의료서비스 이용 경험 변화의 분석과 고찰

Abstract

Background: With the emphasis on people-centered health care systems worldwide, interest in measuring patients' experience in using medical services is increasing. The Medical Service Experience Survey (MSES) is a representative national survey that measures patient experience. For the 2020 and 2021 surveys, we would like to examine the difference in the level of change in patient experience according to whether respondents have secured homogeneity. Methods: This study analyzed the raw data of the 2020 (n=12,133) and 2021 (n=13,546) MSES. In order to secure the homogeneity of data between years, 8,707 people were selected for analysis by matching 1:1 through propensity score matching. The experience of using medical services was divided into outpatient and inpatient, and each of them was investigated in the four areas (doctor service, nurse service, overall use of medical institutions, and safety). All analyses used STATA ver. 16.1 (Stata Corp., College Station, TX, USA). Results: It was confirmed that the level of positive experience in the 2 years changed when the statistical significance of the differences in age group (p <0.01), education (p <0.001), type of economic activity (p <0.001), type of medical coverage (p <0.01), household income level (p <0.001), and living area (p <0.05) disappeared. In particular, this trend is more pronounced in inpatient services where the medical service is intensive. Conclusion: Improving patient experience is one of the goals of the health care system. In order to properly understand the performance of the health care system and to find the direction for improvement through the patient experience, it is necessary to analyze and interpret it using more scientific techniques.