Physical therapists’ perception of workplace ethics in an evolving health-care delivery environment: a cross-sectional survey

2018 ◽  
Vol 35 (8) ◽  
pp. 724-737 ◽  
Author(s):  
Roberto Cantu
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Physical Therapists ◽  
Care Delivery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Workplace Ethics

scholarly journals A COMPARATIVE STUDY OF THE PERCEPTIONS OF RURAL DWELLERS TOWARDS HEALTH CARE DELIVERY

2021 ◽  
Vol 9 (04) ◽  
pp. 451-454
Author(s):  
Felix a ◽  
◽  
J. Ugwu ◽  
Clara Okenyi ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Significant Relationship ◽  
Survey Design ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Test Analysis ◽  
Rural Dwellers

The present study aimed to comparatively analyze healthcare delivery perception among rural dwellers based on education (formal/informal) and gender. The study adopted a cross-sectional survey design. A total of two hundred rural dwellers comprising males and females participated in the study. Perception towards health care delivery was measured with a self-developed instrument with demographic information. An independent t-test analysis found no statistically significant relationship between education and perception towards health care delivery. However, the result revealed a significant relationship between gender and perception towards health care delivery. Females were found to show a more positive attitude towards health care delivery than their male counterparts. The findings and conclusions are discussed.

Physicians’ Perceptions Toward Use of Telemedicine During COVID-19 Pandemic in Riyadh, Saudi Arabia (Preprint)

2021 ◽  
Author(s):  
sarah idriss ◽  
walaa alasaadi ◽  
abdullah Aldhuhayyan ◽  
Ahmed alenzi ◽  
Reem alharbi ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Well Being ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face

BACKGROUND The use of communication technologies to deliver health care remotely is known as telemedicine. The coronavirus disease 2019 (COVID-19) pandemic had a variety of consequences for health-care delivery in 2020. As a result, it was necessary to adapt and deliver high-quality care to patients while limiting possible viral exposure for both patients and health-care workers. During the pandemic, physicians employed video visits, phone visits, and electronic written visits (e-consultations), all of which have the ability to provide a comparable quality of care while removing social barriers. OBJECTIVE The study’s aim is to assess physicians’ perspectives and attitudes concerning the usage of telemedicine in Riyadh hospitals during the COVID-19 pandemic. The main domains of the assessment are physicians’ overall experience with telemedicine use before and during COVID-19, future adaptability to using telemedicine, perceptions about patients’ experience, and the influence of telemedicine on burnout. METHODS Methods: An anonymous 28-question cross-sectional survey was developed using SurveyMonkey and distributed to all physicians from all specialty disciplines across Riyadh city hospitals. RESULTS A total of 362 doctors were included in the study. Among them, 28.7% were consultants, 30.4% were specialists, and 40.9% were residents. Male doctors formed the majority (56.1%). When asked about the frequency of using telemedicine, 41.4% answered “frequently,” 26% responded “occasionally,” and 32.6% said “never.” Thirty one percent of doctors agreed and somewhat agreed that the “quality of care during telemedicine is comparable with face-to-face visits.” About 55% doctors believed that telemedicine consultation is a cost-effective way, compared to face-to-face visits. Most of the doctors were skilled (70%) at telemedicine, and they were also able to solve technology issues during telemedicine visits (54%). Overall, the physicians felt that their patients liked telemedicine: 68% said they felt comfortable using telemedicine and 76% said theyfound that it saved time. As per the burnout question, 4.1% of doctors felt burnout every day, 7.5% felt burnout a few times a week, and 27.3% felt burnout a few times per month. CONCLUSIONS Physicians had a generally favorable attitude toward telemedicine, believing that the quality of health-care delivery using it was comparable to that of in-person care. Future research is needed to investigate how physicians’ attitudes toward telemedicine have changed since the pandemic, as well as how this virtual technology might be used to improve their professional and personal well-being.

scholarly journals Satisfaction of patients attending a rural hospital of Darjeeling district in West Bengal, India

