J Korean Acad Nurs. 2014 Feb;44(1):86-96. Korean.
Published online Feb 28, 2014.
© 2014 Korean Society of Nursing Science
Original Article

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

Keum Soon Kim,1 Jung Won Ahn,2 Jin A Kim,3 and Hee Jung Kim3
    • 1College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
    • 2College of Nursing, Seoul National University, Seoul, Korea.
    • 3Korea Health Industry Development Institute, Cheongwon, Korea.
Received November 04, 2013; Revised November 11, 2013; Accepted January 14, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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.

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

Tables

Table 1
General Characteristics of Participants (N=252)

Table 2
Comparison of Subscale Scores for Foreign Residents' Satisfaction with Korean Health Care Services (N=252)

Table 3
Comparison of Item Scores for Foreign Residents' Satisfaction with Korean Health Care Services (N=252)

Table 4
Participants' Experience with Korean Health Care Services

Notes

This study was funded by Ministry of health and welfare for 'Global healthcare for international patients' project in 2011.

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