Relevant bibliographies by topics / Patient satisfaction

Academic literature on the topic 'Patient satisfaction'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 July 2024

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Journal articles on the topic "Patient satisfaction"

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Glenn, Candace, Amy McMichael, and Steven R. Feldman. "Measuring patient satisfaction changes patient satisfaction." Journal of Dermatological Treatment 23, no. 2 (March 12, 2012): 81–82. http://dx.doi.org/10.3109/09546634.2012.666883.

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MUKHTAR, FATIMA, AFTAB ANJUM, MUHAMMAD ASLAM BAJWA, Shahzana Shahzad, Shahzeb Hamid, ZAHRA M. Masood, and Ramsha Mustafa. "PATIENT SATISFACTION;." Professional Medical Journal 20, no. 06 (December 15, 2013): 973–80. http://dx.doi.org/10.29309/tpmj/2013.20.06.1831.

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Introduction: Patient satisfaction is a relative phenomenon, which embodies the patients perceived need, his expectationsfrom the health system, and experience of health care. Objective: To determine the level of patient satisfaction towards OPD services withreference to doctor-patient interaction, registration desk, waiting area, and overall health facilities. Study Design: Descriptive crosssectional study. Setting: Tertiary care hospital of Lahore. Study Period: April 2013. Material & Methods: A sample of 250 patients wasselected by employing systematic random sampling technique. The patients were interviewed and data was collected using a pretestedquestionnaire. Data was analyzed using the statistical package for social sciences (SPSS) version 16.00. Data was presented in figuresand tables. It was described using frequencies, percentages and mean. Results: Majority of the patients i.e 232 (94%) reported beingsatisfied with the doctor. A vast majority agreed that hospital was clean 233 (94%) and adequately ventilated 224 (90%). The hospital staffin the waiting area was found to be respectful 220 (89%) and fair 198 (80%) towards the patients. The patients had no difficulty locatingthe reception desk of the health facility 235 (95%). A large proportion of patients i.e.220 (89%) said they would re-visit the hospital.Conclusions: The patients were highly satisfied with their doctors and were ready to re-visit the hospital. It is recommended that furtherstudies should be conducted to assess patient satisfaction in the secondary and primary care health facilities and efforts should be madeto get regular feedback from the patients.
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Prakash, Bhanu. "Patient satisfaction." Journal of Cutaneous and Aesthetic Surgery 3, no. 3 (2010): 151. http://dx.doi.org/10.4103/0974-2077.74491.

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Gearheart, Rebecca. "Patient Satisfaction." Journal of Christian Nursing 34, no. 3 (2017): 198. http://dx.doi.org/10.1097/cnj.0000000000000398.

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Panchbhavi, Vinod K. "Patient Satisfaction." Techniques in Foot & Ankle Surgery 17, no. 2 (June 2018): 41. http://dx.doi.org/10.1097/btf.0000000000000201.

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Santuzzi, Nicole R., Melanie S. Brodnik, Laurie Rinehart-Thompson, and Maryanna Klatt. "Patient Satisfaction." Quality Management in Health Care 18, no. 1 (January 2009): 3–18. http://dx.doi.org/10.1097/01.qmh.0000344589.61971.41.

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Khanna, Krishn, and Mohammad Diab. "Patient Satisfaction." Journal of Bone and Joint Surgery 101, no. 21 (November 2019): e115. http://dx.doi.org/10.2106/jbjs.18.01499.

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Walker, Judith K. "Patient Satisfaction." Journal of Perinatal & Neonatal Nursing 20, no. 1 (January 2006): 88–90. http://dx.doi.org/10.1097/00005237-200601000-00026.

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Bolton, L. Leslie. "PATIENT SATISFACTION." Plastic and Reconstructive Surgery 106, no. 5 (October 2000): 1232. http://dx.doi.org/10.1097/00006534-200010000-00075.

