• Title/Summary/Keyword: Patient satisfaction level

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Evaluation of Patient-Centered Healthcare Provision in Hospitals and General Hospitals- Based on Patient Experience Assessment (병원과 종합병원의 환자중심 의료서비스 제공 수준 평가- 환자경험평가를 중심으로)

  • Hwang, Byung-Deog;Kim, Yun-Jeong
    • The Korean Journal of Health Service Management
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    • v.12 no.3
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    • pp.1-11
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    • 2018
  • Objectives: The purpose of this study is to evaluate patient experience assessment of inpatients, and to prepare measures to improve the quality level of medical services and guarante patient rights. Methods: The study was conducted among 199 patients admitted to hospitals and general hospitals in the metropolitan area. The analysis method used was crossover analysis, including a comparison of means, and logistic regression analysis. Results: The overall average score of satisfaction with healthcare service was 3.39 for nurses, 3.35 for hospitals and 3.42 for general hospitals. Age at the time of hospitalization affected satisfaction. The overall average score of healthcare service satisfaction was 3.09 for doctors, 3.14 for hospitals, and 3.04 for general hospitals. The factors affecting hospital satisfaction were gender and subjective health status. The factors affecting satisfaction in general hospitals were education, medical department, and hospitalization route. Conclusions: Hospitals should also introduce a systematic management system of general hospitals and strengthen the guarantee of the rights of patients who can improve the quality of medical care through positive communication between medical personnel and patients.

Effects of Surgery Information Service on One-Day Surgery Patients' Anxiety and Satisfaction with Nursing Care (간호정보 제공이 당일수술 환자의 불안과 간호만족도에 미치는 효과)

  • Lim, Yean-Ho;Suh, In-Sun;Chung, Seung-Hee
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.1-10
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of surgery information service on one-day surgery patients' anxiety and satisfaction with nursing care. Methods: The study used the nonequivalent control group time difference design. Sampling and measurement of the control group participants (n=30) was completed first. Later, participants in the experimental group (n=30) were sampled, intervened, and measured. The experimental group participants received the surgery information services twice: before and after the surgery, 20~30 minutes for each of the sessions. The anxiety was measured with the State-Trait Anxiety Inventory developed by Spielberger (1975), and modified by Kim & Shin (1978). The patient satisfaction with nursing care was measured with the Patient Satisfaction with Nursing Care Scale developed by La Monica and colleagues (1986), and modified by Shin (1999). The data was collected between February 1 and May 30, 2006. Results: The results were as follows: 1) The level of anxiety in the experimental group was not significantly different from that in the control group. 2) The level of patient satisfaction with nursing care in the experimental group was significantly higher than in the control group (t=-4.53, p=.00). Conclusion: These findings suggested that the one-day vocal cord surgery information service could be a useful nursing intervention to improve patient satisfaction with nursing care, but not for controlling the anxiety of one-day surgery patients.

A Study on the Nursing Organizational Change and Outcome in a General Hospital (일 종합병원 간호부서의 조직구조 재설계 전후 조직성과 비교)

  • Kim, Bog-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.195-207
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    • 2005
  • Purpose: The purpose of this study was to confirm the change of nursing organizational characteristics and to define the difference of organizational outcome by measuring the organizational commitment and job satisfaction perceived by nursing staffs and patient satisfaction before and after organizational redesign. Method: The structured questionnaires of which contained organizational characteristics, organizational commitment and job satisfaction were developed from previous published studies after modification by researcher. The questionnaires were distributed to 1,200 and 679 nurses before and after nursing organizational change. patient satisfaction were measured before and after organizational change by direct interview with structured questionnaire from 1,566 and 1,291 patients. Results: 1. The organizational characteristics were significantly increased and the leadership of team leader and head nurse was significantly increased among the factors of organizational characteristics. 2. Organizational commitment was showed decreased tendency, but the difference was not significant. Job satisfaction was increased significantly and administration, autonomy, and job tasks were increased significantly in the factors of job satisfaction. Patient satisfaction was also increased significantly. 3. There was significant positive correlation between organizational commitment and job satisfaction and also job satisfaction and nursing organizational characteristics. All factors of organizational characteristics and satisfaction in present working unit were major factors to influence organizational commitment and explained 43.8% in a significant level by multiple regression analysis. The major factor which affect job satisfaction were the factors of nursing organizational characteristic except 'interaction with team leader' and satisfaction in present working unit among general characteristics and these factors explained 58.8% of job satisfaction. Conclusion: In conclusion, the nursing organizational change was very effective to bring about desirable change in nursing organizational characteristics and also to improve job satisfaction and patient satisfaction. Therefore the nursing productivity and comparability would be increased when the nursing organizational change is accomplished by the way of improving the factors of organizational characteristics and it would be followed by the promotion of job satisfaction and organizational commitment.

