Journal articles on the topic 'Health complaints'
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Pitarka-Carcani, Iris, George Szmukler, and Claire Henderson. "Complaints about care in a mental health trust." Psychiatric Bulletin 24, no. 10 (October 2000): 372–76. http://dx.doi.org/10.1192/pb.24.10.372.
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Aims and MethodA retrospective review of a random sample of written complaints made by, or on behalf of, users of psychiatric services to determine: (a) the number and nature of written complaints against clinical aspects of services in a mental health trust over a 1-year period; and (b) what information complaints provide about deficiencies in the quality of care.ResultsOut of 325 recorded complaints in 1997, 192 concerned clinical aspects of services; 89% of complainants complained once. There was a roughly equal split between complaints about technical v. interpersonal aspects of care. Complaints were far higher from in-patient than from out-patient settings. Evidence that the complaints related to psychotic symptoms was rare. All complaints were resolved locally, but 28 responses by the team were judged unsatisfactory. In 39 cases further action was taken as a result of the complaint, but no disciplinary action was taken against medical staff.Clinical ImplicationsPoor communication is likely to be at the root of many complaints. Room for improvement was found with respect to responses to complaints.
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Sulistyowati, Endah, and Danny Wibowo. "Consumer Complaint Behavior (CCB) of Jombang Health Card (KJS) for increasing health facility service." Journal of Economics, Business & Accountancy Ventura 18, no. 1 (June 2, 2015): 121. http://dx.doi.org/10.14414/jebav.v18i1.388.
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The purpose of this study is to see and assess why they complaint, how to make complaints and alternative for patients complain KJS (Jombang Health Card) users, as such information from various forms of complaint can be used to improve health care strategy hospital. This is an exploratory and qualitative research using Focus Group Discussion (FGD) towards 20 people. It was found that the reason KJS users complain services is due to factors that include poor service, poor facilities, the be-ginning of a long process and product factors include: the availability of drugs, limited room space and time limits hospitalization. The second factor is a fatal loss, allowing participants to have a longer hierarchy levels due to passing through a more complicated procedure. Complaints and personality types of participants affect the nature of the expectations expressed through the submission of a complaint. The results include the results of the settlement of complaints received by the partici-pants, and satisfaction evaluation with the settlement. Generally poor service stimu-lates participants to convey a simple complaint in connection with suggestions or criticism to improve services and hospital management.
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Humphreys, John S., Terri A. Meehan-Andrews, Judith A. Jones, Lynn D. Griffin, Bethia A. Wilson, and Karly B. Smith. "How do rural consumers contribute to quality assurance of health services?" Australian Health Review 29, no. 4 (2005): 447. http://dx.doi.org/10.1071/ah050447.
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Objective: To investigate the reasons for complaint or non-complaint by rural consumers of health services. Design: Qualitative study using focus group discussion of hypothetical scenarios. Setting: Selected rural communities in the Loddon- Mallee region of north-western Victoria. Participants: Sixty volunteer participants in eight focus groups recruited through advertising. Main outcome measure: Issues and themes concerning circumstances leading to, and factors inhibiting, complaints about a health service and awareness of complaints mechanisms. Results: Compared with residents of larger towns, those of small communities were more likely to report they would complain to the local provider, whereas those in larger towns were more likely to mention Hospital Boards or the Commissioner. Deterrents to making complaints included the lack of services, scepticism about the role of complaints in bringing about change and an attitude that it was more appropriate to try to fix the problem than complain about it. Lack of awareness of appropriate complaint mechanisms which feed into quality assurance processes was also identified.
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YOUSAF, ANNA, BRENDALEE VIVEIROS, and GENEVIEVE CARON. "Rhode Island Department of Health Foodborne Illness Complaint System: A Descriptive and Performance Analysis." Journal of Food Protection 82, no. 9 (August 20, 2019): 1568–74. http://dx.doi.org/10.4315/0362-028x.jfp-19-135.
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ABSTRACT Foodborne illnesses create a large impact on both the health and economy of the United States. Early detection of an outbreak is essential to preventing additional illnesses. Foodborne illnesses are commonly identified through foodborne illness complaint systems, and it is vital that public health agencies ensure their systems are functioning effectively for successful detection of foodborne outbreaks. The purpose of this study was to provide a descriptive summary of foodborne illness complaint data in Rhode Island and to evaluate the Rhode Island Department of Health (RIDOH) foodborne illness complaint system's ability to detect foodborne outbreaks using the Council to Improve Foodborne Outbreak Response (CIFOR) target performance measures. Data were collected from all foodborne illness complaints reported to RIDOH by the public from 1 January 2010 to 31 December 2017. During this period, 1,218 foodborne illness complaints in total were reported to RIDOH; 85% of complainants reported their illness within 7 days of symptom onset. Most complainants (73%) did not seek medical attention. There were 54 outbreaks, 80% of which were identified by the complaint system. Most pathogens that were identified during an outbreak detected by the complaint system were nonreportable (69%). CIFOR metrics indicate that the complaint system is functioning (i) at an acceptable level of illness complaints expected based on population size and (ii) at preferable levels for metrics related to outbreak detection. This review of the RIDOH foodborne illness complaint system provides evidence for the vital role of complaint systems in detecting foodborne illness outbreaks. In addition, it demonstrates that complaint systems can detect illnesses in a timely manner, likely preventing further illnesses. This was the first multiyear evaluation of Rhode Island's illness complaint surveillance system and will serve as a baseline for future analyses to monitor trends in performance.
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Veness, Benjamin G., Holly Tibble, Brin FS Grenyer, Jennifer M. Morris, Matthew J. Spittal, Louise Nash, David M. Studdert, and Marie M. Bismark. "Complaint risk among mental health practitioners compared with physical health practitioners: a retrospective cohort study of complaints to health regulators in Australia." BMJ Open 9, no. 12 (December 2019): e030525. http://dx.doi.org/10.1136/bmjopen-2019-030525.
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ObjectivesTo understand complaint risk among mental health practitioners compared with physical health practitioners.DesignRetrospective cohort study, using incidence rate ratios (IRRs) to analyse complaint risk and a multivariate regression model to identify predictors of complaints.SettingNational study using complaints data from health regulators in Australia.ParticipantsAll psychiatrists and psychologists (‘mental health practitioners’) and all physicians, optometrists, physiotherapists, osteopaths and chiropractors (‘physical health practitioners’) registered to practice in Australia between 2011 and 2016.Outcome measuresIncidence rates, source and nature of complaints to regulators.ResultsIn total, 7903 complaints were lodged with regulators over the 6-year period. Most complaints were lodged by patients and their families. Mental health practitioners had a complaint rate that was more than twice that of physical health practitioners (complaints per 1000 practice years: psychiatrists 119.1 vs physicians 48.0, p<0.001; psychologists 21.9 vs other allied health 7.5, p<0.001). Their risk of complaints was especially high in relation to reports, records, confidentiality, interpersonal behaviour, sexual boundary breaches and the mental health of the practitioner. Among mental health practitioners, male practitioners (psychiatrists IRR: 1.61, 95% CI 1.39 to 1.85; psychologists IRR: 1.85, 95% CI 1.65 to 2.07) and older practitioners (≥65 years compared with 36–45 years: psychiatrists IRR 2.37, 95% CI 1.95 to 2.89; psychologists IRR 1.78, 95% CI 1.47 to 2.14) were at increased risk of complaints.ConclusionsMental health practitioners were more likely to be the subject of complaints than physical health practitioners. Areas of increased risk are related to professional ethics, communication skills and the health of mental health practitioners themselves. Further research could usefully explore whether addressing these risk factors through training, professional development and practitioner health initiatives may reduce the risk of complaints about mental health practitioners.
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Walton, Merrilyn, Patrick J. Kelly, E. Mary Chiarella, Terry Carney, Belinda Bennett, Marie Nagy, and Suzanne Pierce. "Profile of the most common complaints for five health professions in Australia." Australian Health Review 44, no. 1 (2020): 15. http://dx.doi.org/10.1071/ah18074.
