurev.publhealth.25.050503.153958
  27. Westaway, M. S., Rheeder, P., Van Zyl, D. G., & Seager, J. R. (2003). Interpersonal and organizational dimensions of patient satisfaction: the moderating effects of health status. Int J Qual Health Care, 15, 337-344 https://doi.org/10.1093/intqhc/mzg042