感知医疗质量作为患者满意度的预测因素：来自印度南部喀拉拉邦一家公立三级医疗医院的调查结果

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-08-13 DOI:10.1016/j.cegh.2025.102163

Malathi Mini , Jeby Jose Olickal , Antony Stanley , Thekkumkara Surendran Anish , Vimala Chellappan

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引用次数: 0

摘要

在印度的公共卫生系统中，有限的数据存在于患者对医疗质量的感知作为患者满意度的预测因素的作用上。因此，我们进行了这项研究，以确定预测在喀拉拉邦，印度的公立部门三级护理医院住院病人满意度的因素。方法采用横断面研究方法，对我院外科和内科病房524例患者（平均年龄48.73岁，男性47.7%）进行访谈。使用经过验证的结构化问卷收集数据，包括患者满意度问卷和感知医疗保健质量问卷，每个问卷的总分从1（最低）到5（最高）不等。采用IBM SPSS （Version 20）进行统计分析。结果平均（SD）总体感知医疗质量得分为3.01(0.46)，总体满意度得分为3.06（0.63）。总体感知医疗质量得分与患者总体满意度得分之间存在中度正相关(r = 0.54, p <；0.001)。在感知到的医疗保健质量领域中，医生行为（r = 0.44）和医院基础设施（r = 0.43）与患者总体满意度得分的相关性最强。线性回归分析显示，女性、单身、高感知医疗质量与患者满意度显著相关，其中感知医疗质量相关性最强(未标准化B = 0.632, p <；0.001)。结论患者感知医疗质量是公立三级医院患者满意度的重要预测因子。为了提高患者满意度和推进全民健康覆盖目标，政策制定者和管理人员应在质量改进计划期间通过有针对性的干预措施，优先考虑提高质量领域，包括医患沟通、员工响应和医院基础设施。

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Perceived healthcare quality as the predictor of patient satisfaction: Findings from a public sector tertiary care hospital in Kerala, South India

Introduction

Limited data exist on the role of patient perception of healthcare quality as a predictor of patient satisfaction within the public health system in India. Therefore, we conducted this study to identify factors predicting patient satisfaction among inpatients of a public sector tertiary care hospital in Kerala, India.

Methods

A cross-sectional study was done by interviewing 524 patients (mean age 48.73 years, males 47.7 %) from surgical and medical wards in the hospital. Data were collected using a validated, structured questionnaire, including a patient satisfaction questionnaire and a perceived healthcare quality questionnaire, each with a total score ranging from 1 (lowest) to 5 (highest). Statistical analyses were performed using IBM SPSS (Version 20).

Results

Mean (SD) overall perceived healthcare quality score was 3.01 (0.46) and general satisfaction score was 3.06 (0.63). There was a moderate positive correlation between the overall perceived healthcare quality score and the overall patient satisfaction score (r = 0.54, p < 0.001). Among the perceived healthcare quality domains, the strongest correlations with general patient satisfaction score were found for doctor behavior (r = 0.44) and hospital infrastructure (r = 0.43). Linear regression analysis indicated that female sex, being single, and higher perceived healthcare quality were significantly associated with greater patient satisfaction, with perceived healthcare quality showing the strongest association (Unstandardized B = 0.632, p < 0.001).

Conclusion

Patient-perceived healthcare quality is a significant predictor of patient satisfaction in a public sector tertiary care hospital. To improve patient satisfaction and advance Universal health coverage goals, policymakers and administrators should prioritise enhancing quality domains including doctor–patient communication, staff responsiveness, and hospital infrastructure with targeted interventions during quality improvement plans.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.