Medical disputes and patient satisfaction in China: How does hospital management matter?

被引:13
作者
Wang, Mengxiao [1 ]
Liu, Gordon Guo-En [2 ]
Bloom, Nicholas [3 ]
Zhao, Hanqing [4 ]
Butt, Thomas [2 ]
Gao, Tianhao [5 ]
Xu, Jiaqi [6 ]
Jin, Xia [7 ]
机构
[1] Southwestern Univ Finance & Econ, Sch Publ Adm, Chengdu, Peoples R China
[2] Peking Univ, Natl Sch Dev, 5 Yiheyuan Rd, Beijing 100871, Peoples R China
[3] Stanford Univ, Dept Econ, Stanford, CA 94305 USA
[4] Sichuan Acad Med Sci & Sichuan Prov Peoples Hosp, Inst Hlth Policy & Hosp Management, Chengdu, Peoples R China
[5] Peking Univ, Guanghua Sch Management, Beijing, Peoples R China
[6] Fudan Univ, Fanhai Int Sch Finance, Shanghai, Peoples R China
[7] Hsmap Inc, Res Inst Hsmap, Hangzhou, Zhejiang, Peoples R China
基金
中国国家自然科学基金;
关键词
Chinese hospital management survey; hospital management; medical disputes; physician-patient relationship; world management survey; MALPRACTICE LITIGATION; PERFORMANCE; PHYSICIANS; QUALITY; ERRORS; IMPACT;
D O I
10.1002/hpm.3399
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective Satisfaction with healthcare may be captured by surveys of patients and staff, or in extreme cases, the number and severity of medical disputes. This study tries to investigate the relationship between satisfaction and hospital management as well as the role of good management in preventing medical disputes ex ante. Method We investigate this relationship using information on management practices collected from 510 hospitals in mainland China using the World Management Survey questionnaire and combined with medical malpractice litigation data and patient/staff satisfaction surveys. Multiple regression models were used to analyse the relationship between hospital management scores and medical litigation outcomes as well as patient and staff satisfaction during 2014-2016. Results An increase of one standard deviation in the management score was related to 13.1% (p < 0.10) lower incidence of medical disputes, 12.4% (p < 0.05) fewer medical litigations, and 51.3% (p < 0.10) less compensation. Better management quality of hospitals was associated with higher inpatient satisfaction (p < 0.05) and staff well-being (p < 0.01). Conclusion Improving hospital management could reduce hospital costs generated by lawsuits, reduce potential harm to patients, and improve patient and staff satisfaction, thus leading to a better patient-physician relationship.
引用
收藏
页码:1327 / 1339
页数:13
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