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http://dx.doi.org/10.14371/QIH.2020.26.1.35

Patient Dissatisfaction with Health Care: A Content Analysis of Newspaper Articles Between 1990 to 2015  

Lee, Ji-Su (Department of Health Policy and Management, Seoul National University College of Medicine)
Kim, Jae-Won (Department of Neuropsychiatry, Seoul National University Hospital)
Shin, Yu-Kyung (Seoul National University Hospital)
Kim, Tae-Jae (Department of Health Policy and Management, Seoul National University College of Medicine)
Do, Young-Kyung (Department of Health Policy and Management, Seoul National University College of Medicine)
Publication Information
Quality Improvement in Health Care / v.26, no.1, 2020 , pp. 35-45 More about this Journal
Abstract
Purpose: This study was conducted to identify patients' dissatisfaction with health care through a content analysis of newspaper articles published between 1990 and 2015. It focused on developing a systematic coding scheme for content analysis as well as exploring changes over time. Methods: Among articles published by 8 major national newspapers, our content analysis used those that specifically covered the dissatisfaction of patients. Coding taxonomy was developed in two domains: (1) contents of dissatisfaction and (2) special circumstances and groups where complaints were filed. All articles were then coded according to this coding taxonomy to conduct descriptive analysis. Results: A total of 794 complaints were discovered in 338 articles. Contents of dissatisfaction were classified into 7 categories and 50 subcategories. Complaints regarding accessibility, technical care, and administration were noticeable in special circumstances, including strikes and spread of epidemic diseases, whereas complaints on interpersonal care and cost were prominent in general population and circumstances. When comparing the proportion of articles covering patient dissatisfaction in general population/circumstances between 1990-2000 and 2001-2015, complaints on administration and physical environment diminished over time, whereas complaints on outcome of health care increased. Conclusion: This study offers a rare window to view the responsiveness of the Korean health care system on a long time horizon.
Keywords
Health system responsiveness; Patient dissatisfaction; Content analysis;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
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1 Mirzoev T, Kane S. What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. BMJ Global Health. 2017;2(4):e000486.   DOI
2 Mulcahy L, Tritter JQ. Pathways, pyramids and icebergs? Mapping the links between dissatisfaction and complaints. Sociology of Health & Illness. 1998;20(6):825-47.   DOI
3 Kim UN, Ock M, Shin Y, Jo MW, Lee JY, Do YK. Conceptual constructs of patient centeredness: perspective of patients and family members. Quality Improvement in Health Care. 2019;25(2):26-43.   DOI
4 Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Releasing results of first patient experience survey where patients directly participated; [cited 2018 August 9]. Available from: http://www.mohw.go.kr/react/modules/down\-load.jsp?BOARD_ID=140&CONT_SEQ=345664&\-FILE_SEQ=235488
5 Bankauskaite V, Saarelma O. Why are people dissatisfied with medical care services in Lithuania? A qualitative study using responses to open-ended questions. International Journal for Quality in Health Care. 2003;15(1):23-9.   DOI
6 Phillips N, Lawrence TB, Hardy, C. Discourse and institutions. Academy of Management Review. 2004;29(4):635-52.   DOI
7 World Health Organization. The World Health Report: 2000: health systems: improving performance. World Health Organization; 2000.
8 Arah OA, Westert GP, Hurst J, Klazinga NS. A conceptual framework for the OECD health care quality indicators project. International Journal for Quality in Health Care. 2006;18:5-13.   DOI
9 Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. Enhancement of satis faction with doctor nurse service experienced by patients.; [cited 2020 January 21]. Available from: http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=140&CONT_SEQ=352450&-FILE_SEQ=282735
10 Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Patients directly participate in the evaluation of the medical service; [cited 2017 July 8]. Available from: http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=140&CONT_SEQ=340553&FILE_SEQ=209414
11 Organization for Economic Co-operation and Development. OECD Health Statistics 2019 [cited 2020 May 11]. Available from: https://stats.oecd.org
12 Min HW, Lee MS, Kim EY, Kim CW, Na BJ, Bae SH. Trends in patient satisfaction studies in Korea, 1990-2015. Health Service Management Review. 2007;1(1):51-8.
13 Otten AL. The influence of the mass media on health policy. Health Affairs. 1992;11(4):111-8.   DOI
14 Sohn S, Lee G, Lee S. Comparative analysis of characteristics and frames of news articles on healthcare: differences from administration changes and medias ideological orientation. Korean Journal of Journalism & Communication Studies. 2014;58(1):306-30.
15 Montini T, Noble AA, Stelfox HT. Content analysis of patient complaints. International Journal for Quality in Health Care. 2008;20(6):412-20.   DOI
16 Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Quality & Safety. 2014;23(8):678-89.   DOI
17 Raberus A, Holmstrom IK, Galvin K, SUNDLER AJ. The nature of patient complaints: a resource for healthcare improvements. International Journal for Quality in Health Care. 2019;31(7):556-62.   DOI
18 Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-15.   DOI