scholarly journals Understanding the Patient Experience: A Conceptual Framework

2020 ◽  
Vol 7 (6) ◽  
pp. 906-910
Author(s):  
Patrick Oben
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Health Care Services ◽  
Health Care Quality ◽  
Human Experience ◽  
Care Quality ◽  
Clear Understanding ◽  
Policy Makers ◽  
Care Services ◽  
Definition Of

The patient experience is now globally recognized as an independent dimension of health-care quality. However, although patients, providers, health-care managers, and policy-makers agree on its importance, there is no standardized definition of the patient experience. A clear understanding of the basic concepts that make up the foundation of the patient experience is more important than a statement defining the patient experience. The fundamental nature of health care involves people taking care of other people in unique times of distress. Thus, the human experience is at the very core of understanding what the patient experience is. This article reviews a framework of the basic human experience of patients as they progress from being unique, healthy individuals to a state of experiencing both disease and health-care services. This novel framework naturally leads to a basic understanding of the patient experience as a human experience of health-care services.

scholarly journals Quality and accreditation in health care services

2021 ◽  
Vol 12 (2) ◽  
pp. 539-543
Author(s):  
Christos Iliadis ◽  
Aikaterini Frantzana ◽  
Kiriaki Tachtsoglou ◽  
Maria Lera ◽  
Petros Ouzounakis
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Quality ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Management ◽  
Policy Makers ◽  
Care Services

Introduction: The quality of health care services is one of the most frequently mentioned terms and concepts regarding principles of health policy and it is currently high on the agenda of National, European and International policy makers. Purpose: The purpose of this descriptive review is to investigate the correlation between quality in health services and the promotion of health care quality provided by health services. Methodology: The study material consisted of recent articles on the subject mainly found in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL-Link). Results: The clinical quality of services is often difficult to be assessed by "clients" even after the service has been provided. This is due to the fact that customers experience illness, pain, uncertainty, fear and perceived lack of control. Thus, clients may be reluctant to "co-produce" because healthcare is a service they need while they may not want it and because the risk to harm their health is prominent. In the field of healthcare management, patients' perception refers to perceived quality, as opposed to the actual or absolute quality that requires critical management. This is why health care managers face constant pressure to provide qualitative health services. Conclusions: Continuous monitoring of health care services for quality assessment is essential, hence, the evaluation of patients' perceptions of quality of healthcare, has received considerable attention in recent years.

scholarly journals Economic sanctions against Iran as an important factor in threatening the health of patients with multiple sclerosis

2021 ◽  
Author(s):  
Mohammad Ali Sahraian ◽  
Abdorreza Naser Moghadas ◽  
Sharareh Eskandarieh
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Stress Level ◽  
Health Care Services ◽  
Health Care Quality ◽  
Economic Sanctions ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Care Services

Background: After intensified economic sanctions against Iran, decreased welfare of patients were more recognizable. The present study was aimed at identifying the challenges and stress level experienced by patients with multiple sclerosis (MS) regarding treatment and health care services in 2018-2019 after strengthening of economic sanctions against Iran. Methods: A cross-sectional study was conducted on MS patients in Tehran, Iran. A structured questionnaire was designed to measure the main variables addressing the challenges and stress level of MS patients with respect to receiving care and treatment services. Results: In total, 1039 MS patients were enrolled into the study. Among the patients who answered yes to the questions, 873 (85.8%) and 837 (86%) were concerned about medicine unavailability and supply and purchase of internationally branded medicine, respectively. Moreover, 671 (70.3%) subjects were concerned about replacing their medicines with cheaper alternatives due to financial problems and 427 (41.4%) were unwilling to continue their treatment due to the economic burden of MS. In total, 795 (82%) were concerned about the effectiveness of Iranian drugs in comparison with internationally branded drugs. Generally, 970 (93.53%) subjects had experienced increased current living costs and 711 had experienced (68.82%) reduced nutrition quality, which (OR: 2.68; 95% CI: 1.99, 3.60) was significantly higher among subjects who had an income of less than or equal to 250 US$ per month. Conclusion: The sanctions can impose greater stress and hardship on patients due to the unavailability and costs of medicines. Iran should manage health care quality and provide services to prevent the adverse effects of sanctions on MS patients and guarantee patients’ right to receive well-established medication and health services.  

