scholarly journals An Artifact for Evaluating the Quality of Health Service Providers: Evidence From Brazil

2018 ◽  
Vol 55 ◽  
pp. 004695801879016
Author(s):  
Lúcia Helena da Silva Mendes ◽  
Luiz Cláudio Sampaio Mendes ◽  
Lilian Lucy dos Santos ◽  
Carlos Otávio Senff ◽  
Claudimar Pereira da Veiga ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Providers ◽  
Design Science ◽  
Care Service ◽  
Health Care Service ◽  
Research Field ◽  
Health Service Providers ◽  
And Performance

The aim of this article is to present an artifact for evaluating the quality and performance of service providers in the field of health care: the UNIPLUS Program. To verify the scientific nature of the artifact and ensure that it meets the criteria set by the community and the environment, the premises of Design Science Research (DSR) were used. As this research field lacks empirical evidence, the artifact was tested from 2013 to 2015 with 25 health care service providers from different categories, with an emphasis on hospitals and clinics located in 7 cities in the south of Brazil. This article makes 3 main contributions to the field: (1) the artifact can be applied to any health insurance operator in Brazil and other countries, as it meets the legal norms and requirements established by current legislation; (2) it helps health service providers by generating information that identifies shortfalls and possibilities for improvement for every aspect analyzed in the evaluation process; and (3) it uses the DSR methodology in an evaluation artifact that evaluates the quality and performance of services in the field of health care. The artifact proved to be adequate for the purpose in question, helping to improve the quality of care and institutional performance.

scholarly journals Psychological distress among health service providers during COVID-19 pandemic in Nepal

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246784
Author(s):  
Khagendra Kafle ◽  
Dhan Bahadur Shrestha ◽  
Abinash Baniya ◽  
Sandesh Lamichhane ◽  
Manoj Shahi ◽  
...  
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Health Service ◽  
Online Survey ◽  
Service Providers ◽  
Mental Health Center ◽  
Care Service ◽  
Health Care Service ◽  
Working Hours ◽  
Health Service Providers

Background COVID-19 pandemic has provoked a wide variety of psychological problems such as anxiety, depression, and panic disorders, especially among health service providers. Due to a greater risk of exposure to the virus, increased working hours, and fear of infecting their families, health service providers are more vulnerable to emotional distress than the general population during this pandemic. This online survey attempts to assess the psychological impact of COVID-19 and its associated variables among healthcare workers in Nepal. Materials and methods For data collection purposes, Covid-19 Peritraumatic Distress Index (CPDI) Questionnaire, was used whose content validity was verified by Shanghai mental health center. Data for the survey were collected from 11 to 24 October 2020 which was extracted to Microsoft Excel-13 and analyzed. Results A total of 254 health care workers from different provinces of the country participated in this study with a mean age of 26.01(± 4.46) years. A majority 46.9% (n = 119) of the participants were not distressed (score ≤28) while 46.5% (n = 118) were mild to moderately distressed (score >28 to ≤51) and 6.7% (n = 17) were severely distressed (score ≥52) due to the current COVID-19 pandemic. Female participants (p = 0.004) and participants who were doctors by profession (p = 0.001) experienced significantly more distress. Conclusions COVID-19 pandemic has heightened the psychological distress amongst health care service providers. The findings from the present study may highlight the need for constructing and implementing appropriate plans and policies by relevant stakeholders that will help to mitigate the distress among health service providers in the current pandemic so that we can have an efficient frontline health workforce to tackle this worse situation.

Perception of Mobile Technology Provision in Health Service

2009 ◽  
pp. 1408-1428
Author(s):  
Astrid M. Oddershede ◽  
Rolando A. Carrasco
Keyword(s):  
Health Care ◽  
Health Service ◽  
Mobile Technology ◽  
Care Service ◽  
Health Care Service ◽  
Health Sector ◽  
Analytic Hierarchy ◽  
Health Related ◽  
Research Decision

In this chapter the user interface perception and resources for mobile technology (MT) support in health care service activities is investigated. Most procedures oriented to provide better operation and quality of health service depend on the existing information and communication technology (ICT) system. However, the implementation of new technology competes with funding available for health institutions resources, hence introducing them is complex. The technical difficulties encountered in using ICT are: an inadequate physical infrastructure, quality of service (QoS) issues, and insufficient access by the user to the hardware/software communication infrastructure. A case study by multi-criteria approach was investigated involving three categories of hospitals in Chile and empirical data was collected comprising diverse health sector representatives. The main contribution is the proposed research decision-making model using the analytic hierarchy process (AHP) to evaluate and compare information and communications systems as fixed, wireless, or computer-assisted provisions for health-related activities and to identify the high priority dimensions in a health care service.

