scholarly journals Hospital Services for Ill Patients in the Middle-Belt Geopolitical Zone, Nigeria: Patient’s Waiting Time and Level of Satisfaction

2017 ◽  
Vol 28 (1) ◽  
pp. 18-37 ◽  
Author(s):  
Ahmed Abdulsalam ◽  
Hafiz T. A. Khan
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Health Care Services ◽  
Group Discussion ◽  
Mixed Method Research ◽  
Quality Health Care ◽  
Level Of Satisfaction ◽  
Quality Health ◽  
Patient Waiting Time

An important parameter in the assessment of quality health care lies on patient satisfaction. Despite concerted efforts to improve health-care services, patient satisfaction coupled with the quality of hospital care at disposal remain a significant challenge in Nigeria. The purpose of the study was to determine the perception on factors associated with prolonged waiting time and patient satisfaction at the outpatient department of Ibrahim Badamasi Babangida Specialist Hospital in Nigeria. A mixed-method research was utilized. Questionnaire was administered on 95 outpatients, and a focus group discussion (FGD) was held with eight participants. Statistical analysis was utilized to determine the association between dependent and independent variables. Data from FGD were analyzed with NVivo 10. The overall hospital satisfaction was found to be 75.8% among the study population. There was a significant inverse relationship between the level of satisfaction with the doctor and employment status and educational level and a significant direct relationship between the level of satisfaction with the doctor and appointment status and type of visits. The results of FGD show that patients were satisfied with the neatness of the hospital, doctor’s professionalism, and patient–doctor relationship. Dissatisfaction was with extended patient waiting time and the small size infrastructure of the hospital, inefficient handling of patient files by nurse aids, and thoroughness of the physicians. The results showed that majority of the patients were dissatisfied with the waiting time for consultation in the hospital. In other words, consultation time positively correlated with the level of patient satisfaction. To improve the overall patient satisfaction, the waiting time for consultation should be reduced significantly.

scholarly journals Quality health care in Indian setup: an ear, nose, throat outpatient department-based approach for quality health care indicators

2020 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Himanshu Joshi ◽  
Satyanjaya Sahoo ◽  
Vikas Kumar
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Care ◽  
Outpatient Department ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Hard Times ◽  
Quality Health ◽  
Health Care Indicators

<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>

scholarly journals Effective Team Working in Health Care

2016 ◽  
Author(s):  
Michael A. West ◽  
Lynn Markiewicz
Keyword(s):  
Professional Development ◽  
Health Care ◽  
Patient Satisfaction ◽  
Well Being ◽  
High Quality ◽  
Quality Health Care ◽  
Team Working ◽  
Quality Health ◽  
High Quality Health Care

In this chapter we show that team working is vital for high quality health care but that team working is often poor. We draw on research to show that effective team working is associated with fewer errors that harm staff and patients; fewer staff injuries; better staff well-being; higher levels of patient satisfaction; better quality of care; and lower patient mortality. “Pseudo team working” leads to the opposite outcomes. We describe how effective team based working can be developed and identify the importance of team objectives and leadership. The chapter describes the specific challenges for team working in health care, including the complexity of the context and the historical legacy of separate professional development and status hierarchies. We explore how these challenges can be overcome, arguing that ensuring effective team working in health care is critical to ensuring the delivery of high quality, continually improving and compassionate health care.

scholarly journals Patient Satisfaction and Challenges of the Health Care Services of Negros Occidental Provincial Medical Clinic

2020 ◽  
Vol 3 (1) ◽  
pp. 70-81
Author(s):  
Rowel A. Gerzon, M.D. ◽  
John Clifford P. Salugsugan
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Services ◽  
Health Care Services ◽  
Holistic Health ◽  
Provincial Government ◽  
Medical Clinic ◽  
Care Services ◽  
Level Of Satisfaction ◽  
Significant Difference

The Medical Clinic provides outpatient health services to the employees of the Provincial Government of Negros Occidental. Patient satisfaction gauges the quality of health care services. This study assessed the level of patient satisfaction on the health services and identified the challenges encountered by patients. Also, it compared the level of patient satisfaction in terms of their demographic profile. This descriptive-comparative design used a researcher-made survey questionnaire which was administered to 307 employees. The study revealed that the overall level of satisfaction was very high. A significant difference was found in the level of patient satisfaction when respondents were categorized according to sex and age. The most significant challenge encountered by patients was insufficient medicines and medical supplies. The findings were used as baseline data in designing a Clinic Manual of Procedures and Holistic Health Program for the Provincial Health Office. 

