Effort-reward imbalance and perceived quality of patient care: a cross-sectional study among physicians in Germany

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

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Associations of work characteristics, employee strain and self-perceived quality of care in Emergency Departments: A cross-sectional study

International Emergency Nursing ◽

10.1016/j.ienj.2016.07.002 ◽

2017 ◽

Vol 30 ◽

pp. 20-24 ◽

Cited By ~ 15

Author(s):

Matthias Weigl ◽

Anna Schneider

Keyword(s):

Quality Of Care ◽

Emergency Departments ◽

Cross Sectional Study ◽

Perceived Quality ◽

Work Characteristics ◽

Sectional Study ◽

Cross Sectional ◽

Perceived Quality Of Care

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Factors Associated With the Quality of Life of Patients With Venous Leg Ulcers in Primary Care: Cross-Sectional Study

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734620967562 ◽

2020 ◽

pp. 153473462096756

Author(s):

Carmen Folguera-Álvarez ◽

Sofia Garrido-Elustondo ◽

Milagros Rico-Blázquez ◽

José Verdú-Soriano

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Cross Sectional Study ◽

Perceived Quality ◽

T Test ◽

Leg Ulcers ◽

Sectional Study ◽

Cross Sectional ◽

Perceived Quality Of Life

The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life ( P < .05, t test) and between erythema in perilesional skin and poorer quality life ( P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life ( P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds.

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Perceived Quality of Social Relations and Frequent Drunkenness: A Cross-Sectional Study of Spanish Adolescents

Alcohol and Alcoholism ◽

10.1093/alcalc/agu012 ◽

2014 ◽

Vol 49 (4) ◽

pp. 466-471 ◽

Cited By ~ 4

Author(s):

Thora M. Kjærulff ◽

Francisco Rivera ◽

Antonia Jiménez-Iglesias ◽

Carmen Moreno

Keyword(s):

Social Relations ◽

Cross Sectional Study ◽

Perceived Quality ◽

Sectional Study ◽

Cross Sectional

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Factors associated with perceived quality of life in artisanal fishermen: a cross-sectional study

BMC Research Notes ◽

10.1186/s13104-019-4525-4 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Bhárbara Karolline Rodrigues Silva ◽

Francisco Winter dos Santos Figueiredo ◽

Erika da Silva Maciel ◽

Fernando Rodrigues Peixoto Quaresma ◽

Fernando Adami

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Perceived Quality ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Perceived Quality Of Life

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The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross‐sectional study

Journal of Nursing Management ◽

10.1111/jonm.12894 ◽

2019 ◽

Vol 28 (8) ◽

pp. 2257-2265 ◽

Cited By ~ 4

Author(s):

Leodoro J. Labrague ◽

Janet Alexis A. De los Santos ◽

Konstantinos Tsaras ◽

Jolo R. Galabay ◽

Charlie C. Falguera ◽

...

Keyword(s):

Quality Of Care ◽

Nursing Care ◽

Cross Sectional Study ◽

Perceived Quality ◽

Sectional Study ◽

Cross Sectional ◽

Perceived Quality Of Care ◽

Nurse Caring ◽

Missed Nursing Care

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Relationships among perceived quality of healthcare services, satisfaction and behavioural intentions of international students in Kuala Lumpur, Malaysia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-021180 ◽

2018 ◽

Vol 8 (9) ◽

pp. e021180 ◽

Cited By ~ 4

Author(s):

Musheer Abdulwahid Aljaberi ◽

Muhamad Hanafiah Juni ◽

Rasheed Addulsalam Al-Maqtari ◽

Munn Sann Lye ◽

Murad Abdu Saeed ◽

...

Keyword(s):

International Students ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Cross Sectional Study ◽

Perceived Quality ◽

Kuala Lumpur ◽

Sectional Study ◽

Cross Sectional ◽

Behavioural Intentions

ObjectiveThe current study aimed to investigate the relationships among the perceived quality of healthcare services, satisfaction and behavioural intentions among international students in Kuala Lumpur, Malaysia.SettingA cross-sectional study on public universities in Kuala Lumpur, Malaysia.ParticipantsAll participants in this study were international students joining public universities in Kuala Lumpur, Malaysia.Primary independent variablePerceived quality of healthcare services measured on a SERVQUAL scale.Primary dependent variableParticipants’ satisfaction of healthcare services assessed using five items.Secondary dependent variableBehavioural intentions measured on six items.ResultsOf the 556 international students, 500 (90%) completed the survey. The study used structural equation modelling (SEM) through the AMOS (Analysis of Moment Structures) software to analyse the data. SEM analyses showed that the perceived quality of healthcare services significantly and directly affected satisfaction, with a value of 89% and an effect size of 0.78. It also had a significant indirect impact on the behavioural intentions (0.78) of international students. The results indicated that participants’ satisfaction had a statistically significant impact on their behavioural intentions (0.77).ConclusionPerceived quality of care is an important driver of international students’ satisfaction and their behavioural intention with healthcare services. Such relations of effects among the three investigated factors were also positive and significant.

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