应用ACSI评价国内医院后勤服务满意度的思考

ACSI为美国顾客满意度指标,是美国最重要的顾客满意度评价指标。当前我国大多数医院正推行后勤社会化改革,尝试导入ACSI,并在顾客期望、感知质量、感知价值、顾客满意度、顾客抱怨以及顾客忠诚度6个潜变量及相关的12个二级指标方面,对医院后勤服务进行比较系统、科学的满意度评价,以提高服务质量,使顾客真正受益。     

国有医院后勤社会化服务质量的顾客满意度研究

目的为国有医院实施全方位后勤社会化服务质量的监督与管理提供可操作的考核工具。方法采用现场抽样调查和统计学分析方法,对顾客满意度得分进行数据收集和分析。结果7年来,3类顾客对后勤社会化各项服务质量大都保持较高的满意度,达90％以上,但医院洗手间的清洁状况、餐饮服务和商业服务的满意度不高,仅为80％,而且时常波动;随着后勤服务供给能力的提高,除医务人员对保安服务和受理中心服务的满意度呈负相关,其它各项服务的满意度呈正相关或不变。结论产生了含24个指标的门诊患者满意度量表、含51个指标的住院患者满意度量表和含53个指标的医务人员满意度量表3类和可操作性强的满意度考核评价操作指引。     

我院后勤社会化服务质量监督与管理的效果评价

通过分析2003年至2006年我院后勤服务质量评分与公众满意度,及医院业务量和业务收入,水、电消耗等资料,评价全方位后勤社会化服务质量监督与管理的效果.结果 表明,医院后勤服务质量和公众满意度不断提高,医院后勤服务的投入与产出效益增加,每业务量的水电消耗下降,医院对后勤监督与管理措施得力,保证了社会化以后后勤服务质量.     

顾客满意战略在医院后勤管理中的应用

顾客满意战略是以满足顾客要求、提高顾客满意度为核心思想。处于医改大潮下的医院后勤服务保障体系,也面临着如何提高满意度,增强竞争力的问题。顾客满意战略应用于医院后勤管理,将大大地促进医院后勤服务质量的提高,有助于提高医院竞争力,降低成本,提升医院形象,为医院的建设发展发挥重要作用。顾客满意应用于后勤管理可分为5个步骤:顾客满意度调查、现状分析与顾客满意体系策划及文件编写、内部培训、沟通与形象提升、顾客满意体系评估与改进。     

CS战略在医院后勤管理中的应用

顾客满意战略以满足顾客要求、提高顾客满意度为核心思想。处于医改大潮中的医院后勤服务保障体系，也面临着如何提高满意度，增强竞争力的问题。CS战略应用于医院后勤管理，将大大促进医院后勤服务质量再上新台阶，有助于提高医院竞争力，降低成本，提升医院形象，为医院的建设发展发挥重要作用。     

医院后勤社会化服务的考核与质控

通过对我院开展后勤服务社会化改革后健全和完善考核与质控体系所做的工作及其效果进行分析,探讨在后勤社会化改革以后提升后勤服务质量的问题。     

浅淡医院后勤社会化改革

医院后勤社会化改革是医院管理的重要内容。医院后勤社会化有利于提高后勤人员的劳动生产率，有利于提高服务质量，全面提高后勤服务水平，更好地促进医院改革发展。     

医院后勤社会化过程中院企合作的初步探讨

文章概述了医院后勤社会化的趋势,分析了后勤社会化过程中产生的种种问题,并从风险与挑战、提升服务质量以及建立标准管理机制等方面进行了详细探索与研究,为医院后勤社会化未来的持续稳定发展提供基础。     

浅议医院后勤社会化改革

医院后勤社会化不仅可以提高医院的后勤服务质量,而且可以明显提高医院主体业务的水平,对我国医院改革发展有着重要的意义,在国际上也是医院发展的主流方向。本文综述了医院后勤社会化的意义,国内外发展情况,就国内国内外医院后勤社会化改革提出了一点看法。     

