중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제17권3호
  • /
  • Pages.76-86
  • /
  • 2024
  • /
  • 2005-212X(pISSN)
  • /
  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

간호⋅간병통합서비스 병동 입원환자 만족도 영향요인: 의료서비스 경험 조사 자료 이용

Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database

  • 투고 : 2023.09.18
  • 심사 : 2024.10.10
  • 발행 : 2024.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose : In this study, we aimed to identify factors influencing the inpatient satisfaction in integrated nursing care service wards. Methods : Using data from the 2020 and 2021 healthcare service experience surveys conducted by the Ministry of Health and Welfare, this study analyzed a weighted sample of 416,020 participants using descriptive statistics, pairedt-test, Pearson's correlation, and multiple linear regression analyses. Results : Inpatient satisfaction in integrated nursing care service wards was most significantly affected by the experiences with nursing services and perceived health status, followed by experiences with doctor services, length of hospitalization, age, experiences with medical institution services, education level, gender, presence of chronic diseases, type of hospital, and occupation. Most significant positive impacts were associated with experiences with nursing and doctor services, especially in general hospitals and high-level facilities, among males and elderly patients > 60 years old. In contrast, high education level, presence of chronic diseases, and unemployment were associated with low inpatient satisfaction. Conclusion : Effective programs and guidelines must be developed and implemented to expand and promote the integrated nursing care and medical services and overall utilization of healthcare institutions, with a special focus on person-centered care.

키워드

과제정보

This work was supported by Youngsan University Research Fund of 2023.

