Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

A Comparison Study using Mixed Methods on Foreign Residents' Satisfaction with Korean Health Care Services

혼합설계방법을 사용한 한국거주 외국인의 의료서비스 이용만족도 비교연구

  • Kim, Keum Soon (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Ahn, Jung Won (College of Nursing, Seoul National University) ;
  • Kim, Jin A (Korea Health Industry Development Institute) ;
  • Kim, Hee Jung (Korea Health Industry Development Institute)
  • 김금순 (서울대학교 간호대학.간호과학연구소) ;
  • 안정원 (서울대학교 간호대학) ;
  • 김진아 (한국보건산업진흥원) ;
  • 김희정 (한국보건산업진흥원)
  • Received : 2013.11.04
  • Accepted : 2014.01.14
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to examine and compare satisfaction with Korean health care services for Americans, Chinese and Russians who resided in Korea. Methods: A questionnaire was distributed to 252 participants (81 Americans, 89 Chinese, 82 Russians). Three focus group interviews were subsequently conducted in order to obtain a greater understanding of participants' experience and perspectives. Results: The average satisfaction score was 3.09, with Americans and Russians showing significantly higher scores than Chinese. Overall, participants reported higher satisfaction in 'Facility', 'Quality of care' and 'Nursing services' as opposed to 'Information/education'. 'Care with cultural respect' as well as communication related services. Data from the focus group interviews were categorized into 12 sub-categories, 7 categories and 2 themes. The two themes were common experience and contrasting experience. Common experience included 4 categories, 'Quality of care', 'Hospital facility and health care system', 'Language barrier' and 'Information and education'. Contrasting experience included 3 categories, 'Medical cost', 'Health care personnel' and 'Accessibility'. Conclusion: Results of this study provide basic knowledge on foreign residents' satisfaction and experience with Korean health care services. Further research is needed with foreigners from different cultural backgrounds. Administrative and educational efforts are required to improve communication skills and cultural competency.

Keywords

References

  1. Korea Immigration Service, Ministry of Justice. 2011 Korea immigration service statistics. Gwacheon: Ministry of Justice, 2012. Report No.: 11-1270000-000465-10.
  2. Korea Health Industry Development Institute. Statistics on international patients in Korea, 2011 [Internet]. Cheongwon: Korea Health Industry Development Institute; 2012. [cited 2013 November 11]. Available from: http://www.khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&b bsid=B301&cat_bbsid=&bbs_seq=355&jkey=&jword=&pg=4&htxt_co de=12536978062659050219061516896964&wj_vcs=&reverseNum=101
  3. Lassetter JH, Callister LC. The impact of migration on the health of voluntary migrants in western societies. Journal of Transcultural Nursing. 2009;20(1):93-104. http://dx.doi.org/10.1177/1043659608325841
  4. Hwang J, Park HA. Patient satisfaction as an outcome indicator. Journal of Korean Academy of Adult Nursing. 2001;13(1):29-39.
  5. Lee S, Kim JI, Cho W, Lee J. A Study on the patient satisfaction survey at the general hospitals in Korea. Quality Improvement in Health Care. 1998; 5(1):42-57.
  6. Lee S, Cho WH, Choi KS, Kang M. Comparative analysis of models for measuring consumer satisfaction in health care organization. Korean Journal of Preventive Medicine. 2001;34(1):55-60.
  7. Kim MR, Rhee KC. Development of consumer satisfaction scale for outpatients' medical services. Journal of Consumer Studies. 2003;14(2): 197-214.
  8. Kim MS, Park HY. An empirical study on service quality and patient satisfaction in specialty and general hospitals. Korean Journal of Hospital Management. 2006;11(1):31-53.
  9. Kim BG, Yang JH, Chang DM. A study on the medical services satisfaction of cancer patients in Busan area. Journal of the Korea Academia- Industrial Cooperation Society. 2012;13(1):236-246. https://doi.org/10.5762/KAIS.2012.13.1.236
  10. In S. The effect of customer value in regards to medical tourism products on customer satisfaction and loyalty: Moderating effects of switching barriers [dissertation]. Gangneung: Kwan-Dong University; 2012.
  11. Kim J. Survey of services provided by non-governmental organizations for foreign workers. Korean Public Health Researches. 2004;30(1): 24-35.
  12. Koh CK, Koh SK. Married female migrants' experiences of health care services. Journal of Korean Academic Society of Nursing Education. 2009;15(1):89-99. https://doi.org/10.5977/JKASNE.2009.15.1.089
  13. Lee BS, Oh IK, Lee EM. Foreign residents' experience of Korean health care services. Journal of Korean Academy of Nursing Administration. 2011;17(2):226-237. http://dx.doi.org/10.11111/jkana.2011.17.2.226
  14. Ware JE, Snyder MK, Wright WR. Development and validation of scales to measure patient satisfaction with medical care services Vol I Part B: Results regarding scales constructed from the patient satisfaction questionnaire and measures of other health care perceptions. Springfield, VA: National Technical Information Service, 1976. Report No.: NTIS Publication No. PB 288-300.
  15. Parasuraman A, Berry LL, Zeithaml VA. SERVQUAL: A multiple-item scale for measuring consumer perception of service quality. Journal of Retailing. 1988;64(1):12-40.
  16. Aharony L, Strasser S. Patient satisfaction: What we know about and what we still need to explore. Medical Care Review. 1993;50(1):49-79. https://doi.org/10.1177/002570879305000104
  17. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
  18. Department of International Cooperation, Korea Health Industry Development Institute. Care manual for international patients. Cheongwon: Korea Health Industry Development Institute, 2010.
  19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-112. http://dx.doi.org/10.1016/j.nedt.2003.10.001
  20. Wold Health Organization. Resolution WHA 61.17: Health of migrants. The Sixty-first World Health Assembly; 2008 May 19-24; Geneva: Switzerland.
  21. Andrulis DP, Brach C. Integrating literacy, culture, and language to improve health care quality for diverse populations. American Journal of Health Behavior. 2007;31(Suppl 1):S122-S133. http://dx.doi.org/10.5555/ajhb.2007.31.supp.S122
  22. Kim Y. Diversification in Korea and cultural competence in social welfare. Korean Journal of Social Welfare Studies. 2007;35:117-144.
  23. Hwang JI. Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital. Quality Improvement in Health Care. 2006;12(1):6-16.
  24. Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: A systematic review. The British Journal of General Practice. 2002;52(485):1012-1020.
  25. Kim DS, Kim D, Jung TY. Cognition of Korean college students for six foreigner groups. Korean Journal of Social and Personality Psychology. 2011;25(1):1-23.
  26. Lim DK, Kim CS. A study on Korean college students' perception of multi-cultural society and its antecedent factors: Focusing on social distance, image of foreign residents, and qualifications for being a Korean. Korean Journal of Communication Studies. 2011;19(1):5-34.

