The effect of turnover bed on medical quality and patient satisfaction

• Main Authors: Su-Mien Liao, 廖素綿
• Other Authors: King-Teh Lee
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/83805067573233161596

碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 99 === Purposes In this study, investigate use of hospitals turnover beds of the system, does affect patient satisfaction and quality of care. Differences by analysis of satisfaction, relevance of the study to establish, the predictors of satisfaction and to explore quality indicators of changes in medical wards.In order to provide decision-making unit assessment system policies as a reference. Methods In this study use Taiwan College of Healthcare Execntives of "patient questionnaire" as a research tool.Cross-section research method was used to investigate the opinions of admitted patients since December 2010 to February 2011, the responses gathered from 10 Internal and Surgical ward at a medical teaching center located in southern Taiwan. Hospitalized patients when he discharge the same day complete satisfaction questionnaires, a total recovery of turnover beds 215, non- turnover bed 173, the effective rate 93.7%, and the other to collect system implemented before and after 3 months of health care quality indicators (average length of stay, number of unusual event, nosocomial infection rates, readmission rates, long hospitalizations, and mortality).Version of statistical software to SPSS17.0 descriptive and inferential data analysis. Results Turnover beds and non- turnover bed patients in all dimensions of satisfaction were significant differences,and non- turnover beds better than the turnover beds.The satisfaction dimensions all have reached statistically significant predictors of the factor, but the explanatory power is not high. Implementation of system before and after there was no significant difference in the quality of care indicators, but in the unusual event and nosocomial infection there is increasing trend. Discussion and Suggestions Turnover beds the system on the dimensions of patient satisfaction are the negative effects, the biggest difference who is.Been assigned to different divisions of property by the staff attitude surfaces satisfaction scores than non- turnover beds lower 7.29 points.Presumably factors, turnover beds to increase the complexity of the work of staff, leaving the service attitude of the affected or patients due to differences in professional experience. The quality of care indicators in after the implementation of system has a tendency to increase, but below the statistically significant difference, probably because of difficult and complex cases disposed of more than return to the original ward care, or turnover beds with the system before its implementation is often the case by the bed, staff may have relevant care experience. Today''s hospital management should strengthen communication mechanisms, who’s that doctors、nurses and patient can communication better, enhance patient satisfaction. Physicians should actively communicate with patients discharged prepare to improve hospital efficiency. Manager should be regularly assess the performance of subjects adjust a reasonable use of bed number. Nnursing department may periodically evaluate and adjust interdisciplinary training divisions, so that nurses have a wide range of care abilities. Patient satisfaction questionnaire should be revised regularly in order to get more attention to patients with real issues and enhance patient loyalty.