国际医学部跨境医疗患者满意度调查表Cross-border International Patient Satisfaction Survey

Q1:请选择问卷语言 / Please select your preferred language

Q2:姓名

Q3:病案号

Q4:您选择在本院就医的主要原因（可多选）

Q5:在抵达医院前，我通过线上咨询获得了清晰的就医流程和所需材料信息

Q6:请说明原因

Q7:医院提供了我能理解的语言版本的费用预估，且无意外收费

Q8:请说明原因

Q9:医院在行程安排（如交通、住宿、签证办理等）方面提供了有效的协助

Q10:请说明原因

Q11:费用结算流程清晰、便捷

Q12:请说明原因

Q13:医护人员能够用我熟悉的语言清晰地解释病情和治疗方案

Q14:请说明原因

Q15:医院提供了我能理解的语言版本的知情同意书和诊疗说明

Q16:请说明原因

Q17:医护人员尊重我的文化背景、习俗或宗教信仰

Q18:请说明原因

Q19:医生的专业能力和诊疗水平符合我的期望

Q20:请说明原因

Q21:护士及其他医务人员的护理操作专业、规范

Q22:请说明原因

Q23:医院环境的清洁程度和隐私保护措施（如一人一诊室）让我感到舒适

Q24:请说明原因

Q25:医院提供的住宿协调、餐饮等配套服务质量良好

Q26:请说明原因

Q27:当我遇到问题或不满时，医院能够及时响应并妥善处理

Q28:请说明原因

Q29:出院时，医生或护士详细告知了我的康复计划和注意事项

Q30:请说明原因

Q31:总体而言，医院在整个就医旅程中的协调让我感到安心

Q32:请说明原因

Q33:总体而言，我对这次跨境就医的整体体验感到满意，愿意推荐给亲友

Q34:请说明原因

Q35:您觉得这个医院哪些方面还可以提升，做得更好的？请详细描述

Q36:请问在整个住院期间，医院有什么让您感动或满意的人或事吗？请具体描述

Q37:Name

Q38:Medical record number

Q39:Main reasons for choosing our hospital

Q40:Before coming to the hospital, the hospital clearly informed me, through online channels, of what I needed to do upon arrival and what documents I needed to bring.

Q41:Please specify reason 

Q42:The hospital provided a cost estimate in a language I understand, with no unexpected charges.

Q43:Please specify reason 

Q44:The hospital provided effective logistical support for my travel needs (e.g., transportation, accommodation, visa application assistance, etc.).

Q45:Please specify reason 

Q46:The billing and payment process is clear and convenient.

Q47:Please specify reason 

Q48:Medical staff explained my condition/treatment clearly in a language I understand.

Q49:Please specify reason 

Q50:The hospital provided informed consent and medical instructions in a language I understand. 

Q51:Please specify reason 

Q52:Medical staff respected my cultural background, customs, or religious beliefs.

Q53:Please specify reason 

Q54:The doctors professional competence and treatment met my expectations. 

Q55:Please specify reason 

Q56:Procedures performed by nurses and other medical staff are professional and standardized.

Q57:Please specify reason 

Q58:The cleanliness and privacy protection made me feel comfortable.

Q59:Please specify reason 

Q60:Support services such as accommodation coordination and meals were of good quality.

Q61:Please specify reason 

Q62:When I encountered a problem or dissatisfaction, the hospital responded promptly and handled it appropriately.

Q63:Please specify reason 

Q64:Upon discharge, the doctor/nurse explained the recovery plan and precautions after returning home.

Q65:Please specify reason 

Q66:Overall, the hospitals coordination throughout the entire care journey (from inquiry to post-return) made me feel at ease. 

Q67:Please specify reason 

Q68:Overall, I am satisfied with my cross-border medical experience and would recommend it to family/friends.

Q69:Please specify reason 

Q70:In what areas do you think this hospital could improve or do better? Please describe in detail.

Q71:During your entire hospitalization, was there any person or event that made you particularly satisfied? Please describe in detail.