scholarly journals An Inquiry Into the Patient Safety Management Patterns: A Review Study

2019 ◽  
Vol 6 (2) ◽  
pp. 83-90
Author(s):  
Seyed Jalil Hosseinin Irani ◽  
Leila Riahi ◽  
Ali Komeili ◽  
Reza Masoudi
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Services ◽  
Health Care Quality ◽  
Safety Management ◽  
Scientific Information ◽  
Care Quality ◽  
Management Control ◽  
Care Services ◽  
Main Components

Background and aims: Patient safety, as one of the main components of the health care quality, implies avoiding any injury and damage to the patient when providing health care services. In other words, patient safety means his or her safety against any adverse and harmful event when receiving health care services. Based on the above-mention explanations, the present study was conducted to determine the patterns of patient safety management. Methods: A systematic review method was used to meet the objectives of the study. In order to access the scientific documentation and evidence related to the subject published during 1998-2018, English keywords including "Patient Safety Model", "Patient Safety", and "Patient Safety of Management" were searched in Medine, PubMed, and Google Scholar databases and Persian versions of these keywords were also looked for in Jihad-e Daneshgahi’s Scientific Information Database (SID) and Iranian Journals database (Magiran). Results: The findings of this study suggested that most of the studies on designing a model for patient safety highlighted important dimensions including guidance and leadership, communication, organizing, information management, control and monitoring, participation and decision-making, as well as planning and coordination. Conclusion: In general, using patterns and frameworks designed for patient safety improves patient safety against uncertain incidents since the human and financial consequences of such incidents impose overwhelming sufferings on patients.

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 Analysis of the Impact of Doctors’ and Health Care System Credibility on Patients’ Satisfaction with Health Care

2016 ◽  
Vol 22 (2) ◽  
pp. 201622
Author(s):  
Andriy Yavorskyy
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Physician ◽  
Care Quality ◽  
Patients Satisfaction ◽  
Care Services ◽  
The Impact ◽  
Care System

Forming a patient-oriented health care system, patients’ participation in health care quality assessment has become the imperative of our time.The objective of the research was to analyze the impact of doctors’ and health care system credibility on satisfaction with health care.Materials and methods. Sociological survey of 530 patients was conducted. The patients completed their treatment in the surgical departments of inpatient facilities in Ivano-Frankivsk region. According to its results the patients were divided into two groups: satisfied (372 people) and not satisfied (158 people) with the level of health care services in the department and the hospital as a whole.Results of the research. Nearly 60% of the surveyed patients were determined not to trust their doctors and one third of respondents did not know their primary care physician. This significantly increased the chances of dissatisfaction with health care (OR= 4.11; 95% CI: 1.67–10.14, p<0.001 and OR=1.96; 95% CI: 1.33–2.90 respectively; p<0.001) and promoted inefficient use of the health care system resources as a result of unreasonable hospitalization (in 18.8% cases). Conclusions. Patients who do not trust doctors in general and do not know their general practitioner remain dissatisfied with inpatient care by 1.5-10 times more often.

