Medical Service Satisfaction Research Articles

Medical service satisfaction and depression among middle-aged and older Chinese adults: moderating role of distinct Internet-using patterns

BackgroundPatient satisfaction is a powerful predictor of an individual's mental health, according to previous research. However, there has not been a thorough study on the relationship between depression and overall medical service satisfaction (OMSS) in middle-aged and older adults. Moreover, little is known about how different Internet-using patterns affect this relationship.MethodsWe selected 4,523 participants from the China Family Panel Studies (CFPS) 2020 dataset who were aged 45 and older. The relationship between OMSS and depression was examined using logistic regression analysis, distinct Internet-using patterns were investigated using latent class analysis, and the moderating effects of these patterns were examined using SPSS PROCESS macro analysis.ResultsThe results showed OMSS was negatively related to depression in middle-aged and older adults (β = -0.181, p < 0.001). For skilled Internet users, there was a significant positive moderating effect (β = -0.272, SE = 0.096, p < 0.01), for unskilled users, there was a significant negative moderating effect (β = 0.497, SE = 0.156, p < 0.01). Yet, there is no moderating effect of a controlled Internet-using pattern on the correlation between OMSS and depression.ConclusionsThis study highlights the potential value of improving medical service satisfaction in reducing depressive symptoms in middle-aged and older adults. Additionally, in order to maximize the benefits of healthcare for mental health, the study suggests that Internet-using patterns could be a significant area for intervention.

Users` Medical Service Satisfaction at a Children’s Hospital in Lao PDR

Users` Medical Service Satisfaction at a Children’s Hospital in Lao PDR

Analysis of the demand for medical services using digital programs in the Russian healthcare system: an overview of trends

The research conducted in this article has determined that among Russians, preference for private medical services, including through online technologies, is given for the following reasons: the speed of service provision - 45.1%; lack of queues (44%); quality of medical procedure (39.8%); ease of making an appointment (32.1%); high professional level of the doctor (24.4%). Given the fact that the cost of medical services at a personal appointment is increasing, it is safe to say that the types and forms of services in the format of remote medical care will certainly increase in number and may become the most important trend in 2024 and subsequent years. An important factor in the availability and satisfaction of medical services, and hence its demand, is the use of digital technologies and the direction of development of programs using artificial intelligence in medicine. The article provides an overview of the artificial intelligence resources used and implemented in medicine and healthcare in Russia, and the prospects for their development in the short term.

Multidimensional health heterogeneity of Chinese older adults and its determinants

BackgroundNowadays, the “Healthy China” and “Actively Addressing Population Aging” are two important national strategies in China. Promoting high-quality development of demand-driven older adults health services is an important way to achieve these strategies. From the perspective of active ageing, assessing the health status of older adults from multiple dimensions becomes crucial as it helps identify their specific health service needs, intervention measures, and health policies tailored to this population. MethodsData were derived from the China Health and Retirement Longitudinal Study (CHARLS) wave 4 (2018). A total of 4190 older adults (aged ≥60 years) were included as the analysis sample. Latent class analysis was performed to categorize older adults based on 6 health indicators, including Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), doctor diagnosed chronic diseases, depressive symptoms, cognitive function, and social participation. Multinomial logistic model was used to explore determinants associated with the various patterns of multidimensional health of older adults. ResultsThe multidimensional health of older people was classified into three latent classes: Relatively Healthy (Class 1, n = 2806, 66.97%), Highly Depressed and Relatively Health Risk (Class 2, n = 1189, 28.38%), and Functional Impairment (Class 3, n = 195, 4.65%). Gender, age, education, marital status, number of children, alcohol consumption, physical activity, savings, residence, air quality satisfaction, and medical service satisfaction had significant effects on the attribution of all multidimensional health latent classes. ConclusionHeterogeneous and multidimensional health classes exist in China's older population, and these classes are influenced by a variety of factors and to varying degrees. Policymakers and healthcare providers can use these evidence to further address the diverse needs of older adults and improve older-care health services, ultimately achieving the goal of Active Ageing and Healthy China.

