scholarly journals Patient Satisfaction Ratings of Male and Female Residents Across Subspecialties

Neurosurgery ◽  
2019 ◽  
Vol 86 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Methma Udawatta ◽  
Yasmine Alkhalid ◽  
Thien Nguyen ◽  
Vera Ong ◽  
Jos’lyn Woodard ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Medical Care ◽  
Communication Skills ◽  
Gender Inequalities ◽  
Male And Female ◽  
Medical Expertise ◽  
Significant Difference ◽  
Quality Of Medical Care

Abstract BACKGROUND Females currently comprise approximately 50% of incoming medical students yet continue to be underrepresented in certain medical subspecialties. OBJECTIVE To assess whether gender plays a role in patients’ perception of physician competency among different specialties. METHODS We administered surveys at 2 academic medical centers to patients who were stable, cognitively aware, and indicated English as their primary language. Survey questions evaluated communication, medical expertise, and quality of care. RESULTS A total of 4222 surveys were collected. Females comprised around half (n = 2133, 50.7%) of evaluated residents. First-year (n = 1647, 39%) and second-year (n = 1416, 33.5%) residents were assessed most frequently. Internal medicine conducted the most surveys (n = 1111, 23.6%), whereas head and neck surgery conducted the least (n = 137, 3.24%). There was no statistically significant difference between patients’ perception of male and female residents of the same year in overall communication skills, medical expertise, and quality of medical care. Female residents outperformed their male counterparts on specific questions evaluating the communication of treatment plans, patient education, and patient satisfaction (P < .001, P = .03, P = .04, respectively). Unsurprisingly, patients’ perceptions of residents’ overall communication skills, medical expertise, and quality of medical care significantly improved when comparing more experienced residents to newer residents. CONCLUSION There is no difference between overall communication, medical expertise, and quality of care between sexes, and across subspecialties. Though gender inequalities currently exist most starkly in practitioners in surgical subspecialties, women in surgical residencies were much better communicators than their male counterparts, but still perceived to have similar levels of medical expertise and quality of care.

scholarly journals The analysis of complaints of patients obstetric institutions on issues of quality of care

2017 ◽  
Vol 66 (6) ◽  
pp. 101-107
Author(s):  
Natalia G. Petrova ◽  
Vyacheslav M. Bolotskykh ◽  
Konstantin V. Yaroslavskiy
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Quality Of Medical Care ◽  
Sanitary Conditions

The article presents the analysis of complaints in 75 patients obstetric hospital. It is established that in the structure of reduced complaints proportion of complaints about the organization of medical care and sanitary conditions and increased the quality of medical care. Of the total number of complaints 30.7% of substantiated. The highest percentage of complaints is necessary to work the receiving Department (33,3% of the total complaints) and women’s consultations (25.4%).

P.S.R.O., Quality of Care, and Research

1980 ◽  
Vol 3 (4) ◽  
pp. 461-472
Author(s):  
Richard Goldstein
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Peer Review ◽  
Evaluation System ◽  
Public Law ◽  
Professional Standards ◽  
Necessary Condition ◽  
Quality Of Medical Care

A necessary condition for achieving the legislative goals of Public Law 92-603, which created the Professional Standards Review Organizations, is the proper evaluation of the system of providing medical care. Peer review as currently constituted does not provide a proper evaluation. This article shows why present practices are not satisfactory, presents an outline of a minimally satisfactory evaluation system, and concludes by showing that many of the criticisms made of P.S.R.O.s are deficient, and that peer review has the potential for resulting in some improvement in the quality of medical care.

Patient Accountability and Quality of Care: Lessons From Medical Consumerism and the Patients’ Rights, Women’s Health and Disability Rights Movements

1994 ◽  
Vol 20 (1-2) ◽  
pp. 147-167
Author(s):  
Marc A. Rodwin
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Women’S Health ◽  
Women's Health ◽  
Disability Rights ◽  
Medical Care System ◽  
Patients Rights ◽  
Alternative Approach ◽  
Quality Of Medical Care

This article contrasts the prevailing model for assessing and improving medical care—the quality of care paradigm—with an alternative approach—the patient accountability paradigm. The first approach is technocratic: it measures and promotes the quality of medical care through technical and objective means. It relies on outside experts, analysis of data and protocols, and impersonal judgements of professionals to guide decisions. The second approach guides physicians and providers and subjects them to patient control. It enlists the participation of patients and consumers to evaluate and change the medical care system and to promote the rights and choices of patients and consumers. The strengths and limitations of the patient accountability approach are illustrated by four movements: 1) the patients’ rights movement; 2) medical consumerism; 3) the women’s health movement; and 4) the disability rights movement.

