Surrogates’ Perceptions of Service Quality While Making Decisions for ICU Patients

2018 ◽  
Vol 41 (10) ◽  
pp. 1370-1384 ◽  
Author(s):  
Senay Gul ◽  
Yasemin E. Turkman ◽  
Marie A. Bakitas ◽  
J. Nicholas Dionne-Odom
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Service Quality ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Secondary Analysis ◽  
Care Quality ◽  
Surrogate Decision

A qualitative secondary analysis was undertaken to identify aspects of health care service quality in an intensive care unit from the perspective of surrogate decision makers ( N = 19) who were making decisions for relatives at end of life. Directed content analysis was guided by the Donabedian model of health care quality. Nineteen participants averaged 59 years old and were over half female (53%) and patients’ spouses (53%) and adult children (32%). Salient aspects of quality service included surrogate perceptions that clinicians conveyed honesty about the patient’s condition and in an easily understandable way; staff were sensitive and responsive to emotions and practical needs; clinicians demonstrated a clear, confident understanding of the patient’s condition; and support by clinicians was given for surrogates’ choices. Surrogates also commented on the hospital and intensive care unit environment, including cleanliness, comfort, privacy, and noise level. Further research is needed to explore how decision-support strategies might include service quality concepts.

Development and validation of a generic patient experience instrument for measuring specialist outpatient service in Hong Kong

2019 ◽  
Vol 31 (10) ◽  
pp. G158-G164
Author(s):  
Eliza Lai-Yi Wong ◽  
Annie Wai-Ling Cheung ◽  
Richard Huan Xu ◽  
Carrie Ho-Kwan Yam ◽  
Sui-Fai Lui ◽  
...  
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Patient Experience ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Outpatient Service ◽  
Care Quality ◽  
Outpatient Clinics ◽  
Patients Experience

Abstract Objective The measurement of patients’ experience is an important performance indicator of health care service quality. A reliable and validated instrument to elicit patients’ experience is an important step. This study aimed to develop a generic instrument to elicit patients’ experience in specialist outpatient clinic provision with a rigorous and systematic methodology. Design The instrument framework was developed according to findings of a literature review, patient focus group discussions, individual patient in-depth interviews and expert discussion. The framework was tested for psychometric performance with a cross-sectional telephone survey in terms of practicality, validity, reliability and responsiveness. Setting 26 Public specialist outpatient clinics in Hong Kong were selected. Participants Cantonese speaking patients aged 18 or above. Intervention(s): None. Main outcome measure(s): A validated generic patient experience questionnaire measuring Specialist Outpatient Service (SOPEQ). Results A proportional sample total of 513 patients from 26 specialist outpatient clinics were recruited, response rate of 56%. The findings indicated that the instrument is practicable and concise. A structure of nine dimensions with 47 items structure was confirmed based on exploratory factor analysis and content validity. These items showed satisfactory internal reliability consistency (α = 0.793) and test–retest reliability ranged from 0.618 to 0.829. Conclusions The SOPEQ was established with satisfactory psychometric properties. A valid and reliable measure to evaluate patients’ experience is an important step in providing valuable input from patients’ perspective for policy makers to improve patient-centred services. It also serves as a platform to engage patients and thereby, in improving health care quality and enhancing health outcomes.

Quality Assurance and Evaluation of Healthcare Reform Initiatives

2011 ◽  
Vol 3 (3) ◽  
pp. 42-53 ◽  
Author(s):  
Anna Beata Rosiek ◽  
Krzysztof Leksowski
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Care Quality ◽  
High Quality ◽  
Care Services

This article describes a model of health-care services that ensure the high quality of health-care service and effective brand creation for a hospital. The problems described here that are connected to improving the quality of health care in Poland indicates that high quality of health care builds a positive and strong image of a health-care unit on the medical market. The contents of this article involve basic definitions of quality in health care and also the way the quality is understood and perceived from patient’s and hospital’s point of view. The article also describes a health care quality model, to which health care units should aspire in order to create a positive picture of said units, simultaneously improving and maintaining high quality of health care services. The article investigates the quality factors of health care services, which influence the healthcare units’ brand, its functioning on the market and patient-perceived quality of services. The described management model, which ensures efficient brand-building of healthcare units through services’ quality, takes into account changes in healthcare system and does so in order to ensure the improvement in healthcare units’ functioning.

scholarly journals Supply Chain Management and Its Effect on Health Care Service Quality: Quantitative Evidence from Jordanian Private Hospitals

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Raeeda Jamal Al-Saa'da ◽  
Yara Khalid Abu Taleb ◽  
Mais Elian Al Abdallat ◽  
Rasmi Abd Alraheem Al-Mahasneh ◽  
Nabil Awni Nimer ◽  
...  
Keyword(s):  
Health Care ◽  
Supply Chain ◽  
Supply Chain Management ◽  
Service Quality ◽  
Care Service ◽  
Health Care Service ◽  
Private Hospitals ◽  
Chain Management ◽  
Quantitative Evidence
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