北京市市属医院患者满意度评价的探索及实践

患者满意度测评是评价医疗服务质量与医护人员工作绩效的有力工具。随着医改的深入,为科学评价新医改前期实施成效,北京市医院管理局制定医院患者满意度评价方案,并且积极推动评价方案的实施。实施结果显示,患者满意度评价对于指导医院改进,完善服务,构建和谐医患关系有重要的现实意义。     

A satisfaction enhancement intervention for long-term weight loss

Objective: To compare the effects of two satisfaction enhancement interventions for weight control on behavioral and weight changes among individuals in a 15‐month weight loss program. The primary hypothesis was that long‐term weight loss would be improved by an intervention that enhances perceived satisfaction with achieved outcomes. Research Methods and Procedures: Men and women (331) were randomized to weight control programs comprised of diet and exercise counseling and a cognitive intervention that emphasized either comparing experienced outcomes with expectation of ideal outcomes or comparing experienced outcomes with pretreatment status. The latter was expected to cause greater satisfaction with weight loss progress. Results: The intervention manipulation was not successful in influencing cognitions, satisfaction, or weight change. Discussion: The potential for intervening on satisfaction per se for the purpose of achieving greater or more sustained weight loss remains to be demonstrated.     

Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients

doi:10.1111/j.1741‐2358.2009.00294.x
Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients Background: Nowadays, there is some speculation among dental educators that the need for complete dentures will significantly decrease in the future and that training in their provision should be removed from the dental curriculum. Objective: To sensitise the reader to the functional shortcomings of complete denture therapy in the edentulous patient and present restorative options including implants to improve edentulous quality of life in these patients. Methods: Information retrieval followed a systematic approach using PubMed. English articles published from 1964 to 2008, in which the masticatory performance of patients with implant‐supported dentures was assessed by objective methods and compared with performance with conventional dentures, were included. Results: National epidemiological survey data suggested that the adult population in need of one or two complete dentures will increase from 35.4 million adults in 2000 to 37.9 million adults in 2020. Clinical studies have showed that the ratings of general satisfaction were significantly better in the patients treated with implant overdentures post‐delivery compared with the complete denture users. In addition, the implant group gave significantly higher ratings on comfort, stability and ability to chew. Furthermore, patients who received mandibular implant overdentures had significantly fewer oral health‐related quality of life problems than did the conventional group. Conclusion: Implant‐supported dentures including either complete overdentures or a hybrid prosthesis significantly improve the quality of life for edentulous patients compared with conventional removable complete dentures. Therefore, the contemporary dental practitioner should consider other options as well as conventional removable complete dentures to restore edentulous patients.     

公立医院医师满意度现状及对策探讨

目的：探讨公立医院医师满意度影响因素,为医院管理者了解医师的想法提供依据。方法：行设计员工满意度测评量表,开展预调查,对预调查量表采用可靠性分析及因子分析进行信度、效度检验,采用Likert五点测量法,对量表进行赋分,结果采用描述性分析及方差分析结果采用描述性分析及方差分析等方法。结果：不同职称医师满意度差异有统计学意义（P〈0．05）,不同医院医师总体满意度有差异（P〈0．05）;影响医生满意度的主要因素为工作回报、文化活动、工作本身．主观环境、科研氛围、工作本身．客观环境。结论：主治医师的满意度较低,医师总体满意度处于中等水平以上,提高医师薪酬,增加业余文化活动,提高医院职工就餐质量及环境．重视科研,开展多形式的培训是提高医师满意度的重要方法。     

患者满意评价指数模型研究

医院是社会文明服务的窗口,医德医风关系到医院和医务人员自身的声誉。患者对于医疗服务的满意度对医院的生存和发展有着重要影响,随着医疗机构之间的竞争愈演愈烈,医疗服务的满意研究受到了更多的重视。患者的满意度与医院忠诚度二者是相辅相成的关系,只有满意的患者才能成为医院的忠诚顾客,再通过这些忠诚顾客的口碑影响其他患者,医院的形象才能得以提升。目前医院患者的满意研究出现了一个特殊的现象：对各类病人的满意研究得出了高的满意率,但社会对医院服务的强烈批评却屡见不鲜。本文分析了目前患者满意评价体系存在的问题,并以服务管理领域顾客满意理论为指导,通过分析患者满意的影响要素以及各要素的相互关系,探讨医院患者满意评价模型构建方法。     

