Journal articles on the topic 'Patient satisfaction; instrument design; coordination of health care'
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Richter, J. G., G. Chehab, M. Tomczak, C. Schwartz, E. Ricken, H. Acar, H. Gappa, M. Schneider, C. Velasco, and T. P. Consortium. "AB1189 PICASO - THE PLATFORM FOR IMPROVED PERSONAL AND COORDINATED CARE OF CHRONICALLY ILL – SIX MONTHS RESULTS FROM A PROOF-OF-CONCEPT STUDY." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1885.1–1885. http://dx.doi.org/10.1136/annrheumdis-2020-eular.1928.
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Background:Cross-sectoral coordination of treatment plans and efficient management of patients with chronic diseases and co-morbidities are of great importance. In rheumatoid arthritis (RA) it is essential to orchestrate information available for a patient at various locations, to allow (cost) efficient data use, to optimize management processes and to avoid redundant diagnostics. The information and communication platform developed in the Horizon2020 funded PICASO project (www.picaso-project.eu) supports the management of patients and their data along the continuum of care, consisting of hospitals, outpatient departments, practices, other health service providers via remote health monitoring. The platform might empower patients to improve their self-management of their illnesses.Objectives:What technological expertise and resources do RA patients and physicians have, who are willing to participate in a proof-of-concept study using a modern ICT platform? What is the user satisfaction? What are platform`s clinical implications?Methods:PICASO pursued a user-centered design approach. Platform`s user requirements were determined through workshops and interviews with physicians from various disciplines, patients and other stakeholders in the health care system (e.g. data protection officers). The development was accompanied by so-called “expert walkthroughs” to ensure a user-friendly design. An evaluation concept assessing the usability of the applications, user satisfaction and clinical relevance of the platform was part of the 6-month proof-of-concept study with RA patients and their physicians (rheumatologists and family doctors). A positive ethics vote was obtained.Results:111 user requirements were identified and used to develop the platform. Conformity with the GDPR as well as national regulations were precisely adhered to. All developments are based on the new ‘Fast Healthcare Interoperability Resources’ standard enabling data exchange with other software systems in the healthcare sector. This offers many advantages, e.g. a semantic model for describing the smallest units in the health care system (e.g. medication intake times, diagnostic procedures). Thus information can be linked and made available across sectors. Data can remain with the data owner and role-specific data access is ensured.30 RA patients (80% female) participated, mean age was 58.6±10.8 years, disease duration 12.6±8.5 years, DAS28 2.6±0.9, average number of comorbidities 3.0±1.6. Patients’ IT-experience was heterogeneous. After 6 months evaluations showed a good platform acceptance with an overall rating of 2.3±1.1 (n=27, Likert scale (LS) 1-6) and evaluation of ‘ease of use’ at 2.3±1.2 (n=27, LS 1-6). Usability tests showed that for patients the presentation of (1) tasks to be performed for the management of their disease, (2) results from their remote health monitoring, and (3) patient-reported outcome instruments in a dashboard was clear and easy to understand. Time required for documentation and daily tasks was rated as appropriate by 75.9% of the patients. No major technical problems or impairments due to RA where experienced when using the dashboard. 8 physicians (37.5 % female) participated in the evaluation; overall the platform was rated at 2.2±0.5 (LS 1-6).Conclusion:The platform offers cross-sectoral orchestration of patient data and thus innovative capabilities for modern management processes (e.g. treat-to-target, tele-monitoring). The PICASO platform is available for RA patients as well as for other chronic diseases.Acknowledgments:This project received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 689209.Disclosure of Interests:None declared
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Ton, Steven H., Alice M. Noblin, Kendall Cortelyou-Ward, and Victor A. Nunez. "Enhancing Patient Care and Care Coordination using Event Notification Systems." Journal of Cases on Information Technology 18, no. 1 (January 2016): 17–27. http://dx.doi.org/10.4018/jcit.2016010102.
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Event notification systems (ENS) are being deployed to provide timely alerts to participating providers when their patients are being admitted, discharged or transferred (ADT) from participating hospitals. Hospitals and health information exchanges (HIE) are implementing ENS in an effort to reduce costly hospital readmissions and to improve the overall quality of patient care through improved care coordination. Today, there are numerous ENS actively facilitating care coordination across the country. For those participating providers and hospitals, coordination has been significantly improved and hospital readmissions have been reduced. Furthermore, patients and clinicians report improved patient care and care coordination, and report higher levels of patient satisfaction. Despite reported success, the application and implementation of ENS vary across the country. Some of the variability stems from the challenges that are inherent to the design of the ENS. These challenges, discussed herein, require careful consideration in order to fully realize ENS benefits.
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Sharma, Vinay. "Patient satisfaction and brand loyalty in health-care organizations in India." Journal of Asia Business Studies 11, no. 1 (January 3, 2017): 73–87. http://dx.doi.org/10.1108/jabs-09-2015-0157.
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Purpose This paper aims to examine the major factors affecting patients’ satisfaction and loyalty at a health-care organization in India. Design/methodology/approach A conceptual model has been developed that includes the behavioural dimensions of total quality management (TQM), patient satisfaction and loyalty. This study is exploratory in nature and has used the existing literature to build the conceptual model. Findings A solution for improving the quality of health-care services can be found in the application of total relationship management and TQM, together with a customer orientation strategy. Practical implications The results can be used creatively by hospitals to re-engineer and redesign their quality management processes and reorient the future directions of their more effective health-care quality strategies. Originality/value In this research, a study is described involving a new instrument and a new method which assure a reasonable level of relevance, validity and reliability, while being explicitly change-oriented.
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Holcombe, Randall F., Marisa Cortese, Isabelle Zinghini, Rupali Mahida, Dinah Draluk, Meng Ru, and Gary Winkel. "Development of an oncology-specific instrument to measure care coordination." Journal of Clinical Oncology 35, no. 8_suppl (March 10, 2017): 148. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.148.
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148 Background: Care coordination (CC) has been identified by the IOM as critically important for the delivery of quality medical care. Coordination of care is especially important in oncology due to multiple encounters, many physicians, significant toxicities and several care transition points. Standard patient satisfaction surveys do not accurately measure CC and there are few instruments to measure a patient’s perspective of CC directly. In this project, multiple PDSA cycles were utilized with oncology patients to develop a Care Coordination Instrument (CCI) that was then used to compare the level of CC in two distinct practices. Methods: Survey questions were initially prepared by the research team after review of existing literature, submitted to oncology RNs, NPs and MDs and then modified based on their feedback. A new survey was then administered to 30 patients. This was again modified to eliminate or improve questions that were confusing to patients. A third survey instrument was developed and administered to an additional 30 patients. Statistical analysis identified that several questions were too structured leading to many “not applicable” responses. These were changed to a more conceptual framework. The survey was then administered to 30 patients in the myeloma practice and 30 in the GI oncology practice. Results: The CCI included questions from 4 areas of coordination (patient-physician; between health providers; during inpatient-to-ambulatory care transitions; during transitions across different phases of care) and 3 domains (Communication, Operational, Navigation). The GI oncology practice scored significantly better than the myeloma practice on the communication and navigation domains (p < 0.01). There was no significant difference in the operational domain. Conclusions: Testing to date suggests that the CCI is a useful instrument in measuring an oncology patient’s perception of CC. For two distinct practices, significant differences in the delivery of CC were identified. Further refinement is necessary to modify or eliminate questions with high levels of missing data due to non-responsiveness. Separate sub-scores across domains help identify specific targets for quality improvement interventions.
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Susanti, Dwi, Christantie Effendy, and Sri Setiyarini. "GAMBARAN KEPUASAN PASIEN KANKER STADIUM LANJUT TERHADAP PERAWATAN PALIATIF DI RSUP DR. SARDJITO YOGYAKARTA." MEDIA ILMU KESEHATAN 6, no. 2 (November 11, 2019): 121–28. http://dx.doi.org/10.30989/mik.v6i2.186.
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Background: Patient satisfaction in palliative care is an important dimension that can describe a patient’s experience acceptable of care. Patient satisfaction is used to evaluate performance and improve the quality of palliative care.
Objective: This study aimed to know the description of patient satisfaction of palliative cancer against palliative care which has been given in IRNA I RSUP Dr.Sardjito Yogyakarta based on a ranking that includes 5 subscales of satisfaction in palliative care.
Method: Type of research was mixed methods with sequential explanatory design, collecting data began from collecting quantitative data and followed by collecting qualitative data. Subject of study involved cancer patient in Central Hospital of Dr. Sardjito Yogyakarta during September and October 2016 number of respondent was 48 patients and 8 participants. Sampling technique in quantitative research used purposive sampling, while the qualitative research used the techniques sampling criterion. Instrument used FAMCARE-P to measure satisfaction and the interview based on interview guideline. Quantitative data analysis used descriptive analysis and analysis of qualitative data used the content analysis. Integration of the results of quantitative research and qualitative used the joint displays.
Results: Cancer patients have a high satisfaction on the subscale of support in decision-making with a mean (4,60±0,49), followed by a subscale of symptom management (3,96±0,42), communication and information (3,93±0,35), coordination and consistency (3,8±0,38) and accessibility (3,7±0,44). Qualitative research gained eight categories.
Conclusion: Cancer patient satisfaction on palliative care was high with score on every subscales above mean score.
Keyword: Satisfaction, Cancer Patient, Mixed Method, Palliative Care
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Thomas, Bejoy John, and Suganya Ganesan. "Scale construction: Valid measurement instrument for diabetes patient engagement." International Journal of Market Research 62, no. 4 (June 11, 2019): 468–82. http://dx.doi.org/10.1177/1470785319853670.
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The study focuses on developing a tool to measure the engagement of diabetes patients and to explore its dimensions. This study was based on descriptive research design and purposive sampling method. Personal interview was conducted among the doctors to ascertain the face and content validity of the questionnaire. Subsequently, interview was conducted with the patients and exploratory factor analysis was used to reduce the number of items in the diabetes patient engagement scale. Diabetes patient engagement measurement model resulted in seven dimensions consisting of 21 items. The dimensions patient satisfaction, patient initiatives, organized health care, informed choice, health promotion, and prevention are unidimensional factors, and the dimension self-management (routine and clinical assessment) is multidimensional. This study confirmed the validity of the new multidimensional diabetes patient engagement scale to assess and measure the intensity of engagement of the patient with their respective care towards doctor and hospital. Practical implication is to facilitate in predicting and determining the engagement level of patient with their health care provider, which increases good health outcomes and quality of life.
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Odai-Afotey, Ashley, Andrea Kliss, Janet Hafler, and Tara B. Sanft. "Defining the patient experience in medical oncology." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 167. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.167.
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167 Background: The relationship between the physician and patient is directly associated with positive patient satisfaction. High patient satisfaction is associated with improved health outcomes, treatment adherence, and quality of life. The goal was to explore patients’ perceptions on their hospital experience, focusing on quality of care. Methods: A mixed-methods study design with a sample of 58 patients at Yale New Haven Hospital. Data were from patient interviews and observation of rounds. Results: Two themes emerged: patient experience and patient communication with physicians. Within patient experience positive factors identified were feeling attended to (45.9%), nurses (43.2%), staff (27.0%), doctors (27.0%), facility (10.8%) and coordination of care (8.1%). Negative factors were low quality of life (82.8%), lack of physician emotional support, attentiveness and availability (24.1%), and poor coordination of care (20.7%). Within physician communication positive factors included effectively engaging the patient (27.5%) and attending to patient needs (7.5%). Negative factors were nature of distilling information (17.5%), lack of coordination of care (15.0%), inadequate involvement of the patient and/or family (12.5%), use of medical jargon (10.0%), and inability to elicit patients’ perspective (7.5%). The quantitative data supported qualitative results of overall satisfaction with 72.4% of patients (n = 58) rating their experience as an ‘A’. Areas of dissatisfaction (an ‘A’ rating < 70% of time) included describing team member roles, explaining next steps in care or treatment to the patient and/or family, and meeting patients’ needs. Conclusions: Our findings, demonstrate that physician attentiveness or lack thereof defines the quality of patient experience, is an important theme in communication and that patients perceive their needs are not being fully addressed. Agreement in themes from mixed-method approach shows effectiveness of methods in exploring patients’ perceptions on quality of care. The study intends to inform clinical and operational practices physicians can incorporate into their patient relationships. These data are being used to design a faculty development program to address physician communication.
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Skapetis, Tony, Shilpi Ajwani, and Sameer Bhole. "Patient satisfaction and an international dental graduate workforce programme." International Journal of Health Governance 23, no. 3 (September 3, 2018): 243–51. http://dx.doi.org/10.1108/ijhg-02-2018-0004.