Health-related quality of life of migrant workers: a systematic literature review

BackgroundCurrently, the number of migrant workers residing in Korea is continuously increasing, which is exacerbating the workforce shortage in its society. Migrant workers experience health problems or stress due to rapid environmental changes, consequently impairing their quality of life (QoL). Accordingly, this literature review aimed to prepare basic data by identifying factors related to the health-related quality of life (HRQoL) of migrant workers in Korea.MethodIn total, the literature search used seven databases to find all documents corresponding to related subject words until June 7, 2022, including PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Regional Information Sharing Systems, Korean Medical database, Science ON, and DataBase Periodical Information Academic. Furthermore, this study used the Cochrane Library and Google Scholar to manually search, to include comprehensive literature. Moreover, both English and Korean were used to search for the main terms.ResultsIn total, nine articles were selected. The World Health Organization Quality of Life Brief Version tool was used in six studies to measure HRQoL. Factors affecting the HRQoL of domestic migrant workers included general characteristics such as monthly income and residence period, physical and psychological health-related characteristics such as health promotion behaviour, medical service satisfaction, and depression, and social factors such as social support and cultural adaptation stress. Social support was an important variable affecting the QoL. Particularly, increased social support improved health-related QoL. In addition, higher medical service satisfaction and lower cultural adaptation stress increased HRQoL.ConclusionsSocial factors such as social support and cultural adaptation stress affect the HRQoL of migrant workers. Therefore, the social integration program should be expanded to ensure that migrant workers can adapt to the domestic culture at an early stage. In addition, people require active support to improve the QoL in Korea through activities such as self-help groups to help them cope with stressful situations and experience positive emotions. Moreover, it is necessary to provide information on domestic medical services as well as support for medical information for self-health management to improve the quality of medical services for migrant workers.

Increasing clinical medical service satisfaction: An investigation into the impacts of Physicians’ use of clinical decision-making support AI on patients’ service satisfaction

BackgroundThe medical industry is one of the key industries for the application of artificial intelligence (AI). Although it is believed that the combination of CDSS and physicians could improve the medical service, there are still many concerns about the usage of CDSS. Based on these concerns, limited studies have answered the question that when a physician makes decision independently or with AI’s help, will there be any differences in patients’ satisfaction with the medical service? MethodsThis study uses the service fairness theory as a theoretical lens and employs three vignette experiments to address this research gap. There are totally 740 subjects recruited to participate into the three experiments. Group comparison methods and structural equation model are used to verify the hypotheses. ResultsThe experimental results reveal that: (1) physicians using AI can reduce patients’ service satisfaction (Mdifference=0.404,p=0.004); (2) the negative relationship between AI usage and service satisfaction can partially be mediated through distributive fairness and procedural fairness; (3) physicians actively informing their patients about the usage of AI can help mitigate the reduction in service satisfaction (Mdifference=0.400,p=0.003) and three types of fairness Mdifferencedistributive=0.307,p=0.042;Mdifferenceprocedural=0.483,p<0.001;Mdifferenceinteractional=0.253,p=0.027. ConclusionThis study investigates the effect of physicians using decision-making support AI on their patients’ service satisfaction. These results contribute to the existing literature pertaining to AI and fairness theory, and also help in formulating some practical suggestions for medical staff and AI development companies.

A Study on the Effect of Medical Service Quality on Customer Satisfaction during COVID-19 for Foreigners in Korea

With the increasing number of foreigners residing in Korea, there is a need for further research on medical service satisfaction for this demographic. Therefore, this study aimed to analyze the impact of medical service quality on customer satisfaction and revisit intention of foreigners in Korea during the COVID-19 pandemic. An online survey was conducted from 15 March to 15 May 2022 to gather data from foreign residents in Korea. A total of 201 questionnaires were analyzed using IBM SPSS Statistics 26.0 and Smart PLS3.0 for empirical analysis. The results of the study demonstrate that reliability, empathy, and COVID-19 regulations (excluding responsiveness, assurance, and tangibles) positively impact customer satisfaction with medical services. Additionally, customer satisfaction with medical services positively affects revisit intention. Furthermore, variables, such as nationality and medical department, show average differences. These findings suggest that hospitals should focus on COVID-19 prevention and the quality of medical services, while also taking into account unique characteristics, such as nationality and medical department. This study provides essential reference data for medical institutions exposed to infinite competition, informing management strategies to increase customer satisfaction and revisit intention during COVID-19.

