住院患者满意度综合评价

目的采用AHP法和ER法综合评价北京市某三级甲等医院住院患者满意度。方法通过自制问卷对北京某三甲医院213名住院患者进行面对面访谈调查,使用层次分析法确定各级指标权重,再使用证据推理法对患者满意度进行综合评估。结果被调查住院患者“非常满意”的综合置信度为55.98%,“满意”的综合置信度为37.55%,“一般满意”的综合置信度为5.27%,“不满意”的综合置信度为0.91%,“非常不满意”的综合置信度为0.29%。结论将AHP法和ER法二者结合进行住院患者满意度的综合评估能够得到比较客观全面的结果。     

应用模糊综合评判法评价住院患者满意度

患者住院时,对医疗效果、医院环境等各方面的工作是否满意,直接影响到医院的社会信誉和医院的发展,随机调查了解住院患者的满意度并正确分析评价,从中找出该院工作存在的薄弱环节,为有针对性的改进工作,加强医院管理很有必要.但在评价住院患者满意度时,需要考虑的因素很多,并且满意度评价等级是一个非常模糊的概念,难以量化,这时候就可以应用模糊综合评判模型.模糊综合评判法就是对受众多因素综合影响的模糊现象做出综合评价的一种量化的数学方法[1].     

住院患者服务满意度调查和分析

目的：通过对某三甲医院服务满意度调查的研究,从医院整体服务的宏观角度了解医院住院患者满意度,为更好提高服务质量提供科学依据。方法：采用调查问卷、个人访谈等对某三甲医院随机抽取50名住院患者进行的调查。结果：服务流程、护理服务、诊疗服务、后勤服务、服务能力、患者被服务满意感6个方面经过加权后得总服务满意度分数为：2．63002,得分由高到低排序为：护理服务、诊疗服务、服务流程、服务能力、患者被服务满意感、后勤服务,分值分别为2．7245、2．7177、2．6907、2．592、2．571、2．4357。结论：医院服务工作良莠不齐,在诸多方面是需要改进的。     

基于知识图谱的国内住院患者满意度研究进展

目的 基于知识图谱对住院患者满意度研究进展进行分析。方法 在NoteExpress文献去重的基础上,运用CiteSpace.5.6.R5(64-bit)对1993年7月—2022年7月中国知网学术期刊数据库的1 482篇文献进行可视化分析。从文献时序分布、空间分布、研究热点与演化趋势等方面绘制相关知识图谱并梳理研究脉络,揭示住院患者满意度的研究进展与发展趋势,为不断提升医疗机构服务能力和水平奠定理论基础。结果 从文献时序分布看,住院患者满意度领域的研究主要经历了初始阶段(1993—2003年)、探索阶段(2004—2011年)、发展阶段(2012年至今);从文献空间分布来看,1 482篇文献共涉及334本期刊、3 699名作者和516个研究机构;从文献的研究热点与演化趋势来看,关键词优质护理、护理、护理满意度、影响因素、护理质量在住院患者满意度研究主题动态演化中发挥了重要作用。结论 目前关于住院患者满意度测评工作体系尚不完善,加强智慧医疗、智慧医院的建设,突破和创新满意度测量指标及测量方法将成为今后的研究趋势。     

基于患者需要的住院患者对护理工作满意度调查表的改进和应用

目的 调查和发现患者对护理工作的隐性需求,优先解决患者认为最重要的问题,提高患者满意度.方法 制定并发放住院患者需求调查问卷,根据调查结果修改并发放住院患者对护理工作满意度调查表,比较满意度调查表改进前后患者满意度.结果 运用SPSS13.0统计学软件处理,改进后满意度调查结果低于改进前满意度.结论 改进后满意度调查表体现了患者隐性的护理需求,有利于改善护理工作的重心和方向.     

住院患者满意度实证分析

目的运用期望确认理论分析住院患者满意度的影响因素,为进一步提高医院服务质量提供参考。方法采用随机抽样法分层选取2015年7月某三甲综合医院的住院患者,对住院患者进行期望程度与满意度对比研究。结果该院住院患者期望程度与满意度在医疗技术、医患沟通、医生责任心、医疗费用方面有显著性差异。结论该院住院患者满意度总体较好,但仍需在医疗技术、医患沟通、医生责任心、就诊环境等问题上进行专项改进,以持续改进医疗服务,提高患者满意度。     

住院患者满意度调查分析

通过对云南罗平医院住院患者满意度的调查分析,了解到医院的住院医疗服务状况和住院患者的满意度情况,总结出影响住院患者满意度的主要因素为医疗质量、医疗服务、医疗费用和就医环境,并用相关和回归方法分析了各个项目对总满意度的影响,认为提高住院患者满意度应主要从提高医疗质量和医疗服务入手,并针对反映的问题提出了建议与对策。     