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Purpose The New South Wales International Dental Graduate (N-IDG) programme was an Australian state government workforce initiative to support rural public dental services. The purpose of this paper is to evaluate patient satisfaction following dental treatment provided by an IDG workforce. Design/methodology/approach This cross-sectional descriptive study used a validated questionnaire survey instrument to measure patient satisfaction (n=813) following treatment provided by IDGs enroled in the N-IDG programme, compared to their mentors. Domains included dentists’ professional competency, personality and the dental surgery organisation. Analysis of closed and open question responses was performed using domain grouping, frequency and χ2 analysis. Findings Patient satisfaction across the IDG and mentor workforce was similar and very positively skewed with differences detected across perceived treatment quality (p=0.03), clinician efficiency (p=0.05) and answering of questions (p=0.05). These results favoured treatment provided by IDGs over mentors. This study demonstrated few differences between IDGs under limited registration and their mentors in terms of perceived patient satisfaction, suggesting patient perceived parity in care. Originality/value Patient satisfaction was used innovatively to IDGs as an indicator of dental workforce programme effectiveness.
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N. Nadkarni, Girish, Manpreet Singh Sabharwal, Natraj Reddy Ammakkanavar, Narender Annapureddy, Rishi Malhan, Bijal Mehta, Vijay Naag Kanakadandi, Shiv Kumar Agarwal, and Ethan D. Fried. "Patient satisfaction and resident postgraduate year status." International Journal of Health Care Quality Assurance 27, no. 3 (April 3, 2014): 182–89. http://dx.doi.org/10.1108/ijhcqa-05-2012-0049.
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Purpose – Patient satisfaction has been recognized as an important variable affecting healthcare behavior. However, there are limited data on the relationship between doctor post-graduate year (PGY) status and patient satisfaction with provider interpersonal skills and humanistic qualities. The authors aims to assess this relationship using an American Board of Internal Medicine (ABIM) questionnaire. Design/methodology/approach – Participants were: patients attending a primary care clinic at a large urban academic hospital; and physicians treating them. The survey questionnaire was the ABIM patient satisfaction instrument; ten questions pertaining to humanistic qualities and communication skills with responses from poor to excellent. Mann Whitney U test and multi-variable logistic regression analyses were used to explore score differences by PGY level. Findings – The postgraduate year one (PGY1) had higher patient-satisfaction levels compared to PGY2/PGY3 residents. The PGY1 level residents were more likely to score in the 90th percentile and this remained constant even after adjusting for confounders. Research limitations/implications – The research was a single-center study and may have been subject to confounding factors such as patient personality types and a survey ceiling effect. The survey's cross-sectional nature may also be a potential limitation. Practical implications – Patient satisfaction varies significantly with PGY status. Though clinical skills may improve with increasing experience, findings imply that interpersonal and humanistic qualities may deteriorate. Originality/value – The study is the first to assess patient satisfaction with PGY status and provides evidence that advanced trainees may need support to keep their communication skills and humanistic qualities from deteriorating as stressors increase to ensure optimal patient satisfaction.
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Jean-Pierre, Pascal. "Effects of patient navigation on satisfaction with cancer care: A systematic review." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e18088-e18088. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18088.
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e18088 Background: Patient navigation (PN) is a model of health care coordination designed to ameliorate health disparities by reducing barriers to achieving optimal health outcomes. Systematic reviews that evaluate whether PN is associated with higher patient satisfaction with cancer care are lacking. Methods: We conducted a systematic review to synthesize evidence of comparative studies evaluating the effectiveness of PN programs to improve satisfaction with cancer-related care. We included studies reported in English that: 1) evaluated a PN intervention designed to increase satisfaction with cancer care; and 2) involved a randomized controlled trial (RCT) or observational design. We abstracted data from studies using standardized forms, and evaluated these studies for methodological quality. Data were summarized qualitatively and synthesized under a random effects model. Results: The initial search yielded 831 citations, of which 3 RCTs and 6 observational studies met inclusion criteria. These nine studies involving 4,200 surveyed patients revealed either a neutral or positive effect in patient satisfaction in the majority of studies of PN and cancer-related care. However, only 5 studies (1 RCT and 4 observational) had adequate datato include in the meta-analysis. Methodological quality of eight of the included studies ranged from weak to moderate to strong, with half rated as weak. Findings of the RCT showed a statistically significant increase in satisfaction with cancer care involving PN [standardized mean difference (SMD) = 2.30; 95% Confidence Interval (CI): 1.79, 2.80, p < .001]. Pooled results from non-RCTs showed no significant association between PN and satisfaction with cancer-related care (SMD = 0.39; 95% CI: -0.02, 0.80, p = .06). Conclusions: More systematic reviews are needed to characterize the relationship between PN and satisfaction with cancer-related care across the cancer care continuum and across different types of cancer.
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Naik, J. Rama Krishna, Byram Anand, and Irfan Bashir. "An empirical investigation to determine patient satisfaction factors at tertiary care hospitals in India." International Journal of Quality and Service Sciences 7, no. 1 (March 16, 2015): 2–16. http://dx.doi.org/10.1108/ijqss-04-2013-0025.
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Purpose – The purpose of this study is to investigate and test a six-factor model that explains considerable variation in patient satisfaction with tertiary care hospitals in India. Design/methodology/approach – The data of this study were collected through a systematic randomly distributed questionnaire. A pre-tested and contextually prepared structured questionnaire was used to gather 436 responses from selected tertiary care hospitals located in Hyderabad. Descriptive statistics, confirmatory factor analysis and Cronbach’s alpha are used to measure the internal consistency of the scale using the computer software SPSS 20.0. Findings – The findings of this study highlight six distinct dimensions of patient satisfaction and the relationships among them. Positive and significant relationships among the dimensions and patient satisfaction have been found. Research limitations/implications – One limitation to this study was the inclusion of the selected tertiary care hospitals in Hyderabad city and responses are collected from inpatients who were admitted in the surgical departments of these hospitals. Practical implications – This instrument would enable patients to provide feedback to hospitals regarding the quality of health care received by them. Hospitals could use this feedback to analyze their performance, satisfaction and benchmark their performance against competitive hospitals. This study has directs implications for health care service providers to provide quality of services to patients, to maintain high level of patient’s satisfaction and re-intentions. Originality/value – Few studies identified and examined the factors that influence patient’s perceived satisfaction. This study adds value by investigating what factors influences patient satisfaction among selected tertiary care hospitals located in Hyderabad.
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Amalia, Davina, Dwita Aryadina Rachmawati, and Hairrudin Hairrudin. "Hubungan Indeks Kepuasan Pasien tentang Mutu Pelayanan Dimensi Kehandalan dengan Minat Berobat Kembali di RSD Kalisat Kabupaten Jember." Pustaka Kesehatan 6, no. 2 (May 4, 2018): 278. http://dx.doi.org/10.19184/pk.v6i2.7668.
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RSD Kalisat is one of the hospital that is very concern with the quality of health services. The reliability of service quality is often perceived as the most important dimension for the customer. Quality of service is very influential on patient satisfaction. If the health care provided is good, then the patient will be satisfied and the possibility to reuse services in health care-related agencies will increase. The purpose of this study was to determine the correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat. This study used cross sectional design with total sample of 84 respondents. The instrument used was RSD Kalisat profile and questionnaire to determine patient satisfaction index in the reliability of service quality and statement for utility. The results of statistical test by Spearman's Rho showed a significance value (p=0.021) and the correlation coefficient (r =0.252). Thus, it can be concluded that there was a significant correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat Jember with a weak correlation.
Keywords: index satisfaction, reliability, service quality, utility
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Badrin, Nina Nisrina, Rini Rachmawaty, and Kusrini Kadar. "Instrumen Kepuasan Pasien Terhadap Pelayanan Keperawatan : Literature Review." Jurnal Endurance 4, no. 1 (March 1, 2019): 87. http://dx.doi.org/10.22216/jen.v4i1.3674.
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<p><em>Patient satisfaction is one of indicator to assess the quality of health services. Measurement of patient satisfaction with nursing services is needed as an evaluation material for nursing management to ensure and improve the quality of nursing services. Several instruments of patient satisfaction with nursing services have been developed. The purpose of this Literature Review is to identify instruments of patient satisfaction with nursing services. This literature review examines the results of development and psychometric testing research of patient satisfaction instruments through article search in PubMed and Google scholar databases with keywords : patient satisfaction, nursing care, instrument, development, tools, psychometric, validity and reliability. We reviewed 20 articles. There are 7 instruments for assessing patient satisfaction with nursing services, namely the questionnaire SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ and PPHEN. Patient satisfaction instruments consist of several dimensions including individual assessment, communication, staff response, technical competence, interpersonal competence, health education, facilities, hospital environment, comfort, information on return, collaboration and coordination when patients are discharged from the hospital. Based on this literature review it can be concluded that there are several instruments and dimensions that can be used to assess patient satisfaction. But, it is necessary the development of patient satisfaction instruments by involving the perspective of the service provider and incorporating the dimensions of caring as the essence of nursing services.</em></p><p> </p><p>Kepuasan pasien merupakan salah satu indikator untuk menilai kualitas pelayanan kesehatan. Pengukuran kepuasan pasien terhadap pelayanan keperawatan diperlukan sebagai bahan evaluasi bagi manajemen keperawatan untuk menjamin dan meningkatkan kualitas pelayanan keperawatan. Beberapa instrumen kepuasan pasien terhadap pelayanan keperawatan telah dikembangkan. Tujuan Literature Review ini untuk mengidentifikasi instrumen kepuasan pasien terhadap pelayanan keperawatan. Literature review ini menelaah hasil penelitian pengembangan dan uji psikometrik instrumen kepuasan pasien melalui pencarian artikel di database PubMed dan Google scholar dengan kata kunci : patient satisfaction, nursing care, instrument, development, tool, psychometric, validity dan reliability. Kami melakukan review terhadap 20 artikel. Ada 7 instrumen penilaian kepuasan pasien terhadap pelayanan keperawatan yaitu kuesioner SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ dan PPHEN. Instrumen kepuasan pasien terdiri dari beberapa dimensi termasuk penilaian individu, komunikasi, tanggapan staf, kompetensi teknis, kompetensi interpersonal, pendidikan kesehatan, fasilitas, lingkungan rumah sakit, kenyamanan, informasi kepulangan, kolaborasi dan koordinasi ketika pasien keluar dari rumah sakit. Berdasarkan literature review ini dapat disimpulkan bahwa untuk menilai kepuasan pasien terhadap terdapat beberapa instrumen dan dimensi yang dapat digunakan. Namun perlu pengembangan instrumen kepuasan pasien dengan melibatkan perspektif dari pemberi pelayanan dan memasukkan dimensi caring sebagai esensi dari pelayanan keperawatan.</p>
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Sengupta, Mitali, Satyajit Chakrabarti, and Indraneel Mukhopadhyay. "Waiting Time: The Expectations and Preferences of Patients in a Paediatric OPD." Journal of Health Management 21, no. 3 (September 2019): 427–42. http://dx.doi.org/10.1177/0972063419868586.
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Quality healthcare and satisfaction are gradually emerging as important areas, which need much attention. The factors of patient satisfaction have been identified under varied conditions globally. In the Indian context, one key patient satisfaction factor has been attributed to waiting time. Long waiting time has been one of the major reasons of patient dissatisfaction and assumes significance when associated with paediatric events. The following study has successfully identified key attributes, which are associated with long waiting times within paediatric outpatient department (OPD) settings. The possible implications of the long waiting periods have been recorded through semi-structured interviews, and further in-depth analysis of individual factors were carried out to predict the probable outcomes. The qualitative exploratory study design has helped to understand the perception of parents/care givers (in case of neonates and toddlers) and adolescents, thereby successfully highlighting the need for further study in the patient satisfaction domain involving paediatric population. The various implications which the waiting time has on them have been taken into consideration. The inter-related themes have been identified after analyzing the interviews. These substantiate the fact that designing innovative mitigation strategies on proper and timely communication, updated technological know-how, improvising hospital protocols for better operational processes and coordination among the staff can go a long way in enhancing the patient/parent experience within OPD settings.
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Abubakar, Zulkarnain, Fridawaty Rivai, and Nurshanty A. Sapada. "Effect of Patient Centered Care Application on Inpatient Outcomes in Rskdia Pertiwi and Rsia Ananda (Woman and Child Hospitals)." Open Access Macedonian Journal of Medical Sciences 8, T2 (September 15, 2020): 162–67. http://dx.doi.org/10.3889/oamjms.2020.5217.
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BACKGROUND: Patient-centered care (PCC) is a new paradigm in healthcare that places patients as the center of care to improve health outcomes and increase patient and family satisfaction.