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Objective The aims of this study were to profile the most common complaints and to examine whether any demographic factors are associated with receiving a complaint for five health professions in Australia. Methods A national cohort study was conducted for all complaints received for medicine, nursing/midwifery, dentistry, pharmacy and psychology from 1 July 2012 to 31 December 2013 (18 months). Data were collected from the Australian Health Practitioner Regulation Agency (AHPRA), the New South Wales (NSW) Health Professional Councils’ Authority and the NSW Health Care Complaints Commission. The frequency and risk of complaints were summarised for the five professions and by demographic information. Results There were 545283 practitioners registered with AHPRA between 1 July 2012 and 31 December 2013, consisting of 20935 dentists, 101066 medical practitioners, 363040 nurses/midwives, 28370 pharmacists and 31872 psychologists. During the study period there were 12616 complaints, corresponding to an annual rate of 1.5 per 100 practitioners. Complaints were most common for doctors and dentists (5% per annum per practitioner) and least common for nurses/midwives (0.5% per annum per practitioner). Sex (P<0.01), age (P<0.01) and country of birth (P<0.01) were all associated with risk of complaint. The most common complaints were clinical care (44% of all complaints), medication (10%) and health impairment of the practitioner (8%). Types of complaints varied by profession, sex and age. Conclusions The risk of a complaint is low, but varies by profession and demographics. The types of complaints also vary by profession and demographics. Differences between professions is most likely driven by their different work tasks and work environments. What is already known on this subject? Although complaints are summarised annually from state and national health regulators, no overall national summary of complaints across professions exists. Thus, it is difficult to examine which complaints are most common, how professions differ from each other or what factors may be associated with risk and type of complaint. Previous studies have primarily focused on a single profession, such as medicine, where, for example, the number of prior complaints, sex, doctor speciality and age have been found to be associated with recurrent complaints. What does this paper add? This paper is the first of this kind to provide a national summary of all complaints from five of the most common health professions in Australia. We found that regardless of profession, men were at least twice as likely to have a complaint made against them than women. We also found that the types of complaint differed between men and women. There were similarities across professions for the most common types of complaints, but clear differences between professions were also noted. Not surprising, clinical care was typically the most common type of complaint for the five professions, but somewhat surprising was the inclusion of health impairment as one of the most common types of complaints. What are the implications for practitioners? Identifying the most common complaints, and the factors associated with these, may assist practitioners to understand their risk(s) of complaint and could potentially assist educators and regulators develop education programs that help reduce complaints.
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Karaagac, Canan. "Evaluation of Complaints Notified to Private Hospitals in Ankara Province." New Trends and Issues Proceedings on Advances in Pure and Applied Sciences, no. 8 (December 22, 2017): 60–67. http://dx.doi.org/10.18844/gjapas.v0i8.2817.
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Depending on increasing interest in patient rights and innovations in medicine, the expectations of patients and value judgements change. This study aimed to examine the development process of private health services in Turkey and evaluate the problems and complaints about the services provided in these hospitals. In this context, the formal complaints to private hospitals in Ankara and applications made on the Internet were examined. The complaint data taken from the Ankara Provincial Health Directorate in 2013–2015 were analysed and 15 complaints were qualitatively examined. Evaluations were made by categorising the private hospitals and clinics and subcategories of data belonging to ‘sikayetvar.com.tr’, the biggest Internet complaint platform of Turkey. It was determined that the most problem was about wages, followed by patient rights, emergency services and medical errors. Most of the complaints in private hospitals were of doctors, and 57% of the complainants were women. Keywords: Hospitals, medical errors, patient rights, Turkey.
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The Heath Service Ombudsman. "Introducing the Health Service Ombudsman." Bulletin of the Royal College of Surgeons of England 93, no. 8 (September 1, 2011): 284–85. http://dx.doi.org/10.1308/147363511x588828.
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The Health Service Ombudsman is the final stage of the NHS complaints process. If someone is unhappy with the service provided by the NHS or with how the NHS handled a complaint they can come to the Ombudsman. This article tells surgeons what they need to know about the Ombudsman and how her office resolves complaints.
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Eriksen, Hege R., and Camilla Ihlebaek. "Subjective health complaints." Scandinavian Journal of Psychology 43, no. 2 (April 2002): 101–3. http://dx.doi.org/10.1111/1467-9450.00274.
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Mustafa, Alaa, Heran Hassan, and Fighan Huseen. "The motives for seeking dental health services in a sample of children attending a College of Dentistry." Erbil Dental Journal 3, no. 2 (December 6, 2020): 93–97. http://dx.doi.org/10.15218/edj.2020.13.
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Background and Objectives: The chief complaints of the patients are essential components, being useful for several reasons, including monitoring of oral health services and measuring the effectiveness of the oral health awareness programs. The objective of the study was to explore the common chief complaints of patients seeking treatment and distribution of cases according to the demographic data among patients attending a dental college in Erbil, Iraq. Patients and methods: The age, gender, and the chief complaints or the main reason for the visit were recorded for each consecutive patient of a total of 1233 patients who visited the oral hygiene clinics in the College of Dentistry at Hawler Medical University (Erbil city, Iraq), from October 2016 to June 2017 were recruited. Patients at the age of 3 - 14 years old. The chi-square test was used to find any statistical association between the variables. P value of less than 0.01 was considered statistically significant. Results: The pain was found to be the most common chief complaint reported by 51.1% of the patients. Followed by oral hygiene reported by 26%, among which 658 (53.4%) were males and 575 (46.6%) were females. When the age groups were considered separately, “toothache” or pain was the most common chief complaints reported by all ages except for the <5 years’ group patients for whom that oral hygiene was the most common chief complaint. In the age group of 10-14 years, in addition to pain and oral hygiene, significantly more subjects complained of or-thodonitc treatment need. Conclusion: Chief complaints denote the demand for dental care and thus, helps in proper plan-ning of the public dental health care system. So the reason for dental visit varies across differ-ent age groups and to some extent, gender differences was a considering issue. Keywords: Distribution, Paedodontics, Diagnosis, Dental chief complaints.
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Jones, Judith A., Terri A. Meehan-Andrews, Karly B. Smith, John S. Humphreys, Lynn Griffin, and Beth Wilson. ""There's no point in complaining, nothing changes": rural disaffection with complaints as an improvement method." Australian Health Review 30, no. 3 (2006): 322. http://dx.doi.org/10.1071/ah060322.
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Objective: To validate earlier findings that lack of access to health services is the most likely issue of complaint by rural consumers, and that lack of knowledge about how to make effective complaints and scepticism that responses to complaints bring about service improvement account for the under-representation of complaints from rural consumers. Design: Unaddressed reply-paid mail survey to 100% of households in small communities, and 50%, 20% or 10% in progressively larger communities. Setting: Eight communities in the Loddon-Mallee region of Victoria. Participants: 983 householders most responsible for the health care of household members, responding to a mailed questionnaire. Main outcome measures: Issues of complaints actually made; issues of unsatisfactory situations when a complaint was not made; reasons for not complaining; to whom complaints are made; and plans for dealing with any future complaint. Results: Earlier findings were confirmed. Lack of access to health services was the most important issue, indicated by 54.8% of those who had made a complaint, and 72% of those who wanted to but did not. The most common reason given for not complaining was that it was futile to do so. Lack of knowledge of how to make effective complaints which might contribute to the quality assurance cycle was evident. Conclusions: Rural consumers? disaffection with health complaints as a means to quality improvement poses a significant barrier to consumer engagement in quality assurance processes. Provider practices may need to change to regain community confidence in quality improvement processes. CONSUMER VIEWS ABOUT the quality of health services provide a valuable source of information to those concerned with accountability and quality assurance in service provision.1,2 When such views are expressed as complaints which are responded to in ways which focus on quality improvement rather than allocation of blame, opportunities may arise to improve the quality of health services for all consumers.3,4
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Dzhafer, Nigyar, Tzekomir Vodenicharov, and Janis Papathanasiou. "Does the Bulgarian Health Care System Need a Health Ombudsman?" Folia Medica 62, no. 2 (June 30, 2020): 391–97. http://dx.doi.org/10.3897/folmed.62.e47655.
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Background: The Office of the Ombudsman of the Republic of Bulgaria (ORB) is an independent constitutional body elected by Bul­garian Parliament in 2005. It serves to protect the rights of all citizens, including the rights of patients, children, people with disabilities, minorities, foreigners, etc. Bulgarian healthcare users complain when they feel that the healthcare system (HCS) has failed their needs or they have been recipients of an inappropriate treatment. Aim: The aim of the present study was to analyze the structure and dynamics of all complaints from Bulgarian healthcare users referred to the ORB over a 13-year period (2005 – 2018). Materials and methods: Retrospective documental research was used in the present study. The data included the complaints ob­tained from the official annual reports of the ORB that are available online. Bibliographic and documental searches were also used as sources. The complaints were analyzed by their annual distribution and classified by problem areas in the HCS. Results: Between 2005 and 2018, there were a total of 3288 complaints filed to ORB against HCS. In 2015, 368 complaints were re­ceived by ORB from Bulgarian healthcare users and from various patient organizations concerning problems in the HCS. The filed complaints to ORB increased by 82% in 2016 (n=421). In 2017, the overall number of ORB-referred complaints amounted to 494, and in 2018 their number was as high as 607, which represents an increase by 23% compared to the number of complaints in 2017. Conclusion: The great number of complaints referred to ORB about the HCS over the last four years strongly suggests that the institu­tion of the Ombudsman in Bulgaria enjoys high confidence among Bulgarian healthcare users.