Factors associated with job satisfaction of emergency medical services professionals – a cross-sectional study

Relevance. Shortage of skilled emergency medical services (EMS) employees is an alarming global problem. EMS missions have increased by fifty percent in many communities. The high EMS demand, low recruitment rate and loss of skilled employees forced EMS organization to explore ways to improve EMS employees work ability and satisfaction. To date there are no data available on EMS employees’ job satisfaction levels in Kuwait. Intention – To establish the national EMS job satisfaction level, identify factors associated with job satisfaction and explore the relationship between job satisfaction, physical wellbeing and depressive disorder. Methodology. A cross-sectional survey was conducted in 80 Kuwait EMS employees online (15 January –15 March 2020). Job satisfaction and depressive disorders were assessed via a questionnaire based on Minnesota Satisfaction Questionnaire (MSQ) that included 21 items. Descriptive and regression analysis were performed. Results and Discussion. The overall mean of job satisfaction was closer to moderate, 3.9 ± 1.4. The participants described the EMS profession to have moderate levels of intrinsic factors except for achievement 1.8 ± 1.5. And to have moderate levels of extrinsic factors except for pay and social factors: overall mean 2.7 ± 1 and 2.2. ± 1.5, respectively. There were three factors associated with job satisfaction: gender (p = < 0.001), career advancement (p = 0.003) and responsibilities (p = 0.005). This analysis also showed significant association between job satisfaction and EMS employees’ well-being (p = 0.001) and absence of depressive disorder (p = < 0.001). Conclusion. There is a moderate level of job satisfaction among EMS workforce in Kuwait. Gender, career advancement and responsibilities were the main factors associated with job satisfaction. Having satisfied EMS employees with their job can eliminate depressive disorder and enhance physical well-being. Future efforts to improve EMS employee’s recruitment, work ability and work quality should reflect on these findings.

Study on the Satisfaction of Medical Services for the Elderly under the Community Medical Resource Sharing Model

Study on the Satisfaction of Medical Services for the Elderly under the Community Medical Resource Sharing Model

Evaluation of the Application Effect of WeChat Platform-based Communication Mode in Family Members of Patients after Partial Pulmonary Resection in the Anesthesia Intensive Care Unit.

Objectives: In this study, we explored the application effect of the communication mode based on WeChat platform in the family members of patients after partial pulmonary resection in the anesthesia intensive care unit. Methods: We selected 80 patients with elective general anesthesia for partial pulmonary resection and divided them into an observation group and a control group with 40 cases in each group according to the random number table method. We compared anxiety self-evaluation scores, medical service satisfaction scores, and family members' desire to visit between the 2 groups. Results: The anxiety score of the observation group was significantly lower than that of the control group (p<.05). The medical service satisfaction score of the observation group was significantly higher than that of the control group (p<.05). The desire for face-to-face visits of family members in the observation group was significantly lower than that in the control group (p<.05). Conclusion: The communication mode based on the WeChat platform can reduce the anxiety of patients, improve the satisfaction of patients with medical services, and reduce the desire of family members to visit. The method is simple and easy to implement and is worthy of clinical outreach.

EMPOWERMENT OF MEDICAL RECORD OFFICERS IN INCREASING OUTCOME PATIENT SATISFACTION EFFORTS IN HOSPITALS GRANDMED LUBUK PAKAM

Medical record as a form of documentation of health services and a form of patient administrative responsibility and patient reference. The quality of medical records describes an implementation of the quality of health services such as health centers, clinics and hospitals. The purpose of this activity is to socialize and assist medical record officers in increasing outpatient satisfaction at Grandmed Hospital. The implementation of this community service activity began with collecting data on the number of officers in the outpatient medical record unit at Grandmed Lubuk Pakam Hospital. Then the team made direct observations in the RM unit and saw the activities of officers while providing services to patients at the hospital. Furthermore, outpatients were given a questionnaire regarding the satisfaction of medical record services. Furthermore, socialization, education and mentoring training were carried out through lectures and discussions about health services according to standard operating procedures (SOPs). After socialization, outpatients were given a questionnaire again to assess the improvement of medical record services. Based on the results of the socialization activity, the respondent's score before socialization and education was 7 and the lowest value was 4. Meanwhile, the respondent's value after being given socialization and education to the respondent increased by 10, the lowest score was 6 and the average respondent's score was 9.8. . Based on the results of the activity, it was found that 20 outpatients at Grandmed Hospital showed that the level of service satisfaction was 93% while dissatisfied was 3%. Based on this socialization activity, it was concluded that the medical record service unit officers experienced an increase in knowledge and the results of the evaluation of services for outpatients, namely patients were satisfied with medical record services, which was 93%.