AIM: The study aimed to evaluating the effect of PCC application on inpatient outcomes, notably patient satisfaction, and clinical outcomes in RSKDIA Pertiwi and RSIA Ananda.
METHODS: The study was quantitative analytic with cross-sectional design. A sample of 92 patients were determined proportionally, and selected with the inclusion criteria. Data were collected using measuring tools consisting of PCC questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of patient. Bivariate analysis was carried out to compare the PCC application between the two hospitals, and multivariate analysis to correlate the effect of PCC application to patient satisfaction, and clinical outcomes of inpatient in each hospital.
RESULTS: There was effect of PCC application on patient satisfaction in RSKDIA Pertiwi (p = 0.017) and RSIA Ananda (p = 0.000), but there was no effect show to the clinical outcomes in RSKDIA Pertiwi (p = 0.718) and RSIA Ananda (p = 0.440), also there was no differences in the application of PCC (p = 0.492) between both hospitals.
CONCLUSION: It can be concluded that the application of PCC attributed to patient satisfaction, but did not affect the clinical outcomes of inpatients at RSKDIA Pertiwi and RSIA Ananda; also there were no differences of PCC application between both hospitals. The hospitals management should improve the application of PCC, particularly in coordination of care.
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Putra, Fauzan Junanda, Al-Hafiz Al-Hafiz, and Firdawati Firdawati. "Hubungan Karakteristik Pasien dengan Tingkat Kepuasan Pelayanan pada Pasien Operasi Sub Bagian Fasial Plastik dan Bedah Rekonstruksi Bagian THT-KL RSUP Dr. M. Djamil Tahun 2019." Jurnal Ilmu Kesehatan Indonesia 1, no. 3 (May 23, 2021): 278–88. http://dx.doi.org/10.25077/jikesi.v1i3.83.
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Hospitals play an important role in providing quality public services. The success of a hospital in providing services can be seen from the performance of health care provider and patient satisfaction. Patient satisfaction is the evaluative, emotional or affective response of the patient to the service provided by the health care provider and the expectation of the service. The satisfaction of each patient can be different depending on the expectations and reality obtained. This can be caused by several factors such as age, gender, occupation and education. This study was conducted to determine the relationship of these patient characteristics with the level of patient service satisfaction in the plastic facial and reconstructive surgery division of ENT department of Dr. M. Djamil hospital.
This type of research is analytic research with cross sectional design. Respondents in this study were 37 people. Sampling was done using a purposive sampling method. This study used satisfaction questionnaires and medical record as an research instrument.
The results showed that there were more subjects in the old adult age category (56.76%), female (51.35%), had a job (51.35%), had a high education (81.08%), and non PBI membership status (56,8%). The results of bivariate analysis
showed that there was no relationship between age, sex, education and occupation with the level of satisfaction. P values obtained respectively p = 0.366, p = 0.692, p = 0.554 and p = 0.845. Whereas there are relationship between patient health assurance membership status with patient satisfaction by p values 0,033.
Conclusion: that there is no relationship between patient characteristics with the level of service satisfaction in patients in the plastic facial and reconstructive surgery division in the ENT department of Dr. M. Djamil hospital except for health assurance membership status.
Keywords: Education, Occupation, Health Assurance Membership Status, Satisfaction
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Trivedi, Rohit, and Khyati Jagani. "Perceived service quality, repeat use of healthcare services and inpatient satisfaction in emerging economy." International Journal of Pharmaceutical and Healthcare Marketing 12, no. 3 (September 3, 2018): 288–306. http://dx.doi.org/10.1108/ijphm-11-2017-0065.
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Purpose The purpose of this study is to understand that how different demographic variables and repeated availing of service from the same doctor or same hospital shape the overall perception of health-care service quality and satisfaction among inpatients admitted in private hospitals in an emerging economy. Design/methodology/approach A self-administered, cross-sectional survey of inpatients using a questionnaire was translated into Hindi and Gujarati. The data were collected from 702 inpatients from 18 private clinics located in three selected cities from Western India. Findings The results indicate that experience with hospital administration, doctors, nursing staff, physical environment, hospital pharmacy and physical environment is significant predictor of inpatient satisfaction. Physical environment was found to be significantly associated with satisfaction only among female inpatient. It was also found that repeat availing of services either from the same hospital or doctor does not increase patient satisfaction. The feasibility, reliability and validity of the instrument that measures major technical and nontechnical dimensions of quality of health-care services were established in the context of a developing country. Originality/value The study makes important contribution by empirically investigating the inpatient assessment of health-care service quality based upon their demographic information and repeated availing of services to understand how repeat visit shapes the service quality perception.
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Jimenez, Geronimo, David Matchar, Gerald Choon-Huat Koh, and Josip Car. "Multicomponent interventions for enhancing primary care: a systematic review." British Journal of General Practice 71, no. 702 (November 30, 2020): e10-e21. http://dx.doi.org/10.3399/bjgp20x714199.
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BackgroundMany countries have implemented interventions to enhance primary care to strengthen their health systems. These programmes vary widely in features included and their impact on outcomes.AimTo identify multiple-feature interventions aimed at enhancing primary care and their effects on measures of system success — that is, population health, healthcare costs and utilisation, patient satisfaction, and provider satisfaction (quadruple-aim outcomes).Design and settingSystematic review and narrative synthesis.MethodElectronic, manual, and grey-literature searches were performed for articles describing multicomponent primary care interventions, providing details of their innovation features, relationship to the ‘4Cs’ (first contact, comprehensiveness, coordination, and continuity), and impact on quadruple-aim outcomes. After abstract and full-text screening, articles were selected and their quality appraised. Results were synthesised in a narrative form.ResultsFrom 37 included articles, most interventions aimed to improve access, enhance incentives for providers, provide team-based care, and introduce technologies. The most consistent improvements related to increased primary care visits and screening/preventive services, and improved patient and provider satisfaction; mixed results were found for hospital admissions, emergency department visits, and expenditures. The available data were not sufficient to link interventions, achievement of the 4Cs, and outcomes.ConclusionMost analysed interventions improved some aspects of primary care while, simultaneously, producing non-statistically significant impacts, depending on the features of the interventions, the measured outcome(s), and the populations being studied. A critical research gap was revealed, namely, in terms of which intervention features to enhance primary care (alone or in combination) produce the most consistent benefits.
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Rasudin, Nur Syahmina, Muhammad Akmal Izan Ahmad, Nooraini Hussain, and Mohd Shaharudin Shah Che Hamah. "Validating the Press Ganey Questionnaire (Bahasa Melayu version)." International Journal of Health Care Quality Assurance 32, no. 3 (April 15, 2019): 653–58. http://dx.doi.org/10.1108/ijhcqa-07-2018-0169.
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Purpose The purpose of this paper is to validate the Press Ganey Questionnaire (PGQ) (Bahasa Melayu version) using Hospital Universiti Sains Malaysia (HUSM) patients. Design/methodology/approach This cross-sectional study comprised 252 patients visiting HUSM. Patients were selected using the convenience sampling method. The PGQ (Bahasa Melayu version) had three main factors: during your visit; your care provider and overall assessment. Data were analyzed using the structural equation modeling. Findings The exploratory factor analysis resulted in item reduction from 21 to 17, which contained four factors with eigenvalues greater than 1. Meanwhile, confirmatory factor analysis results showed that data fitted the model: χ2/df at 1.764, comparative fit index at 0.952, Tucker–Lewis index at 0.941 and root mean square error of approximation at 0.073. The average variance extracted value for the four factors was greater than 0.50, which indicated that PGQ convergent validity was met. Overall, PGQ produced good reliability with composite reliability score equals to 0.966. Four factors were reclassified as “during your registration,” “hospital staff attitude,” “doctor’s attitude” and “overall assessment.” Research limitations/implications Patient satisfaction is an important and frequently used indicator for measuring healthcare quality; hence, a validated and reliable instrument is important for measuring patient satisfaction that leads to healthcare service quality assessment. Practical implications Validated PGQ provides some useful information for doctors, medical assistants, nurses and staff in the emergency department to help them become more prominent and efficient in their role as healthcare providers. Social implications Validated PGQ will help healthcare providers to deliver the best and exceptional care toward emergency patient, and thus improve their quality of work life. The findings in this study can be used as a guide or as baseline data for further research in this area. Originality/value The PQG (Bahasa Melayu version) was confirmed as a reliable and valid instrument for measuring patient satisfaction. This research is the first PGQ validation study in Southeast Asia, specifically focusing on Malaysian respondents.
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Blignault, Ilse, Liz Norsa, Raylene Blackburn, George Bloomfield, Karen Beetson, Bin Jalaludin, and Nathan Jones. "“You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease." International Journal of Environmental Research and Public Health 18, no. 14 (July 6, 2021): 7233. http://dx.doi.org/10.3390/ijerph18147233.
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Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transfer of care for Aboriginal adults with chronic conditions leaving hospital. The multisite evaluation was Aboriginal-led and underpinned by the principles of self-determination and equity and Indigenous research protocols. The qualitative study documented processes and captured service user and provider experiences. We found benefits for patients and their families, the hospital and the health system. The new model enhanced the patient journey and trust in the health service and was a source of staff satisfaction. Challenges included staff availability, patient identification and complexity and the broader issue of cultural safety. Critical success factors included strong governance with joint cultural and clinical leadership and enduring relationships and partnerships at the service delivery, organisation and system levels. A holistic model of care, bringing together cultural and clinical expertise and partnering with Indigenous community organisations, can enhance care coordination and safety across the hospital–community interface. It is important to consider context as well as specific program elements in design, implementation and evaluation.
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Lepnurm, Rein, Roy T. Dobson, Debora Voigts, Margaret Lissel, and Lynnette L. Stamler. "What matters most to patients when they assess quality of their care?" Journal of Hospital Administration 1, no. 2 (September 6, 2012): 7. http://dx.doi.org/10.5430/jha.v1n2p7.
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Objectives: To report the capabilities of a patient satisfaction questionnaire in capturing factors which are important to patients in their evaluations of the quality of care provided to them. Design: An experienced research officer introduced the study to all patients with defined tracer conditions in the Saskatoon Health Region from Jan to April of 2009. Patients who agreed to participate returned their completed questionnaire directly to the research officer or placed them in a special box held by the nursing unit clerk on their unit. Measures: The instrument contained: 18 items of the General Practice Assessment Questionnaire for physicians and nurses; as well as single items capturing patient observations regarding: attentiveness of nurses; tidiness of facilities; efficiency of tests and treatments; patient comments; and a grading scale assessing overall quality of care. Contextual items covered health status, expenses, insurance and demographics. A provider care model and a client satisfaction model were constructed and tested. Results: Almost 96 percent of eligible patients (n=378) completed the questionnaire. The provider care model explained 84.2 percent of the variation in patients’ assessments of overall quality; and the client satisfaction model explained 67.6 percent of the variation. The quality of nursing and medical care were, the most important factors; however, attentiveness, tidiness, efficiency, and quantified comments each explained small but significant percentages of variance in overall quality. Conclusions: Patients consider separate dimensions in their assessments of overall quality of care. While quality of care by professionals trumps other considerations, the passive role for patients is fading.
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Jahn, Michelle, Brian Porter, Himalaya Patel, Alan Zillich, Steven Simon, and Alissa Russ. "Usability Assessment of Secure Messaging for Clinical Document Sharing between Health Care Providers and Patients." Applied Clinical Informatics 09, no. 02 (April 2018): 467–77. http://dx.doi.org/10.1055/s-0038-1660521.
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Background Web-based patient portals feature secure messaging systems that enable health care providers and patients to communicate information. However, little is known about the usability of these systems for clinical document sharing. Objective This article evaluates the usability of a secure messaging system for providers and patients in terms of its ability to support sharing of electronic clinical documents. Methods We conducted usability testing with providers and patients in a human–computer interaction laboratory at a Midwestern U.S. hospital. Providers sent a medication list document to a fictitious patient via secure messaging. Separately, patients retrieved the clinical document from a secure message and returned it to a fictitious provider. We collected use errors, task completion, task time, and satisfaction. Results Twenty-nine individuals participated: 19 providers (6 physicians, 6 registered nurses, and 7 pharmacists) and 10 patients. Among providers, 11 (58%) attached and sent the clinical document via secure messaging without requiring assistance, in a median (range) of 4.5 (1.8–12.7) minutes. No patients completed tasks without moderator assistance. Patients accessed the secure messaging system within 3.6 (1.2–15.0) minutes; retrieved the clinical document within 0.8 (0.5–5.7) minutes; and sent the attached clinical document in 6.3 (1.5–18.1) minutes. Although median satisfaction ratings were high, with 5.8 for providers and 6.0 for patients (scale, 0–7), we identified 36 different use errors. Physicians and pharmacists requested additional features to support care coordination via health information technology, while nurses requested features to support efficiency for their tasks. Conclusion This study examined the usability of clinical document sharing, a key feature of many secure messaging systems. Our results highlight similarities and differences between provider and patient end-user groups, which can inform secure messaging design to improve learnability and efficiency. The observations suggest recommendations for improving the technical aspects of secure messaging for clinical document sharing.
