本文關(guān)鍵詞：基于患者角度的KH醫(yī)院醫(yī)患溝通質(zhì)量評(píng)估研究　出處：《昆明理工大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 醫(yī)患溝通 醫(yī)患溝通質(zhì)量 服務(wù)質(zhì)量 評(píng)價(jià)模型 結(jié)構(gòu)方程模型

【摘要】：隨著經(jīng)濟(jì)的發(fā)展,我國(guó)的醫(yī)患關(guān)系卻越趨緊張,一個(gè)重要原因是醫(yī)患溝通不暢。通常,醫(yī)患溝通不暢是因?yàn)闆]有一個(gè)監(jiān)督機(jī)制,而監(jiān)督的前提是有評(píng)估醫(yī)患溝通質(zhì)量的工具。但是,關(guān)于我國(guó)醫(yī)患溝通質(zhì)量評(píng)估方面的研究卻很少。因此,本文的目的是研究出適合KH醫(yī)院的醫(yī)患溝通質(zhì)量評(píng)價(jià)量表和模型,為其他醫(yī)院醫(yī)患溝通質(zhì)量評(píng)價(jià)提供借鑒,增加醫(yī)患溝通質(zhì)量方面的研究。通過(guò)閱讀服務(wù)質(zhì)量及模型構(gòu)建等相關(guān)文獻(xiàn),借鑒SERVQUAL五維度評(píng)價(jià)指標(biāo)、醫(yī)患溝通質(zhì)量影響因素、趙云霞等人設(shè)計(jì)的醫(yī)患溝通質(zhì)量評(píng)價(jià)量表設(shè)計(jì)了醫(yī)患溝通質(zhì)量三維度評(píng)價(jià)指標(biāo),用SERVPERF評(píng)價(jià)方法來(lái)測(cè)量門診醫(yī)患溝通質(zhì)量,并且用SPSS和AMOS兩個(gè)統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行分析。為了得到合適的量表題目數(shù)量和結(jié)構(gòu)、檢驗(yàn)量表的信度,本文通過(guò)SPSS.21對(duì)數(shù)據(jù)進(jìn)行了項(xiàng)目分析,包括極端值檢查、T檢驗(yàn)、相關(guān)度分析;探索性因子分析,進(jìn)行KMO和巴特利特球型檢驗(yàn),利用主成分分析法,得出公共因子方差、解釋的總方差值、旋轉(zhuǎn)矩陣等,依據(jù)這些對(duì)量表指標(biāo)數(shù)量進(jìn)行不斷的調(diào)整,最終得到內(nèi)容性、移情性、結(jié)果性三個(gè)共同因子共15個(gè)項(xiàng)目、解釋的總方差大于60%。用Cronbach's Alpha值系數(shù)法進(jìn)行了信度檢驗(yàn),整體量表的Cronbach's Alpha值和每個(gè)維度的Cronbach's Alpha值都符合標(biāo)準(zhǔn),可信度高。為了進(jìn)一步驗(yàn)證量表的信度,運(yùn)用了AMOS.21進(jìn)行了結(jié)構(gòu)方程模型檢驗(yàn)。包括理論模型的構(gòu)建和一階、二階驗(yàn)證性因子分析,得出的結(jié)果表明,模型的適配度高,組合信度大于0.6,平均方差抽取量大于0.5,說(shuō)明模型的內(nèi)在質(zhì)量高。用路徑系數(shù)檢驗(yàn)研究假設(shè),所有假設(shè)都被接受。最后,對(duì)KH醫(yī)院醫(yī)患溝通情況進(jìn)行了簡(jiǎn)單分析。實(shí)證分析后,提出了改善KH醫(yī)院醫(yī)患溝通質(zhì)量的建議,最后是本文研究結(jié)論,研究不足和展望、致謝。
[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.
【學(xué)位授予單位】：昆明理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.3

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