DOI QR코드

DOI QR Code

Factors Affecting Women's Satisfaction with Hospital Environment Following Childbirth

분만 후 여성의 의료환경 만족도에 미치는 요인

  • Choi, Young Soon (Health Insurance Policy Research Institute, National Health Insurance Service) ;
  • Jung, Mi Sook (Research Institute of Nursing Science, Chungnam National University)
  • 최영순 (국민건강보험공단) ;
  • 정미숙 (충남대학교 간호대학 간호과학연구소)
  • Received : 2013.08.27
  • Accepted : 2013.11.07
  • Published : 2013.11.30

Abstract

The purpose of this study was to determine factors of women's satisfaction of hospital environment following childbirth. Data were collected using a structured questionnaire from 783 women visited at 101 hospitals for delivery and frequencies, t-test, ANOVA, Pearson's correlation, and multiple regression analyses were performed. Women's satisfaction was significantly related with personal and environmental factors. Specifically, a kind of patient room, using a shared room regardless of their preference, using family delivery room, planned hospitalization, gestational week at delivery, and hospital locations significantly predicted the variance of women's satisfaction. Therefore, hospital user satisfaction should be carefully understood as a consequence of interaction of person and environment and the level of satisfaction can be represented by the degree of congruency between personal and environmental characteristics. Furthermore, healthcare providers should develop strategies to reduce gaps between personal preferences/will/control and environmental situations, contributing to women's satisfaction with hospital following childbirth.

본 연구의 목적은 분만을 위해 내원한 여성들의 의료환경 만족도에 영향을 미치는 요인을 파악하기 위함이다. 전국 101개의 병원에 내원한 783명의 분만 여성을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며, 수집된 자료는 빈도, t-test, ANOVA, 상관계수, 다중회귀 분석으로 평가하였다. 분만여성의 만족도는 개인적, 환경적 특성과 유의한 관련성을 보였다. 세부적으로, 입원실 종류, 본인 의사/취향을 고려치못한 다인실 사용, 가족분만실 사용, 계획된 내원, 분만주수, 병원이 위치한 지역이 만족도를 유의하게 설명하였다. 그러므로 병원내원자의 만족도는 개인과 환경사이 상호작용의 결과물로 주의깊게 이해되어야 하며, 만족도의 정도는 개인-환경적 특성간의 일치성 정도로 표현될 수 있다는 것을 제시한다. 또한, 건강간호 전문가는 개인의 취향/의지/통제력과 환경적 상황사이의 차이를 줄이기 위한 전략을 개발해야 하며, 이러한 노력은 분만 여성의 의료환경 만족도 향상에 기여할 것이다.