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Malekzadeh, Roya, Ghasem Abedi, Ehsan Abedini, Elaheh Haghgoshayie, Edris Hasanpoor, and Matina Ghasemi. "Use of ethical predictability in respect for human rights in Iranian hospitals with a 360-degree approach." International Journal of Human Rights in Healthcare 13, no. 5 (May 15, 2020): 445–55. http://dx.doi.org/10.1108/ijhrh-10-2019-0083.
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Purpose Respect for human rights is one of the most important criteria for the delivery of medical care in hospitals. Ethical predictability is useful to identify human rights concerns in health-care organizations. The hospital environment and the flow of its processes make the topic of predictability much more sensitive and, at the same time, more difficult than other organizations. The purpose of this paper is to determine and compare the ethical predictive factors in selected hospitals in Mazandaran province. Design/methodology/approach This cross-sectional survey using multilevel sampling (four hospitals, 938 patients, 186 staff) was conducted in the first half of 2017. The measurement instrument was a researcher-made questionnaire consisting of seven areas of service recipients’ rights, patient safety, patient satisfaction, human resources, governance, organizational and financial commitments. The analysis of the collected data was performed through SPSS V. 22 and one-way ANOVA and post hoc Tukey’s tests. Findings Ethical predictability was higher in social security hospitals compared to private and public hospitals, and patient safety and patient rights showed higher magnitudes compared to other dimensions. Financial domain, patient satisfaction, governance and organizational commitment formed the middle priorities in ethical predictability, and human resources had the least average in ethical predictability in the selected hospitals in the province. Originality/value Identifying the factors which influence ethical predictability, in addition to promoting service recipients’ rights and patient satisfaction, is of great help to the managers and health service authorities, so that they can have a better understanding of these factors and, consequently, make appropriate micro and macro-decisions to provide better services.
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Zineldin, Mosad, Jonas Zineldin, and Valentina Vasicheva. "Approaches for reducing medical errors and increasing patient safety." TQM Journal 26, no. 1 (January 7, 2014): 63–74. http://dx.doi.org/10.1108/tqm-03-2012-0029.
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Purpose – The purpose of this paper is to identify the shortcoming of a health-care institution to reduce the medical errors (MEs) which lead to the increase of physicians and patients relationship. Design/methodology/approach – Total relationship management (TRM) emphasizes the totality and the holistic nature of a relationship. It includes five generic quality dimensions (5 Qs) and measurements. 5 Qs will be used in the paper to identify the shortcoming of a health-care institution, identify and reduce the MEs which lead to the increase of the patient safety and doctors and patients satisfaction. Findings – The paper shows that there is a need for a health-care system response to error that moves the system toward being as fail-Zero tolerant and failsafe as possible rather than one that blames the clinician who may have erred. Research limitations/implications – The proposed 5 Qs model consists of some generic integrated dimensions. Practical implications – Teamwork practice, holistic view and integration of different competences and recourses will allow the support of information systems, the collection of evidence about care, and efforts for continuous quality improvement. Social implications – This research attempts to contribute to the previous academic studies and knowledge in quality of medical and health care by reducing the MEs and increasing patient safety. Originality/value – The 5 Qs can be used as diagnostic instrument to identify and understanding of how MEs and AEs occur and suggest prevention strategies to reduce patient severity and dissatisfaction. The main goal of such prevention strategies is to reduce the probability of error occurrence and increase the probability that the error would be remedied before an inadvertent injury occurred.
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Emmanuel Magesa, Johanna Hanyanya, and Wakjira Erraso. "Patient’s satisfaction at outpatient pharmacy department in Intermediate Hospital Oshakati, Oshana region, Namibia." GSC Biological and Pharmaceutical Sciences 14, no. 2 (February 28, 2021): 022–28. http://dx.doi.org/10.30574/gscbps.2021.14.2.0040.
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Introduction: Patient waiting time Experience of waiting time in general is perceived as complex, subjective and culturally influenced. Complexity of prescription, few human resources and work process are the factors of patient waiting time in outpatient pharmacy departments (OPD). However, the complexity of wait time is poorly understood and has been explored only to a limited extent. Objective of the study: The main objective of this study is to assess patient satisfactions on waiting time at Intermediate Hospital Oshakati (IHO), northern part of Namibia. Method: The study was carried out at IHQuantitative descriptive design was employed and data collected was analyzed using Epi info version 7. Results: The mean waiting time in IHO was 36±20 minutes. More patients (49.2%) were satisfied with OPD pharmacy when the waiting time is between 5-25 minutes. The major factors associated with the satisfaction of services were shorter waiting time (0.01 <p<0.05) and other personal reasons like long distance from the hospital (0.03<p<0.05). Conclusion and recommendation: Many patients are satisfied if waiting time is between 5-25 minutes, therefore there is a need to improve waiting time by decongest patients overload at IHO, this can be achieved by improving coordination and communication between IHO and Primary health care (PHC) facilities.
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Laursen, Jannie, Kristoffer Andresen, and Jacob Rosenberg. "Relatives to Critically Ill Patients Have No Sense of Coherence: A Quality Improvement Article Using Mixed Methods." Nursing Research and Practice 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/6195894.
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Aims and Objective. To investigate the relatives’ satisfaction and involvement on a general surgery ward regarding the critically ill patient.Introduction. Relatives to critically ill patients are affected both physically and mentally during the hospitalization of a family member. Research has shown that relatives do not always receive the attention they need from health professionals. There is a lack of studies that focus on relatives’ satisfaction and involvement during their family members’ hospitalization.Design. A mixed methods design was chosen.Methods. A quantitative study was conducted with 27 relatives to critically ill patients. All participated in a questionnaire and out of the 27 relatives, six participated in qualitative in-depth interviews.Results.The questionnaire revealed that relatives were dissatisfied with care and involvement. For further exploration of the dissatisfaction, a qualitative approach was used and the in-depth interviews revealed three themes: lack of continuity and structure, responsibility of coordination, and relatives feeling left on their own with no guiding and support.Conclusion.Health professionals’ key role in relation to relatives must be guidance and support. Thereby, relatives can gain a sense of coherence during the hospitalization of a critically ill patient, which can lead to a greater satisfaction and thereby better support for the patient.
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Kwon, Ivy, Christine Ahn, Preston White, Linda M. Liau, Timothy Francis Cloughesy, and Phioanh Leia Nghiemphu. "Development of an integrated practice unit: Utilizing a lean approach to impact value of care for brain tumor patients." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 99. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.99.
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99 Background: Lack of care coordination across subspecialty departments involved in the treatment of brain tumor patients at our institution has negatively impacted patient outcomes, patient experience, and costs. Meanwhile, value-based health care has become increasingly relevant as a means to respond to changing payment structures and improve quality. With the aim to increase value, we restructured medical practice across the continuum of care for brain tumor patients by developing a virtual (non co-located) Integrated Practice Unit (IPU). Methods: From June 2014 to August 2015, we engaged a core team of physicians and administrators from Neurosurgery, Neuro-Oncology, Radiation Oncology, Neuroradiology and Neuropathology to re-design care pathways for the following diagnoses: glioma, metastatic cancer to the brain, and meningioma. We applied lean methodology to map out current state, identify root causes, and develop an implementation plan based on our analyses. Results: Root causes uncovered included: 1) multiple entry points into the system, 2) silo-ed intake processes, 3) varied scheduling processes across and within departments, and 4) no consensus regarding timing and ownership of follow-up care for patients for each diagnosis. Preliminary solutions generated included: 1) developing a centralized communication point and triage process, 2) standardizing requests at intake and obtaining blanket authorizations for select services, 3) standardizing scheduling workflows across departments, 4) delineating the timing and nature of necessary post-operative appointments, and 5) onboarding a nurse navigator to optimize care coordination. Shared metrics to be monitored over time were developed and include time from scheduled-to-seen for initial consults, proportion of patients with post-operative appointments scheduled prior to discharge, number of readmissions within 30 days, patient satisfaction, and costs. Conclusions: Value-based care redesign around the development of an IPU for brain tumor patients has the potential to meaningfully impact patient outcomes, patient experience, and reduce costs in the delivery of care.
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Laponis, Ryan, Patricia S. O'Sullivan, Harry Hollander, Patricia Cornett, and Katherine Julian. "Educating Generalists: Factors of Resident Continuity Clinic Associated With Perceived Impact on Choosing a Generalist Career." Journal of Graduate Medical Education 3, no. 4 (December 1, 2011): 469–74. http://dx.doi.org/10.4300/jgme-d-10-00227.1.
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Abstract Background Fewer residents are choosing general internal medicine (GIM) careers, and their choice may be influenced by the continuity clinic experience during residency. We sought to explore the relationship between resident satisfaction with the continuity clinic experience and expressed interest in pursuing a GIM career. Methods We surveyed internal medicine residents by using the Veterans Health Administration Office of Academic Affiliations Learners' Perceptions Survey—a 76-item instrument with established reliability and validity that measures satisfaction with faculty interactions, and learning, working, clinical, and physical environments, and personal experience. We identified 15 reliable subscales within the survey and asked participants whether their experience would prompt them to consider future employment opportunities in GIM. We examined the association between satisfaction measures and future GIM interest with 1-way analyses of variance followed by Student-Newman-Keuls post hoc tests. Results Of 217 residents, 90 (41%) completed the survey. Residents felt continuity clinic influenced career choice, with 22% more likely to choose a GIM career and 43% less likely. Those more likely to choose a GIM career had higher satisfaction with the learning (P = .001) and clinical (P = .002) environments and personal experience (P < .001). They also had higher satisfaction with learning processes (P = .002), patient diversity (P < .001), coordination of care (P = .009), workflow (P = .001), professional/personal satisfaction (P < .001), and work/life balance (P < .001). Conclusions The continuity clinic experience may influence residents' GIM career choice. Residents who indicate they are more likely to pursue GIM based on that clinical experience have higher levels of satisfaction. Further prospective data are needed to assess if changes in continuity clinic toward these particular factors can enhance career choice.
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Hamidiyah, Azizatul, and Nur Hidayati. "KUALITAS ANTENATAL CARE DENGAN KEPUASAN IBU HAMIL." OKSITOSIN : Jurnal Ilmiah Kebidanan 5, no. 2 (August 1, 2018): 119–25. http://dx.doi.org/10.35316/oksitosin.v5i2.353.
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One of the efforts to improve health of pregnant women is ensure that pregnant women routinely carry out antenatal care. The motivation of pregnant women to carry out routine pregnancy checks needs to be balanced with quality Antenatal Care (ANC) so that pregnant women are satisfied and motivated to make the next visit. The results of Banyuputih Public Health Center reported for the past three years showed that K4 visits have decreased. Especially in 2016 to 2017, from 106% to 68%. So it is important to do research quality of ANC with satisfaction. The purpose of this study was to determine the relationship between the quality of ANC services and the satisfaction of pregnant women in Banyuputih Public Health Center in Situbondo District in 2018. This research method was quantitative with cross sectional design. The population in this study were pregnant women who had performed ANC services at Banyuputih Health Center during 2018. The sample in this study were 61 people. Data collection was done using primary and secondary data. This research instrument was a questionnaire using a Likert scale. Data analysis was performed using chi square test. The results showed that there was a relationship between service quality, dimensions of Reliability (0,000), Responsiveness (0,007), Assurance (0,016), Emphaty (0,001) and Tangible (0,016) with patient satisfaction
Keywords : Quality, Antenatal Care, Satisfaction
ABSTRAK
Salah satu upaya peningkatan derajat kesehatan ibu hamil adalah dengan memastikan ibu hamil rutin melakukan pemeriksaan kehamilan. Motivasi ibu hamil untuk melakukan pemeriksaan kehamilan secara rutin perlu diimbangi dengan pelayanan Antenatal Care (ANC) yang berkualitas agar ibu hamil puas dan termotivasi untuk melakukan kunjungan berikutnya. Hasil laporan Puskesmas Banyuputih selama tiga tahun terakhir menunjukkan kunjungan K4 mengalami penurunan. Khususnya pada tahun 2016 ke 2017 yaitu dari 106% menjadi 68%. Sehingga penting dilakukan penelitian tentang kualitas pelayanan ANC dengan kepuasan.Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas pelayanan ANC dengan kepuasan ibu hamil di Puskesmas Banyuputih Kabupaten Situbondo Tahun 2018. Metode penelitian ini adalah kuantitatif dengan desain crosssectional. Populasi dalam penelitian ini adalah ibu hamil yang telah melakukan pelayanan ANC di Puskesmas Banyuputih selama tahun 2018. Sampel dalam penelitian ini sebanyak 61 orang. Pengumpulan data dilakukan menggunakan data primer dan sekunder. Instrumen penelitian ini adalah kuesioner menggunakan skala likert. Analisi data dilakukan menggunakan uji chi square. Hasil penelitian menunjukkan ada hubungan antara kualitas pelayanan yaitu dimensi Reliability (0,000), Responsiveness (0,007), asssurance (0,016), Emphaty (0,001) dan Tangible (0,016) dengan kepuasan pasien.