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A Study on Major Factors on Patient Satisfaction of General Hospitals in Korea - Analysis of factors associated with in Health Service Evaluation Program by the Korean Government - (종합병원 입원환자와 외래환자의 만족도 요인 분석 - 의료기관 서비스평가 자료를 활용한 실증 분석 -)

  • Bae, Sung-Kwon;Nam, Eun-Woo;Park, Jae-Young
    • Korea Journal of Hospital Management
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    • v.10 no.2
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    • pp.26-44
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    • 2005
  • The purpose of this study was to investigate these major factors on patient satisfaction, and to examine the affecting level of major factors in. The subjects in this study was 70 hospitals that were surveyed the hospital evaluation program containing the survey of patient satisfaction by KHIDI(Korea Health Industry Development Institute) from 1997 to 1999. The collected data was analysed SPSS for Windows(Ver 10.0). On basically, frequency analysis, t-test, and ANOVA was performed and, for more analysis, correlation analysis, factor analysis, multiple regression analysis, logistic regression analysis was utilized. According to this study, the major factors of inpatient satisfaction are divided 3 types facility factor, manpower factor, and service factor. And the major factors of outpatient satisfaction are analyzed 5 types; facility factor related direct medical service, facility factor related indirect medical services, manpower factor, pharmacy factor, and facility factor related utilization convenience. The importance of this study lies in the identification of major factors on hospital patient satisfaction.

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Factors related to willingness of choosing the same hospital (입원환자의 재선택 의향과 결정요인)

  • Seol, Dong-Won;Yu, Seung-Hum;Park, Eun-Cheol;Kim, Eun-Suak
    • Korea Journal of Hospital Management
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    • v.2 no.1
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    • pp.65-79
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    • 1997
  • This study aims to measure in-patients' willingness to choose the same hospital, and to define the related factors. The willingness was measured by the fact whether in-patients would return to the same hospital for their future hospitalization and can be said as the essence of ascertaining patients' satisfaction. Data was collected from 236 patients hospitalized in two hospitals selected according to its superiority, one being superior in medical technique, the other being superior in facility and equipment. To enhance the comparability between the two hospitals, the department and the diagnosis were matched, and structured questionnaires were self-fill-up. The main findings are as follows. Hospitals were analyzed by their superiority : medical services, facility and equipment. In case of hospitals with superior medical services, the willingness was proportional to positive doctor-patient relationship, to satisfaction with the medical level, and to the acknowledgement of utility in cure. In case of hospitals with superior facility and equipment, the willingness was proportional to the satisfactory state of overall facility. Two types of hospitals were combined and analyzed. The willingness for choosing hospitals with superior medical services was stronger than that for choosing the other hospitals. The satisfaction with overall facility, satisfaction with medical level, acknowledgement of utility in cure, positive doctor-patient relationship, and better consultation produced higher willingness to choose the same hospital. The willingness for the option shows to what degree the hospital suffices patients' expectation. Patients' understanding views were obviously influential. The satisfaction level for medical aspect was more influential than the level for non-medical aspect.

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According to the dental hygienists care services of patient satisfaction (치과위생사의 의료서비스에 따른 내원환자의 만족도)

  • Seong, Jeong-Min;Moon, Yun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.741-747
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    • 2011
  • Objectives : The purpose of this study was to examine factors related to the satisfaction level of patients with dental hygienists services. Methods : Questionnaire survey was carried out targeting 157 dental hygienists. The collected data was performed frequency & percentage, independent t-test and Pearson's correlation coefficient analysis. Results : 1. The mean score of kind of dental hygienists was 3.07 out of a maximum 4 points and level medical treatment of dental hygienists 2.94, friendly of dental hygienists 2.75. 2. Regarding the correlation between kind, level medical treatment, friendly of dental hygienists had a statistically significant correlation of r=0.677 which was the highest correlation factor(p<0.01). 3. dental satisfaction, dental reuse intention between intention recommendation, they were statistically significant different with dental satisfaction(p<0.05) 4. Regarding the correlation between dental satisfaction, dental reuse intention, intention recommendation had a statistically significant correlation of r=0.705 which was the highest correlation factor(p<0.01). Conclusions : Dental care service, dental hygienists have significant and their to revisit and recommend.

