Pain as the fifth vital sign—A comparison between public and private healthcare systems

Background The assessment of pain as the fifth vital sign (P5VS) is of paramount importance since it leads to the management of undertreated pain, consequently reducing suffering, readmissions and emergency department visits after hospital discharge. Objective To evaluate the implementation of P5VS in public and private hospitals. Methods Data analysis on validated questionnaires was sent to all 171 Portuguese hospitals via an official letter. Results When compared to private hospitals, public hospitals presented a higher adherence to the process related to the P5VS. It has demonstrated superiority in the charts properly placed to record P5VS, in the number of emergency departments recording P5VS, in the regularity of audits, and in the existence of guidelines and staff training on pain assessment and management. Conclusion The standardization of both evaluation and recording of pain intensity constitutes a measure of good clinical practice. Public hospitals demonstrated better commitment to these procedures that should be properly carried out in all health care institutions.

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Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

Journal of Gynecology & Reproductive Medicine ◽

10.33140/jgrm.04.01.06 ◽

2020 ◽

Vol 4 (1) ◽

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Waiting Time ◽

Client Satisfaction ◽

Addis Ababa ◽

Care Service ◽

Public Hospitals ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

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PERANAN SERVICE QUALITY TERHADAP PATIENT REVISIT INTENTION MELALUI PATIENT SATISFACTION PADA RUMAH SAKIT UMUM DAN RUMAH SAKIT SWASTA TIPE B

Jurnal Manajemen dan Pemasaran Jasa ◽

10.25105/jmpj.v1i1.533 ◽

2008 ◽

Vol 1 (1) ◽

pp. 49

Author(s):

Febry Adhiana

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Service Quality ◽

Health Care Professionals ◽

Public Hospitals ◽

Human Beings ◽

Private Hospitals ◽

Public And Private ◽

Revisit Intention ◽

Public And Private Hospitals

Backg of nd: the increasing of awareness in health care by Indonesian people especially in Jakart Healthcare that health care professionals are highly dependent on each other to provide and coordi ate services of high value for human beings. Patients usually prefer to go to private hospitals hoping tc receive high service quality. But in fact, public hospitals have a good quality service also becau e ft is supported by the government. Object ve to compare service quality, patient satisfaction and patient revisit intention of public and privatE hospitals. Resea h design: this research applies to public and private hospitals in Jakarta and questionnaires were s read away to 97 respondents or patients from some public and private hospitals in Jakarta by usi g purpose sampling. Findin s: There are no differences between private and public hospitals in service quality, patient satisf Um and patient revisit intention. Finally the implications of the results are highlighted for health :are managers.

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Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

10.21203/rs.3.rs-124044/v1 ◽

2020 ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhenxing Gong

Keyword(s):

Ethical Climate ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

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Do the servicescape of public and private hospitals differ? The Malaysian context

International Journal of Quality and Service Sciences ◽

10.1108/ijqss-04-2018-0043 ◽

2019 ◽

Vol 11 (3) ◽

pp. 357-377 ◽

Cited By ~ 1

Author(s):

Kim Piew Lai ◽

Siong Choy Chong

Keyword(s):

Design Methodology ◽

Recovery Process ◽

Public Hospitals ◽

Ambient Conditions ◽

Private Hospitals ◽

Public And Private ◽

Content Type ◽

The Public ◽

Public And Private Hospitals ◽

Practical Implications

Purpose This study aims to explore if public and private hospitals have differing servicescape attributes. Design/methodology/approach The study uses a two-stage (EFA and CFA) procedure for identifying the servicescape attributes and examining their validity in the context of public and private hospitals. Findings The findings indicate that, in different contexts, patients would expect different aesthetics of servicescape attributes and how they are influenced by the hospital premises. Research limitations/implications It is interesting to note that: not all of the attributes that appear in both contexts are exactly the same; patients do not seem to face difficulties in analysing and interpreting directional cues, even though the spatial orientation in private hospitals is relatively smaller; the way patients of public hospitals draw inference about the ambient conditions is not consistent with private hospitals; and patients perceive that private hospitals pay special attention to developing a built environment that facilitates treatment and recovery process via interior layout, as well as decoration and architecture attributes. Practical implications The study grounds the servicescape attributes and provides insights to effectively promote public and private hospitals. Originality/value This study may be amongst the first to offer servicescape evidence in both the public and private hospitals.

