患者满意度及投诉风险调查问卷Patient Satisfaction & Complaint Risk Questionnaire

尊敬的受访者:本次调查旨在收集您的就医真实体验,以优化服务质量。所有信息匿名保密,填写约需5-8分钟,感谢您的配合!

Dear respondent, this survey aims to collect your real experience with medical services to improve service quality. All information is anonymous and confidential, taking about 5-8 minutes to complete. Thank you for your cooperation!

本问卷基于以下理论基础设计:
This questionnaire is designed based on the following theoretical foundations:

• 顾客满意度理论(科特勒,2000;帕拉苏拉曼等,1988)
Customer Satisfaction Theory (Kotler, 2000; Parasuraman et al., 1988)

• 客户关系管理理论(佩恩、弗罗,2005)
Customer Relationship Management - CRM (Payne & Frow, 2005)

• 行为模式理论(阿詹,1991)
Behavioral Pattern Theory (Ajzen, 1991)

• 数据挖掘理论(韩家炜、坎伯、裴健,2012)
Data Mining Theory (Han, Kamber, & Pei, 2012)

• 逻辑回归模型(霍斯默、莱梅肖、斯图迪文特,2013)
Logistic Regression Model (Hosmer, Lemeshow, & Sturdivant, 2013)
第一部分:受访者基本信息
Part 1: Respondent Information (Demographics)
*
1. 性别 / Gender:
男 / Male
女 / Female
不愿透露 / Prefer not to say
*
2. 年龄 / Age:
18岁以下 / Under 18
18-30岁 / 18–30
31-40岁 / 31–40
41-50岁 / 41–50
51-65岁 / 51-65
66岁及以上 / 66 years old or older
*
3. 文化程度 / Education level:
本科以下 / Below Bachelor’s
本科 / Bachelor’s
本科以上 / Above Bachelor’s
*
4. 职业 / Occupation:
企业职员 / Private employee
政府/国企工作人员 / Government / State enterprise
创业者 / Entrepreneur
退休人员 / Retired
其他 / Other:
*
5. 就诊身份 / Patient status:
住院患者 / Inpatient
门诊患者 / Outpatient
陪同人员/家属 / Companion/Relative
*
6. 支付方式 / Payment method:
自费 / Self-payment
国家医保 / National insurance
政府福利 / Government welfare
商业保险 / Private insurance
其他 / Other:
*
7. 医院就诊频率 / Frequency of hospital visits:
首次就诊 / First visit
每年2-3次 / 2–3 times/year
每年4-5次 / 4-5 times/year
每年5-10次 / 5-10 times/ year
每年10次以上 / More than 10 times a year

第二部分:医疗服务质量  理论依据:顾客满意度理论(科特勒,2000;帕拉苏拉曼等,1988)

Part 2: Quality of Medical Services   Theory: Customer Satisfaction Theory (Kotler, 2000; Parasuraman et al., 1988)

*
8. 医疗诊断结果准确 / The medical diagnosis provided was accurate.
非常不满意 / Not at all satisfied
不太满意 / Slightly dissatisfied
一般 / Neutral
比较满意 / Fairly satisfied
非常满意 / Very satisfied
*
9. 医生清晰易懂地解释检查结果 / The doctor explained examination results clearly and understandably.
非常不满意 / Not at all satisfied
不太满意 / Slightly dissatisfied
一般 / Neutral
比较满意 / Fairly satisfied
非常满意 / Very satisfied
*
10. 医生有效解答我所有的顾虑和问题 / The doctor answered all my concerns and questions effectively.
非常同意 / Strongly Agree
同意 / Agree
一般 / Neutral
不同意 / Disagree
非常不同意 / Strongly Disagree
*
11. 诊疗全程中,医生和医护人员态度周到 / I felt that the doctor and staff were attentive throughout the treatment process.
非常同意 / Strongly Agree
同意 / Agree
一般 / Neutral
不同意 / Disagree
非常不同意 / Strongly Disagree
*
12. 与医护人员沟通顺畅 / It was easy to communicate with medical staff.
非常同意 / Strongly Agree
同意 / Agree
一般 / Neutral
不同意 / Disagree
非常不同意 / Strongly Disagree
*
13. 接受服务的等待时间合理 / The waiting time for receiving services was reasonable.
非常同意 / Strongly Agree
同意 / Agree
一般 / Neutral
不同意 / Disagree
非常不同意 / Strongly Disagree
*
14. 预约体系和服务流程高效便捷 / The appointment system and service procedures were efficient and convenient.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
15. 医疗设施设备齐全且维护良好 / Medical facilities and equipment were adequate and well-maintained.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
16. 我对整体诊疗过程感到放心 / I felt confident in the overall medical process.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第三部分:沟通与互动  理论依据:客户关系管理理论(佩恩、弗罗,2005);行为模式理论(阿詹,1991)

Part 3: Communication and Interaction Theory: Customer Relationship Management (Payne & Frow, 2005); Behavioral Pattern (Ajzen, 1991)

