Korean J Nutr.  2011 Aug;44(4):326-337. 10.4163/kjn.2011.44.4.326.

Analysis of Intakes and Satisfaction of Patient Foodservice in Mid-Sized Hospital Settings

• Kim JM
• Kang BH

• KMID: 2268548
• DOI: http://doi.org/10.4163/kjn.2011.44.4.326

Abstract

The purpose of this study was to investigate dietary intake and to evaluate patient satisfaction toward the quality of hospital foodservice. Questionnaires were distributed to 203 hospitalized patients in 3 hospitals having 300 beds. The intake rates for served amounts of rice, side dishes, and soup were 72.5%, 68.2%, and 62.6%, respectively. The main reasons for left-overs were 'no appetite' (25.8%) and 'not salty enough' (19.9%). The rate of patients eating outside food was about 33.5%. The average score for quality satisfaction of meal characteristics was 3.34 +/- 0.61, and the average score for quality satisfaction of sanitation and service characteristics was 3.58 +/- 0.61. 'Seasoning' showed the lowest score and 'temperature' showed the highest score for quality satisfaction of meal characteristics. In the quality satisfaction of sanitation and services, 'explanation of meals' showed the lowest score and 'exactness of meal times' showed the highest score. The patients hospitalized for 10 days showed significantly lower average scores than those hospitalized over 60 days for quality satisfaction of meal characteristics. The patients with 'little appetite' and 'regular appetite' showed significantly lower average scores than those with 'much appetite' for the quality satisfaction of meal, sanitation, and service characteristics. The patients who 'rarely had leftovers' showed significantly higher average scores than those who 'always had leftovers' and 'often had leftovers' for quality satisfaction of meal characteristics. Meal characteristic scores were significantly correlated with age (r = 0.216), length of admission (r = 0.310), appetite (r = 0.251), leftovers (r = 0.233), and intake of soup (r = 0.205). Also, sanitation and service characteristics scores were significantly correlated with age (r = 0.327), education (r = -0.202), length of admission (r = 0.168), and appetite (r = 0.155). Thus, it would seem to be desirable that hospital foodservices improve the taste and seasoning of meals and provide appropriate nutrition education and counseling in mid-sized hospitals.

Keyword

patient; satisfaction; foodservice; mid-sized hospitals; appetite; leftover

MeSH Terms

Appetite
Counseling
Humans
Meals
Patient Satisfaction
Surveys and Questionnaires
Sanitation
Seasons

Reference

1. Ministry of Health and Welfare. Medical institution evaluation protocol report. 1999. Seoul:

2. Shin IJ, Nam SR, Kwak TK. A Survey of food procurement pra-ctices in hospital dietetics -Assessment of the level of processing for purchased foods-. Korean J Food Cookery Sci. 1988. 4(1):65–73.

3. Nam SR, Rew K, Kwak TK. A survey of the serving temperature control practices in hospital dietetics -Comparison between centralized tray assembly systems-. Korean J Food Cookery Sci. 1987. 3(2):87–99.

4. Kwak TK, Joo SY, Lee SM. Applying HACCP for microbiological quality control in hospital foodservice operations. Korean J Food Cookery Sci. 1992. 8(2):123–135.

5. Ahn TH, Lee SY. A study on work analysis and productivity of food service in hospitals using work sampling. Korean J Food Cookery Sci. 1992. 8(1):31–41.

6. Lyu ES. Hospitalized patients' perceptions of hospital foodservice -2. Emphasis on the foodservice characteristics-. J Korean Soc Diet Cult. 1994. 9(2):149–157.

7. Gam SO, Park JR, Kim MJ, Lee MK, Shin KH. The evaluation of hospital foodservice with patients' condition. J Korean Diet Assoc. 2007. 13(2):101–113.

8. Lim HS, Yang IS, Cha JA. Analysis of patient satisfaction and factors influencing satisfaction on hospital foodservice quality. J Korean Diet Assoc. 1999. 5(1):29–47.

9. Lee MJ, Lee YK. Analysis of patient satisfaction with hospital foodservice quality. Korean J Nutr. 2000. 33(4):464–476.

10. Maller O, Dubose CN, Cardello AV. Demographic and environmental factors: consumer opinions of hospital food and foodservice. J Am Diet Assoc. 1980. 76(3):236–242.

11. Bélanger MC, DubéL L. The emotional experience of hospitalization: its moderators and its role in patient satisfaction with foodservice. J Am Diet Assoc. 1996. 96(4):354–360.

12. Suh SM, Choi KS, Kim KM. A study on the architectural planning of health care facilities in small and medium cities. J Architect Inst Korea. 1989. 9(2):109–114.

13. Sung DC, Park GC. A study on the scale estimation of the mid-sized hospital. J Reg Assoc Architect Inst Korea. 2011. 13(1):93–100.

14. Kim MY, Kim KJ, Lee KE. In-patients' food consumption and perception on foodservice quality at hospitals. J Korean Diet Assoc. 2008. 14(1):87–96.

15. Yi JR, Shin ES, Lyu ES. Patients' perception of and satisfaction on therapeutic-diets at hospitals in Busan. J Korean Diet Assoc. 2009. 15(4):383–396.

16. Kim YS, Lyu ES. Evaluation of patients' satisfaction with foodservice of mid-size hospitals in Busan area. J Korean Soc Food Sci Nutr. 2003. 32(7):1153–1163.

17. Cash EM, Khan M. Food preferences and selection of entree items by hospital patients. Foodserv Res Int. 1983. 2(4):229–235.

18. Shim E, Yoon S, Hong W. The assessment of foodservice satisfaction by orthopedic patients according to their involvement. J Korean Diet Assoc. 2004. 10(2):184–189.

19. Hwang RI, Kwon JH, Jeong HJ, Kim JH, Lee HY. A study of hospital foodservice management after covering hospital foodservice in the national health insurance. Korean J Community Nutr. 2008. 13(2):244–252.

20. Lee JE, Kwak TK. Development and verification of indicators for a foodservice & nutrition management evaluation at a hospital nutrition department. J Korean Diet Assoc. 2009. 15(4):364–382.

21. Lee SL. A case study on quality improvement of employee foodservice in hospital, Seoul -focused on cost control by the quantity of non-offered meal-. Korean J Food Nutr. 2010. 23(3):411–418.

22. Lee KJ. Strategy for improving client satisfaction in small-medium sized hospitals: a MOT approach. Korean J Hosp Manage. 2000. 5(1):62–83.

23. Hwang RI, Kwon JH. A study of hospital foodservice satisfaction after covering hospital foodservice in the national health insurance. Korean J Community Nutr. 2008. 13(3):396–404.

24. Hong WS, Kim HJ, Ryu K. A case study on the analysis of patients' plate waste results. Korean J Soc Food Sci. 1996. 12(3):339–345.

25. Stanga Z, Zurflüh Y, Roselli M, Sterchi AB, Tanner B, Knecht G. Hospital food: a survey of patients' perceptions. Clin Nutr. 2003. 22(3):241–246.

26. Kwak TK. Foodservice evaluation method. Dietitian supplemental education book. 1994.