Impact of participation on behaviour outcomes in health care service

2017 ◽  
Vol 24 (4) ◽  
pp. 1082-1098 ◽  
Author(s):  
Sabita Mahapatra

Purpose The purpose of this paper is to examine the effect of patient participation on patient satisfaction and the subsequent effect on patient behavior outcomes Design/methodology/approach The research employs self-administered survey method to test hypotheses. The convenience sampling approach is used to collected data from 410 patients in metropolitan cities of India. The data are analyzed using SmartPLS to test the proposed model. Findings The results shows patient participation is positively related to behaviour outcomes and patient confidence and satisfaction mediate the effect of patient participation on adherence. Research limitations/implications The study was limited to a small sample which may somewhat limit generalization of the findings. However, the findings, based on primary data, are insightful. Second, the current study was cross-sectional in nature, whereas a longitudinal study could had measured changes in perceptions over an extended time period. Practical implications The results provide interesting insights about the significance of patient participation in positive behavior outcome. These insights will enable health care professionals and government to formulate a suitable policy through which to encourage patient participation in health treatment regimes. Originality/value The paper demonstrates the influence of patient participation on behavior. There has been little research on this aspect in the Indian context to date, so this study offers an important guideline to the health care industry in relation to introducing customer empowerment into health care regimes.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Judith Partouche-Sebban ◽  
Saeedeh Rezaee Vessal ◽  
Fabian Bernhard

Purpose This study aims to explore the effect of value co-creation among health-care professionals and in a business-to-business (B2B) context on the involved individuals and the organization. More precisely, the effect of co-creation behaviors on the well-being of individuals, their work performance and team resilience are investigated. Design/methodology/approach A quantitative research design was adopted. The data collection was performed through a mail survey of a sample of 96 professionals at a cancer health-care institution in France in which several medical and paramedical providers work together to maximize service options. Linear regressions were conducted using SPSS to analyze the data. Findings The results highlight the positive outcomes of an active co-creation process on individual well-being, work performance and team resilience and emphasize its limits. Originality/value The originality of this study lies in studying co-creation in the context of the health-care service sector, among health-care professionals and from a B2B perspective. Adopting an inter-organizational frame, this study clarifies the positive and negative effects of co-creation from both personal and organizational aspects.


Author(s):  
Cecilia B. Bello ◽  
Omolola Irinoye ◽  
Oluwaseyi A. Akpor

Background: The family plays a central role in the provision and maintenance of health status of its members and all factors that contribute to achieving optimal health. Aim: To compare the health status of one-parent and two-parent families using the McMaster model of family functioning. Setting: Ondo State, Southwest Nigeria. Methods: A descriptive cross-sectional design, using multi-stage simple random sampling technique. Data were collected using an adopted self-administered questionnaire from 250 purposely selected families from each sample group. The data entering was analysed using Statistical Package for Social Sciences (SPSS) software version 17.0. Results: Findings showed that one-parent fathers scored higher (mean = 74.4 ± 10.30) than two-parent fathers (70.5 ± 13.05), while one-parent mothers scored higher (mean = 69.7 ± 15.10) than two-parent mothers (mean 67.7 ± 14.78). This means that one-parent fathers have a better self-reported health status than two-parent fathers, while one-parent mothers have a better self-reported health status than two-parent mothers. One-parent fathers have the best self-reported health status. No significant (p > 0.05) difference in the health status of children from both families. Conclusion: Fathers are healthier than mothers, while one-parent fathers are healthier than two-parent fathers. Comparing the two groups of families, parents from one-parent families reported better health status than parents from two-parent families, whereas within each family group, fathers reported better health status than mothers. This places responsibility on health care professionals to explore family contexts during clinic visits so as to render a more comprehensive health care service to families.


Author(s):  
Rohit Trivedi ◽  
Khyati Jagani

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.


2019 ◽  
Vol 53 (8) ◽  
pp. 1521-1545 ◽  
Author(s):  
Sidney Anderson ◽  
Steven W. Rayburn ◽  
Jeremy J. Sierra

PurposeThe purpose of this paper is to discuss how, using a futures studies perspective, marketing is uniquely positioned to address future challenges facing health-care service systems.Design/methodology/approachThe futures studies perspective involves predicting probable, preferable and possible futures. Using digital and face-to-face data collection methods, health-care professionals, academics and patients were asked about their perspectives and expectations of health care’s future. Using grounded theory, responses were analyzed to a point of thematic saturation to expose the immediate probable future and a preferred future of health care.FindingsPatients expressed a desire to participate in health-care delivery, impacting caregivers’ roles. Thus, co-creation of value in this context is contingent on the relationship among stakeholders: patients, patients’ families, caregivers and health-care organizations. Concordance, a type of value co-creation, is an effective way for physicians and patients to ameliorate health outcomes.Research limitations/implicationsAlthough a more diverse sample would be ideal, insight from health-care professionals, academics and patients across global regions was obtained.Practical implicationsTo achieve a preferred future in health care, practitioners should implement a three-pronged approach, which includes health promotion and prevention, appropriate use of technology in health care and concordance.Originality/valueUsing patients, health-care professionals and academics, this research broadens the concept of value co-creation in health care. Additionally, paths (i.e. promotion and prevention, technology use and concordance) to a preferred health-care future are uncovered.