The Use of Australian Health Care Services by Overseas Visitors: Some Data-Related Problems for Policy Makers

1992 ◽  
Vol 22 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Simon Barraclough ◽  
Carol McBain
Keyword(s):  
Health Care ◽  
Federal Government ◽  
Government Policy ◽  
Health Care Services ◽  
Current Level ◽  
Australian Government ◽  
Policy Makers ◽  
Australian Health ◽  
Care Services ◽  
Level Of Use

Very little is known about the usage of Australian health care services by overseas visitors. This is despite the fact that may visitors are entitled to treatment under Medicare due to the Federal government's policy of encouraging reciprocal health care agreements with a number of countries and the increased promotion of health care as an export commodity. It is therefore difficult to develop an overall picture of both the current level of use of Australian health care services by foreigners or to estimate projections of future demand. The absence of such data also means that it is not possible to be sure of the consequences of policies such as the easing of restrictions on medical visas and the promotion by the Australian government of a network of bilateral reciprocal health care agreements. In this article, federal government policy on the access of non-citizen visitors to Australian health care services is examined, various categories of visitors eligible for treatment under the Medicare scheme identified, and current methods of collecting data on visitors using Australian health services critically examined.

Self-reported patient experience and quality of care among elderly patients with colon cancer.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 33-33 ◽  
Author(s):  
Rebecca A Snyder ◽  
Rebecca Wardrop ◽  
Alexander Mclain ◽  
Alexander A. Parikh ◽  
Anna Cass
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Cancer Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Stage I ◽  
Stage Iii ◽  
Experience Of Care ◽  
Patient Reported

33 Background: Although studies have identified demographic and clinical factors associated with quality colorectal cancer care, the association between patient-reported experience of care and quality of care is unknown. Our primary aim was to assess the relationship between patient-reported experience of care and receipt of guideline-concordant colon cancer (CC) treatment. Methods: Fee-For-Service Medicare beneficiaries with resected stage I-III CC (2003-2013) were identified in the linked SEER registry and Consumer Assessment of Healthcare Providers and Systems patient experience survey (SEER-CAHPS) dataset. Patient-reported ratings were compared based on receipt of care consistent with recommended treatment guidelines [resection of ≥ 12 lymph nodes (LN) (stage I-III) and receipt of adjuvant chemotherapy (stage III)]. Linear regression was performed to compare mean patient experience scores by receipt of guideline concordant care, adjusting for patient and hospital factors. Results: 1010 patients with stage I-III CC were identified (mean age 76.7, SE 6.9). Of these, 58.4% of stage I (n = 192/329) and 73.4% of stage II (n = 298/406) patients underwent resection of ≥ 12 LN. Among stage III patients, 76.0% (n = 209/275) underwent resection of ≥ 12 LN and 52.4% (n = 144/275) received adjuvant chemotherapy. By multivariable analysis, patient-reported ratings of health care quality, personal and specialty physicians, customer service, physician communication, getting needed care, and getting care quickly were similar among patients who received guideline-concordant treatment compared to those who did not. However, mean ratings of overall health care quality [91.3 (SE 2.0) vs. 82.4 (SE 1.7), p = 0.0004] and getting needed care [92.8 (SE 2.4) vs. 86.8 (SE 2.0), p = 0.047] were higher among stage III patients who received guideline concordant care compared to those who did not. Conclusions: Patient-reported ratings of health care quality and ability to get needed care are associated with guideline concordant cancer care among elderly patients with stage III CC. Further investigation is needed to determine if patient-reported experience correlates with other clinical measures of quality of colorectal cancer care.

Physician Agency and Adoption of Generic Pharmaceuticals

2012 ◽  
Vol 102 (6) ◽  
pp. 2826-2858 ◽  
Author(s):  
Toshiaki Iizuka
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
State Dependence ◽  
Brand Name ◽  
Policy Makers ◽  
Patient Costs ◽  
Static Efficiency ◽  
Care Services ◽  
Physician Agency ◽  
Generic Pharmaceuticals

