衡量越南巴克迈医院国立心脏研究所住院病人的医疗保健服务质量

Si Dung Chu, M. Tran, Dung T. Vu, K. Q. Pham, Anh Quoc Nguyen
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摘要

目的:采用SERVQUAL模型和John E. Ware模型两种工具对越南河内市国立公立综合医院住院患者的医疗服务质量进行测评。方法:横断面研究。本研究从2014年1月至2014年2月的一个多月的住院患者中获得反馈;住院患者在医院完成住院治疗后,采用SERVQUAL量表的5个通用维度(原22分)与John E. Ware模型的1个维度(8分)相结合,按照功能质量和技术质量两方面的工具对其进行30个问题的问卷调查,每个问题的得分从1-5分。结果:共访谈325例患者并完成调查。住院患者服务质量满意度受工具影响有6个项目(30分),所有维度(6个维度)的信度系数> 0.05;模型的Cronbach alpha系数为0.932:包括第一是可靠性(5分),第二是响应性(4分),第三是保证性(4分),第四是共情(4分),第五是有形(5分),第六是技术质量(8分),四个结构的患者满意度在医疗服务质量中的项目-总相关系数高度校正(从0.646到0.837)。总体而言,住院患者对医院医疗质量的高度满意度几乎可以解释其所能达到的73.954%。结论:调整后的研究模型对医院的住院患者满意度有6个构形,对医疗服务质量的影响有6个因子(30分)。该工具从越南等发展中国家成年住院病人的角度,对公立医院的医疗检查和治疗过程的服务质量进行反馈。关键词:医疗服务质量测量,住院患者,SERVQUAL, John E. Ware模型。
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MEASURING HEALTHCARE SERVICE QUALITY FOR INPATIENT AT THE NATIONAL HEART INSTITUTE AT BACHMAI HOSPITAL IN VIETNAM
Objective: A survey was conducted for measuring healthcare service quality for inpatient at national public general hospital in Hanoi, Vietnam using the Tools of both in the SERVQUAL model and John E. Ware model. Methods: Cross-Sectional study. The study obtained feedbacks from inpatients over one month from January 2014 to February 2014; after inpatients finished their inpatient care at the hospital, they were asked 30 questions following the tool of both in functional and technical quality, using the five generic dimensions (the original 22 scores) of SERVQUAL instrument to combinate with the one dimensions (8 scores) of John E. Ware model, each question can score from 1-5. Results: In total, 325 patients were interviewed and completed the survey. Levels of inpatient satisfaction about service quality is influenced by the tool with 6 items (30 score), All dimension (6 dimension) have reliability coefficient > 0.05; and Cronbach alpha coefficient of the model’s 0.932: Including the first is Reliability (5 score), the second is Responsiveness (4 score), the third is Assurance (4 score), the fourth is Empathy (4 score), the fifth is Tangible (5 score), and the sixth is Technical quality (8 score) with highly Corrected Item-Total Correlation of four construct of patient satisfaction in healthcare service quality (from 0.646 to 0.837). Overall, the level of highly inpatient satisfaction about quality of healthcare in the hospital was explained almost 73.954% what could be achieved. Conclusions: Adjusted research model for the hospital has six contruct from levels of inpatient satisfaction about healthcare service quality is influenced by the tool with 6 factors (30 score). The tool provides feedback on the service quality for medical examination and treatment process of a public hospital experience from the adult inpatient’s perspective at the developing nation as Vietnam. Keywords: Measuring healthcare service quality, inpatient, SERVQUAL, John E. Ware model.
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