scholarly journals ASSESSMENT OF THE QUALITY OF CARE FOR PATIENTS WITH MYOCARDIAL INFARCTION

2020 ◽  
Vol 73 (6) ◽  
pp. 1234-1236
Author(s):  
Viktor A. Ohniev ◽  
Anna A. Podpriadova ◽  
Kateryna H. Pomohaibo
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Quality Of Care ◽  
Health Status ◽  
Medical Care ◽  
Self Monitoring ◽  
Quality Of Medical Care

The aim of the work was to study and evaluate the quality of medical care provided to patients with myocardial infarction. Materials and methods: A sociological survey was conducted in 310 people with myocardial infarction and the copying of data from 318 statistical maps of patients who left the hospital. Results: It was defined that the majority of patients, 57.7 ± 2.8%, were not offered psychological rehabilitation, only 42.3 ± 2.8% were recommended the consultation of a psychologist; most of patients, 89.3±1.78%, were unaware of the possibility of self-monitoring of their health status after myocardial infarction and 10.7 ± 1.8% kept selfcontrol diaries; 88.4±1.9% of patients were under monitoring supervision, while 11.6 ± 1.9% were not under it. Conclusions: Identification of the quality of care makes it possible to optimize the system of providing health care for patients with myocardial infarction.

Enhancing quality of medical care in low income and middle income countries through simulation-based initiatives: recommendations of the Simnovate Global Health Domain Group

2017 ◽  
Vol 3 (Suppl 1) ◽  
pp. S15-S22 ◽  
Author(s):  
Lekha Puri ◽  
Jishnu Das ◽  
Madhukar Pai ◽  
Priya Agrawal ◽  
J Edward Fitzgerald ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Global Health ◽  
Medical Care ◽  
Low Income ◽  
Middle Income ◽  
Health Domain ◽  
Middle Income Countries ◽  
Simulation Based ◽  
Quality Of Medical Care

BackgroundQuality of medical care in low income and middle income countries (LMICs) is variable, resulting in significant medical errors and adverse patient outcomes. Integration of simulation-based training and assessment may be considered to enhance quality of patient care in LMICs. The aim of this study was to consider the role of simulation in LMICs, to directly impact health professions education, measurement and assessment.MethodsThe Simnovate Global Health Domain Group undertook three teleconferences and a direct face-to-face meeting. A scoping review of published studies using simulation in LMICs was performed and, in addition, a detailed survey was sent to the World Directory of Medical Schools and selected known simulation centres in LMICs.ResultsStudies in LMICs employed low-tech manikins, standardised patients and procedural simulation methods. Low-technology manikins were the majority simulation method used in medical education (42%), and focused on knowledge and skills outcomes. Compared to HICs, the majority of studies evaluated baseline adherence to guidelines rather than focusing on improving medical knowledge through educational intervention. There were 46 respondents from the survey, representing 21 countries and 28 simulation centres. Within the 28 simulation centres, teachers and trainees were from across all healthcare professions.DiscussionBroad use of simulation is low in LMICs, and the full potential of simulation-based interventions for improved quality of care has yet to be realised. The use of simulation in LMICs could be a potentially untapped area that, if increased and/or improved, could positively impact patient safety and the quality of care.

scholarly journals Measuring patient satisfaction in children

1993 ◽  
Vol 17 (11) ◽  
pp. 661-662
Author(s):  
Elizabeth Walters
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Medical Care ◽  
Child Mental Health ◽  
Early Stage ◽  
Child Mental Health Services ◽  
Department Of Health ◽  
Medical Advisory Committee ◽  
Quality Of Medical Care

The report of the Standing Medical Advisory Committee to the Department of Health, The Quality of Medical Care (1990), states that outcome is the most relevant indicator of quality of medical care. In addition to providing information about the appropriateness of treatments, there are important ethical and resource implications if activities are found to be unjustified. However, measuring outcome is difficult if there is no quantifiable change in symptoms or function following treatment. In child psychiatry this is a relatively common dilemma and outcome studies, while agreed to be essential, are frequently abandoned at an early stage or fail to get off the ground because of the complexity of the problems they generate. In a review of the ways in which child mental health services attempt to measure outcome (Pound & Cottrell, 1989) the authors acknowledge these difficulties and conclude that a start should be made by “Asking the customer's opinion” about the treatment they have received. In other words, “Are they satisfied?”.