Cited by

  1. 미국내 아시아 이민자들의 의료서비스 이용에 영향을 미치는 요인 vol.29, pp.1, 2015, https://doi.org/10.5932/jkphn.2015.29.1.53
  2. 보건의료서비스 이용자의 사회경제적 특성이 보건의료서비스의 여건변화 지각에 미치는 영향 vol.16, pp.5, 2014, https://doi.org/10.5762/kais.2015.16.5.3276
  3. 외국인 환자 입원간호 프로토콜 개발 연구 vol.22, pp.2, 2014, https://doi.org/10.22650/jkcnr.2016.22.2.161
  4. Effects on Critical Thinking Disposition and Empathy on Cultural Competency in Nursing Students vol.25, pp.4, 2014, https://doi.org/10.12934/jkpmhn.2016.25.4.347
  5. 비영어권 외국인 입원환자를 돌보는 간호사의 경험 vol.17, pp.12, 2014, https://doi.org/10.5762/kais.2016.17.12.415
  6. Structural Equation Modeling of Cultural Competence of Nurses Caring for Foreign Patients vol.11, pp.1, 2017, https://doi.org/10.1016/j.anr.2017.03.001
  7. 외국인 환자의 의료서비스 만족도, 재방문 의사, 추천 의사에 영향을 미치는 요인 vol.27, pp.1, 2014, https://doi.org/10.4332/kjhpa.2017.27.1.63
  8. The Effects of Korean Medical Service Quality and Satisfaction on Revisit Intention of the United Arab Emirates Government Sponsored Patients vol.11, pp.2, 2017, https://doi.org/10.1016/j.anr.2017.05.008
  9. 캐나다 재외국민 설문조사에 기초한 한국과 캐나다 1차 의료기관 만족도 비교 연구 vol.21, pp.5, 2014, https://doi.org/10.5762/kais.2020.21.5.565
  10. 비영어권 외국인 내원객의 조명 신호와 안내서를 이용한 검사방법 개선 효과(흉부 방사선 검사자를 대상으로) vol.14, pp.5, 2020, https://doi.org/10.7742/jksr.2020.14.5.577
  11. 인문학적 소양과 공감능력이 간호대학생의 문화적 역량에 미치는 영향 vol.8, pp.2, 2020, https://doi.org/10.22961/jhcls.2020.8.2.91