scholarly journals The Results of Testing a Methodological Approach to Assessing the Consumer Value of Medical Services in Commercial Medical Centers

Author(s):  
Irina M. Romanova ◽  
◽  
Elena V. Sologub ◽  

The article presents the main results of applying a methodological approach (developed by the authors) to assessing the consumer value of services provided by commercial medical centers. The proposed research hypotheses were tested using ranked variation series, pair correlation analysis, single-factor analysis of variance, and Z-test. The study allowed testing the proposed hypotheses. The emotional attributes of consumer value in terms of benefits are not the most significant attributes for clients of commercial medical centers; such clients’ satisfaction with the provided medical service largely depends on the significance of the consumer value attributes of this service. No differences are revealed in the significance of consumer value attributes among consumers of different gender and different social status. No differences are revealed in the significance of the consumer value attributes of medical services for consumers of different ages with different number of children and different monthly spending on medical services.

Author(s):  
Елена Сологуб

В работе предложен методический подход к определению атрибутов потребительской ценности медицинской услуги. Представлены результаты, полученные в рамках четырёх этапов исследования: контент-анализа тематических источников по сочетающимся словам, группировки и соотнесении атрибутов, а также глубинного интервью с экспертами из медицинской сферы. This investigation introduces a methodological approach which allows to define the attributes for medical services consumer value. The study concentrates on the primary need to determine the medical services consumer value. The proposed methodological approach to determine the attributes for medical services consumer value contains four stages, namely: 1) content analysis; 2) attributes grouping; 3) attributes systematization 4) detailed interview with experts. The content analysis of topical texts was conducted using the harmonious words found in contemporary Russian and foreign studies. More than 4000 various mentioned attributes for the medical service consumer value were analyzed. All attributes were then grouped by the type of consumers’ benefits and costs. The medical service consumer value attributes were arranged in accordance with the elements of 7P marketing mix. The frequency of the mentioned attributes for medical service consumer value was calculated based on the results of the content analysis and detailed interview with the experts from the medical sector. The results of the investigation are important for assessing the medical service consumer value.


1981 ◽  
Vol 46 (6) ◽  
pp. 1332-1347 ◽  
Author(s):  
Martin Koval

The described method uses activated charcoal sampling tubes for air sampling. Adsorbed compounds are eluted by the static desorption procedure with 1 ml of carbon disulphide, 0.5 ml of the supernatant is filtered off and, after internal standard addition, analysed on a gas chromatograph. Using synthetic calibration mixtures of model organic compounds with air, cumulative sampling and desorption efficiencies for 24 substances were determined for concentration ranges and sample volumes according to current Czechoslovak hygienic standards. Experimental results were treated with the single factor analysis of variance and the precision of the described procedure was estimated for the studied model compounds on the basis of residual sums of squares. Calculated values of cumulative sampling and desorption efficiencies and their precisions were compared with available published data and an acceptable agreement was found. In addition to that, cumulative sampling and desorption efficiencies were also found to be significantly correlated to molar volumes and other related molecular properties for some types of compounds.


2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199049
Author(s):  
Xujuan Liu ◽  
Min Zhang ◽  
Riyu Luo ◽  
Keran Mo ◽  
Xingxiang He

Objective Diagnosis of gastric intestinal metaplasia (GIM) relies on gastroscopy and histopathologic biopsy, but their application in screening for GIM is limited. We aimed to identify serological biomarkers of GIM via screening in Guangdong, China. Methods Cross-sectional field and questionnaire data, demographic information, past medical history, and other relevant data were collected. Blood samples were collected for pepsinogen (PG)I, PGII, gastrin-17, and Helicobacter pylori antibody testing, and gastroscopy and histopathologic biopsy were performed. Single factor and logistic regression analyses were used to evaluate the correlation between these indicators and GIM, and decision tree models were used to determine the cut-off points between indicators. Results Of 443 participants enrolled, 87 (19.6%) were diagnosed with GIM. Single factor analysis showed that pepsin indicators (PGI, PGII, and PGI/PGII ratio) and the factors Mandarin as native language, urban residency, hyperlipidemia, and age were associated with GIM. Logistic regression analysis showed that PGI and age were associated with GIM. Conclusions Age is an important factor for predicting GIM progression; age >60 years increased its risk. Detection of GIM was higher in individuals with PGI levels >127.20 ng/mL, which could be used as a threshold indicating the need to perform gastroscopy and histopathologic biopsy.


1997 ◽  
Vol 12 (2) ◽  
pp. 74-77 ◽  
Author(s):  
Elisabeth F. Mock ◽  
Keith D. Wrenn ◽  
Seth W. Wright ◽  
T. Chadwick Eustis ◽  
Corey M. Slovis

AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.


Hand ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 495-501
Author(s):  
Angel Farinas ◽  
Michael Stephanides ◽  
Steven Schneeberger ◽  
Alonda Pollins ◽  
Nancy Cardwell ◽  
...  

Background: Epitendinous sutures not only join the 2 severed tendon edges but also supply strength and support to the repair. Multiple techniques have been described, but none of them include another thread of suture. This could potentially increase the strength of the repair without affecting gliding. Methods: Caprine tendons were harvested, transected, and sutured with 6-0 Prolene. Four groups were created: single thread running (SR), single thread locking (SL), double thread running (DR), and double thread locking (DL). An Instron 5542 was used to pull the repaired tendons apart, and the energy at the break was calculated (gf/mm). For gliding resistance, we harvested a human A2 pulley. A pre- and postrepair value was obtained, and a ratio was elaborated. A single-factor analysis of variance and independent sample t tests were performed. Results: The SR group had a mean energy at break of 9339.71 ± 1630.212 gf/mm; the SL group, 9629.96 ± 1476.45 gf/mm; and the DR group, 9600.221 ± 976.087 gf/mm, with no statistical significance. The DL group was significantly higher at 14 740.664 ± 2596.586 gf/mm ( P < .05). When comparing SR with DL for gliding, SR had less than half of the resistance than DL (0.018 ± 0.004 and 0.049 ± 0.015 N/mm, respectively), with statistical significance ( P < .05). Conclusion: Using a single suture thread for running epitendinous repair is no different than locking with a single thread or using an extra thread in a running fashion. Performing a double suture thread with a locking technique is significantly stronger than the previously mentioned repairs, with the disadvantage of more resistance at the pulley.


2014 ◽  
Vol 800-801 ◽  
pp. 203-207
Author(s):  
Zhen Bo Wang ◽  
Liang Zhang ◽  
Shu Zhi Li

This article mainly aims at the problem of silicon carbide ceramic mechanical turning difficult processing,by adopting the method of the numerical control turning processing.Design a special fixtures and a NC machining process to accomplish the manufacture of silicon carbide plate.And through the single factor analysis method to process parameters were analyzed.


2020 ◽  
pp. 57-66
Author(s):  
A. D. Shmatko ◽  
◽  
A. Y. Shcherbuk ◽  
E. V. Cherepanova ◽  
A. N. Schukin ◽  
...  

The article reflects the results of an analysis of studies by different authors on the problems of domestic and foreign relevant markets for medical services. The essence of concepts is revealed: a medical service, its competitiveness, the market of medical services. The situation is described, associated with problems in the formation of a competitive environment, the main factors hindering the competitiveness of medical services, the nature of their functioning, which determines the need for government intervention in the health sector. The main participants of the medical services market are presented and the reasons for the conflict of their interests are substantiated.


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