Patient satisfaction of medical care in a public health center (보건소 진료서비스 이용자의 만족도에 관한 연구)

  • Moon, Young-Shin;Cho, Woo-Hyun;Kang, Im-Ok
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.2-14
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    • 1998
  • The aim of this study was to examine differences in the level of satisfaction with medical care at a public health center between patients receiving free-care compared to those paying out-of-pocket. SERVQUAL(Comprehensive Service Quality Measurement Scale), a pyschometrically valid measure for evaluating hospital service quality, was used to assess patient satisfaction. The study sample consisted of 279 patients who received medical care at a public health center. The interview was conducted between April 23 and May 7, 1998. The results was as follow: 1. There were more elderly people among free-care patients than out-of-pocket patients. Education and income levels were lower amongs those receiving free-care. There were, however, no differences in the distribution of gender and religion between the two groups. Patients receiving free-care tended to visit the public health center more frequently compared to those self-paying patients. 2. Overall, free-care patients showed higher satisfaction level than that of self-paying patients. except for the dimension on sympathy and shape.

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A Study on the Physio - Therapeutic Room the Level of Patient Expectation and Satisfaction on Their Services (한방물리요법실 이용환자의 기대도와 만족도에 관한 조사연구 - 전국 15개 한방병원을 중심으로 -)

  • Kim, Yong-Nam
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.785-791
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    • 1995
  • The objective of this study was to find out the level of patient expectation and satisfaction on their services. The questionaire reports of 781 patients, which were structured with the question about the level expectation and satisfaction of the services. Major findings of this study were as follows 1) The percentage of patients satisfied with the services as a whole is 59.1 %,where more patients are satisfied with the attitude of therapists (87.3 %), the therapeutic-skill of therapists(84.1 %) and the adequateness of treatment (63.9 %) than the expenses of services (42.0 %) and waiting time(47.4 %). 2) Fourty two percents of patients responded that they expected to be recovered completely.

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The Comparison of the Perceived Needs between Patients with Cancer, their Caregivers, and Nurses According to the Cancer Patient,s Phases of Illness (질병단계에 따라 암환자, 돌보는 가족원, 간호사의 간호요구 지각 비교)

  • 양영희
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.787-795
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    • 1997
  • This descriptive study was conducted to ascertain whether the needs of patients with cancer, their caregivers and their nurses changed according to the illness phases and if the perceived needs of the three groups were different for three categories of nursing needs. At two hospitals in Seoul and Choongnam, three groups of subjects, -patients with cancer(79), caregivers(92), and nurses(72) - responded to a questionnaire consisting of items on educational need(11 items), physical need(8 items), emotional need(9 items) using a 4-point Likert scale. The patients and caregivers were selected according to the phase of the cancer (initial, intermediate or recurred, terminal phases). Finding revealed that the level of perception and degree of satisfaction of the needs were low, just around two points in patients and caregivers. Of the three categories of needs, physical needs were received the highest score and the degree of satisfaction of physical needs was also the highest. There was no significant difference between the level of perception and satisfaction of needs in patients and caregivers according to the phases of the illness and the degree of per reception and the satisfaction of the patients were not significantly different and caregivers showed the same result. There was a significant difference in the level of importance of the needs of nurses according to the phases of the cancer. They perceived emotional needs were the most important in first phase and second phase, physical needs in third phase and the educational needs were more important in the first phase than in any other phase. The degree of importance of needs was significantly lower than the degree to which needs were addressed, according to the nurses response. In a comparison of patient and caregiver's perceived degrees of need, and need satisfaction, and nurse's perceived degree of need provision, patient and caregiver scores were lower than the nurses.

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Patient-specific implants for maxillofacial defects: challenges and solutions

  • Alasseri, Nasser;Alasraj, Ahmed
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.15.1-15.8
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    • 2020
  • Background: Reconstructing maxillofacial defects is quite challenging for most surgeons due to the region's complex anatomy and cosmetic and functional effects on patients. The use of pre-made alloplastic implants and autogenous grafts is often associated with resorption, infection, and displacement. Recent technological advances have led to the use of custom computer-designed patient-specific implants (PSIs) in reconstructive surgery. This study describes our experience with PSI, details the complications we faced, how to overcome them, and finally, evaluates patient satisfaction. Case presentation: Six patients underwent reconstruction of various maxillofacial defects arising due to different etiologies using PSI. A combined total of 10 implants was used. PEEK was used to fabricate 8, while titanium was used to fabricate 2. No complications were seen in any patient both immediately post-op and in subsequent follow-ups. All patients reported a high level of satisfaction with the final result both functionally and cosmetically. Conclusion: The use of computer-designed PSI enables a more accurate reconstruction of maxillofacial defects, eliminating the usual complications seen in preformed implants and resulting in higher patient satisfaction. Its main drawback is its high cost.