1997 Fiscal Year Final Research Report Summary
Patient Satisfaction with Health Care-Its Measurement Methods and Determinants
| Project/Area Number |
08457626
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | KYUSHU UNIVERSITY |
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Principal Investigator |
IMANAKA Yuichi Kyushu University, Dept.Health Services Management and Policy, Associate Professor, 大学院・医学系研究科, 助教授 (10256919)
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| Co-Investigator(Kenkyū-buntansha) |
HAGIHARA Akihito Kyushu University, Dept.Health Services Management and Policy, Instructor, 大学院・医学系研究科, 助手 (50291521)
NUBUTOMO Koichi Kyushu University, Dept.Health Services Management and Policy, Professor, 大学院・医学系研究科, 教授 (90037424)
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| Project Period (FY) |
1996 – 1997
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| Keywords | quality of care / patient satisfaction / hospital adminisration / quality management / relliability / validity / consumer / multivariate analysis |
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| Research Abstract |
[Objective]
It is gaining greater importance socially to measure objectively and accurately patients' evaluation of and satisfaction with health care. The study aims at evaluating the measurement methods and the determinants of patient satisfaction. This also looks into the difference in the determinant Structures of those who weigh warmth aspect of care and those do technical aspect.
[Subjects and Methods]
The database wade by the 76 hospital survey were utilized for the analysis. To all the patients who discharged from the participant hospitals during the survey period, the questionnaire already developed were delivered. The response rate was 60% and more than 5,000 cases were included. The questionnaire items included general evaluation of health care and component evaluation, such as health improvement, care and communication/information given by doctors, nurses and other hospital staff, system aspects of care provision, comforts and convenience in living arrangements, hospital reputa
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tion, and patient sociodemographic information. The expectation and demands to hospital care were also asked. The validity and the reliability of this already developed questionnaire were also assured in this survey result.
[Results and Discussion]
Patient satisfaction scores went higher in the older patients. In male patients, the evaluation scores on direct quality aspects such as doctors, hospital reputation, health improvement were significantly influential to overall satisfaction. In female, the scores on communication with health professionals were significantly influential. Patient evaluation scores on the aspects of communication and consideration for patient and environmental issues bad strong power in explaining the overall satisfaction in those who put high priority on warmth of care. On the other band, evaluation scores on the physician and the hospital medical competence were mare explanatory. The finding seemed to provide some evidence on the differential typology of patients based upon their values and practical implication in health care. Less
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