scholarly journals How marketing mix (7Ps) affect the patients’ selection of a hospital: experience of a low-income country

2020 ◽  
Vol 95 (1) ◽  
Author(s):  
Ramin Ravangard ◽  
Amir Khodadad ◽  
Peivand Bastani
Keyword(s):  
Low Income ◽  
Physical Environment ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Marketing Mix ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Low Income Country ◽  
Health Service Providers ◽  
Selection Of

Abstract Background Applying marketing mix in the hospitals is necessary for their success. It is also important to optimize the price, developing services, increasing health literacy, and improving financial resources. Experts and patients may have different views about the factors that influence the decision for choosing a hospital. This study was conducted to identify the factors in the marketing mix which influence patients’ selection of hospitals in Shiraz, Iran. Methods A cross-sectional study involving patients assigned to six hospitals; three selected private and three corporate public hospitals in Shiraz in southern Iran in 2018 composed the study sample. From the inpatients and outpatients referring to these hospitals, 300 patients were included using a stratified sampling method proportional to size. Their views on the status of the selected hospitals regarding the 7Ps model of the hospital marketing mix (product, people, price, place, promotion, process, and physical environment) were assessed using a 5-point Likert scale. Data were collected by administering a validated researcher-developed questionnaire (CVI = 2.65, α = 0.929). Results Among 44 components of marketing mix according to 7Ps model, “specialty of health service providers” had the best status (mean (SD) 4.15 ± 0.82) from the patients’ viewpoints. Among the 7Ps, “physical environment” and “people” had better status respectively. In contrast, the studied hospitals had the poorest status in “promotion.” Significant relationship was revealed between the private and corporate public hospitals in terms of price, promotion, and process (P < 0.05). Pearson’s correlation revealed a direct relationship between all the components of marketing mix in the hospitals (P < 0.001). Conclusion The studied hospitals have an appropriate status in physical environment and people mix but poor status in promotion mix. It is therefore necessary for these hospitals to pay more attention to the “promotion mix” irrespective of the related costs. Moreover, as “process mix” had a high significant correlation with the other marketing mix, managers can improve their marketing services through correcting their current processes.

scholarly journals Effects of health decentralization, financing and governance in Mexico

2006 ◽  
Vol 40 (1) ◽  
pp. 152-160 ◽  
Author(s):  
Armando Arredondo ◽  
Emanuel Orozco
Keyword(s):  
Community Participation ◽  
Low Income ◽  
Service Providers ◽  
Health Financing ◽  
Cross Sectional Study ◽  
Negative Effects ◽  
Cross Sectional ◽  
Final Destination ◽  
Use Of Resources ◽  
Health Service Providers

OBJECTIVE: To identify the effects of decentralization on health financing and governance policies in Mexico from the perspective of users and providers. METHODS: A cross-sectional study was carried out in four states that were selected according to geopolitical and administrative criteria. Four indicators were assessed: changes and effects on governance, financing sources and funds, the final destination of resources, and fund allocation mechanisms. Data collection was performed using in-depth interviews with health system key personnel and community leaders, consensus techniques and document analyses. The interviews were transcribed and analyzed by thematic segmentation. RESULTS: The results show different effectiveness levels for the four states regarding changes in financing policies and community participation. Effects on health financing after decentralization were identified in each state, including: greater participation of municipal and state governments in health expenditure, increased financial participation of households, greater community participation in low-income states, duality and confusion in the new mechanisms for coordination among the three government levels, absence of an accountability system, lack of human resources and technical skills to implement, monitor and evaluate changes in financing. CONCLUSIONS: In general, positive and negative effects of decentralization on health financing and governance were identified. The effects mentioned by health service providers and users were related to a diversification of financing sources, a greater margin for decisions around the use and final destination of financial resources and normative development for the use of resources. At the community level, direct financial contributions were mentioned, as well as in-kind contributions, particularly in the form of community work.

