Service and quality of medical services

10.12737/8242 ◽  
2014 ◽  
Vol 8 (8) ◽  
pp. 3-12
Author(s):  
Елена Данилина ◽  
Elena Danilina ◽  
Екатерина Яковлева ◽  
Ekaterina Yakovleva ◽  
Татьяна Бутова ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perceived Quality ◽  
Medical Services ◽  
Care Services ◽  
Medical Institutions

The article defines the scientific and terminological problems of researching services in the field of services, the basic problems of the evaluation of services in health care organizations. On the basis of a systematic approach to the category of quality of medical services the article investigates patient satisfaction with the perceived quality of service, shows the role of consumer expectations in the evaluation of the perceived quality of services and finds that the requirements for the service in medical institutions are underestimated. On the basis of studies the authors identify behaviors of consumers of budgetary medical services organizations, develop a model of consumer activities, which differs from the existing ones that along with the economic component the model is complemented with communication components. The approbation of the authors´ model for health care services shows a characteristic pattern of consumer activity of budgetary organizations. The article highlights the factors of subjective judgment of health care consumers in assessing perceived quality. Based on the study of patient satisfaction the authors develop a hierarchical model of the perceived quality of health services, as well as the place of services defined in the model.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

The role of electronic medical records in improving the quality of health care services: Comparative study

2019 ◽  
Vol 127 ◽  
pp. 63-67 ◽  
Author(s):  
Omar Ayaad ◽  
Aladeen Alloubani ◽  
Eyad Abu ALhajaa ◽  
Mohammad Farhan ◽  
Sami Abuseif ◽  
...  
Keyword(s):  
Health Care ◽  
Comparative Study ◽  
Electronic Medical Records ◽  
Quality Of Health Care ◽  
Medical Records ◽  
Health Care Services ◽  
Care Services

scholarly journals Community perception of quality of (primary) health care services in a rural area of Limpopo Province, South Africa: a qualitative study

Curationis ◽  
2005 ◽  
Vol 28 (2) ◽  
Author(s):  
T-AB Mashego ◽  
K Peltzer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Preventive Health Care ◽  
Perceived Quality ◽  
Limpopo Province ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

The aim of the study was to survey perceptions of quality of (primary) health care services provided in rural communities in the Limpopo province. Ten focus groups discussions were held with community members chosen by convenience from public places from four villages in the central region of the Limpopo Province. The sample included 42 women and 34 men (76 participants). Results indicated perceived quality discussed within the following categories: (1) conduct of staff (reception, communication, discrimination, care and compassion, respect for privacy), (2) technical care (examination, explanation of treatment, responsiveness, treatment outcomes), (3) health care facility, (4) health care organisation, (5) drugs (availability, explanation, effectiveness, payment), and (6) waiting time. The findings suggest some satisfaction with free basic and preventive health care and social services provided but there is a need to look closely into the interpersonal dimension of the services provided, provision of medication with adequate explanation to patients on the medication given, and on structural aspects, there is need for the government to give support to the clinics to provide adequate services. Improving drug availability, interpersonal skills (including attitudes towards patients) and technical care have been identified as the three main priorities for enhancing perceived quality of primary health care and health policy action.

scholarly journals THE ROLE OF HEALTH LITERACY IN PREDICTING PATIENT SATISFACTION WITH HEALTH CARE

2018 ◽  
Vol 7 ◽  
pp. 240
Author(s):  
Vineta Silkane ◽  
Agnese Davidsone ◽  
Linda Veliverronena
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Patient Satisfaction ◽  
Health Literacy ◽  
Health Care Services ◽  
Technical Quality ◽  
Care Services ◽  
Study Results ◽  
Prevention And Health Promotion

Patient satisfaction has become one of the central indicators to measure quality of provision of health care services. However, it has been made clear in previous literature that the effectiveness and efficiency of the health care services is not directly proportional to the satisfaction level, because an array of patient’s personal, psychological, and cognitive factors such as beliefs, expectations, knowledge and others may come into play. In this current article, we report on a study aiming to examine the role of health literacy in predicting patient satisfaction with health care in Latvia. In summer-autumn 2017, data were collected from a random sample of 451 participants (44 % male) in age from 18 to 81 years. The participants filled-in the questionnaire consisting of: Patient Satisfaction Questionnaire (PSQ-III, Ware, Snyder, & Wright, 1976) and European Health Literacy Survey Questionnaire (HLS-EU-Q, HLS-EU Consortium, 2012). We measured four out of the seven aspects of PSQ, namely, general satisfaction, technical quality, interpersonal aspects, and communication. HLS-EU-Q contains three subscales: health care, disease prevention, and health promotion. Study results confirm that one of the health literacy aspects - health care - was the most important predictor of all patient satisfaction aspects, while health promotion predicted technical quality.  