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Picard, L. M. "Patient satisfaction." Canadian Medical Association Journal 186, no. 1 (January 6, 2014): 63. http://dx.doi.org/10.1503/cmaj.114-0002.

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Dissertations / Theses on the topic "Patient satisfaction"

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Fox, Jessica M. "The Effect of Patient Expectations on Patient Satisfaction." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1560350332980685.

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Ghazali, R. J. "Patient satisfaction : the Malaysian experience." Thesis, Swansea University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.637051.

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The problem of scarce resources and escalating cost of health care has made the Malaysian governments to think about the corporatization of public hospitals. It is vital to understand the current situation before embarking on such a big project. The fundamental aim of the research was to assess the level of patient satisfaction in seven hospitals. In referral hospitals, only medical, surgical, orthopaedic, obstetric and gynaecology wards were selected. In non-referral hospitals, the wards selected were limited to male and female wards. Inpatients were given self-administered questionnaires after selection based on a set of inclusion and exclusion criteria. As for the staff, the same questionnaires were given to doctors, nurses and attendants who were working during that time. SERVQUAL, which was developed by Parasuraman, Zeithami and Berry, was used as a tool for measuring satisfaction. Apart from SERVQUAL, the questionnaires also include a session on respondent requests. Respondents were asked to list and prioritise five important things that they want from the hospital services. In this study the rate of patient satisfaction was low in all the seven hospitals. None of the hospitals had a patient satisfaction score greater than 45%. However in all the hospitals, the levels of dissatisfaction were only mild. In terms of SERVQUAL, patients and staff were least dissatisfied in the dimension of Empathy. Meanwhile, the greatest level of patient dissatisfaction was in the dimension of Responsiveness. For staff, the greatest level of dissatisfaction was Tangibles. Staff perceived that hospital equipment was not up-to-date. Patients understand that being a public hospital, it could only provide facilities to a certain extent. However they expect the staff to respond promptly to their needs. This study also has proven the hypothesis: The patient satisfaction will deteriorate if staff knowledge about patient requests/expectations decreases.
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Twomey, Mary. "Post operative pain-patient controlled analgesia and patient satisfaction /." Staten Island, N.Y. : [s.n.], 2000. http://library.wagner.edu/theses/nursing/2000/thesis_nur_2000_twome_post.pdf.

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Hellbom, Maria. "Individual Support for Cancer Patients : Effects, Patient Satisfaction and Utilisation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5183-7/.

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Krainin, Penelope. "The influence of patient weight on patient-physician interaction and patient satisfaction." Full text available online (restricted access), 2001. http://images.lib.monash.edu.au/ts/theses/krainin.pdf.

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Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.

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Cady, Paul Stevens. "Patient counseling and satisfaction/dissatisfaction with prescription medication." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184469.

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This study was undertaken to test the satisfaction process as it relates to the consumption of prescription medication. The disconfirmation of expectations model was used as a framework for the study. The study sought to evaluate the impact the provision of drug information has on the satisfaction/dissatisfaction process. To accomplish this, consumers recruited from two community pharmacies were provided with a scenario that described the purchase, and consequences of taking a prescription product intended for the treatment of migraine headache. Each subject received a scenario that contained one of four (4) levels of drug information. The four levels were: (1) no drug information; (2) information about side effects; (3) information about effectiveness; and (4) information about effectiveness and side effects. Each subject also received a scenario that described one of four therapeutic outcomes. They were: (1) no side effects with total elimination of headaches; (2) no side effects with partial elimination of headaches; (3) side effects with total elimination of headaches; and (4) side effects with partial elimination of headaches. The disconfirmation of expectation model was supported by the study. Using an ANOVA model, analyses revealed that the provision of drug information resulted in more positive disconfirmation and higher levels of satisfaction when the outcome of therapy was less than optimal. The measures of future intention were also affected by the provision of drug information. Further analyses revealed satisfaction was a function of expectation and disconfirmation.
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Anjum, Javed Veena Sirisook. "Patient satisfaction towards out patient Department Services in Pakistan Institute of Medical Sciences, Islamabad /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737959.pdf.