scholarly journals How Perceived Quality of Care Affects Outpatient Satisfaction in China: A Cross-Sectional Study of 136 Tertiary Hospitals

2019 ◽  
Vol 56 ◽  
pp. 004695801989539 ◽  
Author(s):  
Linlin Hu ◽  
Hui Ding ◽  
Guangyu Hu ◽  
Zijuan Wang ◽  
Shiyang Liu ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Medical Care ◽  
Waiting Times ◽  
Perceived Quality ◽  
Perceived Quality Of Care ◽  
Tertiary Hospitals

Public hospitals are integral components of China’s health care system, and improving quality of care and patient satisfaction has become of greater concern for these hospitals. The aim of this study was to assess outpatient satisfaction with tertiary hospitals and to explore the roles played by patient perceptions of specific aspects of care in overall satisfaction. We designed a questionnaire to assess patient satisfaction and perceived quality of care using a 5-point Likert scale. The survey was conducted in 136 hospitals across 31 provinces of China, and a total of 28 822 patients were interviewed. For statistical analysis, we conducted descriptive analysis, nonparameter tests, Spearman’s rank correlation, and multivariate logistic regression. Stepwise logistic regression identified 12 variables of patient perception associated with overall satisfaction. Patients’ perception of physicians’ technical skills had the strongest association with satisfaction, followed by inquiries into medical history/current situation and availability of elevators. Other determinants included a feeling of respect, timely guidance when needed, and explanation of treatments and medications. Waiting times and hospital environment factors, such as cleanliness of bathrooms and drinking water supply, were also associated with patient satisfaction in a slightly less powerful way. This study revealed that Chinese outpatient satisfaction with tertiary hospitals was relatively high. As determinants of satisfaction, patients valued professional medical care and respect from the medical staff more than nonmedical aspects of care. This implied that Chinese hospitals should ensure quality of medical care and sufficient communication with patients, as well as pay more attention to humanism in health care. In the meantime, improvements should be made to nonmedical aspects of care, especially waiting times and physical environment. These findings are also useful for the rest of the low- and middle-income world in improving patient satisfaction.

scholarly journals Expertise of quality of medical care in general practice

2017 ◽  
Vol 21 (3) ◽  
pp. 16-22
Author(s):  
Irina E Moiseeva
Keyword(s):  
General Practice ◽  
Quality Of Care ◽  
Medical Care ◽  
General Practitioners ◽  
Medical Records ◽  
Medical Insurance ◽  
Family Doctors ◽  
Quality Of Medical Care

The article presents some results of the expertise of the quality of medical care by general practitioners (family doctors) in outpatient medical organizations working in the system of obligatory medical insurance. The most common errors in the collection of information, the diagnosis and the treatment, identified during the expertise of the quality of care by the assessment of patient medical records, as well as comments on the often-occurring defects in the preparation of medical records are listed.

Medical and Sociological Characteristics of City Multi-Profile Hospital

10.12737/9089 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 106-111
Author(s):  
Орлов ◽  
A. Orlov
Keyword(s):  
Quality Of Care ◽  
Staff Development ◽  
Medical Care ◽  
Health Workers ◽  
Hospital Staff ◽  
Sociological Research ◽  
Ongoing Work ◽  
Medical Person ◽  
Quality Of Medical Care

The article describes medical and sociological large multidisciplinary inpatient hospital care in Samara city according to study of the opinions of patients and health workers. 357 respondents from among the patients of the hospital and 295 respondents from a number of doctors and paramedical staff of this medical prophylactic institution took part in the survey. The study was conducted on the basis of specially designed questionnaires. Sociological research method was used.The majority of patients were satisfied with both the terms of stay relation in the hospital, and the quality of diagnostic and therapeutic issues incorporated, the organization of medical care. Medical person-nel actively engaged in self-education on the assessment, monitoring and ensuring the quality of care. It was established a high proportion of respondents who consider themselves knowledgeable in matters of quality of care and well-assess the quality of care at the hospital. They believe that the ongoing work to ensure the quality of medical care is in the hospital. It is necessary to continue work in a multidisciplinary hospital staff development in the area of quality of care, as many of the questions, respondents of the number of health workers failed to give a complete and correct answer (in terms of the componentsof the ILC, controls carried out by health insurance organizations, controls).

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