军队医院实施顾客满意战略的实践与成效

本文阐释顾客满意战略的内涵;着重对决定医疗服务需求者满意度的主要因素：医院服务需求者的期望值,医院是否遵循医疗服务的基本原则,医院的服务内容是否全面,医疗服务价格是否合理,医疗是否安全和后勤服务质量等方面进行分析;并对医院实施顾客满意战略的做法及成效进行论述。     

The Behavioral Consequences of Service Quality: An Empirical Study in the Chinese Retail Pharmacy Industry

This study focuses on the impacts of service quality and examines the mediating effects of customer satisfaction and customer loyalty on willingness to pay more. The authors collected survey data from 479 actual retail pharmacy customers in China and used the structural equation modeling approach to test the hypotheses. The results reveal six dimensions of service quality and the differential impact of these dimensions on customer satisfaction and behavioral intentions. This study contributes to the existing literature by exploring the dimensionality of the service quality construct and mediating effects of customer satisfaction and customer loyalty in a non-Western setting.     

Links among high-performance work environment, service quality, and customer satisfaction: an extension to the healthcare sector

Healthcare managers must deliver high-quality patient services that generate highly satisfied and loyal customers. In this article, we examine how a high-involvement approach to the work environment of healthcare employees may lead to exceptional service quality, satisfied patients, and ultimately to loyal customers. Specifically, we investigate the chain of events through which high-performance work systems (HPWS) and customer orientation influence employee and customer perceptions of service quality and patient satisfaction in a national sample of 113 Veterans Health Administration ambulatory care centers. We present a conceptual model for linking work environment to customer satisfaction and test this model using structural equations modeling. The results suggest that (1) HPWS is linked to employee perceptions of their ability to deliver high-quality customer service, both directly and through their perceptions of customer orientation; (2) employee perceptions of customer service are linked to customer perceptions of high-quality service; and (3) perceived service quality is linked with customer satisfaction. Theoretical and practical implications of our findings, including suggestions of how healthcare managers can implement changes to their work environments, are discussed.     

基于顾客感知的医院服务质量满意度研究

目的 了解基于顾客感知的不同层级医院服务质量满意度情况,为医院服务质量持续改进提供参考.方法 根据PZB的服务质量模型,从有形性、可靠性、响应性、保证性、移情性5个方面设计调查问卷,于2013年4月～8月对广东省某三级医院、某二级医院的顾客进行随机抽样调查.结果 顾客对三级医院、二级医院服务质量总体比较满意,但在某些方面仍有差距,尤其是二级医院.结论 医院应重视基于顾客感知的医疗服务质量满意度,积极改进不足,努力满足顾客合理需求,促医疗服务质量不断提高.     

儿童计划免疫服务满意度现况的调查分析

目的　了解计划免疫服务人群满意度 ,探索满意度调查在计划免疫服务质量管理中应用的适用性。方法　通过整群抽样 ,使用调查表对芜湖市区 1344名儿童家长 /监护人进行调查。结果　满意度分值及被调查人主观评分超过 80分者 ,分别为 80 .8%、97.9%。结论　芜湖市区计划免疫服务质量令人满意。顾客满意度调查是评价工作质量的很好参考。     

基于JCI标准的非技术质量患者满意度调查与分析

目的了解患者对医疗非技术质量服务的满意度及其影响因素,为质量改进提供依据。方法依据JCI标准设计调查问卷,对某院2010年3月～2011年2月的住院病人进行调查。结果医技人员、后勤人员服务态度较差;护士满意度明显低于医生满意度;送餐膳食服务、环境安全与卫生满意度较低,亟需改进。结论医院应注重医疗非技术质量服务的改进,可从改善后勤及医技人员服务态度、督促医护人员尊重病人权利、及时提供医疗费用清单服务、建立健全后勤服务评价制度及标准等入手。     