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Walton, Merrilyn, Patrick J. Kelly, E. Mary Chiarella, and Terry Carney. "Management and outcomes of health practitioner complaints in Australia: a comparison of the national and New South Wales systems." Australian Health Review 44, no. 2 (2020): 180. http://dx.doi.org/10.1071/ah18262.
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Objective. The aim of this study was to summarise the process and outcomes of complaints from five regulated health professions in Australia, and to compare these between the national and New South Wales (NSW) systems. Methods. This is a retrospective cohort study of all complaints lodged from 1 July 2012 to 31 December 2013 for medicine, nursing and midwifery, dentistry, psychology and pharmacy registered practitioners. Data were extracted from the Australian Health Practitioner Regulation Agency, the NSW Health Professional Councils’ Authority and the NSW Health Care Complaints Commission databases. The main outcome measures were frequencies and percentages of process decisions and outcomes. Results. Systems differed in classification of complaints as conduct (national 47%; NSW 22%) and performance (national 45%; NSW 71%). Thirty-eight per cent of complaints were investigated or managed through a health or performance stream (national 40%; NSW 34%), but the national system investigated more matters (national 35%; NSW 6%). Over 50% of complaints resulted in ‘no further action’ (national 60%; NSW 70%). The most common action was caution or counsel (national 12%; NSW 15%), followed by conditions, (national 10%; NSW 5%). Practitioner registration surrender was more common with the NSW than national system (national 0.1%; NSW 1.3%), but registration suspensions or cancellations were similar (national 0.6%; NSW 1.0%). Conclusion. The main difference between the two systems is the administrative decision as to how complaints are assessed. In NSW, a classification of a complaint as ‘performance’ usually means the complaint is not investigated; rather, the practitioner is assessed by peers and may be required to undergo further education and training. Reaching agreement and understanding of complaints that should be investigated and those appropriate for performance review would strengthen a national approach to health complaint regulation. What is known about the topic? The national system of managing healthcare complaints is relatively new (since 2010) compared with the NSW system (since 1993). Annual reports of the regulatory authorities provide summaries of types and outcomes of complaints separately for each profession, and separately for NSW and the national system, but we do not know how the two systems directly compare in terms of complaint management or their outcomes. What does this paper add? This study examined how different types of complaints are managed between the two systems and whether there are any differences in outcomes. The types of complaints are almost identical between the two systems, but classification of complaints as ‘performance’ or ‘conduct’ differed. Immediate action is more common in the national than NSW system, especially for health impairment and boundary crossing. Health impairment complaints are much less likely to be discontinued at the assessment stage in NSW compared with the national system. The NSW and national systems are similar in terms of complaints proceeding to either an investigation or performance or health assessment, but the national system investigates more than the NSW system. For many types of complaints the outcomes were similar between systems, but there were clear differences for some types of complaints, such as health impairment and boundary crossing. What are the implications for practitioners? An efficient and fair regulatory system is crucial for maintaining practitioner trust, as well as trust of the public. This study shows that there are many similarities between the national and NSW systems in terms of process and outcomes, but there are differences in the way some types of complaints are assessed between the two systems. This knowledge may assist regulatory authorities in their efforts to achieve a nationally consistent approach to complaints.
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Vaičiūnas, Tomas, and Kastytis Šmigelskas. "The Role of School-Related Well-Being for Adolescent Subjective Health Complaints." International Journal of Environmental Research and Public Health 16, no. 9 (May 6, 2019): 1577. http://dx.doi.org/10.3390/ijerph16091577.
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Background: This study aimed to explore the prevalence of chronic specific-site and multisite pain in adolescents and to investigate how it can possibly be determined by school-related factors. Methods: A population-based cross-sectional study was conducted in 2014 in Lithuania as a Health Behavior in School-Aged Children (HBSC) survey. The sample consisted of 5730 school children, aged 11, 13, and 15 years. The analyzed data focused on the school-related context (relations with family, peers, and teachers; school demand, satisfaction, and bullying) of adolescents and subjective health complaints. The relationships between social support and health complaint variables were estimated using multivariate analyses. Results: The most common subjective health complaint among respondents was a headache. Backache, headache, and stomachache were more common among girls than boys. All somatic complaints were expressed more in younger ages. Multisite complaints were more common among girls and were associated with age—older ones reported more complaints. School-related bullying, school demand, satisfaction, and social support were the most relevant and independent factors for multisite somatic complaints among adolescents.
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Pino, Marco, and Luigina Mortari. "Beyond neutrality: Professionals’ responses to clients’ indirect complaints in a Therapeutic Community for people with a diagnosis of mental illness." Communication and Medicine 10, no. 3 (May 22, 2014): 213–24. http://dx.doi.org/10.1558/cam.v10i3.213.
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Previous research has evidenced that in different institutional settings professionals are cautious when responding to clients’ indirect complaints and tend to avoid siding either with the clients/ complainants or the complained-of absent parties. In this article we use the method of Conversation Analysis to explore professional responses to clients’ indirect complaints in the context of a Therapeutic Community (TC) for people with diagnoses of mental illness in Italy. Although the TC staff members sometimes display a neutral orientation toward the clients’ complaints, as is the case in other institutional settings, in some instances they take a stance toward the clients’ complaints, either by distancing themselves or by overtly disaffiliating from them. We argue that these practices reflect the particular challenges of an institutional setting in which professionals engage with clients on a daily basis, have an institutional mandate of watching over them and are responsible for their safety. According to this interpretation, staff members’ nonneutrality toward clients’ complaints can be seen as a way of defending against the possibility, raised by the clients’ reports, that the staff members might be involved, albeit indirectly, in courses of action that have harmed or might harm the clients.
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Myrtveit Sæther, Solbjørg Makalani, Børge Sivertsen, Siren Haugland, Tormod Bøe, and Mari Hysing. "Health complaints in late adolescence; Frequency, factor structure and the association with socio-economic status." Scandinavian Journal of Public Health 46, no. 1 (July 14, 2017): 141–49. http://dx.doi.org/10.1177/1403494817711359.
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Aims: Little is known about social disparities in health in late adolescence. Among boys and girls aged 17–19, we aimed to (1) describe frequency of health complaints, (2) investigate the factor structure of health complaints and (3) examine the association between health complaints and socio-economic status (SES). Methods: Data from the large population-based youth@hordaland survey ( n=10,253) were used. Health complaints were assessed by five items from the Health Behaviour in School-Aged Children Symptoms Checklist, SES by parental education and perceived family economy. Associations between health complaints and SES were investigated using analysis of variance, and the factor structure of health complaints using confirmatory factor analyses. Results: At least one weekly complaint was reported by 47% of girls and 21% of boys. The items showed a good fit to a simple one-factor model when back pain and neck/shoulder pain were allowed to correlate. Health complaints were more frequent among adolescents reporting poor perceived family economy and lower parental education. Conclusions: Our results suggest that health complaints are common in adolescence and might, as in adults, be part of everyday life. Health complaints are more frequent among adolescents from families with lower SES.
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Van den Bergh, Omer, Winnie Winters, Stephan Devriese, and Ilse Van Diest. "Learning subjective health complaints." Scandinavian Journal of Psychology 43, no. 2 (April 2002): 147–52. http://dx.doi.org/10.1111/1467-9450.00280.
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LI, JOHN, KIRK SMITH, DAWN KAEHLER, KAREN EVERSTINE, JOSH ROUNDS, and CRAIG HEDBERG. "Evaluation of a Statewide Foodborne Illness Complaint Surveillance System in Minnesota, 2000 through 2006." Journal of Food Protection 73, no. 11 (November 1, 2010): 2059–64. http://dx.doi.org/10.4315/0362-028x-73.11.2059.
