新医改形势下东中西部地区医院环境评价及改进研究

Research on hospital environmental assessment and improvement plan in eastern,central and western regions of China in the new medical reform

目的基于新医改背景下就东中西部地区公立医院改革试点医院住院患者对医院环境的满意度进行调查,满足不同人群多样化的就医需求,为医院医疗环境的改进提供针对性政策建议。方法采用文献回顾法,了解国内外对于医院环境满意度评价情况,自主设计调查问卷。对上海市、湖北省和贵州省公立医院改革试点医院内2700名住院患者进行问卷调查,调查内容包括对医院环境评价及满意度。结果总体环境满意度、绿化环境满意度、建筑环境满意度和就医环境满意度的平均值分别为3.86、3.85、3.77和3.55。东中西部地区的患者对总体环境、绿化环境和建筑环境的满意度评价存在差异。不同年龄、不同家庭人均月收入和不同文化程度的患者对总体环境满意度的评价存在差异,而性别、住院天数和医保形式对总体环境满意度的评价不存在显著性差异。结论新医改推进后,医院环境建设成为医院管理工作中不容忽视的一项重要内容。加强公立医院环境建设,提高患者满意度,对其今后的改革和发展具有重大的现实意义。为提高患者满意度针对医院环境建设提出改进策略:重视绿化环境,营造自然生态美;优化建筑环境,布局合理便捷化;改善就医环境,提供人性化服务;加大投入力度,满足多样化需求。

Objective To investigate the inpatient satisfaction to the hospital environment in public hospitals with pilot re- form in the eastern, central and western regions of China in the new medical reform, put forward the corresponding policy recommendations for the improvement of hospital environment, so as to meet the various needs of different people. Methoils The literature review was carried out to understand hospital environment satisfaction assessment at home and abroad. A serf-design questionnaire was performed to survey the hospital environment evaluation and patient satisfaction a- mong 2700 inpatients from the public hospitals with pilot reform in Shanghai, Hubei and Guizhou. Results The satisfaction to general environment, environmental afforestation, built environment, and medical environment of hospital 3.86, 3.85,3.77 and 3.55 ,respectively. There was obviously difference in the general environment, environmental afforestation and built environment satisfaction among the patients from the eastern, central and western regions. The assessment of pa- tients with different ages, different average monthly incomes and different educational level to the general environment was different significantly. The patients with different genders, length of hospital stay and forms of medical insurance gave the similar satisfaction evolution to the general environment. Conclusions With the development of new health reform, the hospital environment construction has become an important part of hospital management. Strengthening the construction of public hospital environment and improving patient satisfaction have great practical significance for future reform and development. In order to improve patients satisfaction, the improvement strategies are put forward for the hospital environment construction, i. e. more attentions on the environmental afforestation to create a natural ecological beauty;buih environment optimization to make the layout reasonably and conveniently;improvement of medical environment to provide humanity service;and inputs increase to satisfy the diversified demands.