Differences in Person-Centred Care Between Public and Private Hospitals in Mongolia

Abstract

Healthcare management plays a critical role in improving clinical outcomes. Globally, there has been an increasing focus on person-centred care as a means to enhance healthcare management. In Mongolia, although person-centered care is reflected in health sector policy documents and accreditation standards, the associated health outcome indicators remain insufficiently comprehensive. Therefore, this study was designed to assess person-centred care in hospitals and to compare the differences between public and private hospitals.

The study involved physicians, healthcare workers, and patients from three public hospitals and three private hospitals. A cross-sectional study design was employed, using the Person-Centred Climate Questionnaire to assess perceptions of person-centred care. Key factors were identified through principal component analysis. Differences between public and private hospitals were analyzed using a one-way ANOVA test. The reliability and validity of the questionnaire were assessed using Cronbach’s alpha, and sample adequacy was evaluated using the Kaiser-Meyer-Olkin (KMO) test.

Patients in both public and private hospitals rated person-centred care based on two factors: the climate of safety and the climate of everydayness. Physicians and healthcare workers in public hospitals also assessed person-centred care using these two factors, whereas those in private hospitals identified only one factor. The climate of hospitality—a key dimension of person-centred care—was not measured in any of the surveyed hospitals. Patients in public hospitals rated person-centred care more highly than those in private hospitals. However, physicians and healthcare workers gave higher ratings to private hospitals compared to public hospitals.