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Foodborne outbreaks are detected by recognition of similar illnesses among persons with a common exposure or by identification of case clusters through pathogen-specific surveillance. PulseNet USA has created a national framework for pathogen-specific surveillance, but no comparable effort has been made to improve surveillance of consumer complaints of suspected foodborne illness. The purpose of this study was to characterize the complaint surveillance system in Minnesota and to evaluate its use for detecting outbreaks. Minnesota Department of Health foodborne illness surveillance data from 2000 through 2006 were analyzed for this study. During this period, consumer complaint surveillance led to detection of 79% of confirmed foodborne outbreaks. Most norovirus infection outbreaks were detected through complaints. Complaint surveillance also directly led or contributed to detection of 25% of salmonellosis outbreaks. Eighty-one percent of complainants did not seek medical attention. The number of ill persons in a complainant's party was significantly associated with a complaint ultimately resulting in identification of a foodborne outbreak. Outbreak confirmation was related to a complainant's ability to identify a common exposure and was likely related to the process by which the Minnesota Department of Health chooses complaints to investigate. A significant difference (P < 0.001) was found in incubation periods between complaints that were outbreak associated (median, 27 h) and those that were not outbreak associated (median, 6 h). Complaint systems can be used to detect outbreaks caused by a variety of pathogens. Case detection for foodborne disease surveillance in Minnesota happens through a multitude of mechanisms. The ability to integrate these mechanisms and carry out rapid investigations leads to improved outbreak detection.
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Beaupert, Fleur, Terry Carney, Mary Chiarella, Claudette Satchell, Merrilyn Walton, Belinda Bennett, and Patrick Kelly. "Regulating healthcare complaints: a literature review." International Journal of Health Care Quality Assurance 27, no. 6 (July 8, 2014): 505–18. http://dx.doi.org/10.1108/ijhcqa-05-2013-0053.
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Purpose – The purpose of this paper is to explore approaches to the regulation of healthcare complaints and disciplinary processes. Design/methodology/approach – A literature review was conducted across Medline, Sociological Abstracts, Web of Science, Google Scholar and the health, law and social sciences collections of Informit, using terms tapping both the complaints process and regulation generally. Findings – A total of 118 papers dealing with regulation of health complaints or disciplinary proceedings were located. The review reveals a shift away from self-regulation towards greater external oversight, including innovative regulatory approaches including “networked governance” and flexible or “responsive” regulation. It reports growing interest in adoption of strategic and responsive approaches to health complaints governance, by rejecting traditional legal forms in favor of more strategic and responsive forms, taking account of the complexity of adverse health events by tailoring responses to individual circumstances of complainants and their local environments. Originality/value – The challenge of how to collect and harness complaints data to improve the quality of healthcare at a systemic level warrants further research. Scope also exists for researching health complaints commissions and other “meta-regulatory” bodies to explore how to make these processes fairer and better able to meet the complex needs of complainants, health professionals, health services and society.
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Harrison, Reema, Merrilyn Walton, Judith Healy, Jennifer Smith-Merry, and Coletta Hobbs. "Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints: Table 1." International Journal for Quality in Health Care 28, no. 2 (January 29, 2016): 240–45. http://dx.doi.org/10.1093/intqhc/mzw003.
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Qiu, Xiao, Jane Straker, and Katherine Abbott. "When Is a Nursing Home Complaint Really a Complaint? Making Sense Out of Increased Complaints in U.S. Nursing Homes." Innovation in Aging 5, Supplement_1 (December 1, 2021): 846. http://dx.doi.org/10.1093/geroni/igab046.3095.
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Abstract Official complaints are one tool for addressing nursing home quality concerns in a timely manner. Similar to trends nationwide, the Ohio Department of Health (ODH) has noticed a trend in increasing nursing home complaints and has partnered with the Scripps Gerontology Center to learn more about facilities that receive complaints. Greater understanding may lead to proactive approaches to addressing and preventing issues. This study relies on two years of statewide Ohio nursing home complaint data. Between 2018 and 2019, the average complaint rate per 100 residents went from 6.59 to 7.06, with more than 70% of complaints unsubstantiated. Complaint information from 629 Ohio nursing homes in 2018 was linked with Centers for Medicare and Medicaid Services Nursing Home Compare data, the Ohio Biennial Survey of Long-Term Care Facilities, and Ohio Nursing Home Resident and Family Satisfaction Surveys. Using ordered logistic regression analyses, we investigated nursing home providers' characteristics using different levels of complaints and substantiated complaints. Findings suggest that providers with higher complaint rates are located in urban areas, had administrator and/or director of nursing (DON) turnover in the previous 3 years, experienced decreased occupancy rates, had reduced nurse aide retention, and received lower family satisfaction scores. Additionally, providers with administrator and/or DON turnover, and low family satisfaction scores are more likely to have substantiated complaints. Because increasing numbers of complaints are accompanied by relatively low substantiation rates, policy interventions targeted to specific types of providers may improve the cost-effectiveness of complaint resolution, as well as the quality of care.
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Fatoni, Delly Arfa Syukrowardi, and Muhammad Lukman. "Complaints box as a measurement of quality improvement in Institute of Health Science Faletehan, Indonesia." International Journal of Research in Medical Sciences 5, no. 1 (December 19, 2016): 367. http://dx.doi.org/10.18203/2320-6012.ijrms20164582.
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One of indicators in quality improvement in private college was student's satisfaction. Whether or not student satisfies to the college, complaints box can be uses as a tool of it. The purpose of this study was to report the student complaints box that has been used as a tool of quality improvement in Institute of Health Science (IHS) Faletehan, Indonesia. The student complaints from December 2014 to October 2016 have been gathered. All complaints were written by student in a blank of submission form with the requirement of student number as identity (ID). Total of 250 complaints were collected and were investigated by a single trained staff member of the Quality Assurance (QA) Department of IHS Faletehan, who reviewed statements related to the complaints. Each complaint was classified as operational, educational, and student service-related. In analyzing process, data were re-written and were analyzed by using QDA Miner Lite. Here we present the total 250 complaints of student that addressed on the individual, unit and organizational levels. This study showed that the sustainable of quality improvement in IHS Faletehan is effective through complaints box.
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Smith-Merry, Jennifer, Merrilyn Walton, Judith Healy, and Coletta Hobbs. "Responses by hospital complaints managers to recommendations for systemic reforms by health complaints commissions." Australian Health Review 41, no. 5 (2017): 527. http://dx.doi.org/10.1071/ah16138.
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Objective This paper explores how hospital complaints managers react to recommendations for systemic quality reforms by health complaints commissions in response to complaints by patients in Queensland and New South Wales. Methods Semi-structured qualitative interviews were conducted with complaints managers in 17 hospitals. Interview transcripts were then thematically analysed and data on responses to health complaint commissions was organised in relation to Valerie Braithwaite’s typology of motivational postures. Results Respondents supported involvement by an independent authority where patients had serious complaints about the services they received in hospital, but wanted more negotiation with commissions on service improvement recommendations. Conclusions Hospital complaints managers mostly responded as virtuous or rational actors to the symbolic power of complaints commissions. This may be context dependent because Australian health commissions operate within a pro-reform context as a result of recent publicity around health system failures. What is known about the topic? Little is known about regulatory relationships between complaints commissions and hospitals. There has been no Australian research considering how complaints managers respond to commission recommendations for quality improvements and reforms to hospital services. What does the paper add? The paper uses a novel theoretical framework based on regulatory theory to understand and describe the reactions of complaints managers to commission recommendations. What are the implications for practitioners? Commissions should seek commentary from complaints managers through open dialogue before making final recommendations. This will ease the progress of reforms and make recommendations more acceptable and ‘genuine’ in the specific context of the hospital.
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Satchell, Claudette S., Merrilyn Walton, Patrick J. Kelly, Elizabeth M. Chiarella, Suzanne M. Pierce, Marie T. Nagy, Belinda Bennett, and Terry Carney. "Approaches to management of complaints and notifications about health practitioners in Australia." Australian Health Review 40, no. 3 (2016): 311. http://dx.doi.org/10.1071/ah15050.
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In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.
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LI, JOHN, GULZAR H. SHAH, and CRAIG HEDBERG. "Complaint-Based Surveillance for Foodborne Illness in the United States: A Survey of Local Health Departments." Journal of Food Protection 74, no. 3 (March 1, 2011): 432–37. http://dx.doi.org/10.4315/0362-028x.jfp-10-353.