Kata kunci : Kualitas, Antenatal Care, Kepuasan
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Yulina, Yulina, and Rapael Ginting. "Hubungan Kualitas Pelayanan Dengan Kepuasan Pasien Rawat Jalan Di Puskesmas Belawan Tahun 2019." JURNAL KESEHATAN MASYARAKAT & GIZI (JKG) 2, no. 1 (October 31, 2019): 26–33. http://dx.doi.org/10.35451/jkg.v2i1.204.
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Quality of service can be interpreted as conformity of professional standards with the utilization of resources effectively and efficiently, so that the needs of patients can be achieved optimal degree. Based on the Legatum Prosperity Index (2017) data which states Indonesia's global Health Index is ranked at 101 from 149 countries, this is because there are still many remote areas that are still difficult to access health care. Satisfaction to the quality of service as much as 51.0% of respondents who rate dissatisfied, such as the process of receiving the patient is served slowly, health officers do not timely come, and lack of hospitality of health officers in response to complaints Patients. The design of this research is an analytical survey with the Cross Sectional approach. The number of research populations is 98 outpatients. The sampling technique used is Purposive Sampling. Data retrieval using questionnaire measuring instrument. Analysis of data conducted in the analysis of Univariate and bivariate (test Chi-Square). The results of this study showed that the reliability with the P value is 0.042 < 0.05, the responsiveness with a value of P is 0.041 < 0.05, empathy with the value P is 0.015 < 0.05, and the guarantee with the value P is 0.042 < 0.05. Conclusions are reliability, responsiveness, empathy and assurance of having a relationship with patient satisfaction. It is hoped that Belawan health center to improve the service of reliability, responsiveness, assurance and empathy in Belawan Puskesmas.
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Torres, Luis M., Manuel J. Sánchez-del-Águila, Rafael Salazar, Inmaculada Failde, Ana Leal, and Jesús Villoria. "A Patient-Based National Survey and Prospective Evaluation of Postoperative Pain Management in Spain: Prevalent but Possibly Preventable." Pain Medicine 21, no. 5 (August 7, 2019): 1039–48. http://dx.doi.org/10.1093/pm/pnz149.
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Abstract Objective To evaluate the national general prevalence of postoperative pain and the associated organizational/structural factors related to the provision of health care services. Design and Setting Observational prospective cohort study performed in 46 tertiary hospitals that were randomly selected from the Spanish National Inventory of Hospitals through a two-stage balanced and stratified procedure. Subjects and Methods Nine-hundred surgical patients representing a wide spectrum of surgical procedures and anesthetic methods were recruited. Those suffering moderate or worse pain while in the postanesthesia care unit/surgery ward (PACU/SW) were followed for 72 hours. Site characteristics were also surveyed. Multilevel models were used to evaluate center- and patient-level factors associated with pain and quality of recovery (QoR). Weighted generalized estimating equations were used to analyze the evolution of pain intensity. Results The prevalence while in and at discharge from the PACU/SW was 48.7% (cluster-adjusted 95% confidence interval [CI] = 38.1–59.2%) and 21.6% (95% CI = 15.4–27.8%), respectively. Pain intensity decreased significantly over time. Less than 20% of the patients received systemic patient-controlled analgesia (PCA) or regional analgesic techniques. Age, preexisting pain, type of surgery, use of general anesthesia, and postoperative potent opioids were associated with pain risk and intensity, as were center-level factors such as patient information, protocol availability, and coordination of care. In turn, QoR was related to pain intensity and patient satisfaction with analgesia and side effects. Conclusions Compared with previous reports, the prevalence of moderate/severe postoperative pain has decreased but remains excessive. Organizational improvements to deploy procedure-specific, opioid-sparing analgesic strategies including regional techniques are recommended.
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Wyer, Leanna, Shawna Reid, Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, et al. "A better Way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents." Canadian Journal of Emergency Nursing 44, no. 2 (July 20, 2021): 3–4. http://dx.doi.org/10.29173/cjen133.
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A better way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents. Leanna Wyer, Shawna Reid, Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, Patrick McLane, Eldon Spackman, Peter Faris, Dominic Alaazi, Marian George, Jayna Holroyd-Leduc Background: Many LTC residents are transferred to Emergency Departments (EDs) with conditions that could be cared for in LTC, perhaps with additional support (e.g. Community Paramedics). Communication between sites and EDs has also been lacking. These lead to long lengths of stay in EDs, unnecessary use of resources, and sub-optimal health outcomes. Two INTERACT tools will support initial management of the concern at the LTC site. Then a Care and Referral Pathway will help facilitate needed conversations and optimal transfers between LTC and ED. Implementation: Beginning in April 2019, standalone LTC sites in Calgary and Central zones have been invited to participate. Using a randomized stepped wedge design, we implement at 4-5 new sites every 3 months, with a total goal of implementing this change in 40 sites in Calgary and 9 sites in the Central zone. Early engagement with site medical directors, LTC and ED physicians, and managers at RAAPID (Referral, Access, Advice, Placement, Information and Destination) call centre and Community Paramedics was instrumental in getting the project initiated. Quarterly meetings with a project steering committee assists with ongoing project details and risk/issues. Operational leads and unit managers meet with our Senior Practice Consultant to be introduced to the project. This is followed by an implementation session at which site staff are given information about the specific tools and pathway, potential barriers are mitigated, and a site implementation plan is developed. Quarterly reports using data from a project Tableau dashboard are prepared by our Research Coordinator and distributed to LTC sites for them to monitor their performance compared to zone averages on a number of performance indicators. Evaluation Methods: The project will be evaluated using both qualitative and quantitative measures. Key Performance Indicators include a reduction in transfers to EDs, improved satisfaction, and increased use of available resources. Residents, families and healthcare providers will participate in interviews or focus groups to assess their experiences with the interventions. Quantitative evaluation includes an economic analysis to determine how the interventions have led to cost savings within the healthcare system, as well as examination of the number transfers to ED, hospital admissions, calls to RAAPID, and visits by Community Paramedics. This will help to determine if the intervention has led to better resource utilization, increased satisfaction among residents and families, and improved patient and health system outcomes. At this stage of the project, no unintended consequences have been identified. Results: Currently, we have implemented at 6 of 11 Cohorts (26 sites). Data from April 2019 (start of project) until December 2020 show a downward trend in number of ED visits and hospital admissions, as well as increased utilization of RAAPID. Formal evaluation will be completed when the project ends in June 2022. Given the COVID-19 pandemic, it is important to note that this may have an effect on our current trends and this will further be explored at the end of the project period. Anecdotal evidence is also beginning to indicate success of the right care being provided in the right place. Advice and Lessons Learned:1) Firstly, partnerships with key stakeholders are vital to ensure successful utilization of theLTC-ED Care and Referral pathway. Specifically, RAAPID is key to the facilitation ofcommunication between LTC sites and the EDs, and the services provided by CommunityParamedics allow many residents to remain at their LTC homes. 2) Secondly, good engagement with Site Medical Directors and Operational leads is needed toensure LTC staff and physicians are supported to use the interventions, and to care for theirresidents on site if appropriate. 3) Finally, tailored implementation strategies for each individual LTC site (and units in somecases) help mitigate site specific barriers, leverage strengths, and work within the site culture.
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Nebres, Ma Almira Pliego, Clarence Bien Ladion Nebres, and Bienvisa Ladion Nebres. "EXTENT OF HEMODIALYSIS NURSES’ PRESENCE AS PERCEIVED BY PATIENTS." Belitung Nursing Journal 6, no. 3 (June 5, 2020): 67–72. http://dx.doi.org/10.33546/bnj.1091.
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Background: Nursing presence is an essential nurse caring behavior of being with the patient. This is particularly true for those with chronic renal disease and who regularly undergo maintenance hemodialysis treatment in the hospital setting. When nursing presence is perceived by patients in a nurse-patient relationship, it is more likely to result in enhanced satisfaction with the quality of nursing care. Thus, it is important for hemodialysis nurses to be aware of the relevance of nurse-patient interactions in planned care considering that these interactions are integral to the extent to which nursing presence is experienced and perceived by patients.Objective: This study aims to determine the hemodialysis nurses’ extent of nursing presence as perceived by patients undergoing hemodialysis treatment in two hospitals in Iligan City, Philippines.Methods: Utilizing the descriptive research design, the study was conducted in two hospitals in Iligan City, Philippines. A total of 121 hemodialysis patients were purposely selected to determine their perception as to the extent of hemodialysis nurse’s nursing presence utilizing the 25-item Presence of Nursing Scale (PONS) instrument. Descriptive statistics were used for data analysis.Result: The overall rating by the hemodialysis patients in both hospitals was “always" on the hemodialysis nurses’ extent of nursing presence with an average mean score of 4.47 in all 25 items of the PONS. The highest rated item which reflects that the nurse cares for the patient as a person had an average mean score of 4.63 (always) while the lowest rated item indicating that the nurse is meeting the spiritual needs of the patient had an average mean score of 4.23 (always).Conclusion: The nurse-patient relationship is enhanced by the presence of nurses who are more responsive and interactive with the patients, resulting in patients who are more satisfied with nursing care. Thus, it is suggested that nurses in dealing with patients of varying backgrounds should consider their unique needs when giving information, explanations, health education and nursing care.
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Meek, J., and L. Fathauer. "Initial implementation and evaluation of a Hepatitis C treatment clinical decision support system (CDSS)." Applied Clinical Informatics 03, no. 03 (2012): 337–48. http://dx.doi.org/10.4338/aci-2012-04-ra-0012.
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SummaryBackground: Clinician compliance with clinical guidelines in the treatment of patients with Hepatitis C (HCV) has been reported to be as low as 18.5%. Treatment is complex and patient compliance is often inconsistent thus, active clinician surveillance and support is essential to successful outcomes. A clinical decision support system (CDSS) embedded within an electronic health record can provide reminders, summarize key data, and facilitate coordination of care. To date, the literature is bereft of information describing the implementation and evaluation of a CDSS to support HCV treatment.Objective: The purpose of this case report is to describe the design, implementation, and initial evaluation of an HCV-specific CDSS while piloting data collection metrics and methods to be used in a larger study across multiple practices.Methods: The case report describes the design and implementation processes with preliminary reporting on impact of the CDSS on quality indicator completion by comparing the pre-CDSS group to the post-CDSS group.Results: The CDSS was successfully designed and implemented using an iterative, collaborative process. Pilot testing of the clinical outcomes of the CDSS revealed high rates of quality indicator completion in both the pre- and post-CDSS; although the post-CDSS group received a higher frequency of reminders (4.25 per patient) than the pre-CDSS group (.25 per patient).Conclusions: This case report documents the processes used to successfully design and implement an HCV CDSS. While the small sample size precludes generalizability of findings, results did positively demonstrate the feasibility of comparing quality indicator completion rates pre-CDSS and post-CDSS. It is recommended that future studies include a larger sample size across multiple providers with expanded outcomes measures related to patient outcomes, staff satisfaction with the CDSS, and time studies to evaluate efficiency and cost effectiveness of the CDSS.
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Troost, Jonathan P., Anne Waldo, Noelle E. Carlozzi, Shannon Murphy, Frank Modersitzki, Howard Trachtman, Patrick H. Nachman, et al. "The longitudinal relationship between patient-reported outcomes and clinical characteristics among patients with focal segmental glomerulosclerosis in the Nephrotic Syndrome Study Network." Clinical Kidney Journal 13, no. 4 (August 5, 2019): 597–606. http://dx.doi.org/10.1093/ckj/sfz092.