An extensive review of patient health-care service satisfaction in Bangladesh

2020 ◽  
Vol 2 ◽  
pp. 5-16
Author(s):  
Abdul Kader Mohiuddin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Service Providers ◽  
Care Service ◽  
Waiting Times ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

Patient satisfaction is a useful measure for providing quality indicators in health-care services. Concern over the quality of health-care services in Bangladesh has resulted in a loss of faith in health-care providers, low use of public health facilities, and increased outflows of patients from Bangladesh to hospitals abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and occasionally, disregard for the suffering that patients endure without being able to voice their concerns. All of these service failures are frequently reported in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with health-care service providers and health-care itself.

scholarly journals Telemedicine Practice Guidelines and Telepsychiatry Operational Guidelines, India—A Commentary

2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 1S-3S
Author(s):  
Damodharan Dinakaran ◽  
Chethan Basavarajappa ◽  
Narayana Manjunatha ◽  
Channaveerachari Naveen Kumar ◽  
Suresh Bada Math
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Practice Guidelines ◽  
Access To Health Care ◽  
Data Transfer ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Digital Platforms ◽  
Health Service Providers

Recent advancements in technology, access to smartphone, and gains achieved in increased internet speed and data transfer have expanded the scope of health care service delivery through the digital platforms. In India, telemedicine services remain poorly adopted and integrated due to various barriers. The important reasons are lack of legal and administrative clarity in using technology for service delivery and inertia from health service providers to adopt newer developments. However, during coronavirus disease (COVID-19) pandemic, these equations are changing. The Telemedicine practice guidelines released in March, 2020, and Telepsychiatry operational guidelines released in May, 2020, appear to remove these barriers and promote equitable access to health care. In this article, the authors discuss the scope of these guidelines.

Women’s Health in Queensland Prisons

2016 ◽  
Vol 61 (5) ◽  
pp. 582-603
Author(s):  
Belinda Crissman ◽  
Catrin Smith ◽  
Janet Ransley ◽  
Troy Allard
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Provision ◽  
Best Practice ◽  
Structural Changes ◽  
Service Providers ◽  
Care Service ◽  
Qualitative Interviews ◽  
Health Care Service ◽  
Health Service Provision

Internationally, best practice for prison health care recommends transferring health service provision from corrections to health authorities. Although it is expected that this change will result in improved health care, there is little evidence of evaluation. This article used qualitative interviews with health service providers to gain insight into the health needs of women’s prisons in Queensland, Australia, both prior to and after the transition in health care service provision. We found that service providers identified that problems persisted regardless of service provider and that improvement required increased resources and more fundamental structural changes within prison environments.

scholarly journals Health service literacy: complementary actor roles for transformative value co-creation

2019 ◽  
Vol 33 (6) ◽  
pp. 687-701 ◽  
Author(s):  
Janet Davey ◽  
Christian Grönroos
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Patient Empowerment ◽  
Well Being ◽  
Service Research ◽  
Resource Integration ◽  
Content Type

Purpose Although health-care features prominently in transformative service research, there is little to guide service providers on how to improve well-being and social change transformations. This paper aims to explore actor-level interactions in transformative services, proposing that actors’ complementary health service literacy roles are fundamental to resource integration and joint value creation. Design/methodology/approach In-depth interviews with 46 primary health-care patients and 11 health-care service providers (HSPs) were conducted focusing on their subjective experiences of health literacy. An iterative hermeneutic approach was used to analyse the textual data linking it with existing theory. Findings Data analysis identified patients’ and HSPs’ health service literacy roles and corresponding role readiness dimensions. Four propositions are developed describing how these roles influence resource integration processes. Complementary service literacy roles enhance resource integration with outcomes of respect, trust, empowerment and loyalty. Competing service literacy roles lead to outcomes of discredit, frustration, resistance and exit through unsuccessful resource integration. Originality/value Health service literacy roles – linked to actor agency, institutional norms and service processes – provide a nuanced approach to understanding the tensions between patient empowerment trends and service professionals’ desire for recognition of their expertise over patient care. Specifically, the authors extend Frow et al.’s (2016) list of co-creation practices with practices that complement actors’ service literacy and role readiness. Based on a service perspective, the authors encourage transformative service researchers, service professionals and health service system designers, to recognize complementary health service literacy roles as an opportunity to support patients’ resources and facilitate value co-creation.

An empirical investigation to determine patient satisfaction factors at tertiary care hospitals in India

2015 ◽  
Vol 7 (1) ◽  
pp. 2-16 ◽  
Author(s):  
J Rama Krishna Naik ◽  
Byram Anand ◽  
Irfan Bashir
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Tertiary Care ◽  
Content Type ◽  
Patient’S Satisfaction ◽  
Tertiary Care Hospitals

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.

scholarly journals Patient’s Utility for Various Attributes of Diabetes Care Services

2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Diabetes Care ◽  
Care Service ◽  
Group Discussion ◽  
Health Care Service ◽  
Diabetic Patients ◽  
Relative Importance ◽  
Care Services

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.

Adapting services to the needs of children and families with complex migration experiences: The Toulouse University Hospital’s intercultural consultation

2017 ◽  
Vol 54 (4) ◽  
pp. 445-465 ◽  
Author(s):  
Gesine Sturm ◽  
Zohra Guerraoui ◽  
Sylvie Bonnet ◽  
Françoise Gouzvinski ◽  
Jean-Philippe Raynaud
Keyword(s):  
Health Care ◽  
Psychological Health ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
University Hospital ◽  
Local Context ◽  
Children And Families ◽  
The University ◽  
Migration Experiences

This article presents the recently created intercultural consultation at the Medical and Psychological Health Care Service (CMP) of the University Hospital la Grave at Toulouse. The approach of the intercultural consultation was elaborated in response to the increasing diversity of children and families using the service in Toulouse. It is also based on local research that indicates the difficulties service providers encounter when trying to establish a solid therapeutic alliance with families with complex migration backgrounds who accumulate different disadvantaging factors. The intercultural consultation adapts existing models of culture-sensitive consultations in child mental health care in France and Canada to the local context in Toulouse. We describe the underlying principles of the intercultural consultation work, the therapeutic and mediation techniques used, and the way the work is integrated into the global service provision of the CMP. The process is illustrated with a case study followed by a discussion of the innovations.

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