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Foodborne illnesses are an important public health problem in the United States in terms of both the burden of illness and cost to the health care system. Strengthening foodborne illness surveillance helps address the growing issues of food safety in the United States. Very little is known about the use of consumer complaint surveillance systems for foodborne illness. This study evaluates the use of these surveillance systems by local health departments (LHDs) in the United States and their practices and policies for investigating complaints. Data for this study were collected through two Web-based surveys based on a representative sample of LHDs in the United States; 81% of LHDs use complaint-based surveillance. Of those that did not have a complaint system, 64% reported that the state health department or another agency ran their complaint system. Health departments collect a wide variety of information from callers through their complaint systems, including food intake history. Most of the LHDs, however, do not store the information in an electronic database. Outbreak rates and complaint rates were found to be positively correlated, with a Pearson's correlation coefficient of 0.38. Complaints were the most common outbreak detection mechanism reported by respondents, with a median of 69% of outbreaks during the previous year found through complaints. Complaint systems are commonly used in the United States. Increasing the rate at which illnesses are reported by the public and improving investigation practices could help increase the number of outbreaks detected through complaint surveillance.
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Lier, H. Ø., E. Biringer, H. Eriksen, and T. Tangen. "Subjective Health Complaints in a Sample with Morbid Obesity and the Complaints' Relation with Work Ability." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70983-6.
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Background and aims:Obesity is associated with psychological, social and physical problems. The aim of this study was to examine the prevalence of subjective health complaints and their impact on work ability in a sample with morbid obesity.Method:Fortysix patients, 31 women and 15 men, aged 23 to 65 years (mean 43.7, s.d. 10.7), with BMI from 37 to 60 kg/m2 (mean 45 kg/m2, s.d. 5.02), on a waiting list for bariatric surgery participated. Subjective health complaints were measured by the 29-items Subjective Health Complaint Inventory. Five subscales were computed; Allergy, Flu, Musculoskeletal pain, Gastrointestinal problems and Pseudoneurology.Results:All participants reported subjective health complaints the last month, in particular they suffered from musculoskeletal (mean 8.2, s.d. 5.46), pseudoneurological (mean 4.7, s.d. 4.31) and gastrointestinal (mean 3.2, s.d. 5.46) complaints. Mean sickness absence the last year was 185 days (s.d. 163.32). Days of sickness absence were significant correlated with the Musculoskeletal (r = .35, p= .023) and Pseudoneurological (r= .40, p= .009) subscales.Conclusion:All patients reported subjective health complaints, with mean levels of symptoms considerably higher than in the general population. In particular, levels of musculoskeletal and pseudoneurological complaints were high, and these complaints were significantly related to work absence. It thus seems like subjective health complaints influence work ability to a significant degree in patients with morbid obesity.
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Risavi, Brian L., Erik Buzzard, and Christopher J. Heile. "Analysis of Complaints in a Rural Emergency Medical Service System." Prehospital and Disaster Medicine 28, no. 2 (January 29, 2013): 184–86. http://dx.doi.org/10.1017/s1049023x13000046.
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AbstractIntroductionThe health care industry is increasingly focused on customer service, one aspect of which is dealing with customer complaints. The purpose of this study was to assess the prevalence and nature of complaints against prehospital providers in a rural Emergency Medical Services (EMS) system.MethodsThis retrospective study of logged complaints utilized data from May 28, 1999 through September 26, 2008. All complaints were investigated by a single trained staff member of the regional EMS office. He interviewed witnesses, and reviewed statements and other documentation related to the complaints. Each complaint was classified into one of four categories: (1) operational; (2) clinical; (3) educational; or (4) customer service. In addition, each complaint was examined to determine if the grievance was founded. The study was conducted in a seven-county region of western Pennsylvania with a population of 639,641 and more than 3,000 EMS providers.ResultsThere were 110 complaints over a nine-year period (approximately 12 per year). Forty were considered unfounded complaints (43%) and 49 persons (45%) had made more than a single complaint. No EMS provider had an EMS certification suspended or revoked based on a clinically-related complaint. The data revealed a substantial number of complaints for which insufficient information was available to allow a conclusion based on reasonable certainty or the degree of certainty expected of a reasonable person evaluating the facts.ConclusionOne hundred ten complaints were logged for the study EMS program. No complaints violated treatment protocols. Forty complaints were unfounded. There were 49 “repeat” complaints against providers who had previously had complaints made against them.RisaviBL, BuzzardE, HeileCJ. Analysis of complaints in a rural emergency medical services system. Prehosp Disaster Med. 2013;28(2):1-3.
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Panjaitan, Delita Br, Raisha Octavariny, Sri Melda Br Bangun, Anggi Isnani Parinduri, and Ade Julfiani Ritonga. "HUBUNGAN BEBAN KERJA DAN MASA KERJA DENGAN KELUHAN NYERI LEHER PADA PENJAHIT DI LEMBAGA LATIHAN KERJA LUBUK PAKAM TAHUN 2020." JURNAL KESMAS DAN GIZI (JKG) 3, no. 2 (April 30, 2021): 144–48. http://dx.doi.org/10.35451/jkg.v3i2.599.
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Complaints of neck pain are a complaint on the part of the skeletal muscle as a result of forced movement and receiving heavy loads for a long time. Tailoring is one of the jobs that has a high risk of experiencing neck pain complaints. The rotation of the spine when the body is bending is a factor in neck pain complaints that are often complained of by tailors. This work activity will indirectly endanger health. This study aims to determine the relationship between workload and work period with complaints of neck pain in tailors at the Lubuk Pakam Training Institute in 2020. The type of research used is quantitative with a cross sectional design. The population of this study were 30 workers at the Lubuk Pakam training institute using the total sampling technique. Data collection by questionnaire. Data analysis used the chi-square test at the level of confidence level of 95% and α = 0.05. The results showed that there was a significant relationship between workload (p = 0.024) and length of service (p-0.016) with complaints of neck pain in tailors at the Lubuk Pakam Training Institute. It is advisable for tailors to pay more attention to health and safety while working without forcing the body to work and regulating good working hours, adequate rest, stretching while working and paying attention to the dangers that can occur in the work environment
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Satchell, Claudette S., Merrilyn Walton, Patrick J. Kelly, Elizabeth M. Chiarella, Suzanne M. Pierce, Marie T. Nagy, Belinda Bennett, and Terry Carney. "Corrigendum to: Approaches to management of complaints and notifications about health practitioners in Australia." Australian Health Review 40, no. 3 (2016): 353. http://dx.doi.org/10.1071/ah15050_co.
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In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.
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Kusuma, Nabella. "Relationship Between Method and Duration of Contraception Usage to Subjective Health Complaints." Jurnal Berkala Epidemiologi 4, no. 2 (February 5, 2017): 164. http://dx.doi.org/10.20473/jbe.v4i2.2016.164-175.
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Subjective health complaints is identified is symptoms and uncomfortable feeling felt by the respondents. Health Complaint is the most common cause of acceptor stops using contraception. The aim of this study was to exsamine between of subjective health complaints related by contraception method and duration of contraception usage. This study was observational analytic with cross sectional design. The sample of study were acceptor living at RW 6 Kalitengah Sidoarjo district and using simple random sampling technique to collect the data. Statistical test using chi square to determine the relationship between variables. The study showed that most of the respondents were aged > 35 years old (62,5%), educated as high as high school (59,7%), were housewife (70,8%). Statistic test using chi square showed that there was relationship between contraception method (p = 0.0098) and the duration of contraception usage (p = 0.012) with subjective health complaints. Hormonal contraceptive methods may increase the risk of 4,05 times to experience subjective health complaints compared with respondents who use non-hormonal contraception. Respondents with long ≤ 5 years of contraceptive use may increase the risk of 7,82 times to experience subjective health complaints compared with respondents who used the contraceptive for > 5 years. It is concluded that contraception method and the duration of contraception usage are related to subjective health complaints. It is recommended for the midwives to educate respondents who were using hormonal contraception to change into using non hormonal contraception when have complaint.Keywords: contraception method, usage duration, subjective health complaints
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Kusuma, Nabella. "Relationship Between Method and Duration of Contraception Usage to Subjective Health Complaints." Jurnal Berkala Epidemiologi 4, no. 2 (February 5, 2017): 164. http://dx.doi.org/10.20473/jbe.v4i22016.164-175.