*
17. 医护人员清晰、准确地提供医疗及服务相关信息,且易于理解 / Medical staff provided medical and service-related information clearly, accurately, and in a way that I could easily understand.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
18. 服务过程中,医护人员对我的感受和顾虑表现出真切的关心与共情 / Medical staff showed genuine care and empathy toward my feelings and concerns during the service process.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
19. 关于病情、检查结果和治疗方案的解释条理清晰,足以支撑决策 / The explanations about my medical condition, test results, and treatment options were logically structured and sufficient for decision-making.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
20. 我感受到医护人员认真倾听,并尊重我的意见和顾虑 / I felt that medical staff listened attentively and respected my opinions and concerns.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
21. 我有充足的机会提问,且问题得到清晰解答 / I was given adequate opportunities to ask questions, and my questions were answered clearly.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
22. 服务过程中出现问题或突发情况时,医院回应及时、处理恰当 / The hospital responded promptly and appropriately when problems or unexpected incidents occurred during service.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第四部分:服务流程与效率  理论依据:客户关系管理理论、服务质量理论、数据挖掘理论(韩家炜等,2012)

Part 4: Service Process and Efficiency  Theory: CRM, Service Quality, Data Mining Theory (Han et al., 2012)

*
23. 服务流程清晰,易于遵循 / The service procedures were clear and easy to follow.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
24. 各服务环节(挂号、问诊、检查、治疗)的等待时间恰当合理 / The waiting time at each service step (registration, consultation, examination, treatment) was appropriate and reasonable.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
25. 服务点位及指引标识清晰易懂 / The service points and directions were clear and easy to understand.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
26. 从挂号到治疗的服务流程顺畅连贯,无不必要的重复环节 / The service flow from registration to treatment was smooth, continuous, and without unnecessary repetition.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
27. 医院对治疗方案的调整响应高效 / The hospital responded efficiently to changes in the treatment plan.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
28. 急诊病例得到及时、规范的处理 / Emergency cases were handled promptly and systematically.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第五部分:人员与资源管理  理论依据:客户关系管理理论、服务质量理论

Part 5: Staff and Resource Management  Theory: CRM, Service Quality

*
29. 医护人员展现出专业的职业素养和业务能力 / Medical staff demonstrated professionalism and competency.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
30. 医院医护人员配置充足,能应对就诊量 / There were enough staff to handle patient volume.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
31. 人员排班合理,最大限度减少等待时间和现场拥挤 / Staff scheduling was well managed to minimize waiting times and congestion.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
32. 医院资源短缺对患者服务质量造成负面影响 / The lack of resources in hospitals has a negative impact on the quality of patient services.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
33. 医护人员接受过充分的服务和安全相关培训 / Medical staff were adequately trained in service and safety.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第六部分:投诉与风险管理体系  理论依据:客户关系管理理论、行为模式理论(阿詹,1991)、数据挖掘理论

Part 6: Complaint and Risk Management System  Theory: CRM, Behavioral Pattern (Ajzen, 1991), Data Mining Theory

*
34. 医院的投诉渠道公示清晰,易于获取 / The hospital’s complaint system is clearly communicated and easy to access.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
35. 投诉处理流程快速高效 / The complaint handling process is fast and efficient.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
36. 投诉解决过程公平、透明、可追溯 / The complaint resolution process is fair, transparent, and traceable.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
37. 医院基于过往投诉案例制定并落实了预防措施 / The hospital has implemented preventive measures based on previous complaint cases.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
38. 我认为投诉不会受到歧视,可放心提出投诉 / I feel safe and confident to file a complaint without discrimination.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
39. 我对医院整体的投诉管理体系感到满意 / I am satisfied with the hospital’s overall complaint management system.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第七部分:整体体验与复诊意愿  理论依据:顾客满意度理论(科特勒,2000);行为模式理论(阿詹,1991)

Part 7: Overall Experience and Intention to Revisit  Theory: Customer Satisfaction (Kotler, 2000); Behavioral Pattern (Ajzen, 1991)

*
40. 我对医院服务的整体体验良好 / My overall experience with hospital services was positive.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
41. 我信任该医院的服务质量 / I trust the quality of this hospital’s services.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
42. 未来就医,我愿意再次选择该医院 / I intend to return to this hospital for future treatments.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
43. 基于本次体验,我会向他人推荐该医院 / I would recommend this hospital to others based on my experience.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree

第八部分:投诉行为意愿   理论依据:行为模式理论(阿詹,1991)

Part 8: Complaint Behavior Intention  Theory: Behavioral Pattern Theory (Ajzen, 1991)

*
44. 我曾遇到服务问题,并有过投诉的想法 / I have experienced a service issue that made me consider filing a complaint.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
45. 若遇到服务问题,我愿意提出投诉 / If a service issue occurs, I am willing to file a complaint.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
*
46. 若医院投诉体系得到完善,我会继续选择该院的服务 / If the complaint system improves, I will continue to use this hospital's services.
非常不同意 / Strongly Disagree
不同意 / Disagree
一般 / Neutral
同意 / Agree
非常同意 / Strongly Agree
再次感谢您抽出时间填写本问卷!您的反馈将帮助我们持续改进,为您提供更优质的医疗服务。
Thank you once again for taking the time to complete this questionnaire! Your feedback will help us continuously improve and provide better medical services for you.
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