上海市第一人民醫(yī)院IMCC（北部）門診患者滿意度調(diào)查 \n| Outpatient Patient Satisfaction Survey

1. 您的患者類型，您本次就診屬于Your visit type

中國籍患者 Chinese港澳臺患者Hong Kong, Macao, or Taiwan外籍患者Foreign patient

2. 您是第一次來本國際醫(yī)療中心就診嗎?
Is it your first visit to IMCC?

是 Yes否 No

3. 本次就診使用的語言
Language primarily used during your visit

中文 Chinese英文 English中英文 Bilingual (Chinese and English)其他語言 Others

Section B 服務(wù)態(tài)度 Service Attitude

4. 您對以下人員的服務(wù)態(tài)度是否滿意?(如未接觸請選擇“未接觸”)

Are you satisfied with the service attitude of the following staff? (If not applicable, select "NotApplicable")

未接觸Not Applicable
不滿意Dissatisfied
一般Neutral
滿意Satisfied

主診醫(yī)生 Attending Physician

陪診人員 Patient Companions

前臺接待Front Desk Reception

心電圖人員ECG Staff

心超室人員Echocardiography Staff

B超室人員Ultrasound Staff

收費人員 Biling Staff

藥房人員 Pharmacy Staff

工勒/保潔人員 Housekeeping/Sanitation Staff

Section C | 預(yù)約與就診前溝通 Appointment and Pre-Visit Communication

5. 請對本次就診前的手續(xù)體驗打分
Please evaluate your experience before this outpatient visit

不滿意Dissatisfied
一般Neutral
滿意Satisfied

預(yù)約流程是否便捷?Convenience of appointment process

前臺對問題的回應(yīng)是否及時? Timeliness of front desk response to inquiries

對費用/支付方式的說明是否清楚? Clarity of explanations regarding fees/payment methods

Section D|候診與流程管理 Waiting and Process Management

6. 請評價候診體驗
Please evaluate your process experience on the day of the outpatient visitbefore this outpatient visit

不滿意 Dissatisfied
一般 Neutral
滿意 Satisfied

停車安排是否順暢?Smoothness of parking arrangements?

候診時間是否合理?Clarity of hospital navigation?

候診期間是否有人主動告知進度 Reasonableness of waiting time?

整體流程是否順暢、不混亂 Proactive updates on progress during waiting?

7. 醫(yī)生診療與溝通質(zhì)量如何?
Doctor Consultation and Communication Quality

不滿意Dissatisfied
一般Neutral
滿意Satisfied

在診療中，醫(yī)生是否一直對您表示友善和尊重? Doctor patiently listened to your concerns?

醫(yī)生是否耐心傾聽您的問題與擔(dān)憂? Doctor clearly explained condition and diagnosis?

醫(yī)生是否清楚解釋病情與診斷? Treatment plan was fully communicated with you?

治療方案是否與您充分溝通 Your choices and opinionswere respected?

8. 請評價本次檢查流程?Examination and Auxiliary Department Experience

不滿意Dissatisfied
一般Neutral
滿意Satisfied

檢查流程是否清楚?Clarity of examination process

檢查過程中是否注意隱私與舒適度?Attention to privacy and comfort during examination

診療區(qū)域是否整潔、舒適?Cleanliness and comfort of treatment areas

診療區(qū)域是否安靜、有良好私密性?Quietness and good privacy

9. 整體體驗與推薦意愿項目 Overall Experience and Willingness to Recommend

不滿意Dissatisfied
一般Neutral
滿意Satisfied

您本次門診整體滿意度 Overall satisfaction with this outpatient visit

您是否愿意推薦本國際醫(yī)療中心給親友 Willingness torecommend this International Medical Care Center to family or friends

10. 您最認(rèn)可市一IMCC護理的3個理由，請多選:

Please select the top 3 reasons why you most recognize the nursing care at IMCC (Multiple Choice)

態(tài)度和藹可親 Kind and amiable attitude溝通清晰，解釋耐心易懂 Clear and patient communication with easy-to-understand explanations候診及就診過程中的動關(guān)懷 Proactive care and support during waiting and consultation護理操作專業(yè)規(guī)范 (如測量生命體征、采血、治療等) Professional and standardized nursing procedures (e.g., vital signs, blood draw, treatments)用藥及注意事項說明清晰 Clear instructions on medication and precautions整體服務(wù)高效順暢 Efficient and smooth overall service experience就診流程指引清楚(如掛號、檢查、取藥等)Clear guidance on outpatient procedures(e.g..registration, tests, medication pickup)

11.

了解市一IMCC的途徑
How did you learn about Shanghai General Hospital IMCC?3 reasons why you most recognize the nursing care at IMCC (Multiple Choice)

新聞媒體 News Media溝通清晰，解釋耐心易懂 Clear and patient communication with easy-to-understand explanations官網(wǎng) Official Website公眾號Official WeChat Account熟人推薦 Recommendation from Acquaintances病友推薦Recommendation from Fellow Patients其他 Other

12. 如果您想點名表揚或投訴某位員工的服務(wù)，請寫下她/他的名字

If you would like to commend or complain about a specific staff member's service, please write their name below.

24小時服務(wù)熱線 24-Hour Service Hotline
北部(North Branch)：021-63243852 021-63240090*6413

南部(South Branch)：021-37798630 021-37798021

郵件地址(Email Address):imcc@shgh.cn
網(wǎng) 址(Website):www.firsthospital.cn

歡迎對我們的工作提供寶貴的指導(dǎo)意見!
We welcome your valuable feedback and guidance on our work!

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上海市第一人民醫(yī)院IMCC（北部）門診患者滿意度調(diào)查 \n| Outpatient Patient Satisfaction Survey