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Subjective health complaints is identified is symptoms and uncomfortable feeling felt by the respondents. Health Complaint is the most common cause of acceptor stops using contraception. The aim of this study was to exsamine between of subjective health complaints related by contraception method and duration of contraception usage. This study was observational analytic with cross sectional design. The sample of study were acceptor living at RW 6 Kalitengah Sidoarjo district and using simple random sampling technique to collect the data. Statistical test using chi square to determine the relationship between variables. The study showed that most of the respondents were aged > 35 years old (62,5%), educated as high as high school (59,7%), were housewife (70,8%). Statistic test using chi square showed that there was relationship between contraception method (p = 0.0098) and the duration of contraception usage (p = 0.012) with subjective health complaints. Hormonal contraceptive methods may increase the risk of 4,05 times to experience subjective health complaints compared with respondents who use non-hormonal contraception. Respondents with long ≤ 5 years of contraceptive use may increase the risk of 7,82 times to experience subjective health complaints compared with respondents who used the contraceptive for > 5 years. It is concluded that contraception method and the duration of contraception usage are related to subjective health complaints. It is recommended for the midwives to educate respondents who were using hormonal contraception to change into using non hormonal contraception when have complaint.Keywords: contraception method, usage duration, subjective health complaints
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Hendrickx, Iris, Tim Voets, Pieter van Dyk, and Rudolf B. Kool. "Using Text Mining Techniques to Identify Health Care Providers With Patient Safety Problems: Exploratory Study." Journal of Medical Internet Research 23, no. 7 (July 27, 2021): e19064. http://dx.doi.org/10.2196/19064.
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Background Regulatory bodies such as health care inspectorates can identify potential patient safety problems in health care providers by analyzing patient complaints. However, it is challenging to analyze the large number of complaints. Text mining techniques may help identify signals of problems with patient safety at health care providers. Objective The aim of this study was to explore whether employing text mining techniques on patient complaint databases can help identify potential problems with patient safety at health care providers and automatically predict the severity of patient complaints. Methods We performed an exploratory study on the complaints database of the Dutch Health and Youth Care Inspectorate with more than 22,000 written complaints. Severe complaints are defined as those cases where the inspectorate contact point experts deemed it worthy of a triage by the inspectorate, or complaints that led to direct action by the inspectorate. We investigated a range of supervised machine learning techniques to assign a severity label to complaints that can be used to prioritize which incoming complaints need the most attention. We studied several features based on the complaints’ written content, including sentiment analysis, to decide which were helpful for severity prediction. Finally, we showcased how we could combine these severity predictions and automatic keyword analysis on the complaints database and listed health care providers and their organization-specific complaints to determine the average severity of complaints per organization. Results A straightforward text classification approach using a bag-of-words feature representation worked best for the severity prediction of complaints. We obtained an accuracy of 87%-93% (2658-2990 of 3319 complaints) on the held-out test set and an F1 score of 45%-51% on the severe complaints. The skewed class distribution led to only reasonable recall (47%-54%) and precision (44%-49%) scores. The use of sentiment analysis for severity prediction was not helpful. By combining the predicted severity outcomes with an automatic keyword analysis, we identified several health care providers that could have patient safety problems. Conclusions Text mining techniques for analyzing complaints by civilians can support inspectorates. They can automatically predict the severity of the complaints, or they can be used for keyword analysis. This can help the inspectorate detect potential patient safety problems, or support prioritizing follow-up supervision activities by sorting complaints based on the severity per organization or per sector.
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Eriksen, Hege R., and Holger Ursin. "Sensitization and subjective health complaints." Scandinavian Journal of Psychology 43, no. 2 (April 2002): 189–96. http://dx.doi.org/10.1111/1467-9450.00286.
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Lusk, Sally L., and Marion Gillen. "Health Complaints of Older Workers." AAOHN Journal 45, no. 9 (September 1997): 461–64. http://dx.doi.org/10.1177/216507999704500907.
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Beecham, L. "English health ombudsman upholds complaints." BMJ 318, no. 7199 (June 19, 1999): 1646. http://dx.doi.org/10.1136/bmj.318.7199.1646b.
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&NA;, &NA;. "SCREENING VDT USERS’ HEALTH COMPLAINTS." AJN, American Journal of Nursing 85, no. 9 (September 1985): 948. http://dx.doi.org/10.1097/00000446-198509000-00004.
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Fehér, Piroska, Dorina Annár, Annamária Zsákai, and Éva Bodzsár. "Pszichoszomatikus tünetek előfordulási gyakorisága 8–17 éves magyar gyermekek körében." Orvosi Hetilap 160, no. 12 (March 2019): 464–72. http://dx.doi.org/10.1556/650.2019.31366.
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Abstract: Introduction: Subjective health complaints are common among children as well. Age, gender, health status, etc. can modify the prevalence, intensity, frequency and the dimensions of the psychosomatic complaints. Aim: The main purposes were to analyse the frequency pattern of psychosomatic complaints in children as well as to study the influence of physical status and lifestyle factors on psychosomatic status. Method: The subjects of the present analysis represented a random sample of the Hungarian National Growth Study (n = 13 331; 8–17-year-old). The three clusters of the health complaints were somatic, psychological and sleeping disorders. The psychosomatic status of 8–17-year-old children was analysed by dividing them into subgroups of experiencing the subjective health complaints often (weekly or more often), on an average level or rarely. Frequency distributions were examined for each subjective health complaint. Multinomial logistic regression analysis was applied to reveal the relationship between the frequency pattern of psychosomatic complaints and the hypothesized predictive factors. Results: The prevalence of the psychosomatic complaints increased by age, and girls reported more symptoms than boys. Subjective health status, nutritional status, body image, academic achievement, stature, body mass and socioeconomic status influenced the frequency pattern of psychosomatic complaints in girls, while physical activity, self-esteem, socioeconomic status and subjective health status in boys. Conclusions: Age, gender, socioeconomic status and psychosocial status can affect the frequency pattern of the psychosomatic complaints. Orv Hetil. 2019; 160(12): 464–472.
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Clare, Bolton, and Goldsmith Paul. "THUR 265 Complaints from patients with functional disorders." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 10 (September 13, 2018): A39.1—A39. http://dx.doi.org/10.1136/jnnp-2018-abn.134.
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ObjectiveTo evaluate the nature of complaints from patients with functional neurological disorders and understand the reaction of UK neurology consultants to receiving complaints from this patient group.MethodsA voluntary anonymised online retrospective survey was advertised to UK consultant neurologists. Questions asked about the nature of the complaint, how it was dealt with, how it affected their emotional wellbeing, attitude to work, and whether it influenced their clinical practice. The frequency of total responses was analysed. Respondents were given opportunities to add comments.ResultsResponses from 58 clinicians were included. The majority of complaints stemmed from patients not agreeing with their diagnosis. Respondents felt that complaints from patients with functional disorders tended to be more involved and personal than other complaints. Lack of awareness about functional conditions among non-specialists was also a common theme. For many respondents, the complaint adversely affected their emotional wellbeing. Following the complaint, defensive practice was more common, and working patterns were altered.ConclusionsComplaints from patients with functional neurological disorders appear more difficult to resolve than other complaints, and clinicians who deal with them often become the ‘second victim’ in the process leading to potentially adverse effects on patient care. Strategies to tackle these issues are discussed.
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Marques, Adilson, Yolanda Demetriou, Riki Tesler, Élvio R. Gouveia, Miguel Peralta, and Margarida Gaspar de Matos. "Healthy Lifestyle in Children and Adolescents and Its Association with Subjective Health Complaints: Findings from 37 Countries and Regions from the HBSC Study." International Journal of Environmental Research and Public Health 16, no. 18 (September 7, 2019): 3292. http://dx.doi.org/10.3390/ijerph16183292.
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Background: It is important to clearly understand the factors associated with subjective health complaints. The study aimed to investigate the relationship between subjective health complaints, several health behaviors, and a composite measure of healthy lifestyle. Methods: Data were from the Health Behaviour in School-aged Children (HBSC) 2014 international database. Participants were 167,021 children and adolescents, aged 10–16 years, from 37 countries and regions. A composite score of healthy lifestyle was created using a combination of daily physical activity, daily consumption of fruit and vegetables, <2 hours spent daily in screen-based behaviors, no drinking, and no smoking. The subjective health complaints assessed were headaches, stomach aches, backache, dizziness, feeling low, irritability, nervousness, and sleep difficulties. Results: Those who engage in physical activity every day, spend less than two hours a day in screen-based behaviors, do not drink alcohol, and do not smoke tobacco presented a higher likelihood of not having subjective health complaints. A healthy lifestyle was significantly related to having less of all the subjective health complaints. Those with a healthy lifestyle were 50% (OR = 0.5, 95% CI: 0.5–0.6, p < 0.001) less likely to have multiple health complaints. Conclusions: Healthy behaviors and healthy lifestyles are related with less subjective health complaints and less multiple health complaints.
