优先考虑印度企业医院患者体验的先决条件:混合 RIDIT-GRA 方法的应用

IF 0.6 Q4 Health Professions Asia Pacific Journal of Health Management Pub Date : 2023-12-03 DOI:10.24083/apjhm.v18i3.2375
Shubham Senapati, R. Panda
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引用次数: 0

摘要

目的:本研究旨在识别、理解不同患者体验(PX)前因的影响,并对其进行优先排序,这些前因在塑造印度企业医院患者的偏好和体验方面有大量证据。该研究预计将帮助医疗保健管理人员在个性化和对齐临床服务与消费者的期望和需求。设计/方法:在八家公司医院进行横断面研究,收集220例患者数据样本。采用了一种名为“患者体验问卷”的最新测量模型来利用预先验证的PX因素和相关项目。此外,两种独立的优先排序技术,相对于识别分布(RIDIT)分析和灰色关联分析(GRA),执行渲染项目优先级的PX前体。结果:通过RIDIT,属于“医生服务”和“护理服务”的项目获得了良好的绩效评价,而属于“信息”和“近亲”的项目获得了相对较差的评价。当通过GRA验证结果时,有证据表明偏差最小,但在两种独立技术(RIDIT和GRA)中获得的排名显示出99.5%的强相关性。此外,两种独立的优先排序技术的适用性增强了研究结果的严谨性和可靠性。结论:虽然受访者对他们的护理提供者大多满意,但有效的医患沟通在护理系统中并不明显。患者似乎过度依赖他们的医生,并表现出有限的意愿参与合作过程。缺乏以患者为中心的文化,基础设施不足,医疗保健提供者的工作量过大,以及将以患者为中心的概念转化为实践的限制,阻碍了组织从患者参与临床方面充分受益。
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Prioritizing the Precursors of Patients’ Experience in Indian Corporate Hospitals: Application of hybrid RIDIT-GRA approach
Objective: This study aims to identify, understand, and prioritize the influence of distinct patient experience (PX) antecedents that have substantial evidence in shaping the patients’ preferences and experiences in Indian corporate hospitals. The study is expected to assist healthcare managers in the personalization and alignment of clinical services with consumer expectations and demands. Design/ Methodology: A cross-sectional study was conducted across eight corporate hospitals to collect 220 patient data samples. A recent measurement model, titled ‘Patient Experience Questionnaire’, was adopted to harness pre-validated PX factors and related items. Further, two independent prioritization techniques, Relative to an Identified distribution (RIDIT) analysis and Grey Relational Analysis (GRA), were executed to render item precedence of the precursors of PX. Results: Through RIDIT, items belonging to factors 'doctor services' and 'nursing services' secured favorable performance ratings, whereas items under 'information' and 'next-of-kin' obtained comparatively less favorable responses. There was evidence of minimal deviations when the results were verified through GRA, but the ranks obtained in both the independent techniques (RIDIT & GRA) revealed a robust correlation of 99.5%. Moreover, the applicability of two independent prioritization techniques enhances the rigor and reliability of findings.  Conclusions: Although the respondents were mostly satisfied with their care providers, an effective provider-patient communication was not evident in the care system. Patients seemed to be overly dependent on their physicians and showed limited intention to participate in a collaborative process. Lack of patient-centric culture, deficit infrastructure, excessive workload on healthcare providers, and restricted translation of patient-centric concepts into practice deterred organizations from fully benefiting from patients' involvement in clinical facets.
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来源期刊
Asia Pacific Journal of Health Management
Asia Pacific Journal of Health Management HEALTH POLICY & SERVICES-
CiteScore
1.10
自引率
16.70%
发文量
51
审稿时长
9 weeks
期刊最新文献
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