CAJ | 학술논문

目的：从患者角度动态评价绍兴市某市级综合性公立医院的改革成效。方法选择绍兴市某市级综合性公立医院，2012、2013年连续两年分别随机抽查120例患者测评满意度，并进行对比分析。结果2013较2012年门诊患者、住院患者、出院患者对该试点医院的“综合满意度”均明显上升。通过回归分析总体调整患者人口统计学的差值，综合满意度提升幅度较大（χ2=5.96，P＜0.01），对“护理工作”、“医生工作”、“医院收费”、“窗口服务”、“医疗质量和效果”（χ2=8.95、7.79、7.87、6.16、4.24，均P＜0.01）等项目的满意度提升明显。且三类患者均对“医院收费”分项的关注度较高。结论患者满意度的提升证实该试点医院改革成效显著。建议进一步深化医疗费用改革，并加强人文关怀、提高看病效率、改善就医环境。
목적：종환자각도동태평개소흥시모시급종합성공립의원적개혁성효。방법선택소흥시모시급종합성공립의원，2012、2013년련속량년분별수궤추사120례환자측평만의도，병진행대비분석。결과2013교2012년문진환자、주원환자、출원환자대해시점의원적“종합만의도”균명현상승。통과회귀분석총체조정환자인구통계학적차치，종합만의도제승폭도교대（χ2=5.96，P＜0.01），대“호리공작”、“의생공작”、“의원수비”、“창구복무”、“의료질량화효과”（χ2=8.95、7.79、7.87、6.16、4.24，균P＜0.01）등항목적만의도제승명현。차삼류환자균대“의원수비”분항적관주도교고。결론환자만의도적제승증실해시점의원개혁성효현저。건의진일보심화의료비용개혁，병가강인문관부、제고간병효솔、개선취의배경。
Objective To evaluate the effect of public hospital reform in a comprehensive hospital in Shaoxing municipali-ty. Methods A survey on patient satisfaction was conducted among 120 patients with questionnaires in one of the Shaoxing municipal hospitals in 2012 and 2013. The results were compared before and after hospital reform. Results The scores of"over-all satisfaction"based on outpatients, inpatients and discharged patients were al increased in 2013 significantly compared with 2012. Regression analysis showed that after demographic adjustment there was a raise in the score of overal satisfaction from the year 2012 to 2013(χ2=5.96, P<0.01), particularly in items of nursing, doctor' work, medical charge, window service and thera-peutic quality and effectiveness (χ2=8.95, 7.79, 7.87, 6.16, 4.24, al P<0.01). Conclusion Pilot study shows that public hospital reform can improve medical service and patient satisfaction.