Keywords

References

  1. A. J. Lee, "Medical service combing business consulting with marketing-hospital marketing", Marketing, Vol.40, No.9, pp.65-69, 2006.
  2. H. Min, M. Lee, E. Kim, C. Kim, B. Na, S. Bae, "Trends in patient satisfaction studies in Korea, 1990-2005", Health Service Management Review, Vol.1, No.1, pp.51-58, 2007.
  3. D. Chung, M. Jung, J. Byeon, "Structural modeling of hospital facilities, medical human power, patietn satisfaction, and behavior intention in health care service", Health and Social Science, Vol.19, No.6, pp.151-178, 2006.
  4. E. O. Kim, S. Y. Jo, "The relationship among motives for theselection of a hospital, satisfaction with services in a hospital and the revisit intention of outpatients", Journal of Korean Clinical Nursing Research, Vol.10, No.1, pp.145-159, 2004.
  5. J. Kim, "Effect of physical environment of hospital on customer's satisfaction and worth of mouth, revisit intention", Journal of the Korean Academia-Industrial Cooperation Society, Vol.13, No.10, pp.4645-4652, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.10.4645
  6. W. H. Cho, S. H. Lee, K. Choi, K. Moon, "Application of the SERVQUAL scale to health care services", Korean Journal of Health Policy and Administration, Vol.9, No.4, pp.140-156, 1999.
  7. A. Chow, E. K. Mayer, A. W. Darzi, "Patient-reported outcome measures: the importance of patient satisfaction in surgery", Surgery, Vol.146, No.3, pp.435-443, 2009. DOI: http://dx.doi.org/10.1016/j.surg.2009.03.019
  8. D. Debono, J. Travaglia, "Complaints and patient satisfaction: A comprehensive review of the literature", Centre for Clinical Governance Research in Health, University of New South Wales, Australia, 2009.
  9. S. Min, J. S. Kim, "Patients' satisfaction with the services of university hospitals in local cities", The Journal of Korean Community Nursing, Vol.14, No.4, pp.726-736, 2003.
  10. J. S. Park, "The relationship of National University Hospital Impatient's perceived quality, satisfaction, and customer loyalty", Korean Journal of Hospital Management, Vol.9, No.4, 45-69, 2004.
  11. M. J. Jang, K. S. Park, "Effect of family-participated delivery in a labor delivery room on the childbirth of primiparas", Korean Journal of Women Health Nursing, Vol.8, No.3, pp.371-379, 2002.
  12. E. H. Lee, J. I. Kim, Y. M. Kim, Y. M. Kim, "Study on pain, efficacy, and comfort during first stage of laboring women", Korean Journal of Women Health Nursing, Vol.11, No.2, pp.129-134, 2005.
  13. K. Lewin, "Field Theory in Social Science", New York: Harper, 1951.
  14. R. D. Caplan, "Person-environment fit theory and organizations: commensurate dimensions, time perspectives, and mechanisms" Journal of Vocational Behavior, Vol.31, No.3, pp.248-267, 1987. DOI: http://dx.doi.org/10.1016/0001-8791(87)90042-X
  15. E. Kahana, L. Lovegreen, B. Kahana, M. Khana, "Person, environment, and person-environment fit as influences on residential satisfaction of elders", Environment and Behavior, Vol.35, No.3, pp.434-453, 2003. DOI: http://dx.doi.org/10.1177/0013916503035003007
  16. N. R. Stevens, "Perceived control and maternal satisfaction with the childbirth experience", Doctoral dissertation, University of Kansas, Lawrence, 2011.
  17. S. Yoon, "A study on the meaning of procreation and child care", Honam University Journal, Vol.17, No.2, pp.437-446, 1996.
  18. K. H. Lee, "Change of the childbearing culture: family centered delivery", Nursing Science, Vol.12, No.2, pp.11-16, 2000.
  19. E. Kim, Y. Yu, "A study on the architectural planning of a maternity ward focused on rooming-in system", Korea Institute of Healthcare Architecture Journal, Vol.8, No.2, pp.25-33, 2010.
  20. S. Jung, "A study of inpatient satisfaction levels at general hospitals", Journal of Korea Academia-Industrial Cooperation Society, Vol.13, No.7, pp.3094-3101, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.7.3094
  21. B. S. Choi, H. Y. Kang , "Patient satisfaction and need on hospital services at a city", Chonnam Journal of Nursing Science, Vol.10, No.1, pp.23-34, 2005.
  22. S. T. Park, G. S. Lee, H. J. Lee, C. B. Kim, J. S. Cho, "Determinants of utilization behavior and satisfaction of oriental and western medical hospital in Korea", Korean Journal of Health Policy and Administration, Vol.10, No.2, pp.22-40, 2000.
  23. L. E. Harris, R. W. Swindle, S. M. Mungai, M. Weinberger, W. M. Tierney, "Measuring patient satisfaction for quality improvement", Medical care, Vol.37, No.12, pp.1207-1213, 1999. DOI: http://www.ncbi.nlm.nih.gov/pubmed/10599602 https://doi.org/10.1097/00005650-199912000-00004
  24. D. H. Brandon, K. P. Tully, S. G. Silva, W. F. Malcolm, A. P. Murtha, B. S. Turner, D. Holditch-Davis, "Emotional responses of mothers of late-preterm and term infants", Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol.40, No.6, pp.719-731, 2011. DOI: http://dx.doi.org/10.1111/j.1552-6909.2011.01290.x
  25. Health Insurance Policy Research Institute, "A fact-finding survey of stanard bed on OB&GY (Obstetrics and Gynecology) ward", Unpublished manuscript, National Health Insurance Service: Seoul, 2012.
  26. K. Z. Ahmad, "Person-environment fit: a critical review of the previous studies and a proposal for future research", International Journal of Psychological Studies, Vol.2, No.1, pp.71-78, 2010. DOI: http://www.dx.doi.org/10.5539/ijps.v2n1P71
  27. J. S. Park, "The analysis on the regional comparison and affecting factors of customer satisfaction", Korean Journal of Hospital Management, Vol.10, No.4, pp.23-50, 2005.

Cited by

  1. Complex relationship between Hospital management performance and the degree of the regional competition (Focusing on the Regional Public Hospital) vol.13, pp.10, 2015, https://doi.org/10.14400/JDC.2015.13.10.405
  2. Factors affecting the hospital profitability (Focusing on the convergence of differences in financial performance of the surplus and deficit hospital) vol.13, pp.11, 2015, https://doi.org/10.14400/JDC.2015.13.11.267