scholarly journals HEALTHCARE IN UKRAINE DURING THE EPIDEMIC: DIFFICULTIES, CHALLENGES AND SOLUTIONS

2021 ◽  
Vol 74 (5) ◽  
pp. 1256-1261
Author(s):  
Anna R. Ivats-Chabina ◽  
Olena L. Korolchuk ◽  
Alexandr Yu. Kachur ◽  
Vladyslav A. Smiianov
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quality Care ◽  
Prevention Measures ◽  
Care Services ◽  
Long Run ◽  
Medical Institutions ◽  
The Individual ◽  
The Impact

The aim: Of this research was to investigate the impact of quarantine restrictions on the health care system in Ukraine, quality of providing and accessibility of health care services for population during quarantine; analyze the influence of economic and social outcomes of epidemy on state of health care. Materials and methods: For this paper was made a retrospective analysis of COVID-19 morbidity statistics, economic indicators and governmental decrees aimed at resolving the problem of the spreading of coronavirus and ensuring the proper work of medical institutions at all levels of health care. This work includes analysis of data for the period since the beginning of quarantine on the territory of Ukraine in March 2020 till present time. Conclusions: The complexity of the socio-political and economic situation in Ukraine and the conduct of hostilities in the east of the country have significantly complicated the fight against the spread of coronavirus in the country. Negative changes in the indicators of hospital security were observed both at the secondary level – treatment of patients with COVID-19, and the primary level – primary contact with the patient, primary care, prevention measures. In the long run, this will have significant implications for the individual health of those who have not been able to receive quality care, as well as for public health in general.

Learning to Accept Uncertainty as a Quality of Care Dimension

2013 ◽  
pp. 1-12
Author(s):  
Vahé A. Kazandjian
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information Technology ◽  
Health Care Services ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Care Process ◽  
Care Services

Uncertainty in clinical decision-making is integral to the pathways chosen while applying available knowledge to a patient’s care process. This chapter explores the ways in which uncertainty can be incorporated into the understanding of better performance approaches, and is thus proposed as an enabling dimension of performance. Tracing the keystone definitions of uncertainty from Hippocrates to Osler, the discussion addresses the dimensions of decision - making appropriateness, its timeliness, the expected and actual value of the care services, and the role of systematic communication between providers of care as well as with patients. The crucial role of Health Information Technology is emphasized, and a unifying model is proposed where the inclusion of uncertainty as a dimension of performance promotes an encompassing evaluation of the quality of health care services.

Slaugos kokybės gerinimo galimybės miesto ligoninėje

2013 ◽  
Vol 23 (1) ◽  
pp. 149-154 ◽  
Author(s):  
Geriuldas Žiliukas ◽  
Danguolė Drungilienė ◽  
Rima Užkurėlytė ◽  
Ligija Švedienė
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Care Quality ◽  
Care Services ◽  
Microsoft Office ◽  
Health Situation ◽  
Clear Information

As the quality of health care is getting better, patients’ demands for medics and health care organizations are getting higher. The permanent growth of costs and limited resources force to look for new possibilities of problem solving. Insufficient capacity of the leaders of a health care institution in matters of health care management and low motivation of the personnel leads to dissatisfaction by the provided services to patients and personnel. There was a patient opinion research made, a Picker Institute Europe questionnaire was used for the survey. 138 patients were interviewed, who, by their characteristics, represented all patients, treated in Hospital X all year round. Microsoft Office Excel 2010 and SPSS Statistics version 17.0 programs were used for the analysis of research data. During the research, it emerged that the majority of patients (78,7 percent) rated the conditions of care in the hospital as very good or good. Most of patients are satisfied with provided services of the hospital. Positive opinion of the patients on the care quality in the hospital was influenced by close communication with medics, providing clear information about their health situation and treatment, the respect shown by the personnel determined the trust in medics. Although, patients were actively involved in the treatment process, about one third of them did not participate in making decisions about their health situation or treatment; every fifth hospitalized patient by a planned order did not have an ability to choose a treatment institution. More than a half of patients, who participated in the research, did not have an opportunity to choose their doctor, or did not know about this opportunity. The development of patient’s and juridical knowledge creates preconditions to improve the quality of health care services.

scholarly journals Perceived quality of health care services among people with osteoarthritis – results from a nationwide survey

2015 ◽  
pp. 1255 ◽  
Author(s):  
Gudmund Grønhaug ◽  
Jon Hagfors ◽  
Ingebjørg Borch ◽  
Nina Østerås ◽  
Kåre Birger Hagen
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Nationwide Survey ◽  
Perceived Quality ◽  
Care Services
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