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Isaacs, David. "Complaints." Journal of Paediatrics and Child Health 57, no. 10 (October 2021): 1556–57. http://dx.doi.org/10.1111/jpc.15764.
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Taylor, D. Robin, Janet Bouttell, Jonathan N. Campbell, and Calvin J. Lightbody. "A case-controlled study of relatives’ complaints concerning patients who died in hospital: The role of treatment escalation/limitation planning." International Journal for Quality in Health Care 32, no. 3 (March 18, 2020): 212–18. http://dx.doi.org/10.1093/intqhc/mzaa008.
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Abstract Objectives To independently assess quality of care among patients who died in hospital and whose next-of-kin submitted a letter of complaint and make comparisons with matched controls. To identify whether use of a treatment escalation limitation plan (TELP) during the terminal illness was a relevant background factor. Design The study was an investigator-blinded retrospective case-note review of 42 complaints cases and 72 controls matched for age, sex, ward location and time of death. Setting The acute medical and surgical wards of three District General Hospitals administered by NHS Lanarkshire, Scotland. Participants None. Intervention None. Outcome measures Quality of care: clinical ‘problems’, non-beneficial interventions (NBIs) and harms were evaluated using the Structured Judgment Review Method. Complaints were categorized using the Healthcare Complaints Analysis Tool. Results The event frequencies and rate ratios for clinical ‘problems’, NBIs and harms were consistently higher in complaint cases compared to controls. The difference was only significant for NBIs (P = 0.05). TELPs were used less frequently in complaint cases compared to controls (23.8 versus 47.2%, P = 0.013). The relationship between TELP use and the three key clinical outcomes was nonsignificant. Conclusions Care delivered to patients at end-of-life whose next-of-kin submitted a complaint was poorer overall than among control patients when assessed independently by blinded reviewers. Regular use of a TELP in acute clinical settings has the potential to influence complaints relating to end-of-life care, but this requires further prospective study.
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Herasymenko, Pavlo Volodymyrovych, and Olena Volodymyrivna Herasymenko. "ЕТИЧНІ АСПЕКТИ РОЗБОРУ СКАРГ У ПРИВАТНІЙ МЕДИЧНІЙ ПРАКТИЦІ." SOCIAL WORK ISSUES: PHILOSOPHY, PSYCHOLOGY, SOCIOLOGY, no. 2 (14) (2019): 13–18. http://dx.doi.org/10.25140/2412-1185-2019-2(14)-13-18.
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Urgency of the research. The relevance of adherence to the principles of medical ethics in the analysis of complaints is determined by the complexity of decision-making during an examination of inconsistencies in medical practice, which mandatory element is interference in a person’s inner world. Target setting. The structure of complaints about activities of health professionals is quite complex. A decision after a complaint is not always in favor of a complainant. At the same time, inconsistencies in medical practice due to a fault of a medical institution have significant consequences: organizational, financial, image. Therefore, improvement and proper application of principles of medical ethics in complain handling is important at all stages of medical care. Actual scientific researches and issues analysis. The article mentions works of scientists and medical practitioners, summarizes the body of knowledge on the issues of adherence to medical ethics during medical intervention and possible complaints. Uninvestigated parts of general matters defining. At the present stage of development, the national health care system is in a state of radical change. The shares of the public, communal and private sectors are significantly redistributed. Their structure and development trends are changing dynamically. The volatility of the current national health care system requires better study and coverage, in order to share experiences and implement best practices in ethical patient management. The research objective of the publication is to expand scientific and practical knowledge and skills about the harmonious integration of the principles of medical ethics in modern Ukrainian medicine. The statement of basic materials. Variants of complaints from dissatisfied patients, ethical principles of the approach to their consideration, stages and features of complaint analysis, the role of each of the medical staff during such examinations are considered. Conclusions. The publication discusses the practical experience of applying the principles of medical ethics and deontology in the work of a private medical institution in the analysis of complaints. The main elements of an ethical approach to diagnostics, consideration and resolution of a complaint. The conditions and processes that accompany communication with the complainant are described. Variants of approaches to solving problems for the personnel of clinics and finalizing the elimination of the identified inconsistencies are proposed.
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Liu, Jing, Shengchao Hou, Richard Evans, Chenxi Xia, Weidong Xia, and Jingdong Ma. "What Do Patients Complain About Online: A Systematic Review and Taxonomy Framework Based on Patient Centeredness." Journal of Medical Internet Research 21, no. 8 (August 7, 2019): e14634. http://dx.doi.org/10.2196/14634.
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Background Complaints made online by patients about their health care experiences are becoming prevalent because of widespread worldwide internet connectivity. An a priori framework, based on patient centeredness, may be useful in identifying the types of issues patients complain about online across multiple settings. It may also assist in examining whether the determinants of patient-centered care (PCC) mirror the determinants of patient experiences. Objective The objective of our study was to develop a taxonomy framework for patient complaints online based on patient centeredness and to examine whether the determinants of PCC mirror the determinants of patient experiences. Methods First, the best fit framework synthesis technique was applied to develop the proposed a priori framework. Second, electronic databases, including Web of Science, Scopus, and PubMed, were searched for articles published between 2000 and June 2018. Studies were only included if they collected primary quantitative data on patients’ online complaints. Third, a deductive and inductive thematic analysis approach was adopted to code the themes of recognized complaints into the framework. Results In total, 17 studies from 5 countries were included in this study. Patient complaint online taxonomies and theme terms varied. According to our framework, patients expressed most dissatisfaction with patient-centered processes (101,586/204,363, 49.71%), followed by prerequisites (appropriate skills and knowledge of physicians; 50,563, 24.74%) and the care environment (48,563/204,363, 23.76%). The least dissatisfied theme was expected outcomes (3651/204,363, 1.79%). People expressed little dissatisfaction with expanded PCC dimensions, such as involvement of family and friends (591/204,363, 0.29%). Variation in the concerns across different countries’ patients were also observed. Conclusions Online complaints made by patients are of major value to health care providers, regulatory bodies, and patients themselves. Our PCC framework can be applied to analyze them under a wide range of conditions, treatments, and countries. This review has shown significant heterogeneity of patients’ online complaints across different countries.
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Hernández-Yépez, Palmer J., Alejandro Rojas-Huillca, Miguel A. Oscuvilca-Quinteros, Abihail N. Mendoza-ojeda, Mario J. Valladares-garrido, and Fiorella Inga-berrospi. "Knowledge about SUSALUD and other factors associated with filing complaints due to patient care issues at a national hospital in Lima, Peru 2019." Pakistan Journal of Medical and Health Sciences 15, no. 8 (August 30, 2021): 2319–23. http://dx.doi.org/10.53350/pjmhs211582319.
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Introduction: There is little evidence regarding the knowledge of the National Superintendence of Health (Superintendencia Nacional de Salud, SUSALUD), and health rights. The objective of this study was to determine the factors associated with filing complaints in patients treated at a Level III-1 health facility of the Ministry of Health (MINSA) in Lima 2019. Methods: Cross-sectional study on Internal Medicine patients treated at a Level III-1 health facility of MINSA, Lima, Peru in 2019. We used a modified survey taken from the complaints and knowledge about SUSALUD section from the questionnaire of the National Health User Satisfaction Survey (ENSUSALUD 2016). Prevalence ratios were estimated through simple and multiple regression. Results: Of 250 patients, the average age was 52 years and most of them were women (61.2%). Of the total, 37.3% made some health care complaints. The majority of the patients knew about the complaints book (66.4%), but only 30% knew about SUSALUD. Knowing SUSALUD (PR=3.33, CI95%: 1.81-6.11), the right to access health services (PR=1.15, CI95%: 0.41-3.29) and the right to be informed (PR=2.65, CI95%: 1.07-6.60) were associated with a greater frequency of filing health care complaints. Conclusions: The frequency of complaints due to care problems is high. The knowledge about SUSALUD, the right to access health services and the right to be informed were positively associated with filing any type of complaint. Keywords: Knowledge, complaints, health care, hospitals (Source: DECS)
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Mahendra, Gerry Katon. "PENGADUAN PELAYANAN KESEHATAN DI UNIT PELAYANAN INFORMASI DAN KELUHAN (UPIK)." Journal of Health Studies 1, no. 2 (March 1, 2017): 28–39. http://dx.doi.org/10.31101/jhes.183.