Community-Centered Health Homes: Bridging Health Care Services and Community Prevention

2019 ◽  
pp. 291-300
Author(s):  
Leslie Mikkelsen ◽  
Rea Pañares ◽  
Larry Cohen
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Rental Housing ◽  
Active Role ◽  
Septic Systems ◽  
Quality Health Care ◽  
Care Services ◽  
Quality Health ◽  
Reducing Costs ◽  
Health Homes

This chapter looks at prevention and public health. Preventing illness and injury in the first place has the potential to be a powerful component of a country's strategy to improve population health while strengthening access to quality health care and reducing costs. The chapter looks at the Community-Centered Health Home (CCHH) term, which is used to describe health care organizations that take an active role, in partnership, to improve community conditions that impact patients' health (for example, supporting rental housing code enforcement, building septic systems, and improving community access to healthy food and places for physical activity). The chapter looks at ways to test the CCHH initiative. The chapter concludes by stating that CCHH contributes to the US's journey toward a system of health by highlighting the value of health care in partnering with its surrounding community and offering a systematic approach to partnering with community groups to improve community conditions, while continuing to meet the daily priority of delivering high-quality health care.

scholarly journals ROLE OF TIME STUDY IN EMERGENCY DEPARTMENT OF AN INDIAN HOSPITAL FOR QUALITY HEALTH CARE

2016 ◽  
Vol 10 (1) ◽  
pp. 55
Author(s):  
Shailesh Narayan Khekale ◽  
R Askhedkar ◽  
R H Parikh ◽  
Devesh Dattatraya Gosavi
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Waiting Time ◽  
Diagnostic Procedure ◽  
Time Study ◽  
Quality Health Care ◽  
Time And Motion ◽  
Motion Study ◽  
Quality Health

ABSTRACTObjectives: To study the role of time study in the emergency department (ED) of an Indian hospital for quality health care. For that, an observationalcross-sectional time study was conducted at the casualty department of largest hospitals situated at central India.Methods: Systemic random sampling method is used to select the patients attending the ED. Following parameters and procedure were observedduring time study in the casualty department. Patient shifting on bed in ED, patient attending by nursing staff, patient attending and treatment bycasualty medical officer (CMO), waiting time for intensivist, diagnostic procedure, waiting time for bed and after the availability of bed, patient wasshifted to Intensive Coronary Care Unit (ICCU)/Intensive Care Unit (ICU)/ward.Results: Waiting times are observed which are of five types such as waiting for ward boy, CMO, intensivist, diagnostic procedure, and for bed in ICCUor ICU or ward.Conclusion: Result of this time and motion study shows that after the entry of the patient in the ED, he or she is subjected to different kinds of waitslike for ward boy, intensivist, diagnostic tests, bed in ICCU or ICU or ward. Out of this, wait for intensivist and for bed are very important for the overalltreatment of the patient. The hospital should aim at reducing these waits by proper management. This study focuses scope for the improvements inpatient waiting time which is the important contributor of the patient satisfaction.Keywords: Time study, Motion study, Waiting line model.

Developing an innovative business model for hospital services in Iran: a case study of Moheb Hospitals

2019 ◽  
Vol 32 (1) ◽  
pp. 129-147 ◽  
Author(s):  
Marjan Miremadi ◽  
Kamyar Goudarzi
Keyword(s):  
Health Care ◽  
Business Model ◽  
Health Care Services ◽  
Business Models ◽  
Single Case ◽  
Quality Health Care ◽  
Content Type ◽  
Study Results ◽  
Quality Health

PurposeThis paper aims to focus on the role of hospital business models by examining the innovative business model of Moheb Hospitals, which have successfully achieved the goal of reducing costs and delivering high-quality health-care services in Iran by encouraging public–private partnership.Design/methodology/approachThis paper is a single case study.FindingsThe study results illustrate the hospital’s current business model and its underlying elements. After presenting the findings, this paper is concluded by presenting the standing issues that should also be addressed and how improvements and adjustments can be made.Originality/valueThis study offers new insight to identify and analyze the shortcomings of health-care sector in Iran and introduces new methods to efficiently use current competencies.

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