首页|基于患者体验的门诊服务质量改进实践与探索

基于患者体验的门诊服务质量改进实践与探索

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目的 针对门诊患者体验进行评估,对患者整个医疗过程的客观描述,发现门诊患者体验薄弱环节,实施针对性改善举措。方法 采用典型抽样问卷调查形式,选取湖北省 6 所综合公立医院的门诊患者为研究对象于 2023 年 5 月—9 月开展患者体验调查,比较不同性别、年龄、婚姻状态、职业、医疗付款方式、自评健康状况、现住址、就诊科室、接诊医师职称、是否使用移动医疗应用程序(application,APP)、是否被主动服务、是否第一次就诊的患者体验得分。以门诊患者体验总体得分作为因变量,选取付款方式、就诊次数、年龄、自评健康、婚姻、是否使用移动医疗APP、是否被主动服务、居住地、门诊主治医师职称作为自变量,对门诊患者体验得分的主要影响因素进行逐步回归分析。结果 不同年龄段、不同医疗付款方式、是否被主动服务过、是否使用移动医疗APP、是否第一次就诊的患者体验得分存在差异,患者体验得分最高的是医疗信息(3。55±1。42)分,最低的是医患沟通(2。95±1。44)分;回归分析结果发现,患者体验受年龄、是否使用移动医疗APP、是否被主动服务因素的影响(P<0。05)。结论 高龄、能使用移动医疗APP、患者受到医务人员主动服务的患者体验得分更高,患者满意度是患者体验产生的结果,卓越的患者体验可以提升患者满意度;而打造适老友善医院,促进信息化建设,提升医务人员人文素养是推动门诊整体质量提升、提升患者体验重要举措。
Practice and Exploration of Improving Outpatient Service Quality Based on Patient Experience
Objective To evaluate outpatient experience,find out the weak links in the whole medical process,and implement targeted improvement measures.Methods A typical sampling survey was conducted using questionnaires to select outpatient patients from 6 comprehensive public hospitals in Hubei Province from May to September 2023 for the purpose of conducting a patient experience survey.The scores of patient experience for different genders,ages,marital status,occupations,medical payment methods,self-rated health status,current addresses,departments visited,physician titles,whether use mobile medical application(APP),whether actively served,and whether visiting for the first time were cpmpared.Using the overall score of outpatient experience as the dependent variable,regression analysis was conducted on the main influencing factors of outpatient experience score,with payment method,number of visits,age,self-rated health,marriage,use of mobile medical APP,active service,place of residence,and title of attending physician as independent variables.Results There were differences in patient experience scores among different ages,different types of medical insurance,whether they used mobile medical APP,whether they had been actively served,and whether they had seen doctors multiple times.The highest score for patient experience was medical information(3.55±1.42)points,while the lowest score was doctor-patient communication(2.95±1.44)points.Regression analysis showed that patient experience was affected by three factors:age,whether to use mobile medical APP,and whether to be actively served(P<0.05).Conclusion Patients who are elderly,able to use mobile medical APP,and actively served by medical staff have higher patient experience scores,and patient satisfaction is the result of patient experience.Excellent patient experience could improve patient satisfaction,build an age-friendly hospital,and promote information construction.Improving the humanistic quality of medical staff is an important measure to promote the overall quality of outpatient service and improve patient experience.

patient experiencepatient satisfactionhospital managementoutpatient patientsservice qualityquestionnaire survey

鲁春桃、李超、潘松林、古立丽、孔盼盼

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荆门市人民医院质量控制管理办公室,湖北 荆门 448000

荆门市人民医院院长办公室,湖北 荆门 448000

荆门市人民医院招标采购办公室,湖北 荆门 448000

荆门市人民医院统计科,湖北 荆门 448000

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患者体验 患者满意度 医院管理 门诊患者 服务质量 问卷调查

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(23)