The Chinese Morningness-Eveningness-Stability-Scale improved (MESSi): validity,reliability, and associations with sleep quality,personality, affect and life satisfaction

ABSTRACT

Individual differences in time of day preference have important correlates. Morningness is associated with greater well-being, while eveningness is associated with more maladaptive behaviors, psychological distress, and disorder. The availability of valid, reliable, questionnaire scales is central to this ongoing research. The recently developed Morningness–Eveningness-Stability-Scale improved (MESSi) utilizes items from previously established scales to assess the dimensions of Morning Affect (MA), Eveningness (EV), and amplitude of diurnal variation/distinctness (DI). The current study developed a Chinese version of the MESSi scale. A sample of 767 Chinese university students completed the translated MESSi, the reduced Morningness-Eveningness Questionnaire (rMEQ), and scales assessing sleep quality, positive and negative affect, the big five personality dimensions, and life satisfaction. An independent sample of 80 undergraduates completed the MESSi twice over a 14–19 day period. Exploratory and confirmatory factor analysis both supported the original three-factor structure of the MESSi, with the subscales of MA, EV, and DI. Internal consistency and test–retest reliability were acceptable/good, and expected correlations with other measures were found, including: MA correlated positively with the rMEQ, conscientiousness, positive affect, and life satisfaction; EV correlated negatively with rMEQ and conscientiousness; DI correlated positively with poor sleep quality, negative affect, and neuroticism. Overall, the results support the validity and reliability of the Chinese version of the MESSi.     

护理组长在优质护理服务中的作用探讨

在开展优质护理服务过程中,通过改变原有护理工作模式,重新界定护理组长的工作内容、制定护理组长岗位工作职责、定期对护理组长进行培训及考核,充分发挥了护理组长在优质护理服务中的重要作用。在护理质量方面,基础护理质量、危重病人护理质量、护理电子病历质量都有所提高,有利于提高患者满意度。     

带教师资对规范化培训住院/专科医师综合职业能力的满意度调查分析

目的 调查带教师资对参加规范化培训的住院/专科医师综合职业能力的满意度。方法 采用自制问卷,对成都市4所三级甲等医院515名带教师资进行问卷调查,每项的满意度按5分记数,最高分5分,对收集的数据进行因子分析和方差分析。结果 受调查的515名师资对住院医师的综合职业能力的满意度评分均值为（3.48±0.58）分,不同医院的带教师资对住院/专科医师的满意度评价有差异性﹝P﹤0.05﹞。结论 人事关系类别是影响师资与学员相互之间的满意度因素之一,因此,无论教学医院还是非教学医院都应注意人事制度改革带来的多元化人力资源管理。

     

心理治疗对支气管肺癌患者化疗依从性的影响

目的:探讨心理治疗对支气管肺癌患者化疗依从性的影响。方法:本院收治的支气管肺癌患者80例,随机分为对照组和观察组。对照组进行化疗的支气管肺癌患者采用常规专业护理措施。观察组:在对照组常规专业护理措施的同时,患者行心理治疗措施。结果:观察组满意度高于对照组;观察组的依从性优于对照组。结论:心理治疗不但可以提高支气管肺癌患者在化疗期间的满意度;而且可以提高支气管肺癌患者对化疗的依从性。     

Evaluation of satisfaction with masticatory efficiency of new conventional complete dentures in edentulous patients--a survey

doi: 10.1111/j.1741‐2358.2012.00634.x Evaluation of satisfaction with Masticatory efficiency of new conventional complete dentures in edentulous patients. A survey Background: Knowing how patients really feel after treatment is, very often, as relevant as the success rate of the conventional dentures and it can even be the measurement of masticatory function. Aim and objectives: This questionnaire survey aimed to analyse the satisfaction level and masticatory efficiency of patients treated with conventional complete dentures. Design and setting: Thirty edentulous patients were considered in the study. Satisfaction level and masticatory efficiency were analysed based on specific questionnaires for edentulous patients and by a likert rating scale from 0 to 5, at three moments: Prior to treatment (edentulous period), after the insertion of the new dentures and at 30–45 days follow‐up. Materials and methods: Thirty patients including 12 male and 18 female patients (mean age 65 years), who voluntarily came for the services. T‐test was applied at three different levels. Results: The rehabilitation with conventional complete dentures produced an improvement (p < 0.05) in satisfaction level and masticatory efficiency. Conclusion: Thus, those patients who were edentulous previously and dissatisfied with their masticatory ability showed improvement after receiving a new set of conventional complete dentures.