2017 ◽  
Vol 4 (6) ◽  
pp. 1932 ◽  
Author(s):  
Priti Agarwal ◽  
Romy Biswas
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Rural Hospital ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background: Patient satisfaction is a means of measuring the effectiveness of health care delivery. This serves as a means of improvement among health care providers to give an acceptable level of patient satisfaction. Aims and Objectives: To assess the level of satisfaction and reasons of dissatisfaction among patients regarding health care services in a rural hospital of Darjeeling District, West Bengal.Methods: A cross-sectional survey was done on 110 patients with the help of PSQ-18 questionnaire. The samples were drawn by systematic random sampling            .Results: The overall mean satisfaction score was 3.57 and S.D. ±0.69. The mean score was highest in general satisfaction domain which was found to be 3.76 with S.D ± 1.08 and lowest in time spent with doctor where mean score was 2.92 and S.D. ±1.07. 69.3% of the patients were satisfied with the services offered by the hospital. The time spent by the doctor with the patient was less and this was the major reason of dissatisfaction.Conclusions: More than half of the patients were satisfied with the services provided by the hospital. The findings of the study can facilitate the development of targeted, objectively prioritized programs for the improvement and advancement of health care delivery systems. 

scholarly journals PATIENTS SATISFACTION ABOUT HEALTH CARE DELIVERY IN OUT-PATIENTS DEPARTMENT OF COMBINED MILITARY HOSPITAL RAWALPINDI

2020 ◽  
Vol 70 (6) ◽  
pp. 1929-34
Author(s):  
Tahir Sardar ◽  
Iqbal Ahmad Khan ◽  
Muhammed Alamgir Khan
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Cost Effective ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Nursing Assistant ◽  
Cross Sectional ◽  
Level Of Satisfaction

Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015. Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling. Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital. Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.

scholarly journals Physicians' Attitudes toward Unnecessary Tests and Processes in the Health Care Delivery System; a Cross-Sectional Study

2021 ◽  
Vol 6 (2) ◽  
pp. 115-124
Author(s):  
Fatemeh Farhadi ◽  
Rahim Khodayari ◽  
Zahra Mobarak ◽  
Morteza Arab-Zozani ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
System A

Challenges confronting African Americans and Hispanics living with chronic illness in their families

2016 ◽  
Vol 12 (4) ◽  
pp. 281-291 ◽  
Author(s):  
Loren Saulsberry ◽  
Robert J Blendon ◽  
John M Benson
Keyword(s):  
Health Care ◽  
African American ◽  
Chronic Illness ◽  
African Americans ◽  
Health Problem ◽  
Care Delivery ◽  
Financial Economic ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hispanic Adults

Objective To examine the life experiences of African American and Hispanic adults whose personal chronic illness and/or that of a family member is the biggest health problem for their families. Data source Telephone (landline and cell phone) interviews of random, nationally representative samples of 1081 African-American and 1478 Hispanic adults, age 18 and older. We evaluated the responses of 757 African-American and 697 Hispanic participants who reported a chronic illness as the biggest health problem in their families. Methods Weighted analysis of cross-sectional survey responses from African-American and Hispanic adults. Results African Americans and Hispanics with chronic illness in their families reported experiencing challenges with the health care delivery system, with financial/economic insecurity, and with their communities that may influence how they live with chronic disease. Discussion Policymakers and clinicians should be aware that some African-American and Hispanic patients face obstacles within and beyond the health care system that are relevant to how they live with chronic conditions affecting their families. Additional tools and supports may need to be identified and supplied to effectively manage chronic illness in these communities. The payment system for physicians should account for the supplementary supports and services these patients might require.

scholarly journals A study on patient satisfaction in out patient department of secondary care hospital of Bhopal

2017 ◽  
Vol 4 (4) ◽  
pp. 1141
Author(s):  
Sheloj Joshi ◽  
Mahesh Kumar Joshi
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Working Hours ◽  
Care Hospital ◽  
Cross Sectional ◽  
Time Service ◽  
Good Communication ◽  
Primary Means

Background:  Patient satisfaction is as important as other clinical health measures and is a primary means of measuring the effectiveness of health care delivery. Patient-centered outcomes have taken central stage as the primary means of measuring the effectiveness of health care delivery. To evaluate the level of patient satisfaction with OPD services in terms of describing the experience of patients about medicine OPD services and accessibility to services among the patients who attended the medicine OPD of Jaiprakash hospital.Methods: As a cross -sectional descriptive study, we have taken patients who were registered in Medicine outpatient department of Jaiprakash Hospital of Bhopal over a period of two months. The research instrument for a data collection was a structured questionnaire for assessing the patient satisfaction. The experience and accessibility were categorized into good and poor while satisfaction into high and low using best criteria. Statistical analysis: Convenience sampling done for selection of patients registered in Medicine OPD. The data was analysed on statistical software SPSS VS.20.Results: The patients had the highest level of experience from medicine department OPD about helpfulness of nurses, about light and ventilation inside the OPD and about the good communication from the pharmacist. The poor experience was from the number of doctors in OPD and about the diagnostic place. As far as accessibility is concerned, 66% of patients had good accessibility towards medicine OPD while remaining 34% had poor accessibility towards Medicine OPD.Conclusions: Maximum number of respondents had very good experience while just small number of respondents had poor experience and majority of the patients had good accessibility regarding waiting time, service process and working hours.