基于质量指标监控品管圈在提高患者住院膳食满意度的应用

目的:探讨品管圈活动在提高患者对医院膳食满意度的应用效果。方法:运用品管圈管理方法,分析住院患者对医院膳食不满意的主要原因,采取相应措施,比较活动前后第三方病人满意度调查。结果:实施品管圈活动后患者对医院膳食科满意度比较2017年度比2018年度由81.19%提高到85.09%。结论:基于质量指标监控的品管圈活动能有效提高住院患者满意度,在持续改善患者服务,不断提升人民群众看病就医获得感方面有成效。     

应用TOPSIS法和Saaty's权重法评价北京某三级医院住院患者满意度

目的 采用TOPSIS法和Saaty's权重法评价某三级医院住院患者满意度.方法 本研究以某医院2008年539名住院患者为研究对象,采用TOPSIS法和Saaty's权重法对科室间住院患者满意度进行综合评价并排序.结果 各科室住院患者满意度从高到低的排序为:内三科、骨科、内二科、外三科、外一科、内四科、内五科、内一科、妇产科.结论 综合评价法中的TOPSIS法与Saaty's权重法相结合可以评价医院住院患者满意度.     

130例住院患者满意度调查分析

目的为提高住院患者对临床护理工作的满意度。方法对130例住院病人进行护理工作综合满意度分析。结果病人满意度从高至低依次服务态度、专业水平、工作态度和健康教育。结论加强护理人员的培训力度,提高人文社会科学知识修养,最终满足病人身心健康的需要。     

胆石病伴胆囊炎手术患者住院费用分析

收集浙北某县人民医院胆石病伴胆囊炎手术患者住院费用和病案资料,进行现状、单因素和多因素分析,了解胆石病伴胆囊炎手术患者住院费用状况,探讨住院费用的影响因素,为控制其住院费用增长提供科学依据。结果显示：年龄、结石部位、感染情况、住院天数、付款方式、出院状态对胆石病伴胆囊炎手术患者住院费用有影响。     

医院门诊业务收入和住院业务收入变动的因素分析

本文试用因素分析法将门诊业务收入分解为门诊人次和门诊人次平均费用两个因素,将住院业务收入分解为出院人次、出院者平均住院日和出院者平均人日费用三个因素。分别建立门诊业务收入两因素指数体系和住院业务收入三因素指数体系,剖析各个因素变动对总量指标变动的影响程度和方向,阐明总量指标和各个因素之间的经济数量关系。     

某三甲公立医院住院患者满意度第三方测评的调查研究

目的 通过对某三甲公立医院住院患者满意度第三方测评结果进行分析,为医院提升服务质量和持续改进医疗措施提供依据。方法 采用便利抽样法,委托第三方机构运用现场专业电子问卷测评,于2019年12月17—21日对某三甲公立医院743例住院患者进行满意度测评,了解医院诊疗质量、服务水平、就诊环境等共计45项具体因素指标。结果 本次住院患者住院内在质量指数为79.58,住院患者满意率为93.27%,忠诚度为93.27%,认同度为91.39%。结论 患者满意度是医疗服务质量的真实体现,第三方测评因其客观、公平、可靠、有效,在评价结果等方面更具有专业性和权威性,医院应高度重视测评结果,持续改进医疗服务,提升服务质量,提高患者满意度及忠诚度。     

Confirmatory Factor Analysis and Sample Invariance of the Chinese Patient Satisfaction Questionnaire (ChPSQ-9) among Patients with Breast and Lung Cancer

Objectives:  Previous exploratory factor analysis of the 9-item Chinese Patient Satisfaction Questionnaire (ChPSQ-9) identified two dominant factors: doctor and nurse. The present study employed confirmatory factor analysis (CFA) to examine the factorial invariance of the ChPSQ-9 between and within samples of Chinese patients with breast or lung cancer.
Methods:  Longitudinal data were analyzed from Chinese breast and lung cancer patients who had completed the ChPSQ-9 during their first outpatient visit, at 3 months, and at 6 months after baseline. CFAs tested the fit of a one-factor model, a hierarchical model that comprised a general latent factor and two first-order factors, and a correlated model that comprised two correlated first-order factors to the data. The factorial invariance of the ChPSQ-9 between six independent samples across time was investigated using multigroup CFAs.
Results:  The CFA's results demonstrated a better fit of the correlated model over the one-factor model and the hierarchical model in the breast and lung cancer samples. The correlated model showed evidence of cross-sample and longitudinal factorial invariance. Patients were generally satisfied with services provided by doctors and nurses. Internal consistency of the scale was also good for both cancer samples across time.
Conclusions:  The ChPSQ-9 is a valid and reliable instrument to be employed among breast and lung cancer patients, in clinical settings or intervention research, to evaluate group differences in patient satisfaction and its association with intervention effectiveness.     