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Abstract Background Understanding the relationship between clinical and patient-reported outcomes (PROs) will help support clinical care and future clinical trial design of novel therapies for focal segmental glomerulosclerosis (FSGS). Methods FSGS patients ≥8 years of age enrolled in the Nephrotic Syndrome Study Network completed Patient-Reported Outcomes Measurement Information System PRO measures of health-related quality of life (HRQoL) (children: global health, mobility, fatigue, pain interference, depression, anxiety, stress and peer relationships; adults: physical functioning, fatigue, pain interference, sleep impairment, mental health, depression, anxiety and social satisfaction) at baseline and during longitudinal follow-up for a maximum of 5 years. Linear mixed-effects models were used to determine which demographic, clinical and laboratory features were associated with PROs for each of the eight children and eight adults studied. Results There were 45 children and 114 adult FSGS patients enrolled that had at least one PRO assessment and 519 patient visits. Multivariable analyses among children found that edema was associated with global health (−7.6 points, P = 0.02) and mobility (−4.2, P = 0.02), the number of reported symptoms was associated with worse depression (−2.7 per symptom, P = 0.009) and anxiety (−2.3, P = 0.02) and the number of emergency room (ER) visits in the prior 6 months was associated with worse mobility (−2.8 per visit, P < 0.001) and fatigue (−2.4, P = 0.03). Multivariable analyses among adults found the number of reported symptoms was associated with worse function in all eight PROMIS measures and the number of ER visits was associated with worse fatigue, pain interference, sleep impairment, depression, anxiety and social satisfaction. Laboratory markers of disease severity (i.e. proteinuria, estimated glomerular filtration rate and serum albumin) did not predict PRO in multivariable analyses, with the single exception of complete remission and better pain interference scores among children (+9.3, P = 0.03). Conclusions PROs provide important information about HRQoL for persons with FSGS that is not captured solely by the examination of laboratory-based markers of disease. However, it is critical that instruments capture the patient experience and FSGS clinical trials may benefit from a disease-specific instrument more sensitive to within-patient changes.
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Porcel-Gálvez, Ana María, Sergio Barrientos-Trigo, Sara Bermúdez-García, Elena Fernández-García, Mercedes Bueno-Ferrán, and Bárbara Badanta. "The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings." International Journal of Environmental Research and Public Health 17, no. 22 (November 15, 2020): 8456. http://dx.doi.org/10.3390/ijerph17228456.
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Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.
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Lamontagne-Godwin, Frédérique, Caroline Burgess, Sarah Clement, Melanie Gasston-Hales, Carolynn Greene, Anne Manyande, Deborah Taylor, Paul Walters, and Elizabeth Barley. "Interventions to increase access to or uptake of physical health screening in people with severe mental illness: a realist review." BMJ Open 8, no. 2 (February 2018): e019412. http://dx.doi.org/10.1136/bmjopen-2017-019412.
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ObjectivesTo identify and evaluate interventions aimed at increasing uptake of, or access to, physical health screening by adults with severe mental illness; to examine why interventions might work.DesignRealist review.SettingPrimary, secondary and tertiary care.ResultsA systematic search identified 1448 studies, of which 22 met the inclusion criteria. Studies were from Australia (n=3), Canada (n=1), Hong Kong (n=1), UK (n=11) and USA (n=6). The studies focused on breast cancer screening, infection preventive services and metabolic syndrome (MS) screening by targeting MS-related risk factors. The interventions could be divided into those focusing on (1) health service delivery changes (12 studies), using quality improvement, randomised controlled trial, cluster randomised feasibility trial, retrospective audit, cross-sectional study and satisfaction survey designs and (2) tests of tools designed to facilitate screening (10 studies) using consecutive case series, quality improvement, retrospective evaluation and pre–post audit study designs. All studies reported improved uptake of screening, or that patients had received screening they would not have had without the intervention. No estimation of overall effect size was possible due to heterogeneity in study design and quality. The following factors may contribute to intervention success: staff and stakeholder involvement in screening, staff flexibility when taking physical measurements (eg, using adapted equipment), strong links with primary care and having a pharmacist on the ward.ConclusionsA range of interventions may be effective, but better quality research is needed to determine any effect size. Researchers should consider how interventions may work when designing and testing them in order to target better the specific needs of this population in the most appropriate setting. Behaviour-change interventions to reduce identified barriers of patient and health professional resistance to screening this population are required. Resource constraints, clarity over professional roles and better coordination with primary care need to be addressed.
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Doerr, Christine R., Stephen E. Graves, Graham E. Mercer, and Richard H. Osborne. "Implementation of a quality care management system for patients with arthritis of the hip and knee." Australian Health Review 37, no. 1 (2013): 88. http://dx.doi.org/10.1071/ah11107.
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The Orthopaedic Unit of the Repatriation General Hospital (RGH) in Adelaide, South Australia has implemented a quality care management system for patients with arthritis of the hip and knee. The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate and timely manner. This new service model addresses identified barriers to service access and provides a comprehensive, coordinated strategy for patient management. Over 4 years the model has reduced waiting times for initial outpatient assessment from 8 to 3 months and surgery from 18 to 8 months, while decreasing length of stay from 6.3 to 5.3 days for hips and 5.8 to 5.3 days for knees. The service reforms have been accompanied by positive feedback from patients and referring general practitioners in relation to the improved coordination of care and enhanced efficiency in service delivery. What is known about the topic? Several important initiatives both overseas and within Australia have contributed significantly to the development of this model of care. These include the UK National Health Service ‘18 weeks’ Project, the Western Canada Waiting List Project, the New Zealand priority criteria project, the Queensland Health Orthopaedic Physiotherapy Screening Clinic, and most importantly the Melbourne Health–University of Melbourne Orthopaedic Waiting List Project where a wide range of models were explored across Victorian hospitals from 2005 and the Multi-Attribute Prioritisation Tool (MAPT) was developed, validated and tested. This project became the Osteoarthritis Hip and Knee Service (OAHKS) and was operationalised in the Victorian healthcare system from 2012. These initiatives examined and addressed various aspects of management systems for patients with arthritis of the hip and knee in their particular setting. What does this paper add? The development of this system is an extension of what is already known and is the first to encompass a comprehensive and coordinated strategy across all stages of the care management pathway for this patient group. Their management extends from the initial referral to development and implementation of a management plan, including surgery if assessed as necessary and organisation of long-term post operative follow up as required. By detailing the elements, key processes and measurable outcomes of the service redesign this paper provides a model for other institutions to implement a similar initiative. What are the implications for practitioners? An important aspect of the design process was practitioner acceptance and engagement and the ability to improve their capacity to deliver services within an efficient and effective model. Intrinsic to the model’s development was assessment of practitioner satisfaction. Data obtained including practitioner surveys indicated an increased level of both satisfaction with the redesigned management service, and confidence in it to deliver its intended improvements.
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Gustina, Erni, and Syarifah Alfiana Rahmi. "Evaluation of Basic Emergency Obstetric and Newborn Care (BEMONC) Implementation." Unnes Journal of Public Health 8, no. 1 (January 31, 2019): 23–28. http://dx.doi.org/10.15294/ujph.v8i1.22753.
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Abstract
Maternal Mortality Rate is one indicator in describing the health status of people in a region. This study aimed to evaluate the implementation of Basic Emergency Obstetric and Newborn Care (BEMONC) at the Tegalrejo Yogyakarta Public Health Center with Basic Emergency Obstetric and Newborn Care. This research was qualitative with a case study design. The subjects were 5 BEMONC Core Team informants and 3 BEMONC patients. The instrument used in-depth interviews and checklists. The results of the Input: do not have nurses in the BEMONC core Team, due to a lack of nurses and not all BEMONC officers have received training. Infrastructure facilities were insufficient, but budget was enough. The BEMONC implementation went well but on holydays the doctors did not stand by and the shift was not evenly distributed. The implementation output reached the target and the service was satisfactory but found officers who were not friendly with the patient's family. Input is in accordance with the standard, but health personnel and training are not up to standard. The output reached the target and the service was satisfactory but one of the officers was not friendly. The Team must try to focus on customer satisfaction in a friendly manner so that the services provided meet patient expectations.
Abstrak
Angka Kematian Ibu merupakan salah satu indikator dalam menggambarkan derajat kesehatan masyarakat di suatu wilayah. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di Puskesmas PONED Tegalrejo Yogyakarta. Penelitian ini adalah kualitatif dengan rancangan studi kasus. Subyek sebanyak 5 informan Tim Inti PONED dan 3 pasien PONED. Instrumen menggunakan wawancara mendalam dan checklist. Hasil pada Input tidak terdapat perawat di dalam Tim inti PONED, disebabkan kurangnya perawat dan belum semua petugas PONED mendapatkan pelatihan. Sarana prasarana kurang tercukupi namun pendanaannya tercukupi. Pelaksanaan PONED berjalan baik namun pada hari-hari besar dokter tidak stand by dan pembagian shift kurang merata. Output pelaksanaan mencapai target dan pelayanannya memuaskan namun ditemukan petugas yang kurang ramah dengan keluarga pasien. Input sesuai dengan standar, namun tenaga kesehatan dan pelatihan tidak sesuai standar. Output mencapai target dan pelayanan yang memuaskan namun salah satu petugasnya kurang ramah. Sehingga Tim harus berusaha fokus terhadap kepuasan pelanggan secara ramah agar pelayanan yang diberikan memenuhi harapan pasien.
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Molina-Mula, Jesús, Angélica Miguélez-Chamorro, Joana María Taltavull-Aparicio, Jerónima Miralles-Xamena, and María del Carmen Ortego-Mate. "Quality of Life and Dependence Degree of Chronic Patients in a Chronicity Care Model." Healthcare 8, no. 3 (August 24, 2020): 293. http://dx.doi.org/10.3390/healthcare8030293.
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Background: The complex chronic patient is a person with one or several long-term diseases, the clinical management of which are considered difficult and related to cognitive or functional impairment. The chronicity care model deeply affects the quality of life and degree of dependence. Objectives: The objective of this study was to analyse the perceived quality of life and dependence degree in complex chronic patients within a chronicity care model in the Autonomous Communities of Cantabria and the Balearic Islands (Spain). Design: This was a multicentred, transversal, descriptive, and observational study on a cohort of 206 chronic patients included in a chronicity care program. Methods: Patients’ sociodemographic variables, integral valuation, nurse follow-up records, nursing outcomes classification (NOC)/nursing interventions classification (NIC), nurse diagnoses, and hospitalization data were analysed. A descriptive analysis of all data was carried out. The bivariate analysis assessed the relation between covariables and the overall scoring in European Quality of Life Scale (EuroQuol-5D), Barthel, Braden, and Chronic Patient eXperience Assessment Instrument (IEXPAC in the Spanish abbreviation). A multivariate linear regression analysis was conducted. Results: The mean age was 79.4 years (standard deviation (SD) = 9.12; range: 39–94). A percentage of 79.3% of the study population shows functional impairment in one or more activities of daily life. A percentage of 83.3% of patients showed a physical dependence. There is a significant relationship between the gender and kinship degree of the caregiver (χ2 = 18.2; p = 0.001). An overall mean score of 55.38 points in EuroQuol-5D was obtained, along with a 36.87-point satisfaction with the care given in IEXPAC. The overall score correlated positively and significantly with Barthel, Braden, and IEXPAC. The dependence levels improved slightly in the observed patients, which was a very significant outcome in statistical terms (t = 2.08; p = 0.039). A percentage of 66% (R2 = 0.66) of the score variability at the Barthel index could be predicted from Braden scale scoring. Conclusions: Dependence is not only affected by the related pathology, but also by the effect on mobility and daily-life activities, which cause a worse perception of the quality of life. The health-care model based on the case management nurse is having positive effects, especially on dependence and patients with ulcer issues.
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Kocher, A., M. Simon, C. Chizzolini, O. Distler, A. A. Dwyer, P. Villiger, U. Walker, and D. Nicca. "SAT0652-HPR CHRONIC DISEASE MANAGEMENT AND HEALTH TECHNOLOGY READINESS OF PATIENTS WITH SYSTEMIC SCLEROSIS IN SWITZERLAND – A CROSS-SECTIONAL STUDY." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1285.1–1285. http://dx.doi.org/10.1136/annrheumdis-2020-eular.3232.