基于非技术质量体验的门诊患者满意度分析

目的了解门诊患者对非技术质量的满意度,探讨影响门诊患者总体满意度的非技术质量因素。方法对门诊患者进行非技术质量方面的满意度调查,并对调查结果进行统计学描述、方差分析、q检验和多元线性回归分析。结果门诊患者对非技术质量五个维度的满意度由高到低依次为医患沟通与患者权益、服务态度、后勤管理、医德医风、等候时间;影响门诊患者总体满意度的主要非技术质量因素依次为医师问诊态度、诊疗解释、用药指导、候诊时间、环境卫生程度。结论医院应强化医患沟通,改善服务态度;缩短等候时间,提高就诊效率;加强后勤管理,提供优质服务。     

Customer satisfaction

PURPOSE: This paper seeks to present an analysis of the literature examining objective information concerning the subject of customer service, as it applies to the current medical practice. Hopefully, this information will be synthesized to generate a cogent approach to correlate customer service with quality. DESIGN/METHODOLOGY/APPROACH: Articles were obtained by an English language search of MEDLINE from January 1976 to July 2005. This computerized search was supplemented with literature from the author's personal collection of peer-reviewed articles on customer service in a medical setting. This information was presented in a qualitative fashion. FINDINGS: There is a significant lack of objective data correlating customer service objectives, patient satisfaction and quality of care. Patients present predominantly for the convenience of emergency department care. Specifics of satisfaction are directed to the timing, and amount of "caring". Demographic correlates including symptom presentation, practice style, location and physician issues directly impact on satisfaction. It is most helpful to develop a productive plan for the "difficult patient", emphasizing communication and empathy. Profiling of the customer satisfaction experience is best accomplished by examining the specifics of satisfaction, nature of the ED patient, demographic profile, symptom presentation and physician interventions emphasizing communication--especially with the difficult patient. ORIGINALITY/VALUE: The current emergency medicine customer service dilemmas are a complex interaction of both patient and physician factors specifically targeting both efficiency and patient satisfaction. Awareness of these issues particular to the emergency patient can help to maximize efficiency, minimize subsequent medicolegal risk and improve patient care if a tailored management plan is formulated.     

Emergency department patient satisfaction: customer service training improves patient satisfaction and ratings of physician and nurse skill

Customer service initiatives in healthcare have become a popular way of attempting to improve patient satisfaction. This study investigates the effect of clinically focused customer service training on patient satisfaction in the setting of a 62,000-visit emergency department and level I trauma center. Analysis of patient complaints, patient compliments, and a statistically verified patient-satisfaction survey indicate that (1) all 14 key quality characteristics identified in the survey increased dramatically in the study period; (2) patient complaints decreased by over 70 percent from 2.6 per 1,000 emergency department (ED) visits to 0.6 per 1,000 ED visits following customer service training; and (3) patient compliments increased more than 100 percent from 1.1 per 1,000 ED visits to 2.3 per 1,000 ED visits. The most dramatic improvement in the patient satisfaction survey came in ratings of skill of the emergency physician, likelihood of returning, skill of the emergency department nurse, and overall satisfaction. These results show that clinically focused customer service training improves patient satisfaction and ratings of physician and nurse skill. They also suggest that such training may offer a substantial competitive market advantage, as well as improve the patients' perception of quality and outcome.     

脊柱外科创建优质护理服务单元的体会

目的提高专科护理服务质量及患者的医疗满意度。方法通过改善住院环境,实施优质护理服务单元,全程无缝隙护理操作,加强人文关怀,丰富护理服务内涵,改进护理质量控制等措施提升脊柱专科护理服务质量。结果创建优质护理单元后住院患者满意度、护士对工作的满意度和后勤科室的保障支持满意度显著提高(P<0.05)。结论创建优质护理服务单元能有效地提高护理质量,提高患者满意度,提升护理人员自我成就感。