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Morris, Mary Kathryn. "Investigation of Patient Anxiety, Patient Satisfaction, and Dental Student Behaviors." DigitalCommons@USU, 1987. https://digitalcommons.usu.edu/etd/5968.

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The present study examined the effect of information about patient's dental anxiety on patient satisfaction, patient discomfort, and patients' perceptions of dental student behaviors. The validity of patients' perceptions was examined by independent observation of dental student behaviors on videotaped dental screening visits. Thirty dental students each examined two dentally anxious female patients. Each student received information about one of the patient' s dental anxiety and no information about the other. The order of presentation of the conditions information and no information was counterbalanced. The dependent measures were the Dentist Behavior Checklist, the Dental Visit Satisfaction Scale, the Patient Discomfort Item, and independent observations of seven specific dental student behaviors. Results of the present study suggest that patients' perceptions of specific dental student behaviors are only moderately correlated with independent observation for three of the behaviors. The presentation of information about patient dental anxiety resulted in no significant differences in patients' perceptions of behaviors. A significant interaction effect was found, however, between information and order of presentation for the independent observations of Took Patient Seriously and Was Calm. These findings suggest that when nonverbal behaviors were examined, dental students were more responsive to patients. This was only true, however, when students received information in the Information/No Information order. No significant differences were found in either patient satisfaction or patient discomfort as a result of providing information about patient anxiety. Lastly, none of the dental student behaviors as independently observed were related to patient satisfaction. However, patients' perceptions of Encouraged Questions and Took Patient seriously were significant predictors of patient satisfaction. Suggestions for further research include continued attempts to delineate dentist behaviors which are correlated with patient satisfaction.
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Wong, Sau-Yee, and 黃秀怡. "Determinants of patient satisfaction towards medication information inSOPD patients: DISMIS study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972330.

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Books on the topic "Patient satisfaction"

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Healthcare Financial Management Association (U.S.)., ed. Ultimate patient satisfaction: Designing and implementing an effective patient satisfaction program. New York: McGraw-Hill, 1997.

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1947-, Davis Rose Marie, ed. Measuring patient satisfaction for improved patient services. Ann Arbor, Mich: Health Administration Press, 1991.

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Colleen, McKinnon, ed. Secrets of becoming a priority patient. Sudbury, Ont: Medical School for Patients, 2003.

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Patrick, Baker, ed. Enlightening, adjusting and savings lives: Over 20 years of real-life stories from people who turned to us for answers (updated with even more new stories). 8th ed. United States of America: Baker Chiropractic and Wellness, 2016.

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J, Krowinski William, ed. Measuring and managing patient satisfaction. Chicago, Ill: American Hospital Pub., 1990.

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Krowinski, William J. Measuring and managing patient satisfaction. 2nd ed. Chicago, Ill: American Hospital Pub., 1996.

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Eastbourne Health Authority. District Chiropody Department. Patient satisfaction survey, 1990/1991. Eastbourne: The Department, 1991.

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Research, CASPE, King Edward's Hospital Fund for London., and South East Thames Regional Health Authority., eds. SETRHA PATSAT: [patient satisfaction systems]. London: CASPE Research, 1989.

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Mahapatra, Prasanta. APVVP--patient satisfaction survey, December 2001. Hyderabad: Institute of Health Systems, 2002.

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Mahapatra, Prasanta. APVVP--patient satisfaction survey, June 2001. 2nd ed. Hyderabad: Institute of Health Systems, 2002.

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Book chapters on the topic "Patient satisfaction"

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Tevis, Sarah E., and Nizar N. Jarjour. "Patient Satisfaction." In Navigating Organized Urology, 71–79. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-20434-1_8.

