J Korean Acad Nurs.  2014 Feb;44(1):86-96. 10.4040/jkan.2014.44.1.86.

A Comparison Study using Mixed Methods on Foreign Residents' Satisfaction with Korean Health Care Services

• Kim KS
• Ahn JW
• Kim JA
• Kim HJ

• KMID: 1730909
• DOI: http://doi.org/10.4040/jkan.2014.44.1.86

Abstract

PURPOSE
This study was conducted to examine and compare satisfaction with Korean health care services for Americans, Chinese and Russians who resided in Korea.
METHODS
A questionnaire was distributed to 252 participants (81 Americans, 89 Chinese, 82 Russians). Three focus group interviews were subsequently conducted in order to obtain a greater understanding of participants' experience and perspectives.
RESULTS
The average satisfaction score was 3.09, with Americans and Russians showing significantly higher scores than Chinese. Overall, participants reported higher satisfaction in 'Facility', 'Quality of care' and 'Nursing services' as opposed to 'Information/education'. 'Care with cultural respect' as well as communication related services. Data from the focus group interviews were categorized into 12 sub-categories, 7 categories and 2 themes. The two themes were common experience and contrasting experience. Common experience included 4 categories, 'Quality of care', 'Hospital facility and health care system', 'Language barrier' and 'Information and education'. Contrasting experience included 3 categories, 'Medical cost', 'Health care personnel' and 'Accessibility'.
CONCLUSION
Results of this study provide basic knowledge on foreign residents' satisfaction and experience with Korean health care services. Further research is needed with foreigners from different cultural backgrounds. Administrative and educational efforts are required to improve communication skills and cultural competency.

Keyword

Foreigner; Health care services; Satisfaction; Mixed method; Focus groups

MeSH Terms

Adult
Communication Barriers
*Delivery of Health Care
Emigrants and Immigrants/*psychology
Female
Focus Groups
Humans
Interviews as Topic
Male
Middle Aged
Patient Satisfaction
Questionnaires
Republic of Korea

Reference

1. Korea Immigration Service, Ministry of Justice. 2011 Korea immigration service statistics. Gwacheon: Ministry of Justice;2012. Report No.: 11-1270000-000465-10.

2. Korea Health Industry Development Institute. Statistics on international patients in Korea, 2011 [Internet]. Cheongwon: Korea Health Industry Development Institute;2012. cited 2013 November 11. Available from: http://www.khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid=B301&cat_bbsid=&bbs_seq=355&jkey=&jword=&pg=4&htxt_code=12536978062659050219061516896964&wj_vcs=&reverseNum=101.

3. Lassetter JH, Callister LC. The impact of migration on the health of voluntary migrants in western societies. J Transcult Nurs. 2009; 20(1):93–104. http://dx.doi.org/10.1177/1043659608325841.

4. Hwang J, Park HA. Patient satisfaction as an outcome indicator. J Korean Acad Adult Nurs. 2001; 13(1):29–39.

5. Lee S, Kim JI, Cho W, Lee J. A Study on the patient satisfaction survey at the general hospitals in Korea. J Korean Soc Qual Assur Health Care. 1998; 5(1):42–57.

6. Lee S, Cho WH, Choi KS, Kang M. Comparative analysis of models for measuring consumer satisfaction in health care organization. Korean J Prev Med. 2001; 34(1):55–60.

7. Kim MR, Rhee KC. Development of consumer satisfaction scale for outpatients' medical services. J Consum Stud. 2003; 14(2):197–214.

8. Kim MS, Park HY. An empirical study on service quality and patient satisfaction in specialty and general hospitals. Korean J Hosp Manage. 2006; 11(1):31–53.

9. Kim BG, Yang JH, Chang DM. A study on the medical services satisfaction of cancer patients in Busan area. J Korea Acad-Ind Coop Soc. 2012; 13(1):236–246.

10. In S. The effect of customer value in regards to medical tourism products on customer satisfaction and loyalty: Moderating effects of switching switching barriers [dissertation]. Gangneung: Kwan-Dong University;2012.

11. Kim J. Survey of services provided by non-governmental organizations for foreign workers. Korean Public Health Res. 2004; 30(1):24–35.

12. Koh CK, Koh SK. Married female migrants' experiences of health care services. J Korean Acad Soc Nurs Educ. 2009; 15(1):89–99.

13. Lee BS, Oh IK, Lee EM. Foreign residents' experience of Korean health care services. J Korean Acad Nurs Adm. 2011; 17(2):226–237. http://dx.doi.org/10.11111/jkana.2011.17.2.226.

14. Ware JE, Snyder MK, Wright WR. Development and validation of scales to measure patient satisfaction with medical care services Vol I Part B: Results regarding scales constructed from the patient satisfaction questionnaire and measures of other health care perceptions. Springfield, VA: National Technical Information Service;1976. Report No.: NTIS Publication No. PB 288-300.

15. Parasuraman A, Berry LL, Zeithaml VA. SERVQUAL: A multiple-item scale for measuring consumer perception of service quality. J Retailing. 1988; 64(1):12–40.

16. Aharony L, Strasser S. Patient satisfaction: What we know about and what we still need to explore. Med Care Rev. 1993; 50(1):49–79.

17. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale NJ: Lawrence Erlbaum Associates;1988.

18. Department of International Cooperation, Korea Health Industry Development Institute. Care manual for international patients. Cheongwon: Korea Health Industry Development Institute;2010.

19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105–112. http://dx.doi.org/10.1016/j.nedt.2003.10.001.

20. Wold Health Organization. Resolution WHA 61.17: Health of migrants. In : The Sixty-first World Health Assembly; 2008 May 19-24; Geneva: Switzerland.

21. Andrulis DP, Brach C. Integrating literacy, culture, and language to improve health care quality for diverse populations. Am J Health Behav. 2007; 31:Suppl 1. S122–S133. http://dx.doi.org/10.5555/ajhb.2007.31.supp.S122.

22. Kim Y. Diversification in Korea and cultural competence in social welfare. Korean J Soc Welf Stud. 2007; 35:117–144.

23. Hwang JI. Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital. J Korean Soc Qual Assur Health Care. 2006; 12(1):6–16.

24. Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: A systematic review. Br J Gen Pract. 2002; 52(485):1012–1020.

25. Kim DS, Kim D, Jung TY. Cognition of Korean college students for six foreigner groups. Korean J Soc Psychol. 2011; 25(1):1–23.

26. Lim DK, Kim CS. A study on Korean college students' perception of multi-cultural society and its antecedent factors: Focusing on social distance, image of foreign residents, and qualifications for being a Korean. Korean J Commun Stud. 2011; 19(1):5–34.