基于患者角度的KH医院医患沟通质量评估研究

发布时间：2018-01-03 20:37

本文关键词：基于患者角度的KH医院医患沟通质量评估研究　出处：《昆明理工大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着经济的发展,我国的医患关系却越趋紧张,一个重要原因是医患沟通不畅。通常,医患沟通不畅是因为没有一个监督机制,而监督的前提是有评估医患沟通质量的工具。但是,关于我国医患沟通质量评估方面的研究却很少。因此,本文的目的是研究出适合KH医院的医患沟通质量评价量表和模型,为其他医院医患沟通质量评价提供借鉴,增加医患沟通质量方面的研究。通过阅读服务质量及模型构建等相关文献,借鉴SERVQUAL五维度评价指标、医患沟通质量影响因素、赵云霞等人设计的医患沟通质量评价量表设计了医患沟通质量三维度评价指标,用SERVPERF评价方法来测量门诊医患沟通质量,并且用SPSS和AMOS两个统计软件对数据进行分析。为了得到合适的量表题目数量和结构、检验量表的信度,本文通过SPSS.21对数据进行了项目分析,包括极端值检查、T检验、相关度分析;探索性因子分析,进行KMO和巴特利特球型检验,利用主成分分析法,得出公共因子方差、解释的总方差值、旋转矩阵等,依据这些对量表指标数量进行不断的调整,最终得到内容性、移情性、结果性三个共同因子共15个项目、解释的总方差大于60%。用Cronbach's Alpha值系数法进行了信度检验,整体量表的Cronbach's Alpha值和每个维度的Cronbach's Alpha值都符合标准,可信度高。为了进一步验证量表的信度,运用了AMOS.21进行了结构方程模型检验。包括理论模型的构建和一阶、二阶验证性因子分析,得出的结果表明,模型的适配度高,组合信度大于0.6,平均方差抽取量大于0.5,说明模型的内在质量高。用路径系数检验研究假设,所有假设都被接受。最后,对KH医院医患沟通情况进行了简单分析。实证分析后,提出了改善KH医院医患沟通质量的建议,最后是本文研究结论,研究不足和展望、致谢。
[Abstract]:With the development of economy, the doctor-patient relationship in our country is becoming more and more tense, one of the important reasons is that the doctor-patient communication is not smooth. Usually, the doctor-patient communication is not smooth because there is no supervision mechanism. The premise of supervision is that there are tools to evaluate the quality of doctor-patient communication. However, there are few researches on the evaluation of doctor-patient communication quality in China. The purpose of this paper is to study the evaluation scale and model of doctor-patient communication quality which is suitable for KH hospital, and to provide reference for the evaluation of doctor-patient communication quality in other hospitals. Through reading the relevant literature such as service quality and model construction, using the SERVQUAL five-dimensional evaluation index, influencing factors of doctor-patient communication quality. Zhao Yunxia et al designed the evaluation scale of doctor-patient communication quality, designed the three-dimensional evaluation index of doctor-patient communication quality, and used SERVPERF evaluation method to measure the doctor-patient communication quality. And two statistical software SPSS and AMOS were used to analyze the data. In order to get the appropriate number and structure of the scale, the reliability of the scale was tested. This paper carries on the item analysis to the data through SPSS.21, including the extreme value check T test, the correlation degree analysis; Exploratory factor analysis, KMO and Bartlett ball test, using principal component analysis, the common factor variance, explained the total variance, rotation matrix and so on. According to these indicators of the scale of continuous adjustment, the final content, empathy, results of the three common factors a total of 15 items. The total variance of the explanation is greater than 60. The reliability is tested by Cronbach's Alpha coefficient method. The Cronbach's Alpha value and Cronbach's Alpha value of each dimension were in accordance with the standard and high reliability. In order to further verify the reliability of the scale. AMOS.21 is used to test the structural equation model, including the construction of theoretical model and the first-order and second-order confirmatory factor analysis. The results show that the model has a high adaptability. The combination reliability is greater than 0.6 and the average variance extraction is more than 0.5, which shows that the intrinsic quality of the model is high. Using path coefficient to test the hypothesis, all the assumptions are accepted. Finally. This paper makes a simple analysis of the communication between doctors and patients in KH hospital, and puts forward some suggestions to improve the quality of doctor-patient communication in KH hospital. Finally, the conclusion of this paper, the deficiency and prospect of the study, and the thanks are given.
【学位授予单位】：昆明理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.3

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