Developing a Model for Evaluating Patient Experience in Educational Hospitals of Mashhad University of Medical Sciences

Mojtaba Najib Jalali, Ali Vafaee Najar, Jamshid Jamali, Elaheh Hooshmand
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Abstract

Background: Understanding the "patient experience" is a key step in moving towards patient-centered care. The purpose of this study is to design a patient experience evaluation model to evaluate the effective components in the patient experience in hospitals of Mashhad University of Medical Sciences. Methods: This was a comparative descriptive study conducted using databases and information resources and based on a comprehensive review, and the models used in other parts of the world were extracted based on the research protocol and entered into a comparative matrix. The reliability of the extracted framework was verified using the agreement coefficient of the parties. In order to validate the model, the questions were prepared in the form of a questionnaire and validated by the specialists of Mashhad University of Medical Sciences during two-round Delphi using SPSS 16 software. Results: In this study, 10 models were obtained for evaluating patient experience in different countries, each of which was composed of several dimensions and some of them had overlap. The models included American model (8 dimensions), Swedish model (10 dimensions), British first model (7 dimensions), British second model (8 dimensions), Scotland model (6 dimensions), Hong Kong model (9 dimensions), Norway first model (6 dimensions), Norway second model (5 dimensions), India model (10 dimensions), and the model of Ethiopia (5 dimensions). The final model with 10 dimensions and 29 sub- dimensions was approved and validated. Conclusion: The results showed that the suitable pattern for Iran had 10 dimensions and 29 sub-dimensions. Among the dimensions, respect for the patient's privacy and dignity had the highest score and the way patients are discharged from the hospital had the lowest score.
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马什哈德医科大学教育医院患者体验评价模型的开发
背景:理解“患者体验”是实现以患者为中心的护理的关键一步。本研究旨在设计患者体验评价模型,对马什哈德医科大学医院患者体验的有效成分进行评价。方法:利用数据库和信息资源,在综合综述的基础上进行比较描述性研究,并根据研究方案提取世界其他地区使用的模型,输入比较矩阵。利用各方的一致系数验证了所提取框架的可靠性。为了验证模型,以问卷的形式准备问题,并由马什哈德医科大学的专家在两轮德尔菲中使用SPSS 16软件进行验证。结果:本研究获得了10个不同国家的患者体验评估模型,每个模型由多个维度组成,其中一些维度有重叠。模型包括美国模型(8维)、瑞典模型(10维)、英国第一模型(7维)、英国第二模型(8维)、苏格兰模型(6维)、香港模型(9维)、挪威第一模型(6维)、挪威第二模型(5维)、印度模型(10维)、埃塞俄比亚模型(5维)。最终的模型包含10个维度和29个子维度,并通过了验证。结论:结果表明,伊朗的适宜模式有10个维度和29个子维度。在这些维度中,对病人隐私和尊严的尊重得分最高,病人出院的方式得分最低。
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