Quality Evaluation on Integrated Elderly Care and Medical Services Based on the Perspective of Differences between Public and Private Nursing Institutions

ZHANG  Yuan, DONG  Jingjing, LIAN  Nannan, LIU  Yun

doi:10.12114/j.issn.1007-9572.2023.0153

Zhongguo quanke yixue (Mar 2024)

Quality Evaluation on Integrated Elderly Care and Medical Services Based on the Perspective of Differences between Public and Private Nursing Institutions

ZHANG Yuan, DONG Jingjing, LIAN Nannan, LIU Yun

Affiliations

ZHANG Yuan, DONG Jingjing, LIAN Nannan, LIU Yun: 1. School of Law and Public Administration, China Three Gorges University, Yichang 443000, China;2. School of Political Science & Public Administration, Wuhan University, Wuhan 430072, China;3. School of Law and Humanities, China University of Mining and Technology—Beijing, Beijing 100083, China;4. School of Economics and Management, Inner Mongolia University of Science &Technology, Baotou 014010, China;5. School of Public Administration, Hubei University, Wuhan 430062, China

DOI: https://doi.org/10.12114/j.issn.1007-9572.2023.0153
Journal volume & issue: Vol. 27, no. 07
pp. 822 – 828

Abstract

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Background There are various researches about the mode and influencing factors of the integrated elderly care and medical services in China in recent years, but researches about quality of integrated elderly care and medical services in nursing institutions are limited, especially in the comparison of quality of integrated elderly care and medical services in difference types of institutions. Objective To evaluate the quality of integrated elderly care and medical services between public and private nursing institutions. Methods A total of 1 106 older adults from 25 nursing institutions in Baotou, Xi'an, Yichang and Shaoxing were selected by stratified random sampling method from October 2020 to September 2021 to conduct questionnaire survey. The SERVQUAL model was used to construct the Evaluation Index System of Integrated Elderly Care and Medical Services Quality, involving 5 dimensions of reliability, timeliness, supportability, normativity and empathy and 15 secondary indexes, entropy weight method and fuzzy comprehensive evaluation method were used to calculate and compare the service quality scores of integrated elderly care and medical services between public and private nursing institutions. Results The comprehensive evaluation score of integrated elderly care and medical services quality was 41.66 and 38.82 in public and private nursing institutions, respectively, among which the scores of the 15 secondary indexes were all above 40.00 in public institutions, and the scores of 13 secondary indexes were below 40.00 in private institutions. Conclusion There is certain difference in the comprehensive evaluation results of satisfaction on the quality of integrated elderly care and medical services between public and private nursing institutions, among which the differences in the scores of normativity and empathy are higher, while the differences in the scores of reliability, timeliness and supportability are lower, providing a reference for identifying the problems in integrated elderly care and medical services and promoting its high-quality development in nursing institutions.

health care quality, access, and evaluation|healthcare disparities|health systems agencies|integrated elderly care and medical services|public institutions|private institutions|health facilities, proprietary|servqual model|entropy weight method

Published in Zhongguo quanke yixue

ISSN: 1007-9572 (Print)
Publisher: Chinese General Practice Publishing House Co., Ltd
Country of publisher: China
LCC subjects: Medicine
Website: https://www.chinagp.net/EN/1007-9572/home.shtml

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