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Background:People living with systemic sclerosis (SSc) often lack access to coordinated, specialized care and self-management support from qualified healthcare professionals. Such gaps lead to significant unmet health needs and inability to get preventive services. The Chronic Care Model (CCM) has been used to guide disease management across a wide range of chronic conditions. The CCM often uses e-health technologies to address self-management problems, connect patients with clinicians and reduce patient travel requirements.Objectives:To evaluate current SSc care practice patterns and elicit patient health technology readiness to define relevant aspects and resources needed to improve SSc chronic disease management.Methods:We employed a cross-sectional survey using the 20-item Patient Assessment of Chronic Illness Care (PACIC) instrument to assess how aspects of SSc care align with key components of the CCM.1Six items drawn from the ‘5A’ (ask, advise, agree, assist, and arrange) model of behavioural counselling were included (all 26 items scored on 5-point scale, 1=never to 5=always). Acceptance of health technology was evaluated by adapting and combining questionnaires from Vanhoof2and Halwas3. German and French speaking SSc patients (>18 years) were recruited from university/cantonal hospitals and the Swiss scleroderma patients’ association. Participants completed anonymous paper/online questionnaires. Data were analysed descriptively.Results:Of 101 SSc patients, most were female (76%), spoke German (78%) and had a median age of 60 years (IQR: 50-68). Median disease duration was 8 years (IQR: 5-15), spanning a range of severity (31% limited SSc, 36% diffuse SSc, 3% overlap syndrome). One-quarter (25%) did not know their disease subset.The mean overall PACIC score was relatively low (2.91±0.95) indicating that care was ‘never’ to ‘generally not’ aligned with the CCM. Lowest mean subscale scores related to Follow-up/ Coordination (2.64±1.02), Goal setting (2.68±1.07) and Problem-solving/Contextual Counselling (2.94±1.22). The single items ‘Given a copy of my treatment plan’ (1.99±1.38) and ‘Encouraged to attend programs in the community’ (1.89±1.16) were given the lowest ratings. The ‘5A’ summary score was 2.84±0.97.In terms of technology readiness, 43% completed the survey online. Most participants owned a smartphone (81%), laptop (63%) and/or desktop computer (46%). The overwhelming majority of patients (91%) reported using the Internet in the last year – primarily for communication (e.g. emails, text messages). Participants indicated relatively little experience with e-health applications and participating in SSc online forums or self-help groups.Conclusion:To improve chronic disease management of SSc patients in Switzerland, current care practices warrant reengineering taking CCM components into account. Specific unmet needs relate to self-management support, help patients set individualized goals, and coordinate continuous care. Web-based technologies incorporating user-centred design principles may be a reasonable option for improving care.References:[1]Glasgow, RE, et al. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC).Med Care2005; 43(5): 436-44[2]Vanhoof, JM, et al. Technology Experience of Solid Organ Transplant Patients and Their Overall Willingness to Use Interactive Health Technology. J Nurs Scholarsh2018; 50(2): 151-62[3]Halwas, N, et al. eHealth literacy, Internet and eHealth service usage: a survey among cancer patients and their relatives. J Cancer Res Clin Oncol2017; 143(11): 2291-99Disclosure of Interests:Agnes Kocher Grant/research support from: Sandoz to support the development of an eLearning module for patients with rheumatic diseases., Michael Simon: None declared, Carlo Chizzolini Consultant of: Boehringer Ingelheim, Roche, Oliver Distler Grant/research support from: Grants/Research support from Actelion, Bayer, Boehringer Ingelheim, Competitive Drug Development International Ltd. and Mitsubishi Tanabe; he also holds the issued Patent on mir-29 for the treatment of systemic sclerosis (US8247389, EP2331143)., Consultant of: Consultancy fees from Actelion, Acceleron Pharma, AnaMar, Bayer, Baecon Discovery, Blade Therapeutics, Boehringer, CSL Behring, Catenion, ChemomAb, Curzion Pharmaceuticals, Ergonex, Galapagos NV, GSK, Glenmark Pharmaceuticals, Inventiva, Italfarmaco, iQvia, medac, Medscape, Mitsubishi Tanabe Pharma, MSD, Roche, Sanofi and UCB, Speakers bureau: Speaker fees from Actelion, Bayer, Boehringer Ingelheim, Medscape, Pfizer and Roche, Andrew A. Dwyer: None declared, Peter Villiger Consultant of: MSD, Abbvie, Roche, Pfizer, Sanofi, Speakers bureau: Roche, MSD, Pfizer, Ulrich Walker Grant/research support from: Ulrich Walker has received an unrestricted research grant from Abbvie, Consultant of: Ulrich Walker has act as a consultant for Abbvie, Actelion, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, MSD, Novartis, Pfizer, Phadia, Roche, Sandoz, Sanofi, and ThermoFisher, Paid instructor for: Abbvie, Novartis, and Roche, Speakers bureau: Abbvie, Actelion, Bristol-Myers Squibb, Celgene, MSD, Novartis, Pfizer, Phadia, Roche, Sandoz, and ThermoFisher, Dunja Nicca: None declared
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Razaeian, Sam, Dafang Zhang, Afif Harb, Rupert Meller, Christian Krettek, and Nael Hawi. "Distal Biceps Tendon Repair Using a Modified Double-Incision Technique: Patient-Reported Outcomes With 10-Year Follow-up." Orthopaedic Journal of Sports Medicine 8, no. 8 (August 1, 2020): 232596712094481. http://dx.doi.org/10.1177/2325967120944812.
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Background: In the setting of complete distal biceps tendon rupture, surgical repair has become the standard of care to restore optimal elbow function, but the optimal approach and method of tendon fixation are still subjects of debate and have remained controversial for more than half a century. Purpose: To evaluate patient-reported long-term outcomes after distal biceps tendon repair using a modified double-incision technique. Study Design: Case series; Level of evidence, 4. Methods: We reviewed primary distal biceps tendon repairs after isolated tendon rupture using the modified muscle-splitting double-incision approach and transosseous suture fixation technique described by Morrey et al (1985), which had been performed at our level 1 trauma center between January 2000 and December 2013. Outcome measures included the subjective elbow value (SEV), the Oxford Elbow Score (OES) with its 3 domains (function, pain, and social-psychological), a self-performed hook test, and the 3-level version of the EuroQoL 5-dimensional instrument (EQ-5D-3L) as a measure of health status. Levels of overall satisfaction were determined by asking whether the patient would consent to the operation again. In addition, patients were asked to report any complications. Results: A total of 30 patients met the inclusion criteria, and 25 patients were available for the survey. Mean age at the time of rupture was 47 years. All patients were male. Mean follow-up was 120 months (range, 57-207 months). The follow-up rate was 83.34%. The following outcome results were obtained: SEV, 88.16% ± 25.18%; OES, 43.80 ± 10.56 out of 48 points; OES Pain, 92.50% ± 23.03%; OES Function, 92.25% ± 22.19%; OES Social-Psychological, 89% ± 23.68%; EQ-5D-3L, 0.93 ± 0.21. All patients described a negative hook test. Patient-reported complications included painless limitation in forearm rotation in 8% of patients (n = 2); reduced flexion and forearm rotation strength with and without pain in 8% (n = 2) and 4% (n = 1), respectively; synostosis after 1 year requiring revision surgery in 4% (n = 1); and transient wrist drop in 4% (n = 1). The overall complication rate was 28% (7/25), and 96% (n = 24) would consent to the operation again. Conclusion: Despite the cited approach-related morbidity, we report an excellent patient-reported long-term outcome for the double-incision distal biceps repair technique.
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Aty, Yoani M. Vianney Bita, Elisabeth Herwanti, Aemilianus Mau, M. Ibraar Ayatullah, and Fialisa Asriwhardani. "Factors Affecting Nurse Caring Behavior." JURNAL INFO KESEHATAN 18, no. 2 (December 31, 2020): 171–81. http://dx.doi.org/10.31965/infokes.vol18.iss2.396.
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Caring behavior is the center of nursing practice, a very dynamic technique, where nurses work with care for their patients. The better the nurse's caring behavior in providing nursing services to patients, the better the level of patient satisfaction with nursing services. Currently, there are nurses and other health workers who are not friendly enough in providing services. The objective of this study is to determine the factors that influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province, which are age, gender, education, training, employment status, marital status, work stress, work motivation and respect for nurse caring behavior. This research is a type of quantitative research with a cross-sectional design. The population is all nurse administrators who work in 5 Regional Public Hospital of East Nusa Tenggara Province, amounting to 803 people. The number of samples of 161 nurses was taken by simple random sampling. Determination of the number of samples using the rule of thumb formula, namely 5 independent variables x 32 = 160 respondents. The instrument used was a questionnaire. Bivariate data analysis at a significant level of 5% (α = 0.05) using the Pearson Chi-Square test. Multivariate analysis using logistic regression test. The results showed that the factors that influence nurse caring behavior are employment status (p value 0.001) and motivation (p value 0.005). The results of the Odds Ratio (Exp. B) show that employment status is a determinant factor in the caring behavior of nurses in East Nusa Tenggara with an OR of 3,634, which means that nurses with civil servant status are 3.6 times more likely to behave in caring than nurses with contract employment status. It is suggested to examine other factors that can influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province.
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Krishnamurti, Lakshmanan, Diana Ross, Nitya Bakshi, Kirshma Khemani, Cynthia Sinha, and George Loewenstein. "Development, Implementation, and Testing of a Web Based Decision Aid for Facilitating Shared Decision Making for Disease Modifying Therapies for Sickle Cell Disease." Blood 128, no. 22 (December 2, 2016): 5919. http://dx.doi.org/10.1182/blood.v128.22.5919.5919.
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Abstract Background Sickle cell disease (SCD) is associated with substantial morbidity, and premature mortality. Hydroxyurea (Hu), chronic blood transfusion and hematopoietic stem cell transplantation (HCT) can modify the course of this disease, reduce complications, and improve survival. These interventions are diverse in their therapeutic intent, but are all associated with substantial burden of care, signfiicant side effects and the potential for late complications. The complexity inherent in making decisons about these disease modifying therapies is compounded by the socioeconomic disadvantage experienced by this largely minority, underserved population. That despite proven efficacy in clinical trials, uptake and adherence with HU remains poor, and that only a small proportion of eligible patients undergo HCT underscores the difficulty in making these decisions. The objective of this study was to use a theory based systematic approach to develop, implement and test a web based decision aid to support patients and caregivers in shared decision making regarding disease modifying therapies for SCD.The theoretical basis for this project is the Ottawa decision support framework( ODSF), an evidence-based, practical, mid-range theory for guiding patients making health or social decisions which uses a three-step process to assess client and practitioner determinants of decisions to identify decision support needs; provide decision support tailored to client needs and evaluate the decision making process and outcomes. Methods Following the ODSF, we conducted qualitative interviews of patients with SCD, their caregivers, policymakers, community advocates and healthcare providers and other stakeholders. Subjects were recruited at multiple regional and national SCD conferences which draw a mix of patients and professional audience. Interviews lasted 30-40 minutes and were transcribed verbatim, transcripts were coded using QSR NVivo 10 and analyzed using qualitative mixed methods. Themes from qualitative interviews were incorporated into the each of the following phases of the project: Phase 1: Qualitative interviews for needs assessment to facilitate the description of the participants' experiences in seeking information about and making decisions related to SCD and utilizing both open and closed-ended questions. Phase 2: Data synthesis, and construction of a storyboard, draft content, draft design and format for the decision aid. Phase 3: Alpha testing for quality and error correction. Extensive modifications were carried out systematically incorporating the recommendations received. Phase 4: Iterative cylces of Beta testing for feasibility, comprehensibility and usability with qualitative interviews and observations and incorporated recommendations. Phase5: Peer-review of the finalized decision aid by stakeholders who had not participated in the development of the instrument and had not previously examined the website. Results Needs assessment qualitative interviews with 205 individuals yielded information on decisional needs, preferences regarding content, presentation and ease of use as well as a distinct preference to learn from the experience of other patients and guided the devlopemnt of the decision aid. Alpha testing for quality and error correction was conducted with 51 patients / family members, clinicians, health educators and policy makers. Beta testing for feasiblity, comprehensibilty, and usability was completed by a total 111 participants. Peer review by 60 providers, patients and stakeholders of the final decision aid (www.sickleoptions.org) indicated a high level of satisfaction with the content, presentation, ease of use, use of graphics and the use of patient testimonials. We have enrolled and are gathering data on 120 subjects in a randomized clinical trial to evaluate the impact of the decion aid on clinical decision making. Conclusions This stiudy provides empirical evidence about the successful process of creating, implementing and testing a web based decision aid for patients to guide shared decision making in disease modifying therapy for SCD. It provides evidence of favorable patient and physician perceptions about the comprehensivility and usability of the decision aid. Results of an ongoing randomized clinical trial will generate additional information about the impact of the decision on clinical decision making. Disclosures No relevant conflicts of interest to declare.
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Whaley, Natalie S., Sophie Lanzkron, and Anne Burke. "Contraceptive in Women with Sickle Cell Disease: A Survey Study." Blood 126, no. 23 (December 3, 2015): 3263. http://dx.doi.org/10.1182/blood.v126.23.3263.3263.