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Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors

Sao Paulo Medical Journal ◽

10.1590/s1516-31801996000200002 ◽

1996 ◽

Vol 114 (2) ◽

pp. 1108-1116 ◽

Cited By ~ 6

Author(s):

Eliana Amaral ◽

Anibal Faúndes ◽

Neiva Sellan Lopes Gonçales ◽

Jordão Pellegrino Jr. ◽

Carmino Antonio de Souza ◽

...

Keyword(s):

Social Security ◽

Private Insurance ◽

Treponema Pallidum ◽

Public Hospitals ◽

Private Institutions ◽

University Hospitals ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals ◽

Socio Demographic Factors

The anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.

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Noncompliance to Diet and Medication among Patients with Type 2 Diabetes Mellitus in Selected Hospitals of Kathmandu, Nepal

Journal of Social Health and Diabetes ◽

10.1055/s-0038-1675687 ◽

2018 ◽

Vol 06 (02) ◽

pp. 090-095

Author(s):

Nisha Kafle ◽

Resham Poudel ◽

Sushan Shrestha

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Medication Adherence ◽

Public Hospitals ◽

Private Hospitals ◽

Public And Private ◽

Medication Noncompliance ◽

Public And Private Hospitals

Abstract Background Diabetes is a major public health problem affecting people of all ages globally. Noncompliance compromises the effectiveness of treatment and adversely affects patients' health. The main purpose of this study was to assess and compare the proportion of noncompliance to diet and medication between patients with type 2 diabetes mellitus (T2DM) visiting public and private hospitals in Kathmandu, Nepal. Methods Descriptive cross-sectional study was conducted in T2DM patients visiting public and private hospitals. Eight item Morisky Medication Adherence Questionnaire (MMAQ) for medication adherence and Perceived Dietary Adherence Questionnaire (PDAQ) for dietary adherence were used. Epidata was used for data entry and SPSS for data analysis. Chi-square test was used as a test of significance. Odds ratio (OR) and the corresponding 95% confidence intervals (CI) were calculated. Results The study involved 182 T2DM patients. Participants' age was ≥ 17 years and they were under treatment for ≥ 6 months. Mean age of the participants was 54.67 years with standard deviation (SD) ± 11.69. Prevalence of medication noncompliance was seen in 126 (69.2%) patients, whereas prevalence of dietary noncompliance was seen in 166 (91.2%) patients. Illiterate participants were more likely to be noncompliant than literate to medication (OR 4.32, p = 0.001). Self-employed were more likely to be noncompliant to medication than job holders (OR 2.93, p = 0.008). People visiting public hospital were more likely to be noncompliant to diet than those visiting private hospital (OR 4.89, p = 0.009). Illiterate participants were more likely to be noncompliant to diet than literate (OR 10.94, p = 0.005). Conclusion The T2DM patients visiting public hospitals were more noncompliant to diet. Illiterate patients were more noncompliant to both medication and diet. Self-employed compared with job holders were more noncompliant to medication. Patient education and counseling should be aggressively addressed mainly in public hospitals. There was no significant difference in medication noncompliance between public and private hospitals (p = 0.108).

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Factors affecting maintenance management in hospital buildings

International Journal of Building Pathology and Adaptation ◽

10.1108/ijbpa-12-2017-0064 ◽

2019 ◽

Vol 37 (1) ◽

pp. 6-21 ◽

Cited By ~ 4

Author(s):

Dana Jandali ◽

Rateb Sweis

Keyword(s):

Design Methodology ◽

Descriptive Analysis ◽

Public Hospitals ◽

Maintenance Management ◽

Management Performance ◽

Private Hospitals ◽

Public And Private ◽

Content Type ◽

Factors Affecting ◽

Public And Private Hospitals

Purpose The purpose of this paper is to identify and assess the factors affecting maintenance management performance in public and private hospitals in Amman-Jordan. Design/methodology/approach The paper identified 70 items affecting maintenance management performance from the literature review. Descriptive analysis was performed to assess the practices in both sectors. Comparison between public and private hospitals was performed through conducting a Mann-Whitney U-test. Findings Public hospitals were found to be implementing more improved practices than private hospitals. The perception of maintenance staff in both sectors regarding the factors affecting maintenance management performance varied. Originality/value This paper provides an original review of the factors affecting maintenance management in public and private hospitals in Amman-Jordan. The identified factors provide a useful reference to maintenance departments to improve maintenance performance and practices.