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Durand, Jennifer. "Patient Satisfaction." In Encyclopedia of Immigrant Health, 1175–76. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_578.

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Tevis, Sarah E., and Nizar N. Jarjour. "Patient Satisfaction." In Navigating Organized Urology, 89–98. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05540-9_10.

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Best, Craig. "Patient Satisfaction Metrics." In Quality Measures, 127–50. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-37145-6_9.

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Howard, Jonathan. "Patient Satisfaction Error." In Cognitive Errors and Diagnostic Mistakes, 369–78. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-93224-8_22.

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Jensen, Kirk. "Improving Patient Satisfaction Through Flow." In Patient Flow, 429–45. Boston, MA: Springer US, 2013. http://dx.doi.org/10.1007/978-1-4614-9512-3_18.

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Frezza, Eldo E. "Meeting Patients’ Expectations and Satisfaction." In Patient-Centered Healthcare, 31–38. Boca Raton : Routledge/Taylor & Francis, 2020.: Productivity Press, 2019. http://dx.doi.org/10.4324/9780429032226-5.

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Berliner, Jennifer I. "Patient Satisfaction and Outcomes." In Burnout in Women Physicians, 25–38. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44459-4_2.

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Chow, Andre, Erik Mayer, Lord Ara Darzi, and Thanos Athanasiou. "Patient Satisfaction in Surgery." In Key Topics in Surgical Research and Methodology, 165–73. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-71915-1_14.

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Jin, Ying. "Patient evaluation and satisfaction." In Doctor–patient Communication in Chinese and Western Medicine, 57–69. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003161929-4.

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Conference papers on the topic "Patient satisfaction"

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Ciliberti, Rosella, Alessandro Bonsignore, Liliana Lorettu, Maurizio Secchi, Michele Minuto, Pierluigi Santi, and Ilaria Baldelli. "Physician/patient relationship following hospital discharge – new methods of therapeutic and care continuity." In the 8th International Workshop on Innovative Simulation for Healthcare. CAL-TEK srl, 2019. http://dx.doi.org/10.46354/i3m.2019.iwish.013.

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"Healthcare organization aims to shorten hospitalization times, both to facilitate patient turnover and to avoid the risks of the nosocomial environment. Between March and September 2018, patients that were discharged after hospitalization for scheduled reconstructive breast surgery were given a portable device with the Dr. Link app installed, created to allow real-time communication with physicians. Patients and physicians completed a satisfaction survey on their experience with the use of the device. Analysis shows overall patient satisfaction in terms of improvement in relationships and quality of life. Physicians reported more responsible patient behaviour, better compliance, and earlier treatment of complications. Continuous interactive assistance can improve the discharged patient’s quality of life and therapeutic path. However, the device risks becoming a negative tool if the health care professional has not made the proper initial emotional investment in the relationship, delegating the totality of the therapeutic relationship to the tablet."
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Sulistyo, Siwi Anggraini, Didik Tamtomo, and Endang Sutisna Sulaeman. "Determinants of Patient Satisfaction in Hospital." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.19.

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Manoliu-Hamwi, Etidal-Mihaela, Cristina Gena Dascalu, Elena Mihaela Carausu, Georgeta Zegan, and Catalina Daniela Stan. "Patient Satisfaction with Online Pharmacy Services." In 2022 E-Health and Bioengineering Conference (EHB). IEEE, 2022. http://dx.doi.org/10.1109/ehb55594.2022.9991381.

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Mains, Allie, Mario Zuccarello, Ravi Samy, and Scott Shapiro. "Postoperative Care Coordination for Acoustic Neuroma Patients: Improving Patient Satisfaction." In 30th Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1702707.

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Aulia, Destanul, Heru Santosa, and Ida Yustina. "Implementation of Integrated Nursing Models toward Patient Satisfaction in Mitra Medika Amplas Hospital, Medan, North Sumatra." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.22.