scholarly journals Assessment of Job Stress of Clinical Pharmacists in Ho Chi Minh City, Vietnam: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Hai-Yen Nguyen-Thi ◽  
Minh-Thu Do-Tran ◽  
Thuy-Tram Nguyen-Ngoc ◽  
Dung Van Do ◽  
Luyen Dinh Pham ◽  
...  
Keyword(s):  
Job Stress ◽  
Low Income ◽  
Training Programs ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Ho Chi Minh City ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Clinical Ward

Objectives: The official implementation of clinical pharmacy in Vietnam has arrived relatively late, resulting in various stressors. This study aims to evaluate job stress level and suggest viable solutions.Methods: A cross-sectional study was conducted on clinical pharmacists (CPs) in 128 hospitals in Ho Chi Minh City (HCMC). Job stress questions were derived from the Healthcare Profession Stress Inventory (HPSI).Results: A total of 197 CPs participated, giving a response rate of 82.4%. Participants were found to have moderate job stress with an overall mean stress score of 1.5 (0.4) and stress rate of 52.8%. The sample size was statistically adequate and the HPSI was valid and reliable. Patient care responsibility was the main stressor, especially in public hospitals, followed by job conflicts. Lack of experience, low income, and inability to participate in clinical ward rounds caused significant stress to CPs regarding job recognition and job uncertainty. More practice-oriented training programs in bachelor curricula and clinical practice should be applied to help CPs gain more experience, self-confidence, and diminish job stress.Conclusion: CPs in HCMC have moderate stress. More practice-oriented training programs should be prioritized to lessen stress for CPs.

scholarly journals Cost of Illness Study of Regular Out Patient Department Diabetic in a Low Income Country: A Cross Sectional Study

2019 ◽  
Vol 3 (1) ◽  
pp. 16-25
Author(s):  
V. Kattel ◽  
M. Subedi ◽  
Y. Agrawal ◽  
Z.S. Pall ◽  
S. Rani ◽  
...  
Keyword(s):  
Direct Cost ◽  
Cost Of Illness ◽  
Low Income ◽  
Financial Burden ◽  
Quality Care ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Income Country

Background: The burden of Diabetes in South Asia is alarming as the prevalence is higher compared to other region, living cost is low after Sub Saharan Africa and health care system are in state of expanding to be more accessible and adequate.   Objectives: The objective of the study was to assess the direct cost of illness among diabetic patient regularly visiting at outpatient department (OPD) in BPKIHS. Methods: This was a cross sectional study done in year 2018.  142 patients with at least nine visit per year were enrolled. The direct cost were calculated from the pattern of prescription of medications and laboratory investigations carried out over a year of the individual patient. The data were tabulated and analyzed. Results: Among the 142 patients on 37.5% were in mono-therapy and 62.5% were in poly-therapy. The direct cost of illness was USD 103 per annum that includes drug and investigation cost expensed at OPD visit. The average indirect cost was USD 102 per annum including travel and food. Among 142 patient the cost of illness on inpatient due to DM was USD 85.47 per event. Conclusion: The financial burden of being a diabetic in Nepal is high. Comprehensive quality care by expansion of health system and service with nominal charges to patient seems to be one of the challenges in Nepal.

scholarly journals The misuse of antiretrovirals to boost pig and poultry productivity in Uganda and potential implications for public health

2021 ◽  
Vol 7 (1) ◽  
pp. 88-95
Author(s):  
Dickson Ndoboli ◽  
Fredrick Nganga ◽  
Ben Lukuyu ◽  
Barbara Wieland ◽  
Delia Grace ◽  
...  
Keyword(s):  
Service Providers ◽  
Smallholder Farmers ◽  
Animal Health ◽  
Cross Sectional Study ◽  
Antiretroviral Drugs ◽  
Human Consumption ◽  
Cross Sectional ◽  
News Reports ◽  
Health Service Providers ◽  
Poultry Farmers