The Effect of Chinese Women in Their 20s and 30s on the Customer Awareness of Medical Skincare on Satisfaction

This study identified the demographic perception of medical skincare for Chinese female customers in their 20s and 30s who had experience in medical skincare in the past or are currently undergoing procedures and revealed the effect of medical skincare's perception on medical skincare service satisfaction. The purpose of this is to provide reference materials to consumers in preparing better service plans for the Chinese skincare industry in the future. This study conducted a survey on female customers who had experience in medical skincare in the past or are currently undergoing procedures, and 343 surveys were selected as final analysis data. In the results of the study, it seems that the increase in Chinese female customers' awareness of medical skincare has affected their satisfaction, and so far, medical skincare awareness and satisfaction have not been very high.women in their 30s who are in contact with people had high awareness of medical skincare and high satisfaction with their high interest in appearance as well as economic composure. In addition, as a result of analyzing the effect of medical skincare perception on satisfaction, it was found that the higher the medical skincare perception, the higher the medical skincare satisfaction. In other words, it was found that medical skincare satisfaction was affected according to medical skincare recognition.

RELATIONSHIP OF MEDICAL RECORD SERVICES TO OUTPATIENT SATISFACTION AT GRANDMED LUBUK PAKAM HOSPITAL

Patients as users of health services demand services provided in accordance with their rights, namely quality and perfect services. Patients expect officers to provide services that match their interests and expectations, namely humane, responsive, empathetic, friendly and communicative. This study is a quantitative study with a cross sectional research design which aims to determine the relationship between medical record services and patient satisfaction at the Grandmed Lubuk Pakam hospital. The sample in this study was taken using accidental sampling technique of 33 respondents. Data was collected using a questionnaire and tested using the chi square test. The results showed that the medical record service at Grandmed Lubuk Pakam Hospital was in the good category (54.5%), most of the patients said they were satisfied with the medical record service (66.7%) and statistically there was a relationship between medical record service and patient satisfaction at the hospital. Grandmed Lubuk Pakam (p=0.009).

Analysis of foreign patients' satisfaction with Korean hospital medical services and their intention to use them again: For Russian-speaking

The purpose of this study was to verify that the three types of medical service satisfaction, patient-oriented satisfaction, and the willingness to reuse Korean hospitals differ depending on the characteristics of foreign patients. Second, we investigate the factors affecting these four variables. The main analysis results shown in this study are as follows. First, most foreign patients were found to be highly satisfied with Korean hospital doctors and patient-oriented hospitals. In addition, more than 75 percent of foreign patients were willing to reuse Korean hospitals in the future. Second, a regression analysis of variables that affect satisfaction with Korean hospital doctors showed that the presence of long-term diseases affected. Specifically, if there is a disease in the long term, the satisfaction level of Korean hospital doctors is high. The factors that affect foreign patients satisfaction with the Korean hospital system were income and health conditions. The lower the income of foreign patients, the higher the satisfaction with the Korean hospital system in the case of positive perception of their health conditions. Meanwhile, the impact on the satisfaction of foreign patients with patient orientation in Korean hospitals was on whether they lived in Korea and recognized their health conditions. Foreign patients living abroad, not domestic residents, and foreign patients with positive perceptions of their health conditions showed high satisfaction with the patient-orientedness of Korean hospitals. Third, the regression analysis was conducted to identify the factors affecting the willingness of foreign patients to reuse Korean hospitals, and found that the medical expenses were borne by themselves, doctor satisfaction, and hospital system satisfaction. Foreign patients who do not pay for medical expenses showed high willingness to reuse Korean hospitals, while foreign patients with high satisfaction with Korean hospital doctors showed high willingness to reuse Korean hospitals.

The mediating and moderating effects of shared decision making and medical autonomy on improving medical service satisfaction in emergency observation units

ObjectiveDistinct from other medical settings, the emergency setting is unique and requires flexible and adaptive decision making to provide quality medical services. This study was designed to investigate the mediating and moderating effects of shared decision making (SDM) and patient attitude toward medical autonomy (AMA) on improving medical service satisfaction (MSS) in emergency observation units. MethodsIn this cross-sectional study, we collected data via a verified structured questionnaire. A total of 165 participants met the inclusion criteria, and 100% of the questionnaires recovered were valid. ResultsThe results show that SDM had a partial mediating effect (p < 0.01) and that it significantly improved MSS. AMA had a moderating effect on some domains (p < 0.01). Meeting patient needs and increasing their participation in decision making can effectively improve MSS. However, excessive patient participation might not be productive, which is an important finding of this study. ConclusionIn emergency observation units, SDM-based doctor-patient interactions and cooperation, effective patient-centered communication, and respect for patients’ medical autonomy improve the doctor-patient relationship and patients’ health literacy. Patients can thus participate in selecting the best treatment plan to achieve expected health outcomes, and ultimately improve MSS.

