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首页> 外文期刊>Journal of Multidisciplinary Healthcare >Health care quality from the patients’ perspective: a comparative study between an old and a new, high-tech hospital
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Health care quality from the patients’ perspective: a comparative study between an old and a new, high-tech hospital

机译：从患者的角度看医疗质量：新旧高科技医院的比较研究

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Purpose: Previous studies show that the hospital environment and the behavior of health care personnel may predict patients’ perceptions of care quality. The aim of the study was to explore changes in perceived care quality from the patients’ perspective (QPP) when hospital services are relocated from an old to a new high-tech hospital and to describe what is important for patients in the high-tech hospital. Patients and methods: A comparative cross-sectional design was used. The questionnaire QPP, which is based on a theoretical model of the quality of care comprising four quality dimensions, was used. Data were collected in 2015 (old hospital) and 2016 (new hospital), with 253 and 324 respondents, respectively, by consecutive sampling. Comparative statistics was used to test differences between patients’ care quality perceptions (perceived reality [PR] and subjective importance [SI]) ( P ≤0.05). Results: The patients rated PR of all four quality dimensions (the care organization’s physical-technical conditions and sociocultural approach and the caregivers’ medical-technical competence and identity-oriented approach) higher in the new hospital. However, only the two quality dimensions concerning the care organization were rated significantly more highly. On an item level, five of the 27 items scored significantly higher on patients’ SI than on patients’ PR of the care in the new hospital, indicating a quality deficiency from the patients’ perspective. This comprised receiving effective pain relief, receiving examination and treatment within an acceptable waiting time, receiving useful information on self-care, receiving useful information on which doctors were responsible for their medical care, and having a comfortable bed. Conclusion: The increase in care QPP was associated with improved environmental conditions, and no significant improvement in care quality was associated with the health care personnel. The results indicate that being in a high-tech environment does not improve patients’ perceptions of care quality provided by health care personnel. The results gave valuable information for quality improvement in clinical practice, based on the patients’ perspective.
机译：目的：先前的研究表明，医院的环境和医护人员的行为可以预测患者对医疗质量的看法。该研究的目的是从医院角度将医院服务从旧医院转移到新的高科技医院时，从患者的角度（QPP）探索感知的护理质量的变化，并描述对高科技医院患者重要的。患者和方法：使用了比较横截面设计。使用基于包括四个质量维度的护理质量理论模型的问卷QPP。通过连续抽样分别收集了2015年（旧医院）和2016年（新医院）的数据，分别有253位和324位受访者。比较统计数据用于检验患者对护理质量的看法（感知现实[PR]和主观重要性[SI]）之间的差异（P≤0.05）。结果：在新医院中，患者对所有四个质量维度（护理组织的物理技术条件和社会文化方法以及护理人员的医疗技术能力和面向身份的方法）的PR评分较高。但是，只有与护理组织有关的两个质量维度得到了更高的评价。在项目级别上，新医院中27项中的5项在患者SI方面的得分明显高于在新医院中患者的PR评分，这表明从患者的角度来看质量存在缺陷。这包括获得有效的疼痛缓解，在可接受的等待时间内接受检查和治疗，获得有关自我护理的有用信息，获得有关医生负责其医疗服务的有用信息以及床铺舒适。结论：护理QPP的增加与环境条件的改善有关，并且护理人员的护理质量没有显着改善。结果表明，处于高科技环境中并不能改善患者对医护人员提供的护理质量的看法。根据患者的观点，结果为临床实践中的质量改善提供了有价值的信息。

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