上海城乡居民医疗保险筹资满意度分析

目的了解居民对城乡居民医疗保险筹资结构满意度及影响因素,为完善上海城乡居民医疗保险筹资制度提供政策建议。方法采用分层随机抽样的方法,自行设计调查问卷,对386名上海城乡居民医疗保险的参保者进行调查,以了解参保居民对城乡居民医疗保险筹资结构的认知度、满意度和期望度。所得数据采用多元logistic回归方法进行统计,检验收入、年龄、身体健康状况、缴费档次、享受水平对筹资结构满意度的影响,分析上海居民医疗保险的筹资满意度并提出建议。结果上海城乡居民对筹资结构的满意度不高,其中城乡居民的收入、年龄是影响筹资结构满意度的主要因素。结论政府应该基于收入设计筹资方案;保证筹资与待遇相匹配;优化政府财政投入结构;逐步取消个人账户,建立统一的国民健康保险。     

医疗失效模式与效应分析在儿科静脉留置针护理中的作用

目的 评估医疗失效模式与效应分析在儿科静脉留置针输液护理中的作用.方法 选取90例2018年1月—2019年9月本院收治的接受静脉留置针输液的患儿,以随机数字表法分为观察组和对照组,对照组45例给予常规护理,观察组45例在常规护理的基础上进行医疗失效模式与效应分析(healthcare failure mode and...     

Factor structure of the Disability and Impact Profile in patients with multiple sclerosis

The Disability and Impact Profile (DIP) is used for the measurement of quality of life in multiple sclerosis (MS) patients. Data from 211 persons with definite MS from Belgium, Denmark and the Netherlands were used to address three questions. To what extent do the impairment ratings and their complementary weighted scores share common variance? What is the factor structure of the weighted scores? To what extent do disease-related information and information from psychological questionnaires offer concurrent validity for the factors? Correlations between impairment ratings and the weighted item scores were high; for most items the complementary ratings of impact do not supplement information provided by impairment ratings. The DIP weighted scores can be represented to some extent by three independent dimensions: a motor (skeletal movement) or displacement ability factor, a factor relating to sensory–cognitive intactness and a psychological well-being factor. A two-factor solution provides a first factor identical to that of the three-factor solution and a second factor representing psychological well-being. The two factors correlate well with instruments measuring disability and with satisfaction versus emotional distress. Provisional scales based on the factors were constructed.     

危重型手足口病的早期识别及危险因素分析

目的探讨重症手足口病（HFMD）重型进展为危重型的早期临床特征及危险因素。方法危重型HFMD 66例（观察组）,同期住院重型HFMD 132例（对照组）,采用单因素及多因素非条件Logistic回归分析比较两组临床表现、辅助检查的差异,探讨重型HFMD进展为危重型的危险因素。结果单因素分析提示年龄≤3岁、精神差、嗜睡、频繁惊跳或抖动、呕吐（〉3次/d）、循环不良、白细胞升高（〉15×109/L）、血糖高、肺部渗出性改变为主要危险因素,其相对危险度（OR）值分别为5.617、1.842、1.072、7.916、6.743、10.385、4.952、3.127、2.864。多因素非条件Logistic回归分析表明年龄≤3岁、频繁惊跳或抖动、呕吐（〉3次/d）、循环不良、白细胞升高（〉15×109/L）为重型手足口病进展为危重型的独立危险因素。结论年龄≤3岁、频繁惊跳或抖动、呕吐（〉3次/d）、循环不良、白细胞升高（〉15×109/L）与重型手足口病进展为危重型高度相关。     

Chronically ill Australians' satisfaction with accessibility and patient-centredness

Objective. To evaluate the association of characteristics of patients andgeneral practices with patient assessment of quality of care. Design. Cross-sectional multi-practice study using the general practiceassessment survey. Settings. General practices in Australia. Participants. Ninety-six general practices and 7505 chronic illness patientsaged 18 years. Main outcome measures. Access of care and patient-centredness. Results. Two factors were identified in factor analysis: ‘Accessof care’ and ‘Patient-centredness’. Multilevelregression analysis showed significant associations betweenpatients' assessments and patient and practice characteristics.Patients from smaller practices (one to three general practitioners)reported better access to care compared with larger practices.Patients from urban areas were more satisfied with patient-centrednessthan those from rural areas. Self-reported health status andage had a positive and home ownership, employment and education,and patients from non-English-speaking countries a negativerelationship with both scores. Females were more satisfied withpatient-centredness. Conclusions. Patient assessments of quality of care and patient-centrednesswere strongly associated with practice and patient characteristics.This has important implications for interpreting assessmentsof the quality of primary care, and for policy and practicemeasures designed to improve this.     

Distribution of and Factors Associated with Plasma Homocysteine Levels in Wuhan Residents: A Stepwise Multiple Regression Analysis

HOMOCYSTEINE, an amino acid with a sulfhy-dryl group, is an important intermediate product inthe metabolism of methionine and cysteine.Homocysteine itself, however, does not participatein the synthesis of protein products.1 Epidemiologicstudies by Wilcken et al. were the first to charac-terize homocysteine (Hcy) as an independent riskfactor for cardiovascular disease.2 This observationhas been confirmed by subsequent studies whichhave correlated Hcy levels and the risk of acutemyocardial infarction, stroke,...