پاسخ‌گویی در ارائه خدمات سلامت: تجربه بیماران بستری در بیمارستانی آموزشی، درمانی و پژوهشی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 مربی، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

2 کارشناس، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

3 متخصص آمار، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

4 کارشناس، گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

5 مربی، گروه اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

6 دانشجوی دکتری، مرکز تحقیقات علوم مدیریت و اقتصاد سلامت، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران.

چکیده

اهداف توجه به جنبه‌های غیرپزشکی در مراقبت سلامت یا پاسخگویی بیانگر چگونگی تجربه بیمار از خدماتی است که در طول دوره مراقبت دریافت می‌کند. این موضوع بارها مورد تأکید سازمان بهداشت جهانی بوده است. این پژوهش با هدف ارزیابی وضعیت پاسخگویی از دیدگاه بیماران بستری در بیمارستان منتخب دانشگاه علوم پزشکی شهرستان سبزوار است.
مواد و روش ها در این مطالعه توصیفی و مقطعی جامعه پژوهش شامل تمام بیماران بستری‌شده در مرکز آموزشی، درمانی و پژوهشی واسعی سبزوار در سال 1394 است. 189 بیمار به روش طبقه‌ای دومرحله‌ای و تصادفی ساده از این مرکز آموزشی، درمانی و پژوهشی انتخاب شدند. ابزار گردآوری داده ها پرسش‌نامه استاندارد پاسخگویی بوده است. داده‌های پژوهش با استفاده از آمار توصیفی و آزمون‌های آماری تی و آنوا با نسخه 16 نرم‌افزار SPSS در سطح معناداری 0/05 تحلیل شد.
یافته ها یافته‌ها نشان داد از بین مؤلفه‌های هشت‌گانه پاسخگویی، دسترسی به حمایت‌های اجتماعی در دوره بستری بیشترین نمره و استقلال بیمار کمترین نمره را به خود اختصاص داده است. بین دسترسی به حمایت‌های اجتماعی و جنسیت رابطه معنادار وجود داشت (50/0≥P). همچنین بین بخش بستری‌شده بیماران با دسترسی به حمایت‌های اجتماعی در دوره بستری و کیفیت امکانات رفاهی رابطه معنادارمشاهده شد (50/0≥P). از دیدگاه بیماران میانگین نمره کل پاسخگویی در بیمارستان مطالعه‌شده از حداکثر چهار نمره (60/0±43/2) به دست آمد که نمایانگر پاسخگویی در حد متوسط است.

کلیدواژه‌ها


عنوان مقاله [English]

Responsiveness in Health Service: Patients Experience in Hospital of Sabzevar

نویسندگان [English]

  • Marjan Vejdani 1
  • Maryam Godarzeyan 1
  • Zahra Rahimi 2
  • Seyyed Ehsan Saffari 3
  • Marzieh Vejdani 4
  • Samira Fouji 5
  • Arefeh Pourtaleb 6
1 Instructor, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran.
2 BSc., Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
3 Statistics Specialist, Department of Epidemiology and Biostatics, School Of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
4 BSc., Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
5 Instructor, Department of Operating Room, Faculty of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.
6 PhD. Candidate, Health Management and Economics Research Center, Department of Health Services Management, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.
Methods & Materials In this cross-sectional and explanatory study, 189 hospitalized patients in Vasai hospital were selected using a stratified and simple random sampling. Standard Responsiveness Questionnaire was used as the data collection tool. Data were analyzed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05.
Results Access to the social support during hospitalization achieved the highest score while patient autonomy received the least score. There was a significant relationship between Access to the social support and patient’ gender (P≤0.05). Results showed significant differences between wards in this hospital and Access to the social support and Quality of basic amenities (P≤0.05). From patient view point the total score for this hospital was (2.43±0.60) that showed the moderate level of responsiveness.
Conclusion More than ever trying to institutionalize the principle of responsiveness culture in this kind of training educational hospital should be regarded. In this way it could be helpful to design a new scientific approach to implement and evaluate responsiveness in hospital regularly. It also would be an effective way to design suitable guideline and checklist along with improve clinical governance and clinical audit

کلیدواژه‌ها [English]

  • responsiveness
  • Hospital
  • Patient
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