Satisfaction With Medical Care: Replications and Theoretic Reevaluation
Satisfaction With Medical Care: Replications and Theoretic Reevaluation
复制标题
对医疗护理的满意度：复制和理论重新评估
DOI：
10.1097/00005650-198303000-00004
复制
发表时间：
1983
期刊：
影响因子：
3
通讯作者：
A. Hengst
中科院分区：
文献类型：
--
作者：
T. Zastowny;K. Roghmann;A. Hengst
对医疗服务的满意度经常在卫生服务研究中进行衡量，但有许多不同的原因。已报道的满意度的概念和用途不断扩大，这使得研究之间的比较变得困难。关于满意度的结构和维度的问题仍然存在。满意与利用的关系仍需要理论和经验的澄清。本文报告了在社区儿科研究项目中进行的几项包含满意度测量的调查。使用多维尺度技术，通过几个样本来检验满意度结构和患者的护理偏好的稳定性。出现的不同结构似乎反映了独特的患者体验。运用多元统计方法对满意度与利用度的关系进行了研究。提出了一个调节性自平衡模型。满意度被视为一个与短期和长期过程有关的多方面概念。需要特定的模型来将满意度与各种健康和疾病行为联系起来。
Satisfaction with medical care is frequently measured in health services research but for many different reasons. The widening conceptualizations and uses of satisfaction reported make comparisons between studies difficult. Questions regarding the structure and dimensionality of satisfaction remain. The relation of satisfaction with utilization still requires theoretic and empiric clarification. This article reports on several surveys containing measures of satisfaction conducted in a research program in community pediatrics. Using multidimensional scaling techniques, the stability of the structure of satisfaction and patients' preferences for care is examined across several samples. The different structures that emerged seem to reflect unique patient experience. Several multivariate approaches were applied to study the relation between satisfaction and utilization. A regulatory self-equilibrating model was offered. Satisfaction is seen as a multifaceted concept related to short-term and long-term processes. Specific models are required to link satisfaction to the various health and illness behaviors.