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ABSTRACT Background: The patient’s statement of the nurse’s poor and needy performance reflects dissatisfaction. Communities need patient-focused services, and the success of nursing care is determined mainly by choice of nursing care delivery models. This study aimed to determine implementation of integrated nursing models toward patient satisfaction in Mitra Medika Amplas Hospital, Medan, North Sumatra. Subject dan Method: This was a quasi-experiment with two group comparison conducted at Mitra Medika Amplas Hospital, Medan, Indonesia. A sample of 77 patients was selected by consecutive sampling. The data were collected by questionnare and analyzed by t-test. Result: The results showed that the level of satisfaction in the intervention group stated that 60 people were satisfied (78%) while the control group stated that 4 people were satisfied (5%). It was statistically significant (p<0,05). Conclusion: The level of patient satisfaction based on the dimensions of tangible quality, empathy, reliability, responsiveness and assurance was higher in the intervention group than in the control group. Keywords: integrated model, patient focused services Correspondence: Deli, Universitas Sumatera Utara Medan. Jl. Dr. T. Mansur No.9, Padang Bulan, Medan, North Sumatra 20222. Email: delitheo.theo@yahoo.com. Mobile: 085361880118 DOI: https://doi.org/10.26911/the7thicph.04.22
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Lu, Guixi, and Chaithanaskorn Phawitpiriyakliti. "PERCEIVED SERVICE QUALITY, TRUST, AND PATIENTSATISFACTION INFLUENCE BEHAVIORAL INTENTION OF CANCER PATIENT IN LIUZHOU, CHINA." In THE 2023 INTERNATIONAL CONFERENCE ON CREATIITY, MANAGEMENT, EDUCATION, TECHNOLOGY AND SCIENCES. EDUCATION STUDIO, 2023. http://dx.doi.org/10.62788/rr879ln.

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Cancer is a serious and chronic disease in which patients require complex medical care and treatment. High-quality medical services and harmonious doctor-patient relationships are essential and positive for improving patients' behavioral intentions and treatment outcomes. Using relevant theories and a mixed quantitative and qualitative research approach, this study aimed to investigate the mechanisms of perceived service quality, trust and patient satisfaction trust and satisfaction have a positive effect on cancer patients' behavioral intentions, while perceived service quality and trust mediate the behavioral intentions of cancer patients through satisfaction. The results of this study help healthcare providers and healthcare workers to better understand patients' needs and expectations in order to provide higher quality services and treatment options that will improve patient outcomes and quality of life. The contribution of this study is to improve the understanding of the formation mechanism of behavioral intention of cancer patients, and to provide theoretical support for health care workers to enhance the innovative management of hospitals, improve the quality of medical services, and increase the behavioral intention of patients to participate in treatment.
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Al-Ramahi, Mohammad, Abdullah Wahbeh, and Cherie Noteboome. "Features Related to Patient Portal User Satisfaction." In SIGMIS-CPR '18: 2018 Computers and People Research Conference. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3209626.3209729.

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Wan, KaiYu, and Vangalur Alagar. "Analyzing healthcare big data for patient satisfaction." In 2017 13th International Conference on Natural Computation, Fuzzy Systems and Knowledge Discovery (ICNC-FSKD). IEEE, 2017. http://dx.doi.org/10.1109/fskd.2017.8393093.

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Kroll, T., K. Matthias, K. Ahrens, and JP Klußmann. "Follow-up of patient satisfaction after Sialendoscopy." In Abstract- und Posterband – 89. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Forschung heute – Zukunft morgen. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1641010.

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Федоткина, Светлана Александровна, and Эльза Влерьевна Хугаева. "PATIENT SATISFACTION OF MEDICAL CARE USING MOBILE HEALTHCARE (MHEALTH)." In Научные исследования в современном мире. Теория и практика: сборник статей XXII международной научной конференции (Санкт-Петербург, Октябрь 2023). Crossref, 2023. http://dx.doi.org/10.37539/231002.2023.42.92.002.

