Heuristic evaluation of online satisfaction survey system for public healthcare service: Applying analytical hierarchical process

Author(s):  
Suweena Yusoh ◽  
Sureena Matayong
2010 ◽  
pp. 1913-1929 ◽  
Author(s):  
Vincenzo Gulla

The present chapter focuses on some aspects of the state of the art of telemedicine systems and their use over broadband. It starts with a brief summary of the most popular telecommunication technologies to give the reader an overview of today’s broadband technology and methods. Some important deployment data are included showing the global growth and use in many countries. Results of very significant pilot projects using videocommunication implemented in Italy and in Europe are taken into consideration, demonstrating the benefits of the patient’s psychological status in conjunction with health care assistance. The chapter proposition is to show a business model, based on an Italian reality exploiting the Marche region population development and healthcare statistics. The simulation example is the adaptation of telemedicine solution for early hospital discharge applied to a public healthcare structure, typically a hospital. The model takes into account the possible adaptation of an “early discharge solution” implemented with portable telemonitoring light videocommunication terminals, which, thanks to broadband availability, may be installed at the patient’s home for a predefined period (typically 7 to 10 days). The simulation aims to highlight and dimension cost reduction or, in a more appropriate view, give the percentage of resource that can be relocated to provide a better service and how a national healthcare service may take advantage of these scenarios.


2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.


2016 ◽  
Vol 74 (11) ◽  
pp. 887-894 ◽  
Author(s):  
Willey Gonçalves Zanovello ◽  
Suzana M. F. Malheiros ◽  
João Norberto Stavale ◽  
Orestes P. Lanzoni ◽  
Miguel M. Canteras ◽  
...  

ABSTRACT Objective To analyze cases of recurrent glioblastoma subjected to reoperation at a Brazilian public healthcare service. Methods A total of 39 patients subjected to reoperation for recurrent glioblastoma at the Department of Neurosurgery, São Paulo Hospital, Federal University of São Paulo, from January 2000 to December 2013 were retrospectively analyzed. Results The median overall survival was 20 months (95% confidence interval – CI = 14.9–25.2), and the median survival after reoperation was 9.1 months (95%CI: 2.8–15.4). The performance of adjuvant treatment after the first operation was the single factor associated with overall survival on multivariate analysis (relative risk – RR = 0.3; 95%CI = 0.2–0.7); p = 0.005). Conclusion The length of survival of patients subjected to reoperation for glioblastoma at a Brazilian public healthcare service was similar to the length reported in the literature. Reoperation should be considered as a therapeutic option for selected patients.


2004 ◽  
Vol 8 (2) ◽  
pp. 49-64 ◽  
Author(s):  
Berit Johannessen

This article discusses professional identity among Norwegian nurses who choose to work with alternative/complementary medicine. Ethnographic fieldwork among nurses who worked with alternative/complementary medicine showed that the nurses still called themselves nurses. They felt that they were “more nurses” as alternative therapists than they were as registered nurses employed in the Norwegian public healthcare service. They argued that increasingly it was possible to meet patients holistically and that they could focus on patients more as persons than medical diagnoses. They emphasized the importance of focusing the patients’ self-healing abilities as stressed by Florence Nightingale. Nurses who work with alternative/complementary medicine have a strong identity as nurses. Some of them felt they had come home to the heart of nursing.


2020 ◽  
pp. 026666692090177 ◽  
Author(s):  
Ngoako Marutha

Preservation of medical histories records is very crucial to patients’ healthcare quality since when preservation is not being discharged properly; medical histories records are either inaccessible or difficult to access, which has a detrimental effect on the healthcare services provided to patients. The purpose of the study was to investigate strategies for the preservation of medical records and to recommend a framework that healthcare institutions may use to ensure that they have their patients’ medical records/histories at their fingertips (readily available). Stratified random sampling was used in the study to collect questionnaire data from records management officials and heads of clinical, nursing and records management units at 40 state hospitals in the province of Limpopo in South Africa. The data was augmented with observation, system analysis and document analysis. The study revealed that the preservation of medical records in public healthcare institutions in Limpopo was very chaotic, to the extent that access to patients’ medical histories was not always a possibility. Healthcare institutions need a framework for medical records preservation throughout the process of healthcare service delivery, to avoid chaotic healthcare service that eventually hamper health of the patients. The study provided a generic framework that may be localised as a centre of benchmark for healthcare institutions to suit their own environmental needs.


2011 ◽  
pp. 153-162
Author(s):  
Antti Syväjärvi

Public healthcare is facing huge future challenges in order to deal with rising costs, growing demands of customers, information flow, demographic changes, and aging population. The healthcare service sector can be seen as an information intensive area during an era of innovation and information technology (cf. Bellamy & Taylor, 1998). According to McLaughlin, Rosen, Skinner, and Webster (1999), it is common to assume that technological interventions are almost inevitable and it is humans’ duty, at least to some extent, to follow the suggested development. In the organizational level of public healthcare, high expectations about the technology and its new possibilities are introduced. Additionally, the customers can seek support and advice for their healthcare needs from thousands online connections at any time of a day (e.g., Silber, 2003). The European Commission (2004) states how “eHealth offers European citizens important opportunities for improved access to better health systems” (p. 22). This trend has implications to human beings and governments.


Author(s):  
Vincenzo Gulla

The present chapter focuses on some aspects of the state of the art of telemedicine systems and their use over broadband. It starts with a brief summary of the most popular telecommunication technologies to give the reader an overview of today’s broadband technology and methods. Some important deployment data are included showing the global growth and use in many countries. Results of very significant pilot projects using videocommunication implemented in Italy and in Europe are taken into consideration, demonstrating the benefits of the patient’s psychological status in conjunction with health care assistance. The chapter proposition is to show a business model, based on an Italian reality exploiting the Marche region population development and healthcare statistics. The simulation example is the adaptation of telemedicine solution for early hospital discharge applied to a public healthcare structure, typically a hospital. The model takes into account the possible adaptation of an “early discharge solution” implemented with portable telemonitoring light videocommunication terminals, which, thanks to broadband availability, may be installed at the patient’s home for a predefined period (typically 7 to 10 days). The simulation aims to highlight and dimension cost reduction or, in a more appropriate view, give the percentage of resource that can be relocated to provide a better service and how a national healthcare service may take advantage of these scenarios.


Author(s):  
Louise Dalingwater

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.


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