I examine physician agency in health care services in the context of the choice between brand-name and generic pharmaceuticals. I examine micro-panel data from Japan, where physicians can legally make profits by prescribing and dispensing drugs. The results indicate that physicians often fail to internalize patient costs, explaining why cheaper generics are infrequently adopted. Doctors respond to markup differentials between the two versions, indicating another agency problem. However, generics' markup advantages are short-lived, which limits their impact on increasing generic adoption. Additionally, state dependence and heterogeneous doctor preferences affected generics' adoption. Policy makers can target these factors to improve static efficiency. (JEL D82, I11, J44, L65)

scholarly journals Identificação do paciente como estratégia de segurança

2020 ◽  
Vol 14 ◽  
Author(s):  
João Ventura-Silva ◽  
Susana Filipa Mendes Castro ◽  
Sandrina Gomes Sousa ◽  
Nuno Edgar Carones Esteves ◽  
Maria Amélia José Monteiro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Health Care Quality Assurance ◽  
Continuous Quality ◽  
Unequivocal Identification ◽  
Definition Of ◽  
Provision Of Care ◽  
And Training

Objetivo: relatar a experiência na construção de um projeto de melhoria contínua da qualidade para a identificação inequívoca do paciente. Método: trata-se de um descritivo, tipo relato de experiência, que compartilha a construção de um projeto que tem como finalidade a identificação inequívoca do paciente, no contexto hospitalar, segundo o referencial da Ordem dos Enfermeiros de Portugal. Resultados: apresentaram-se em oito etapas: identificação e descrição do problema; percepção do problema e suas causas; formulação de objetivos; definição do público-alvo e critérios de inclusão/exclusão; planejamento e execução das atividades; verificação dos resultados; proposta de medidas corretivas; uniformização e capacitação da equipe e, finalmente, reconhecimento e compartilhamento do sucesso. Conclusão: conclui-se que a identificação inequívoca do paciente se torna fundamental para diminuir os incidentes no decorrer da prestação de cuidados. Sugere-se, assim, criar estratégias para sensibilizar os profissionais para a implementação do procedimento de modo a garantir a qualidade e segurança dos cuidados prestados. Descritores: Segurança; Paciente; Qualidade da Assistência à Saúde; Garantia da Qualidade dos Cuidados de Saúde; Enfermagem; Enfermeiras e Enfermeiros.AbstractObjective: to report the experience in the construction of a project of continuous quality improvement for the unequivocal identification of the patient. Method: it is a descriptive, type of experience report, which shares the construction of a project that aims to unequivocally identify the patient, in the hospital context, according to the framework of the Order of Nurses of Portugal. Results: presented in eight stages: identification and description of the problem; perception of the problem and its causes; formulation of objectives; definition of the target audience and inclusion / exclusion criteria; planning and execution of activities; verification of results; corrective measures proposal; uniformity and training of the team and, finally, recognition and sharing of success. Conclusion: it is concluded that the unequivocal identification of the patient becomes essential to reduce the incidents during the provision of care. It is suggested, therefore, to create strategies to sensitize professionals to the implementation of the procedure in order to guarantee the quality and safety of the care provided. Descriptors:  Safety; Patients; Quality of Health Care; Quality Assurance, Health Care; Nursing; Nurses.ResumenObjetivo: reportar la experiencia en la construcción de un proyecto de mejora continua de la calidad para la identificación inequívoca del paciente. Método: es un informe descriptivo, de tipo de experiencia, que comparte la construcción de un proyecto que tiene como objetivo identificar inequívocamente al paciente, en el contexto hospitalario, de acuerdo con el marco de la Orden de Enfermeros de Portugal. Resultados: presentados en ocho etapas: identificación y descripción del problema; percepción del problema y sus causas; formulación de objetivos; definición del público objetivo y criterios de inclusión / exclusión; planificación y ejecución de actividades; verificación de resultados; propuesta de medidas correctivas; uniformidad y formación del equipo y, finalmente, reconocimiento y reparto del éxito. Conclusión: se concluye que la identificación inequívoca del paciente se vuelve esencial para reducir los incidentes durante la prestación de la atención. Se sugiere, por lo tanto, crear estrategias para sensibilizar a los profesionales sobre la implementación del procedimiento a fin de garantizar la calidad y seguridad de la atención brindada. Descriptores:  Seguridad; Pacientes; Calidad de la Atención de Salud; Garantía de la Calidad de Atención de Salud; Enfermería; Enfermeras y Enfermeros.

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