scholarly journals Severe impact of COVID-19 pandemic on non-COVID patient care and health delivery: An observational study from a large multispecialty hospital of India

2021 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Raju Vaishya ◽  
Anupam Sibal ◽  
P. Shiva Kumar
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Health Care Delivery ◽  
Hospital Admissions ◽  
Care Delivery ◽  
Tertiary Care ◽  
Cross Sectional ◽  
Health Delivery ◽  
National Capital ◽  
The Impact

Objectives: The COVID-19 pandemic has severely impacted health-care delivery globally, especially for non-COVID diseases. These cases received suboptimal attention and care during the pandemic. In this observational cohort study, we have studied the impact of the COVID-19 pandemic on various aspects of medical and surgical practices. Material and Methods: This observational, cross-sectional cohort study was performed on the data of a 710 bedded, multispecialty, and tertiary care corporate hospital of the national capital of India. The data of the pandemic period (April 1, 2020–March 31, 2021) were divided into three main groups and were then compared with the patient data of the preceding non-pandemic year (April 1, 2019–March 31, 2020) of more than six hundred thousand cases. Results: From the data of 677,237 cases in these 2 years, we found a significant effect of COVID-19 pandemic on most spheres of clinical practice (P < 0.05), including outpatient attendance and surgical work. The specialties providing critical and emergency care were less affected. Although the total hospital admissions reduced by 34.07%, these were not statistically significant (P = 0.506), as the number of COVID-19 admissions took place during this time and compensated for the drop. Conclusion: The COVID-19 pandemic has significantly impacted health-care delivery to non-COVID cases across all the major medical and surgical specialties. Still, major urgent surgical and interventional work for cases was undertaken with due precautions, without waiting for the ongoing pandemic to end, as the delay in their treatment could have been catastrophic.

Equity analysis of health system accessibility from perspective of people with disability

2019 ◽  
Vol 24 (4) ◽  
pp. 298-309
Author(s):  
Hussain Zandam ◽  
Muhamad Hanafiah Juni
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Delivery ◽  
Access To Health Care ◽  
Care Delivery ◽  
Physical Disabilities ◽  
People With Disabilities ◽  
Cross Sectional Survey ◽  
Content Type ◽  
Access To Health

Purpose Self-evaluated access and accessibility has been found to be associated with healthcare seeking and quality of life. Studies have shown that, however, a vast majority of individuals with disability living in poor countries have limited access to healthcare influenced by several barriers. The purpose of this paper is to compare the perception of general accessibility of health care services and its association with access barriers and other contextual factors between people with physical disabilities and counterparts without disability. Design/methodology/approach This study is a cross sectional survey involving 213 individuals with physical disabilities and 213 counterparts without disability sampled using a multi-stage method. Data were collected using a structured questionnaire with sections on socioeconomic and living conditions, education, health, employment and access to health care. Data analysis involved using χ2 for proportions and T-test and multiple regressions (stepwise) method to determine significant factors that influence perception on accessibility. Findings The study finds that people with disabilities fared worse in various socioeconomic factors such as education, employment, income and assets possession. People with disabilities also experience more dimensional barriers and reported poor health system accessibility. The difference in accessibility continued after adjusting for other variables, implying that there are more inherent factors that explain the perception of access for people with disabilities. Practical implications Governments should ensure equitable access to health care delivery for people with disabilities through equitable health policies and services that are responsive to the needs of people with disabilities and promote the creation of enabling environment to enhance participation in health care delivery. Originality/value The authors confirm that the paper has neither been submitted to peer review, nor is in the process of peer reviewing or accepted for publishing in another journal. The author(s) confirms that the research in this work is original, and that all the data given in the paper are real and authentic. If necessary, the paper can be recalled, and errors corrected. The undersigned authors transfer the copyright for this work to the International Journal of Health Governance. The authors are free of any personal or business association that could represent a conflict of interest regarding the paper submitted, and the authors have respected the research ethics principles.

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