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PREVALENCE OF HEPATITIS C INFECTION

The Professional Medical Journal ◽

10.29309/tpmj/2015.22.11.861 ◽

2015 ◽

Vol 22 (11) ◽

pp. 1390-1396

Author(s):

Abdul Majeed Akhtar ◽

Sadia Majeed ◽

Muhammad Jamil ◽

Abdul Rehman

Keyword(s):

Risk Factors ◽

Socioeconomic Status ◽

Hepatitis C ◽

Blood Donation ◽

Hcv Infection ◽

Public Hospitals ◽

Hepatitis C Infection ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

Objectives: The aim of the current study was to estimate the seroprevalence andrisk factors investigation associated with hepatitis C virus (HCV) infection in general patientsattending various public and private hospitals of Lahore metropolitan. Study Design: Crosssectional study. Setting: Out Patient Departments (OPDs) of public hospitals, comprising ofMayo Hospital, Sir Ganga Ram Hospital, Services Hospital, Jinnah Hospital and Lahore GeneralHospital of Lahore. Period: 2012. Material and Methods: A total of 904 patients from outpatientdepartments of five public and two private hospitals were enrolled during 2012. Bloodsamples were collected to evaluate their anti-HCV status using 3rd generation ELISA. To findout the risk factors associated with HCV infection, the data was collected on a pretested andvalidated questionnaire. Results: The seroprevalence was estimated to be 14.6%. Mean ageof reactive and non-reactive general patients was significantly associated (P=0.012) with anti-HCV status. Marital status (OR=2.042), socioeconomic status, blood donation (OR=2.15),prescription by doctor or non-doctor (OR=2.664), route of drug administration, relatives havinghepatitis and towel sharing (OR=1.987) were significantly associated (P<0.05) risk factors forHCV infection. Conclusion: The study reveals a higher prevalence of HCV infection in generalpatients of Lahore due to poor socioeconomic status, treatment by quacks, excessive use ofinjectable drugs, house hold contacts with hepatitis patients and lack of awareness about theHCV transmission.

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SARS-COV-2 Seroprevalence among Health Care Workers in Private and Public Hospitals in Tehran, Iran

10.21203/rs.3.rs-680796/v1 ◽

2021 ◽

Author(s):

Maryam Darvishian ◽

Maryam Sharafkhah ◽

Zahra Mohammadi ◽

Khosro Sadeghniiat-haghighi ◽

Alireza Abdollahi ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Test Performance ◽

Elisa Test ◽

Public Hospitals ◽

Private Hospitals ◽

Public And Private ◽

Care Workers ◽

Private And Public ◽

Public And Private Hospitals

Abstract BackgroundEstimating the prevalence of SARS-COV-2 antibody seropositivity among health care workers (HCWs) is crucial. In this study the seroprevalence of anti-SARS-COV-2 antibodies among HCWs of five hospitals of Tehran-Iran with high COVID-9 patient’s referrals was assessed.MethodsHCWs from public and private hospitals were included and were asked questions on their demographic characteristics, medical history, hospital role and usage of personal protective equipment (PPE). Seroprevalence was estimated on the basis of ELISA test results (IgG and IgM antibodies in blood samples) and adjusted for test performance.ResultsAmong the 2065 participants, 88.4% and 11.6% HCWs were recruited from the public and private hospitals, respectively. The overall test-performance adjusted seroprevalence estimate among HCWs was 22.6 (95% CI 20.2-25.1) and it was higher in private hospitals (37.0%; 95% CI 28.6-46.2) than public hospitals (20.7%; 95% CI 18.2-23.3). PPE usage was significantly higher among HCWs of public versus private hospitals (66.5% vs. 20.0%). Test-adjusted seroprevalence estimates were highest among assistant nurses and nurses, and lowest among janitor/superintendent categories. ConclusionsSeroprevalence of SARS-COV-2 among HCWs depends on hospital type, hospital department, and hospital role. The PPE usage was especially suboptimal among HCWs in private hospitals. Continued effort in access to adequate PPE is warranted.

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The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China

BMC Nursing ◽

10.1186/s12912-021-00655-7 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhen-Xing Gong

Keyword(s):

Ethical Climate ◽

Public Hospitals ◽

Snowball Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background Workplace climate is a great significant element that has an impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals. Methods This study conducted a cross-sectional survey on 559 nurses from China in May 2019. The questionnaire was distributed to nurses by sending a web link via the mobile phone application WeChat through snowball sampling methods. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test, and analysis of variance test, and Mplus 7.4 was used for group comparison (p < .05). Results The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = − 0.277; CI 95 % = [-0.452, − 0.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = − 0.352; CI 95 % = [-0.651, − 0.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = 0.397; CI 95 % = [0.120, 0.651]; p < .01). Conclusions As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And the independent climate has a great effect on extra-role service behaviors for nurses in public hospitals.

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