Browse > Article
http://dx.doi.org/10.4040/jkan.2014.44.1.86

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

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)
Publication Information
Journal of Korean Academy of Nursing / v.44, no.1, 2014 , pp. 86-96 More about this Journal
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
Foreigner; Health care services; Satisfaction; Mixed method; Focus groups;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 Kim Y. Diversification in Korea and cultural competence in social welfare. Korean Journal of Social Welfare Studies. 2007;35:117-144.
3 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.
4 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.
5 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.
6 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.
7 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.   DOI
8 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.
9 Kim J. Survey of services provided by non-governmental organizations for foreign workers. Korean Public Health Researches. 2004;30(1): 24-35.
10 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.   DOI
11 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   DOI
12 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.
13 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.
14 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.   DOI
15 Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
16 Korea Immigration Service, Ministry of Justice. 2011 Korea immigration service statistics. Gwacheon: Ministry of Justice, 2012. Report No.: 11-1270000-000465-10.
17 Department of International Cooperation, Korea Health Industry Development Institute. Care manual for international patients. Cheongwon: Korea Health Industry Development Institute, 2010.
18 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   DOI   ScienceOn
19 Wold Health Organization. Resolution WHA 61.17: Health of migrants. The Sixty-first World Health Assembly; 2008 May 19-24; Geneva: Switzerland.
20 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
21 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   DOI
22 Hwang J, Park HA. Patient satisfaction as an outcome indicator. Journal of Korean Academy of Adult Nursing. 2001;13(1):29-39.
23 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.
24 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.
25 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.
26 Kim MR, Rhee KC. Development of consumer satisfaction scale for outpatients' medical services. Journal of Consumer Studies. 2003;14(2): 197-214.