Author(s):  
Aspasia Goula ◽  
Maria-Aggeliki Stamouli ◽  
Maria Alexandridou ◽  
Lemonia Vorreakou ◽  
Aristeidis Galanakis ◽  
...  

(1) Background: Health care service quality has been equated with preparedness to provide, accessibility, suitability, adequacy, friendliness and ongoing support and has been connected to service excellence. The main aim of this study was to investigate patients’ perceptions and expectations regarding the quality of health services. (2) Materials and Methods: A cross-sectional analysis was carried out in 5 public general hospitals and convenience sampling was used as the sampling technique. Questionnaires were distributed to inpatients and outpatients and 700 valid questionnaires were returned. The SERVQUAL questionnaire was used for data collection in this survey. (3) Results: Overall, in this study, it became apparent that patients’ expectations as regarding the quality of the provided services were not met. All of the five quality dimensions had a negative gap between patients’ expectations and perceptions. (4) Conclusions: The findings suggested that hospital managers and health care professionals should be interested about patient expectations and subsequently they should search out ways and means to meet them. Open communication with patients, individualized attention, as well as responsiveness to their requirements, polite behavior, trustful atmosphere across the hospital and better physical facilities are the key elements that determine the patient’s judgment about quality.


Author(s):  
Ramo Palalić ◽  
Veland Ramadani ◽  
Arnela Ðilović ◽  
Alina Dizdarević ◽  
Vanessa Ratten

Purpose This study aims to examine the entrepreneurial intentions of university students at the International University of Sarajevo. For this purpose, the entrepreneurial desires and entrepreneurial orientations of the students across several demographic variables were measured. These variables included prior entrepreneurial experience, student’s gender, faculty, year of study and attitude towards more courses on entrepreneurship. Nevertheless, the research also examined how business environment influences the entrepreneurial intentions of students by considering the same set of variables. Design/methodology/approach The objectives of this paper have been achieved by using a quantitative research instrument, where the cross-sectional survey method for collecting primary data is used. In total, 173 usable responses have been collected from the beginning of April to the end of May in the academic year 2015/2016. Findings The results indicate that the greater the demotivation with the current business surrounding, the smaller the entrepreneurial intentions of the students are when the prior entrepreneurial experience, gender, year of study and attitude towards more courses on entrepreneurship are considered. The study suggests that improving the overall business surrounding and entrepreneurial education might increase the entrepreneurial intentions of the students. Originality/value This is the first paper that treats entrepreneurial intentions of University students in Bosnia and Herzegovina.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Syed S.M Sadrul Huda ◽  
Afsana Akhtar ◽  
Segufta Dilshad ◽  
Syeeda Raisa Maliha

PurposeThe study aims to gain insights into the management of COVID-19 in Bangladesh to identify the factors that are relevant to managing the pandemic in a developing country.Design/methodology/approachThe study was carried out by pursuing the archival method. The information was collected from credible newspaper reports over the previous months, as well as articles published on the subject of COVID-19.FindingsThe research revealed important and relevant dimensions of the health sector in managing the COVID-19 pandemic. The major factors were doctors, nurses (health service providers), patients, (customers) and society. This is a pioneering paper, which documents the major lessons learned from the management of COVID-19 in Bangladesh concerning three stakeholders of the health-care system, i.e. providers, patients and society. This paper covers the situation regarding the ongoing pandemic from three perspectives – provider, customers and society, and thus, may help to develop future research regarding the development of health-care management models for addressing the pandemic.Research limitations/implicationsThe major limitations of this paper is its over dependence on secondary sources for collecting the information.Practical implicationsThis paper presents the learnings from the pandemic in health-care management in different categories (e.g. social, doctor/nurse, patients), which can help the managers in understanding different dimensions of the health-care sector from different perspectives. The problems as well as the learnings stated in the paper can help the policy makers implement such strategies to ensure better delivery of the medical health-care service during a pandemic.Social implicationsThis paper clearly reveals the social dimensions of the COVID-19 by assessing the social aspects of COVID-19 management. Both social stigma and support are traced out during evaluating the situation. Thus, the social forces will be able to rethink about their role in addressing the social costs of pandemic.Originality/valueThis is a commentary piece.


Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 66
Author(s):  
Susy Katikana Sebayang ◽  
Erni Astutik ◽  
Desak Made Sintha Kurnia Dewi ◽  
Ayik Mirayanti Mandagi ◽  
Septa Indra Puspikawati

Introduction:  Improving health care-seeking behavior of the coastal communities is a pathway to improve their health. This analysis aims to explore the health care-seeking behavior of the coastal communities in Banyuwangi District to recommend the room for improvement for health promotion and health service improvement for these communities. Method: Data from a cross-sectional survey of metabolic syndrome and mental health conducted in coastal communities in Banyuwangi was used for analysis.  Randomly selected participants from a list of members of Family Welfare Development Group (Pembinaan Kesejahteraan Keluarga /PKK) were asked for an interview at corresponding village office in Ketapang, Bangsring, Bulu Agung, Grajagan and Kampung Mandar village.  Distribution of health care-seeking behaviors was analyzed individually and where possible were segregated by gender and age. Results: More than half of the coastal communities in Banyuwangi District went to health care service to seek health and 7 out of 10 turned to health care service to seek health for their family members.  Women more than men turned to health care service when they or their family members fell ill.  Private doctors rather than Puskesmas were more popular.  Private midwives were the most popular service for antenatal care (ANC) and delivery.  Although there was not a clear increase in health care service utilization over time, we found that contraceptive utilization increased with time. Conclusion: The utilization of health care service in Banyuwangi needs to be more promoted especially for men’s health.  


2020 ◽  
Vol 6 (2) ◽  
pp. 708-715
Author(s):  
Mokh. Firman Ismana

Kepuasan pasien merupakan merupakan tingkat kepuasan dari persepsi pasien terhadap layanan kesehatan dan merupakan salah satu indikator kinerja. Apabila pasien menunjukan hal – hal yang bagus mengenai layanan kesehatan dan pasien mengindikasikan dengan perilaku yang positif maka akan dapat mengambil kesimpulan bahwa pasien merasa puas terhadap layanan tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara lima dimensi mutu pelayanan rawat jalan dengan kepuasan pasien di RSUD Arjawinangun Kabupaten Cirebon Tahun 2015. Jenis penelitian deskriptik analitik dengan desain Cross Sectional. Populasi dalam penelitian ini adalah jumlah seluruh pasien yang berobat ke rawat jalan RSUD Arjawinangun pada bulan Januari tahun 2015 sebanyak 9.707 pasien. Jumlah sampel sebanyak 385 pasien yang diambil secara Accidental Sampling. Data dianalisa secara statistic menggunakan uji Chi Square pada tingkat kemaknaan 5% (0,05). Variabel yang diteliti yaitu variabel dependen: kepuasan pasien, variabel independen: Bukti Fisik (Tangibles), Kehandalan (Reliability), Ketanggapan (Responsiveness), Jaminan (Assurance), Dan Empati (Empathy). Hasil penelitian ini menunjukan ada hubungan yang bermakna antara Bukti Fisik (Tangibles) dengan kepuasan pasein (p = 0,034), ada hubungan yang bermakna antara Kehandalan (Reliability) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Ketanggapan (Responsiveness) dengan kepuasan pasein ( p= 0,000), ada hubungan yang bermakna antara Jaminan (Assurance) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Empati (Empathy) dengan kepuasan pasein (p= 0,000).Kata Kunci: Kepuasan Pasien, Lima dimensi mutu ABSTRACTPatient’s satisfaction is the satisfaction level of the patient’s perception of the health services and is one of the performance indicators. If the patients shows the good things about the health care service and the patients indicated by the positive behavior will be able to infer that patients are satisfied with the health care service. This research aimed to determine the relationship between the five dimensions of quality of outpatient care with patient’s satisfaction in RSUD Arjawinangun Kabupaten Cirebon 2015. The type of this research is descriptive analytic with Cross Sectional Design. Population in this research is the total number of outpatients treated at RSUD Arjawinangun Kabupaten Cirebon through Januari 2015 as many as 9707 patients. The total sample of 385 patients were taken by accidental sampling. Data were analyzed statiscally using Chi-squared test at 5% (0.05) significance level. The dependent variable analyzed in this research is patient’s satisfaction and the Independent variable in this research are Tangibles, Realiability, Responsiveness, Assurance, and Empathy. Judge from the analysis above, we conclude that the result of this research showed the relationship between Tangibles with patient’s satisfaction (p = 0.034). There is relationship between Reliability with patient’s satisfaction (p = 0.00). There is relationship between Responsiveness with patient’s satisfaction (p = 0.00). The relationship between Assurance with patient’s satisfaction is also influence with p = 0.00, and the last of variable, there is relationship between empathy with patient’s satisfaction (p=0.00). The result of this research can be followed up by efforts to improve the Tangibles, Reliability, Responsiveness, Assurance, and Empathy by providing technical training to every officer to increase the ability to carry out the services.Key Word : Patient’s Satisfaction, Five dimensions of  quality


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