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За последние годы использование мобильных технологий в здравоохранении (mHealth) получило широкое распространение. Они предоставляют новые возможности для профилактики и лечения артериальной гипертензии. В статье проанализирован уровень удовлетворенности пациентов, которым было оказано дистанционное мониторирование артериального давления в рамках научного исследования с применением mHealth для профилактики и лечения артериальной гипертензии. С целью изучения уровня удовлетворенности пациентов оказанием медицинской помощи, с использованием мобильного здравоохранения (mhealth) был проведен опрос пациентов, которым, в рамках научного исследования провели дистанционное мониторирование артериального давления. Результаты опроса показали, что социальный результат к концу исследования увеличился на 61,7% по сравнению с началом. In recent years, the using of mobile technologies in healthcare (mHealth) has become widespread. They provide new opportunities for the prevention and treatment of hypertension. The article is analysed the level of satisfaction of patients who were given remote monitoring of blood pressure within the framework of scientific research using mHealth for the prevention and treatment of arterial hypertension. In order to eximine the level of patient satisfaction with the provision of medical care in the conditions of mobile healthcare (mhealth), a survey was conducted of patients who, as part of a scientific study, were provided with remote monitoring of blood pressure. The survey results showed that the social outcome at the end of the study increased by 61.7% compared to the beginning.
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Reports on the topic "Patient satisfaction"

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Sauer, Michael C. Patient Satisfaction and Productivity. Fort Belvoir, VA: Defense Technical Information Center, May 2008. http://dx.doi.org/10.21236/ada493869.

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George, James, Janice Ware, Karin W. Zucker, A. D. Mangelsdorff, and Patricia A. Twist. Patient Satisfaction Survey 1991-1992. Executive Summary. Fort Belvoir, VA: Defense Technical Information Center, September 1992. http://dx.doi.org/10.21236/ada264999.

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Abramson, Lisa. The relationship of patients' perceptions of physicians' communication style to patient satisfaction. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6004.

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Foeller, Marguerite. Satisfaction and quality : patient perspectives in medical care. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.3286.

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Peñaloza, Blanca. Does training for healthcare providers in patient-centred care improve patient outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/1704124.

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Communication problems in healthcare may arise if healthcare providers focus on diseases and their management, rather than people, their lives and their health problems. Training healthcare providers to be more ‘patient centred’ could improve communication in consultations, increase patient satisfaction with care and improve health outcomes.
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Foster, Timothy. Affects of Provider Type on Patient Satisfaction, Productivity and Cost Efficiency. Fort Belvoir, VA: Defense Technical Information Center, April 2006. http://dx.doi.org/10.21236/ada474053.

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Yuan, Bo, Wei Cao, Xieyu Zhang, Yue Yang, and Jiahe Zhao. Telemedicine effect on rheumatoid arthritis : A protocol for a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2022. http://dx.doi.org/10.37766/inplasy2022.1.0109.

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Review question / Objective: The role of telemedicine has been highlighted by researchers in many fields as a potential advantage for improving quality of life, increasing patient adherence, and alleviating patient concerns. Telemedicine is patient-acceptable with high satisfaction rates in patients with rheumatoid arthritis (RA). However, there is a lack of consistent results among important indicators regarding RA, such as patient pain assessment and health-related quality of life. Thus, we plan to perform a systematic review and meta-analysis to assess the effect of telemedicine on patients with RA. Information sources: PubMed, Embase, and Cochrane Library databases.
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Ater, Lynda. The development of a patient satisfaction evaluation system in a family practice setting. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2116.

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9

Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr, et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), February 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Abstract:
Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.
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Grey, Carolyn M. An Assessment of Patient Satisfaction with Health Care Delivered at Ireland Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, January 1996. http://dx.doi.org/10.21236/ada313777.

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