上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

重庆市民营医院住院患者就医体验及其影响因素分析

谭华伟1，2，陈菲1，张培林2，郑万会2，黄建1   

  1. 1.重庆医科大学 公共卫生与管理学院医学与社会研究中心 健康领域社会风险预测治理协同创新中心， 重庆 400016； 2.重庆市第九人民医院成本控制研究室， 重庆 400700
  • 出版日期:2015-07-28 发布日期:2015-08-27
  • 作者简介:谭华伟（1989—）， 男， 硕士; 电子信箱: tanhuawei-2009@163.com。
  • 基金资助:

    重庆市社会科学规划项目(2013YBSH048）；重庆市公共管理重点学科建设项目（X7419）

Analysis of experience of medical care of inpatients in private hospital in Chongqing and its determinants

TAN Hua-wei1，2, CHEN Fei1, ZHANG Pei-lin2, ZHENG Wan-hui2, HUANG Jian1   

  1. 1.Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China; 2.Department of Cost Control Research, Chong Qing Ninth People’s Hospital, Chongqing 400700, China
  • Online:2015-07-28 Published:2015-08-27
  • Supported by:

    Social Sciences Plan Project of Chongqing, 2013YBSH048; Chongqing Public Management Key Discipline Construction Project, X7419

PDF (PC)

1577

摘要：

目的  了解重庆市民营医院住院患者就医体验及其影响因素。方法  利用二阶段随机抽样方法对重庆市主城区20家大型民营医院共600例住院患者进行问卷调查。调查患者一般社会学特征、患者感知的医疗服务质量、就医体验总体评价等情况。采用调整的SERVQUAL量表评价医疗服务质量，运用SPSS 21.0软件进行描述性统计分析、探索性因子分析、χ2检验和有序多分类Logistic回归分析。结果  共回收有效问卷552份。住院患者就医体验得分为2.45±0.59。有序多分类Logistic回归分析结果显示，年龄、受教育程度、家庭人均月收入、患病首选、医疗服务可靠性、医疗服务响应性、医疗服务经济性7个变量是住院患者就医体验评价的主要影响因素(P<0.05)。结论  重庆市民营医院住院患者就医体验得分处于中等偏上水平，就医体验还有待提高。民营医院管理者应从相关影响因素入手，采取有效措施，提高住院患者就医体验评价。

关键词: 民营医院, 住院患者, 就医体验, 有序多分类Logistic回归

Abstract:

Objective  To investigate the experience of medical care of inpatients in private hospital in Chongqing and its determinants. Methods  The two-stage random sampling was adopted and questionnaire survey was conduct for 600 inpatients from 20 large private hospitals in major districts of Chongqing. General socioeconomic characteristics, perceived service quality, and overall evaluation of medical care were surveyed. A modified SERVQUAL scale was used to evaluate the quality of medical services. SPSS 21.0 software was used to perform descriptive statistical analysis, exploratory factor analysis, Chi-square test, and ordinal Logistic regression. Results  A total of 552 valid questionnaires were returned and the overall score of experience of medical care of inpatients was 2.45±0.59. Ordinal Logistic regression analysis revealed that age, education level, average monthly household income, prevalence of choice, reliability, responsiveness, and cost were major determinants for evaluating the experience of medical care of inpatients (P<0.05). Conclusion  The overall score of experience of medical care of inpatient in private hospitals in Chongqing is relatively high and should be improved. Managers of private hospitals should take efficient measures to improve the experience of medical care of inpatients according to relevant determinants.

Key words: private hospital, inpatient, experience of medical care, ordinal Logistic regression