AUTHOR=An Jingjie 

TITLE=Evaluating the impact of standardized hospital medical administration on doctor-patient relationships and clinical efficiency in emergency care: a controlled study

JOURNAL=Frontiers in Public Health

VOLUME=Volume 13 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1615906

DOI=10.3389/fpubh.2025.1615906

ISSN=2296-2565

ABSTRACT=BackgroundStandardized management in hospital administration aims to optimize efficiency and doctor-patient relationships through structured workflows. However, empirical evidence of its impact in emergency care settings remains limited.MethodsWe conducted a randomized controlled trial with 128 emergency patients at a tertiary hospital (January–June 2023). Participants were allocated to either routine management (Control Group, CG) or standardized management (Observation Group, OG). Outcomes included dispute incidence, satisfaction scores, and operational metrics. Participants were randomly assigned via computer-generated block randomization (1:1 ratio, stratified by age and sex) using SPSS 23.0. Primary data were collected using the validated Patient-Doctor Relationship Questionnaire (PDRQ-15), custom satisfaction surveys (Cronbach’s α = 0.89 in pilot testing), and hospital electronic health records. Analyses employed independent t-tests for continuous variables, χ2 tests for categorical variables, and ANCOVA for covariates (all conducted in SPSS 23.0), with statistical significance set at p < 0.05.ResultsThe OG demonstrated significantly higher scores in patient education (disease knowledge: 48.21 vs. 28.38, p < 0.001), lower dispute rates (3.13% vs. 14.06%, p = 0.027), and improved efficiency (hospitalization days: 7.81 vs. 8.92, p = 0.041). Satisfaction rates were 96.88% (OG) versus 79.69% (CG; p = 0.003).ConclusionStandardized medical administration significantly improved emergency care outcomes, reducing disputes by 78% (3.13% vs. 14.06%) and increasing satisfaction to 96.88%. We recommend: (1) mandatory staff training in these protocols, (2) monthly monitoring using our validated tools, and (3) dedicated quality teams to sustain improvements.