现代医院2024,Vol.24Issue(4) :538-541.DOI:10.3969/j.issn.1671-332X.2024.04.014

基于利益相关者理论的门诊患者就医获得感影响因素研究

Research on factors influencing outpatient patients'perceived sense of access to healthcare services based on stakeholder theory

李晨辉 郑国管 王世长
现代医院2024,Vol.24Issue(4) :538-541.DOI:10.3969/j.issn.1671-332X.2024.04.014

基于利益相关者理论的门诊患者就医获得感影响因素研究

Research on factors influencing outpatient patients'perceived sense of access to healthcare services based on stakeholder theory

李晨辉 1郑国管 1王世长2
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作者信息

  • 1. 浙江大学医学院附属口腔医院//浙江大学口腔医学院 浙江杭州 310000
  • 2. 遵义医科大学附属医院 贵阳遵义 563099
  • 折叠

摘要

目的 为科学有效的提升患者就医获得感,基于扎根理论和量表开发一般原理研制门诊患者就医获得感量表,结合利益相关者理论开展影响因素与对策分析.方法 采用定额抽样方法对杭州市公立医院门诊患者开展问卷调查,通过Cronbach'sα系数、因子分析检验量表信度和效度,通过多重线性回归分析验证就医获得感与利益相关者的关系.结果 包含就医便利、就医支持、就医结果、就医体验4个维度的门诊患者就医获得感量表信效度良好.政府部门管理、医院内部管理、医务人员服务、患者认知态度因素影响门诊患者就医获得感(P<0.05).结论 开发的量表可用于门诊患者就医获得感的测评.通过切实履行政府监管职责,提升医院管理水平,调动医务人员工作积极性,增进医患信任等可以提升患者就医获得感.

Abstract

Objective The purpose of this study is to scientifically and effectively enhance patients'perceived sense of access to healthcare services.Based on Grounded Theory and the development principles of scales,we designed a scale to meas-ure outpatient patients'perceived sense of access to healthcare services.We also conducted an analysis of influencing factors and corresponding strategies based on Stakeholder Theory.Methods A quota sampling method was used to conduct a questionnaire survey among outpatient patients in public hospitals in Hangzhou City.The reliability and validity of the scale were tested using Cronbach's α coefficient and factor analysis.Multiple linear regression analysis was employed to verify the relationship between patients'perceived sense of access and stakeholders.Results The scale included four dimensions:medical convenience,medi-cal support,medical outcomes,and medical experience,all showing good reliability and validity.Factors such as government regulation,hospital management,medical staff service,and patient cognitive attitudes significantly influenced outpatient pa-tients'perceived sense of access(P<0.05).Conclusion The developed scale can be used to assess outpatient patients'per-ceived sense of access to healthcare services.Enhancing patients'perceived sense of access can be achieved through effective government regulation,improvement of hospital management,motivation of medical staff,and promotion of trust between doctors and patients.

关键词

门诊患者/就医获得感/利益相关者理论/影响因素分析/提升策略

Key words

Outpatients/Sense of access to healthcare/Stakeholder theory/Influencing factor analysis/Enhancement strategy

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基金项目

浙江大学医学院附属口腔医院探索与研发项目(RD2022RKMS05)

出版年

2024
现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
参考文献量19
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