Background and Aim: Since 2015, local newspapers reported that pig and poultry farmers in Uganda use antiretroviral drugs (ARVs) to promote growth in animals and control diseases. This study was conducted to assess farmers' knowledge, attitude and perceptions about the use of antiretroviral drugs as boosters in pigs and poultry and the possibility of detecting the antiretroviral drugs in meat using available laboratory methods. Materials and Methods: In 2019, a cross-sectional study was conducted in ten districts in Uganda. In 20 focus group discussions with 100 pig and poultry farmers and 70 animal health service providers, we assessed the use of ARV in livestock enterprises. Subsequently, samples of chicken, pigs, and animal feeds were collected from volunteer participants, and screened for residues of saquinavir, lopinavir, nevirapine, and efavirenz using liquid chromatography-tandem mass spectrophotometer. Results: Participants in all ten districts were predominantly smallholder farmers supplying the local markets. All groups reported the use of ARVs in pigs and broiler birds but not in layer hens. In the absence of good quality feeds, the motivation for feeding ARVs was rapid animal weight gain, as well as the control of animal diseases, for which farmers have no alternative solutions. ARVs were obtained within the community for free, against cash, or in-kind payment. Residues of lopinavir were detected in four, and saquinavir in seven districts, and all three sample matrices. Conclusion: Our study findings confirm anecdotal news reports on ARV use in livestock. While our findings are not generalizable to the whole country, they call for a representative follow-up. As the drugs were detected in tissues destined for human consumption, the potential risk to human health warrants further investigation.

scholarly journals Quality of pediatric anesthesia: A cross-sectional study of a university hospital in a low-income country

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0194622
Author(s):  
Oskar Andersson ◽  
Peter Radell ◽  
Victor Ringo ◽  
Moses Mulungu ◽  
Tim Baker
Keyword(s):  
Low Income ◽  
Pediatric Anesthesia ◽  
Cross Sectional Study ◽  
Income Country ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Income Country

scholarly journals Early resumption of postpartum sexual intercourse and its associated risk factors among married postpartum women who visited public hospitals of Jimma zone, Southwest Ethiopia: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247769
Author(s):  
Tariku Bekela Gadisa ◽  
Mengistu Welday G/Michael ◽  
Mihretab Mehari Reda ◽  
Beyene Dorsisa Aboma
Keyword(s):  
Risk Factors ◽  
Sexual Intercourse ◽  
Low Income ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Public Hospitals ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Associated Risk Factors

Introduction Postpartum sexual resumption without the use of contraception is a risk for unintended and closely spaced pregnancies. Although counseling related to the resumption of postpartum sexual intercourse is a key component of postpartum sexual health, it is not widely addressed during the postnatal period. Thus, this study aimed to assess the early resumption of postpartum sexual intercourse and its associated risk factors among married postpartum women who visited public hospitals of Jimma zone, Southwest Ethiopia, for child immunization services. Methods The facility-based cross-sectional study design was undertaken, and a systematic random sampling technique was carried out to select 330 participants. Data were collected using a pretested interviewer-administered questionnaire from August to September 2019. Obtained data were analyzed using descriptive statistics. A bivariate analysis was used to determine the significance of the association. Variables that showed association in the bivariate analysis at p-value <0.2 were fitted into a multivariable logistic regression model to control for confounders, and the significance of association was determined at p-value <0.05 with a 95% confidence interval (CI). Results Approximately 53.9% of the respondents practiced early resumption of postpartum sexual intercourse. Factors such as low income (AOR = 0.19 (95% CI = 0.10-.37)), monogamous marriage 3.78(1.32–10.79), practicing sexual intercourse during pregnancy (AOR = 4.55 (95% CI = 1.29–15.97)), a cesarean delivery (AOR = 0.06 95%CI = (0.03–0.15)) and use of contraceptives (AOR = 3.7(95%CI = 1.92–7.14)) were significantly associated with early resumption of postpartum sexual intercourse. Conclusion and recommendation The findings of this study suggested that, most postpartum mothers resumed sexual intercourse during the early postpartum period and its associated risk factors include low income, monogamous marriage, practicing sexual intercourse during pregnancy, cesarean delivery, and use of contraceptives. Discussion with couples about postpartum sexual health during the antenatal and postnatal period is crucial to prevent unwanted pregnancies and adverse health outcomes.

Sign in / Sign up

Export Citation Format

Share Document