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Abstract :Complaint management in the City of Yogyakarta has been integrated through a program called UPIK (Unit Pelayanan Informasi dan Keluhan/Information and Complaint Service), in which all kinds of complaint, health issues included, can be submitted through the government web page. This research aims to describe, analyse, in order to provide recommendations for further improvements of UPIK service management. Using descriptive and qualitative methods, this research analyse complaints submitted to UPIK during 2016. It shows that UPIK significantly helpful in making it easy for government services to manage, categorize, dristributes, as well as monitor the follow up of the submitted complaints.Keywords: public services, health services. Public complaints, upik
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Kristoffersen, Agnete Egilsdatter, Terje Alræk, Trine Stub, Harald Johan Hamre, Lars Björkman, and Frauke Musial. "Health Complaints Attributed to Dental Amalgam: A Retrospective Survey Exploring Perceived Health Changes Related to Amalgam Removal." Open Dentistry Journal 10, no. 1 (December 30, 2016): 739–51. http://dx.doi.org/10.2174/1874210601610010739.
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Background: Many patients have complex health complaints they attribute to dental amalgam. There is some evidence of symptom relief after removal of amalgam. Objective: The aims of this study were to assess the total symptom load in patients with all their amalgam fillings removed, and to investigate the self-reported improvement of health with regard to precautions taken under amalgam removal and time since removal. Methods: The survey was distributed to all members (n=999) of the Norwegian Dental patients association in 2011. The study participants returned the questionnaires anonymously by means of a pre-stamped envelope. The questionnaire asked for sociodemographic data, subjectively perceived health status, complaints persisting after amalgam removal and self-reported changes in symptoms after amalgam removal. Results: A total of 324 participants were included in the study. The majority of the participants reported improved health after amalgam removal, even though the mean degree of severity of complaints was still high. Exhaustion and musculoskeletal complaints were most severe, and reflects the fact that 38% of the participants reported poor to very poor current health. With regard to amalgam removal, associations between improved health, number of precautions applied, and time since removal were found. Conclusion: Most of the participants in this study reported improvement of health after amalgam removal even though they still suffered a high complaint load. Since absolute symptom load is a robust predictor for general health outcome and socioeconomic burden for society, a possible intervention, which enables patients to further improve their health status is desirable.
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Ronald, Andrew A., Vineeth Sadda, Nicholas M. Rabah, and Michael P. Steinmetz. "Patient complaints in the postoperative period following spine surgery." Journal of Neurosurgery: Spine 36, no. 3 (March 1, 2022): 509–16. http://dx.doi.org/10.3171/2021.6.spine21637.
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OBJECTIVE Patient complaints are associated with a number of surgical and medical outcomes. Despite high rates of patient complaints regarding spine surgeons and efforts to study patient complaints across medicine and surgery, few studies have analyzed the complaints of patients undergoing spinal surgery. The authors present a retrospective analysis that, to their knowledge, is the first study to directly investigate the complaints of spine surgery patients in the postoperative period. METHODS Institutional records were reviewed over a 5-year period (2015–2019) to identify patients who underwent spine surgery and submitted a complaint to the institution’s ombudsman’s office within 1 year of their surgery. A control group, comprising patients who underwent spine surgery without filing a complaint, was matched to the group that filed complaints by admission diagnosis and procedure codes through propensity score matching. Patient demographic and clinical data were obtained by medical record review and compared between the two groups. Patient complaints were reviewed and categorized using a previously established taxonomy. RESULTS A total of 52 patients were identified who submitted a complaint after their spine surgery. There were 56 total complaints identified (4 patients submitted 2 each) that reported on 82 specific issues. Patient complaints were most often related to the quality of care received and communication breakdown between the healthcare team and the patient. Patients who submitted complaints were more likely to be Black or African American, have worse baseline health status, and have had prior spine surgery. After their surgery, these patients were also more likely to have longer hospital stays, experience postoperative complications, and require reoperation. CONCLUSIONS Complaints were most often related to the quality of care received and communication breakdown. A number of patient-level demographic and clinical characteristics were associated with an increased likelihood of a complaint being filed after spine surgery, and patients who filed complaints were more likely to experience postoperative complications. Improving communication with patients could play a key role in working to address and reduce postoperative complaints. Further study is needed to better understand patient complaints after spine surgery and investigate ways to optimize the care of patients with risks for postoperative complaints.
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Lester, Grant, Franzcp Beth Wilson, Lynn Griffin, and Paul E. Mullen. "Unusually persistent complainants." British Journal of Psychiatry 184, no. 4 (April 2004): 352–56. http://dx.doi.org/10.1192/bjp.184.4.352.
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BackgroundQuerulous paranoia may have disappeared from the psychiatric literature, but is it flourishing in modern complaints organisations and the courts? Aims To investigate the unusually persistent complainants who lay waste to their own lives and place inordinate demands and stress on complaints organisations.MethodComplaints officers completed questionnaires on both unusually persistent complainants and matched controls.ResultsPersistent complainants (distinguished by their pursuit of vindication and retribution) consumed time and resources and resorted to both direct and veiled threats. Attempts to distinguish these people from a control group on the basis of the manner in which their claims were initially managed failed.ConclusionsPersistent complainants' pursuit of vindication and retribution fits badly with complaints systems established to deliver reparation and compensation. These complainants damaged the financial and social fabric of their own lives and frightened those dealing with their claims. The study suggests methods of early detection and alternative management strategies.
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Kleszczewska, Dorota, Joanna Mazur, Jens Bucksch, Anna Dzielska, Catherina Brindley, and Agnieszka Michalska. "Active Transport to School May Reduce Psychosomatic Symptoms in School-Aged Children: Data from Nine Countries." International Journal of Environmental Research and Public Health 17, no. 23 (November 24, 2020): 8709. http://dx.doi.org/10.3390/ijerph17238709.
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It is widely proven that being physically active and avoiding sedentary behaviour help to improve adolescents’ well-being and keep them in better health in general. We aimed to investigate the relationship between modes of transport to school and subjective complaints among schoolchildren. Analyses were based on the HBSC (Health Behaviour in School-aged Children) surveys conducted in 2017/18 in nine countries (N = 55,607; mean age 13.43 ± 1.64 yrs.). The main outcome showed that health complaints consisted of somatic and psychological complaints. Transport to school was characterized by mode of getting there (walking, biking, or another passive mode). A total of 46.1% of students walked and 7.3% cycled to school; 46.6% commuted by passive means. Biking to school was more frequent in Denmark (37.9%), Norway (26.5%), and Germany (26.6%). The multivariate generalized linear model adjusted for age, gender, country, and school proximity showed that biking to school is protective against reports of health complaints. The beta parameters were equal to −0.498 (p < 0.001) for the general HBSC-SCL index, −0.208 (p < 0.001) for the somatic complaint index, and −0.285 (p < 0.001) for the psychological complaints index. Young people who actively commute to school are less likely to report health complaints, especially psychological symptoms.
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As'ady, BJ Azmy, Supangat Supangat, and Laksmi Indreswari. "Analysis of Personal Protective Equipments Pesticides Usage Effects on Health Complaints of Farmers in Pringgondani Village Sumberjambe District Jember Regency." Journal of Agromedicine and Medical Sciences 5, no. 1 (February 15, 2019): 31. http://dx.doi.org/10.19184/ams.v5i1.7901.
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Jember is one of the districts in East Java Province with the majority of its population working as farmers. Pringgondani Village Farmers in Jember use pesticides when farming. Pesticides contain harmful chemicals. Use of PPE (Personal Protective Equipments) can protect farmers when mixing and spraying pesticides. This study aims to analyze correlation between PPE pesticides usage and health complaints of farmers in Pringgondani Village Sumberjambe District Jember Regency. Cross sectional surveys were conducted on 50 samples. Data were collected by interview using questionnaire. Data were analyzed by chi square test to know correlation between PPE pesticides use (protective clothing, head protection, mask, gloves and boots) and health complaints (headache, increased fatigue, itching and nausea). Chi square test result showed significance 0,043 (p <0,05) where there was a correlation between head protector use and health complaint of respondent with contingency coefficient (r) equal to 0,318. The conclusion is that there is a correlation between the head protection use and health complaints of farmers in Pringgondani Village Sumberjambe District Jember Regency with sufficient correlation.
Keywords: PPE, pesticides, health complaints, Farmers, Pringgondani, Jember