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Abstract Objectives: Despite recognized maternal and neonatal morbidity associated with unplanned pregnancy in women with sickle cell disease (SCD), unmet need for contraception in this population remains high. While low uptake of contraception in women with chronic disease is not unique to SCD, the impact of provider counseling and patient knowledge and attitudes on contraceptive use is unknown. Guidance on contraception for women with SCD is complicated by concerns about the safety of estrogen-containing methods due to increased risk of venous thromboembolism (VTE),[1-3] the potential non-contraceptive benefits of depot medroxyprogesterone acetate (DMPA) on pain[4-6] and the complex relationship between menses and sickle cell crises.[7] The objective of this study was to evaluate contraceptive knowledge, attitudes, and experiences in a sample of women with SCD. Study Design: A convenience sample of women from the adult and pediatric sickle cell clinics at an urban, academic institution in Baltimore completed a self-administered electronic survey. The survey instrument collected comprehensive medical and reproductive health history, explored participant experience with contraception and tested knowledge and attitudes about efficacy and safety of contraceptive methods. Results: 54 women completed surveys. The median age of respondents was 35 years. Over 40% reported they were disabled or unemployed. Seventy percent of women reported a hospital admission for SCD in the past year and 74% reported at least monthly utilization of urgent services for pain crises. Fifty-five percent reported a history of unintended pregnancy, 77% had a history of at least one pregnancy and 74% reported a desire for no further pregnancies. One third of women at risk for pregnancy did not use a birth control method at last intercourse. The most common contraceptive methods were surgical sterilization (30%) and condoms (30%) followed by DMPA (9%). Women were more likely to use estrogen-containing methods (6%) than highly effective long-acting methods like intrauterine devices or contraceptive implants (3%). While the majority of women (83%) were told they had a high-risk pregnancy in the past and 50% were told by a physician they should not be pregnant for their own health in the future, only 23% reported knowledge of safety concerns with some contraceptive methods for women with SCD. Women primarily received contraceptive counseling from gynecologic providers and only 30% reported a provider other than a gynecologist had ever discussed birth control with them. Conclusions: Women with SCD have unmet contraceptive needs. Women with SCD have some knowledge about their obstetric risks, and this knowledge appears to come from their lived experience and provider counseling. Women with SCD were less knowledgeable about the benefits and risks associated with contraceptive use. Implications: Efforts to increase provision of contraception through coordination of care between hematologists, primary care and gynecologic providers has the potential to improve family planning services for women with SCD resulting in improvements in quality of life and a decrease in unintended pregnancy. [1] Haddad L, Curtis K, Legardy-Williams J, Cwiak C, Jamieson D. Contraception for individuals with sickle cell disease: a systematic review of the literature. Contraception 2012;85:527-537. [2] Manchikanti A, Grimes DA, Lopez LM, Schulz KF. Steroid hormones for contraception in women with sickle cell disease. Cochrane Database Systemic Review. 2007 Apr 18;(2):CD006261. Review. [3] Naik R, Streiff M, Haywood C, Nelson J, Lanzkron S. Venous thromboembolism in adults with sickle cell disease: a serious and under-recognized complication. The American Journal of Medicine 2013;126:443-9. [4] Abood M, de Castillo Z, Guerrero F, Espino M, Austin KL. Effect of Depo-Provera or Microgynon on the painful crises of sickle cell anemia patients. Contraception 1997;56:313-6. [5] De Ceulaer K, Gruber C, Hayes R, Serjeant G. Medroxyprogesterone Acetate and homozygous sickle-cell disease. The Lancet 1982;2:229-31. [6] ACOG practice bulletin No. 73: Use of hormonal contraception in women with coexisting medical conditions. Obstetrics and Gynecology 2006;107:1453-72. [7] Yoong WC, Tuck M. Menstrual pattern in women with sickle cell anemia and its association with sickling crises. Journal of Obstetrics and Gynaecology 2002;22(4):399-401. Disclosures No relevant conflicts of interest to declare.
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Guimarães, Élcio Alves, Mariana Nunes Faria, Kennedy Rodrigues Lima, Kelly Duarte Lima Makhoul, Lucas Resende Sousa, Paulo Cézar Simamoto Junior, Gilmar da Cunha Sousa, and Alfredo Júlio Fernandes Neto. "Patient Satisfaction Measurement by MedRisk Instrument." Manual Therapy, Posturology & Rehabilitation Journal, July 13, 2020, 1–6. http://dx.doi.org/10.17784/mtprehabjournal.2017.15.499.
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Background: The importance of evaluating the user’s perspective when dealing with the quality of health services has been a constant and the user’s role as protagonist of this system has a direct impact on improving service. Thus, it is essential to know how users evaluate the care provided to rethink professional practices or intervene in the form of organization of services, to its improvement. Objectives: Assess the degree of patient satisfaction through MedRisk Instrument and identify the item that has the greatest impact on overall satisfaction. Methods/Design: The users of a university clinic of physical therapy, in rheumatology and pediatrics sectors, were asked about their degree of satisfaction, using MedRisk instrument. Results: Forty-six users completed the questionnaire. The 2 global measures means were 4,86 and 4,86 in rheumatology sector; and 4,76 and 4,84 in pediatrics sector. The specific items that had higher level of satisfaction and the highest correlation with overall satisfaction were items 6, 7, 8 and 11. Conclusion: The university physiotherapy clinic was assessed with a high degree of satisfaction to its users and items related to the therapist-patient interaction have more influence on overall satisfaction. Thus demonstrating that the MedRisk instrument is effective, functional and wide applicability.
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Handayani, Murti Dwi, Sentot Imam Suprapto, and Nia Sari. "Effect of Service Quality on Integrated Antenatal Care Patient Satisfaction." Journal for Quality in Public Health 3, no. 1 (November 30, 2019). http://dx.doi.org/10.30994/jqph.v3i1.49.
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The increase in the health service is very important to be made by health care provider institutions such as clinics in order to improve patient satisfaction. But in the last few years many decline the number of visits the patient at the clinic. This is due to the existence of the dissatisfaction felt by the patient over a given service. The purpose of the study to find out the influence of the quality of service to the satisfaction of the Patients current study. Design Integrated ANC namely observational analytic quantitative approach. The research of the variable quality of service as the independent variable and the dependent variable as patient satisfaction. The population of the research that is Integrated in the entire patient ANC Clinics Kupang (nutrition, BP, KIA, LAborat and Loket) Mojokerto with the average number of patients per month as many as 777 patients. Smapel taken with the technique of systematic sampling as much as 117 respondents. Data collected by questionnaire instrument and processed by using coding, editing, tabulating and scoring as well as tested with test statistic spearman rho and linear regression. Research results throughout the dimensions of service quality affects patient satisfaction whereas that can be seen from the value of ρ value < 0.05 for all dimensions so partial dimensions of service quality affects patient satisfaction. Similarly, on the results of the regression simultaneously or synchronously also showed the same results, namely the value of p value < 0.05, so can be conclusion that simultaneously or synchronously dimensions of service quality affects patient satisfaction
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Singh, Keshkali, Tapti Bhattacharjee, and Amarjeet Singh Chhabra. "A STUDY TO ASSESS THE SATISFACTION REGARDING NURSING DUTIES AND THEIR IMPACT ON PATIENT CARE AMONGST PATIENTS OF SELECTED NABH ACCREDITED AND NON NABH ACCREDITED HOSPITALS OF INDORE CITY." INDIAN JOURNAL OF APPLIED RESEARCH, January 1, 2021, 35–38. http://dx.doi.org/10.36106/ijar/7411038.
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Objectives: 1. To assess satisfaction of patients with nursing care admitted in NABH accredited hospital and non NABH accredited hospitals. 2. To compare satisfaction of patients regarding nursing care admitted in selected NABH accredited and non NABH accredited hospital. 3. To nd out association of satisfaction of patients with selected demographic variables. BACKGROUND OF THE STUDY NABH is a hospital accreditation process which is not an easy task, to adopted and achieve the highest standards of healthcare it is essential to practice it forever. This process requires continuous hard work and full determination health care worker. Manpower is the most important and the most valuable asset of any organization and success or failure of every organization strongly depends on the performance of manpower. Nurses are back bone of any hospital care provided to patients create good or bad reputation about the hospitals, patient satisfaction is a key factor which attract the health care seekers and uphold the standard of nursing services that play an important role in improvement of health status of society. Sindhu Joseph (2018) conducted a comparative study on “The Effect of Accreditation on Patient Satisfaction in Public Healthcare Delivery: To make accreditation a useful regulatory instrument, there is a need to assess quality based on patient outcome indicators at regular intervals. Research Approach A quantitative research approach is used Research Design Descriptive research design is used Settings Of The Study NABH accredited and non NABH accredited hospitals ptients, data is collected through self reporting check list which has cover 20 points about satisfaction of patients with nursing care . Conclusion: Statistical analysis of the independent t-test there was highly signicant difference between with satisfaction of patients regarding nursing care admitted in selected NABH and NON-NABH accredited hospital. Scores shows there is signicant difference between both groups. The study conrmed that the effect of the score of patients satisfaction in group NABH is more effective rather than group Non-NABH group. Result: Statistical analysis of the data revealed that, according to independent t-test there was highly signicant difference between with nature of work in NABH and Non-NABH accredited hospitals groups. Conclusions: There is consistent evidence that shows that accreditation programs improve the process of care and satisfaction among patients.
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Lely, Made, and Tati Suryati. "PERSEPSI PASIEN RAWAT JALAN TERHADAP KUALITAS PELAYANAN DI RUMAH SAKIT." Buletin Penelitian Kesehatan 46, no. 4 (December 31, 2018). http://dx.doi.org/10.22435/bpk.v46i4.33.
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ABSTRACT
Development in the health field today in addition to aiming for healing and recovery also to improve health and prevent the incidence of a disease in the community. The hospital is a place to provide health services for the community. The quality of health services can be seen from several perspectives: the perspective of the health care provider, the perspectives of the funder, the perspective of the owner of the health care facility and the patient's perspective. While patient satisfaction is the level of satisfaction experienced by patients after using health services. Quality of health services and customer satisfaction are the indicators of hospital service success. The purpose of this study was to know the description of patient satisfaction of referral of outpatient at District Hospital, Regional Hospital and Provincial Hospital. The study was conducted with cross sectional design, using questionnaire instrument. The respondent is an outpatient at the hospital who has finished receiving the service or finished treatment at the hospital, where if the patient age ≤ 15 years or difficult to communicate there must be a companion. Data retrieval is done by direct interviews to the patient or the patient's companion. The result of the research shows the description of satisfaction respondent/outpatient exit interview in the hospital that overall more than 80% of respondents /outpatient satisfied to service given in the hospital. Respondents/outpatients who work more satisfied than those who do not work, and non-PBI participants are more satisfied than the PBI participants. The conclusions of this study, most of the respondents / outpatients in hospitals are satisfied with the services provided by the hospital.
Keywords: outpatient perception, service quality, hospital
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Ng, Kyle Kai Ho, Jonathan Gendron, Chao Meng, Yan Zhou, Peter Kuling, Yuwei Wang, and Dianne Delva. "Descriptive Analysis of Patient Experience in Shanghai Primary and Tertiary Care Settings." University of Ottawa Journal of Medicine, February 22, 2018. http://dx.doi.org/10.18192/uojm.v0i0.2199.
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Context: China has recently undertaken a nationwide healthcare reform of primary care for its citizens. The new Ottawa-Shanghai Joint School of Medicine (OSJSM) entered this context of reform by developing family medicine training centres for its students.Objective: This study seeks to understand patients’ demographic, perceptions of family medicine, and alignment of needs and values towards family medicine to inform the creation of these new centres.Study Design: To this end, a culturally and linguistically appropriate patient experience survey was created and administered at two primary (CaoJiaDu and TangQiao Community Health Centers) and at a tertiary care centre (Renji Hospital). The survey consisted of questions on demographics, frequency of healthcare usage, satisfaction of care, barriers to access, prioritized values and perceptions of family medicine. It was administered to 400 patients conveniently sampled to have a balance of primary/tertiary settings.Results: Despite common assumptions that Chinese patients may prefer specialist services, this study revealed a 68.3% preference for General Practitioners (GP) over Specialists. There was also overall agreement and preference for values of continuity, comprehensiveness, and coordination in healthcare.Conclusion: These findings reveal that primary care is present in Shanghai and that the core values of family medicine are desired by a majority of respondents. Further analysis, qualitative corroboration and repeating the study in a wider population may be required for more generalizable conclusions, as this study in its current design was limited by convenience sampling.