Medical Service Satisfaction and Social Safety Perception towards the New Diseases and Influencing Factors : Focusing on 2018 and 2020 Social Survey

Medical Service Satisfaction and Social Safety Perception towards the New Diseases and Influencing Factors : Focusing on 2018 and 2020 Social Survey

Rebuild doctor\u2013patient trust in medical service delivery in China

Doctor–patient trust is not strong in China, but studies examining this factor remain insufficient. The present study aimed to explore the effect of doctor–patient communication, medical service quality, and service satisfaction on patient trust in doctors. Five hundred sixty-four patients with tuberculosis participated in this cross-sectional study in Dalian, China. They completed questionnaires assessing socio-demographic characteristics, doctor–patient communication, medical service quality, service satisfaction and patient trust in medical staff. A structural equation model was applied to examine the hypotheses, and all the study hypotheses were supported: (1) doctor–patient communication, medical service quality and service satisfaction were positively associated with building doctor–patient trust; (2) service quality positively mediated the relationship between doctor–patient communication and trust; (3) medical service satisfaction positively mediated the relationship between doctor–patient communication and trust; (4) medical service satisfaction positively mediated the relationship between medical service quality and doctor–patient trust; and (5) medical service quality and service satisfaction were the positively sequential mediators between communication and doctor–patient trust. Based on these findings, improvements in doctor–patient communication, medical service quality, and service satisfaction are the important issues contributing to the rebuilding of doctor–patient trust in medical service delivery.

A Study on the Decision-Making of Patients' Non-hospitalization Behavior

The phenomenon of expensive seeking only brings great physical and psychological pressure and economic burden to the patient, but also enlarges the anxiety, the suspicion, the fear and the non-rational medical treatment. Based on the data of China Health and Retirement Longitudinal Study, the paper found that there was no significant effect on the choice behavior of doctor suggested hospitalization but not by the sex, age, marital status and etc. However, the relationship between the satisfaction of medical service, the self-assessment health status and the health satisfaction was positively related to the degree of regular pain and self-feeling depression. Moreover the effect of self-assessment health status and regular body pain is the most effective, and the degree of self-feeling depression is the least.

Does Internet Use Affect Individuals' Medical Service Satisfaction? Evidence from China.

Empirical evidence that combines traditional factors and information technology factors to predict public attitudes toward to medical services is inadequate. To fill this gap, this study investigates the impact of Internet use on people’s satisfaction with medical services by employing the Chinese Social Survey for 2013, 2015 and 2017 (including 28,239 samples in total). Estimation results under the ordered probit reveal that Internet use is negatively correlated with individuals’ medical services satisfaction. The results support the negativity bias theory, namely, compared with positive information, netizens pay more attention to negative medical-related information on the Internet. The results are still reliable by adopting substitution variable methods, subdividing the samples, employing other estimation methods and carrying out placebo tests to conduct robustness checks. This study further enriches the literature on public attitudes toward medical services and provides additional policy implications for medical risk management in the digital era.

농촌 지역에 의료기관인증병원 의료서비스가 고객만족서비스와 재방문 의사에 미치는 상관관계 연구

본 연구의 목적은 의료사각지대인 농촌지역에 거주하며 의료이용율이 빈번한 노인들이 “의료기관 인증제 도”를 실시한 의료기관과 실시하지 않은 의료기관 방문경험이 있는 노인을 대상으로 의료 소비자의 만족도 및 재 방문 여부를 통한 “의료기관 인증제도”의 효용성과 그 성과를 비교･조사함으로써, 의료소비자들의 의료기관 선택 기준 마련에 기초 자료를 제공하는데 그 목적이 있다. 이를 위해 S읍 소재 병원2곳의 방문자 200명을 대상으로 설문 전 ‘의료기관 인증제도’가 무엇인지에 대하여 간략히 설명을 덧붙여서 직접 알려주었으며 고객만족도와 재 방문의사로 구성된 구조화된 설문지를 사용하여 통계분석 하였다. 분석결과는 인증의료기관의 만족도는 그렇지 않 은 의료기관보다 유의하게 만족도와 재방문율이 더 높은 것으로 나타났다. 이 결과는 오늘날 의료는 의료서비스 양보다는 질적인 측면이 만족도를 높이는 요인으로 등장하였음을 확인하였고, 의료기관인증제도의 효용성과 공신 력을 제고하는 계기가 될 것이다. 따라서 본연구의 결과를 통하여 향후 의료기관이 의료서비스 질을 통한 신뢰도 향상을 위해 계속적인 노력에 박차를 가하는 계기가 될 것으로 사료된다.