The Effect of Overtreatment at Medical Institutions on the Recovery and Satisfaction of Patients
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The purpose of this study was to analyze the effect of overtreatment of inpatients at medical institutions on recovery and satisfaction. In this study, 1,098 inpatients excluding missing values were analyzed using the 6th to 10th Korea Health Panel Survey (KHPS). To identify the relationship between overtreatment and recovery and satisfaction, the chi-square test and generalized estimation equation were used for the analysis. Compared to the group that answered ‘not at all’ about overtreatment, the negative recovery degree of the group that responded ‘very much so’ was 2.995 times higher (Odds Ratio [OR]: 2.995, 95% Confidence interval: 1.338 -6.705, P-value 0.008), and dissatisfaction was 35.272 times higher (OR: 35.272, 95% CI: 14.682-84.750, P-value <0.001). Furthermore, as a result of stratified analysis of the correlation between overtreatment and recovery and satisfaction according to whether the selection treatment was recommended, the group who responded ‘very yes’ to the overtreatment or not among the group who received the selection treatment recommendation was ‘not at all’ compared to the group that responded, their negative recovery rate was 5.553 times higher and the degree of dissat- isfaction was 271.375 times higher. Whereas, in the case of the group not recom- mended for elective treatment, the negative recovery rate was 2.775 times higher and the dissatisfaction rate was 26.656 times higher. As a result of the study, the higher the group with a stronger awareness of overtreatment, the higher the degree of patient dissatisfaction and discomfort, and a particularly strong correlation was found in the group recommended for selective treatment. Hence, if the institutional standards for providing appropriate medical care to the group experiencing excessive medical treatment through medical institutions and sufficient explanations about the medical services pro- vided to patients are provided, the satisfaction and recovery of patients will increase, and it is expected to be used as the basic data for preparing policy and institutional measures towards that end.
Abstract
The purpose of this study was to analyze the effect of overtreatment of inpatients at medical institutions on recovery and satisfaction. In this study, 1,098 inpatients excluding missing values were analyzed using the 6th to 10th Korea Health Panel Survey (KHPS). To identify the relationship between overtreatment and recovery and satisfaction, the chi-square test and generalized estimation equation were used for the analysis. Compared to the group that answered ‘not at all’ about overtreatment, the negative recovery degree of the group that responded ‘very much so’ was 2.995 times higher (Odds Ratio [OR]: 2.995, 95% Confidence interval: 1.338 -6.705, P-value 0.008), and dissatisfaction was 35.272 times higher (OR: 35.272, 95% CI: 14.682-84.750, P-value <0.001). Furthermore, as a result of stratified analysis of the correlation between overtreatment and recovery and satisfaction according to whether the selection treatment was recommended, the group who responded ‘very yes’ to the overtreatment or not among the group who received the selection treatment recommendation was ‘not at all’ compared to the group that responded, their negative recovery rate was 5.553 times higher and the degree of dissat- isfaction was 271.375 times higher. Whereas, in the case of the group not recom- mended for elective treatment, the negative recovery rate was 2.775 times higher and the dissatisfaction rate was 26.656 times higher. As a result of the study, the higher the group with a stronger awareness of overtreatment, the higher the degree of patient dissatisfaction and discomfort, and a particularly strong correlation was found in the group recommended for selective treatment. Hence, if the institutional standards for providing appropriate medical care to the group experiencing excessive medical treatment through medical institutions and sufficient explanations about the medical services pro- vided to patients are provided, the satisfaction and recovery of patients will increase, and it is expected to be used as the basic data for preparing policy and institutional measures towards that end.
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