참고문헌

  1. Comprehensive nursing service expansion promotion team. Summary of comprehensive nursing service. In: Comprehensive nursing service expansion promotion team, editors. Standard manual for comprehensive nursing service in the National Health Insurance Service. 1st ed. Wonju: National Health Insurance Service; 2017. p. 11-22. 
  2. Ministry of Health and Welfare. The 1st national health insurance comprehensive plan, implementation plan for 2022 [Internet]. Sejong: Ministry of Health and Welfare; 2022 [cited 2023 July 15]. Available from: https://www.mohw.go.kr/board.es?mid=a10401000000&bid=0008&act=view&list_no=369356&tag=&nPage=1 
  3. Yi JS, Kim JH. The social cost of informal nursing care and its policy implications for integrated nursing and care services. The Korean Journal of Health Economics and Policy. 2021;27(1):97-118. 
  4. Kim J, Kim S, Park E, Jeong S, Lee E. Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration. 2017;23(3):312-22. https://doi.org/10.11111/jkana.2017.23.3.312 
  5. Kim AE, Kim MY, Oh DB, Jung SY, Lee MJ. Factors affecting nursing satisfaction of inpatients in comprehensive nursing care service ward. Korea Journal of Hospital Management. 2020;25(1):46-57. 
  6. Jung SM, Yoon SH. Comparative analysis research of inpatient satisfaction with nursing on comprehensive nursing service units & general units and nurses' work stress. Journal of Korean Academy of Nursing Administration. 2017;23(3):229-38. https://doi.org/10.11111/jkana.2017.23.3.229 
  7. Jeong HJ, Park JS. Factors that affect musculoskeletal surgical patients' perceptions of nursing services quality at comprehensive nursing care wards. Global Health and Nursing. 2020;10(2):131-40. http://doi.org/10.35144/ghn.2020.10.2.131 
  8. Kim JH, Kwon HJ, Jung YM, Lee EH, Yeo NG, Choi HY. Effects of integrated nursing care and service scheme on nurse employment: an input-output model approach. Health and Social Welfare Review. 2021;41(3):210-25. http://doi.org/10.15709/hswr.2021.41.3.210 
  9. Ministry of Health and Welfare. Nursing care integrated service operating status as of the end of June 2023. Ministry of Health and Welfare; 2023 [cited 2023 October 10]. Available from: https://www.mohw.go.kr/react/gm/sgm0704vw.jsp?PAR_MENU_ID=13&MENU_ID=1304080301&page=1&CONT_SEQ=378500&PAR_CONT_SEQ=369749 
  10. Cho YH, Park YS. The effect of perceived medical services quality by outpatient on the hospital image, satisfaction and re-use intention. The Journal of the Korea Contents Association. 2018;18(4):516-29. http://doi.org/10.5392/JKCA.2018.18.04.516 
  11. Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person-centred care: a conceptual framework. Health Expectations. 2018;21(2):429-40. http://doi.org/10.1111/hex.12640 
  12. Shin JW, Jo BH, Choi BR, Kim HS, Kim KH, Shin JY, Jo SK, Ko GJ. Medical service experience survey. Sejong: Korea Institute for Health and Social Affairs; 2017. 11-1352000-002155-10. [cited 2023 July 15]. Available from: https://www.mohw.go.kr/board.es?mid=a10411010200&bid=0019&act=view&list_no=343794&tag=&nPage=1 
  13. Lee J, Gu JW. A case study of customer satisfaction management of Samsung medical center. Journal of Korea Service Management Society, 2013;14(4):1-26. https://doi.org/10.15706/jksms.2013.14.4.001 
  14. Park CG, Ahn JM. A study on comparison influencing factors on external customer satisfaction public and non-profit hospital. Korean Public Health Research. 2014;40(1):41-53. http://doi.org/10.22900/kphr.2014.40.1.004 
  15. Shin JW, Jung SH, Chun MG, Lee HJ, Choi BR, Cho BH, Jung CH. 2021 Medical service experience survey. Sejong: Korea Institute for Health and Social Affairs; 2021 November. 11-1352000-002155-10. [cited 2023 July 15]. Available from: https://www.mohw.go.kr/board.es?mid=a10411010200&bid=0019&act=view&list_no=375008 
  16. Jung YA, Sung KM. A comparison of patients' service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. Journal of Korean Academy of Nursing Administration. 2018;24(1):30-9. http://doi.org/10.11111/jkana.2018.24.1.30 
  17. Hwang HY, Pakr JH. Effects of forms of care and nurses's attitude on hospital in-patient satisfaction: Focusing on comprehensive nursing care. Journal of the Korean Data Analysis Society. 2021;23(5):2307-16. https://doi.org/10.37727/jkdas.2021.23.5.2307 
  18. Kim J, Choi HS. Research trends in Korea on integrated nursing care service: a scoping review. Korean Journal of Adult Nursing. 2020;32(5): 455-71. https://doi.org/10.7475/kjan.2020.32.5.455 
  19. Korea Statistics Promotion Institute. MicroData Inter-grated Service: 2019 survey Questionnaire for Healthcare Experience [Internet]. Daejeon: Korea Statistics Promotion Institute; 2021 [cited 2023 July 15]. Available from: https://mdis.kostat.go.kr/dwnlSvc/ofrSurvSearch.do?curMenuNo=UI_POR_P9240&divisionCode=OUT&orgDivisionCode=OUT&extcTypeDivCD=Y&dataDivCd=&curMenuNo=UI_POR_P9012&isAdminUser=N&userId= 
  20. Lee JS, Lee JW. A comparison of factors affecting hospital revisit intention in comprehensive nursing care unit and general care unit. Journal of the Korea Academia-Industrial cooperation Society. 2020;21(4):73-81. http://doi.org/10.5762/KAIS.2020.21.4.73 
  21. Lee SK, Lee SH. Effects of healthcare service experience factors on satisfaction and behavioral intention: focus on patient experience evaluation. Journal of Korea Service Management Society. 2020;21(2):1-21. http://doi.org/10.15706/jksms.2020.21.2.001 
  22. Hong JY, Chae JM, Song MR, Kim EM. A utilization strategy of nursing staff by types of medical institutions-nurse staffing level of medium and small-sized hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(8):162-70. https://doi.org/10.5762/KAIS.2017.18.8.162 
  23. Kim J, Kim S, Park J, Park E, Jeong S, Lee E. Adequacy of nurse staffing level in integrated nursing care. Journal of Korean Academy of Nursing Administration. 2018;24(4):288-97. https://doi.org/10.11111/jkana.2018.24.4.288 
  24. Bae SH, Lee I, Kim J, Oh SJ, Shin S. Perceptions of patient-centered care and patient-centeredness experiences of patients and nurses in comprehensive nursing care units at general hospitals. Korea Journal of Hospital Management. 2019;24(3):48-60. 
  25. Wolosin R, Ayala L, Fulton BR. Nursing care, inpatient satisfaction, and value-based purchasing: vital connections. The Journal of Nursing Administration. 2012;42(6):321-25. http://doi.org/10.1097/NNA.0b013e318257392b 
  26. Kang J, Cho YS, Jeong YJ, Kim SG, Yun S, Shim M. Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing. 2018;48(3):323-34. https://doi.org/10.4040/jkan.2018.48.3.323 
  27. G/egziabher R, Biks GA, Worku N, Endalew B, Dellie E. Patient-centered care and associated factors among adult admitted patients in South Wollo public hospitals, Northeast Ethiopia. Patient Prefer Adherence. 2022;16:333-42. https://doi.org/10.2147/PPA.S346000 
  28. Eklund JH, Holmstrom IK, Kumlin T, Kaminsky E, Skoglund K, Hoglander J, et al. "Same same or different?" A review of reviews of person-centered and patient-centered care. Patient Education and Counseling. 2019;102(1):3-11. https://doi.org/10.1016/j.pec.2018.08.029 
  29. Kuipers SJ, Cramm JM, Nieboer AP. The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social wellbeing of patients with multi-morbidity in the primary care setting. BMC Health Services Research. 2019;19(1):13. https://doi.org/10.1186/s12913-018-3818-y 
  30. Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nursing Open. 2019;6(2):535-45. https://doi.org/10.1002/nop2.237 
  31. Lee YN, Kim J, Go G, Kang P. Exploring the subjective frame of patient satisfaction among patients admitted to the comprehensive nursing care service: Q methodology application. Journal of Korean Academy of Nursing Administration. 2021;27(5):323-33. https://doi.org/10.11111/jkana.2021.27.5.323 
  32. Lee NY, Han JY, Heo MJ. Comparison of satisfaction and need on nursing service perceived by the patients and nurses. Journal of the Korean Data & Information Science Society. 2015;26(1):169-77. https://doi.org/10.7465/jkdi.2015.26.1.169 
  33. Choi HJ, Han AL, Park YM, Lee JH, Tae YS. Hospitalization experience of patients admitted to nursing care integrated service wards in small and medium-size general hospitals. Journal of Korean Academy of Nursing Administration. 2018;24(5):396-409. https://doi.org/10.11111/jkana.2018.24.5.396 
  34. Hwang NM. A plan to expand comprehensive nursing services to ensure the quality of hospitalization services in medical institutions. Korea Institute for Health and Social Affairs Issue Focus. 2015;286:1-8. 
  35. Berkowitz R, Vu J, Brummett C, Waljee J, Englesbe M, Howard R. The impact of complications and pain on patient satisfaction. Annals of Surgery, 2021;273(6):1127-34. https://doi.org/10.1097/SLA.0000000000003621 
  36. Ferreira DC, Vieira I, Pedro MI, Caldas P, Varela M. Patient satisfaction with healthcare services and the techniques used for its assessment: a systematic literature review and a bibliometric analysis. Healthcare. 2023;11(639):1-31. https://doi.org/10.3390/healthcare11050639