scholarly journals To study the patient satisfication at a tertiary care hospital in Malwa region of Punjab

2017 ◽  
Vol 4 (4) ◽  
pp. 1248
Author(s):  
Rahul Goshist ◽  
Shamim Monga ◽  
Shalini Devgan ◽  
Baltej Singh ◽  
Sanjay Gupta
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Health Care Needs ◽  
Care Needs ◽  
Paramedical Staff ◽  
And Behavior ◽  
Structured Questionnaire

Background: Many  factors  including  poor  systems  and  stress  of  the  caregivers  effects  the  quality  along  with  satisfaction  of  patients.  Patient satisfaction denotes the extent to which general health care needs of the clients are met to their requirements. Aim of the study to study the level of patient satisfaction. Methods: The structured questionnaire was administered to patients from in-patient areas. Illiterate patients were interviewed personally. The hospital had bed strength of 890 and the patients were followed in different departments till the completion of sample size. Results: More than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poormore than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poor, more than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poor. Conclusions: Most patients rated the services of the hospital as excellent or good but a portion of patients were found to be unsatisfied in some areas i.e. cleanliness of toilets, wards, canteen and behaviors of paramedical staff. 

scholarly journals Comparative study of psychiatric patients receiving treatment in tertiary care hospital and in primary health care center

2020 ◽  
Vol 7 (7) ◽  
pp. 1093
Author(s):  
C. Guruprasad ◽  
Dayananda Sagar L. ◽  
Vishwanatha . ◽  
Chandrashekar H.
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Primary Health

Background: Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Government of Karnataka initiated the Manochaitanya programme to ensure that mental health services at all primary health care centers, community health centers and taluk hospitals on every Tuesday. Its required to know the patient satisfaction in this programme.Methods: This study was conducted over a period of two years, cross-sectionally seen 102 cases from 9 PHC’s that runs psychiatric clinics every Tuesday. This population was compared with 107 from Tertiary care center. All were assessed by the Psychiatrist using ICD-10 clinically after the informed consent. After 3 follow ups they were assessed with semi structured proforma, Indian Disability Evaluation and Assessment Scale (IDEAS), Global Assessment of Functioning (GAF), Patient Satisfaction Questionnaire Short Form (PSQ-18) instruments.Results: The Patient satisfaction was found to be higher in PHCs 83.07±8.72 compared to tertiary subjects 75.27±9.51 (p<0.05). Severe mental illness was higher 48.96% in PHCs as compared to tertiary care center common mental illness 23.36%. Subjects from tertiary care centres report higher GAF score (65%) higher among tertiary care subjects than their PHC counterparts (35%).Conclusions: The patients receiving treatment in PHC’s reported more satisfaction than those who receive treatment in tertiary care center. Higher disability scores on IDEAS in PHC’s than tertiary Center due reporting of more cases of severe mental illness in PHC’s. Married patients have shown higher satisfaction as compared to single/ Divorced/ Separated patients. Alcohol Dependence Syndrome was found to be more in tertiary care hospital than in PHC’s.

scholarly journals Knowledge, attitude and practice of contraception among nursing and para-medical staff in a tertiary care hospital of Mathura, Uttar Pradesh, India

2020 ◽  
Vol 9 (6) ◽  
pp. 2234
Author(s):  
Parul Garg
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Paramedical Staff ◽  
Attitude And Practice ◽  
Planning Methods ◽  
Knowledge Attitude And Practice ◽  
Family Planning Methods

Background: The objective of this study was to study the knowledge, attitude and practice of contraception among nursing and para-medical staff in a tertiary care hospital and also to identify factors that are associated with non-usage of contraception.Methods: The study was conducted on 100 nursing and paramedical staff working at K. D. Medical College and associated hospital at Mathura from November 2019 to January 2020. After obtaining consent, randomly selected married nursing and paramedical staff were given a pre-designed, structured questionnaire on socio-demographic variables, knowledge, attitude and practice towards contraception.Results: In the present study, out of 100 participants, 89 had awareness of contraception. Majority of them knew about condoms, followed by Copper-T/multiload and OCPs. The knowledge about contraception was mainly obtained through social media and health professionals.Conclusions: Health care providers should be equipped with recent information on all the available family planning methods through intensive in-service trainings, seminars/conferences, etc. This will get them informed and all misconceptions will be erased and in turn each health care provider will be able to make informed choice from the various options of family planning methods and practice the best suitable method. 

scholarly journals Assessment of Patient Satisfaction after Counseling by a Health Care Provider before Emergency Cesarean Section in a Tertiary Care Hospital

2017 ◽  
Vol 9 (1) ◽  
pp. 33-38
Author(s):  
Tehmina P Syed ◽  
Zakia Sheikh ◽  
Farah Hameed
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Cesarean Section ◽  
Health Care Provider ◽  
Care Provider ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

ABSTRACT Introduction Patient satisfaction is one of the most frequently reported outcome measures for quality of health care. In recent years, effective counseling has become a very important tool to involve patient participation in decision-making. The objective of this study was to assess the patient satisfaction by the counseling of a health care provider before emergency cesarean section (C-section) in a tertiary care hospital. Materials and methods A descriptive cross-sectional questionnaire study of 53 women, who had their first babies by C-section or had C-section first time with previous normal deliveries, in Hamdard University hospital in 3 months. Data analysis Questionnaires were distributed among patients on their second postoperative day after emergency C-section. A good total response rate for patient satisfaction survey is in the 40 to 60% range. Statistical Package for the Social Sciences version 20 was used to analyze the data, patient satisfaction was analyzed by using descriptive statistics (%, frequency), and independent sample t-test and analysis of variance were applied to assess the satisfaction level for demographic indicators. Results Out of 53 women, 38 (71.7%) were satisfied with the counseling while 15 (28.3%) were dissatisfied; 35 (66%) were primigravida while 17 (32%) were multigravida. The majority was in the age group of 25 to 30 (41%) years; 21 (39.6%) were undergraduate, out of them 12 (55.2%) were satisfied; 32 (60.3%) were graduate, out of them 26 (82%0) agreed; 46 (86%) participants know their counselor; and 44 (83%) reported good attitude. A safe atmosphere was created by the counselor in 38 (71.7%) cases, and 24 (45%) participants reported that the counselor used medical jargons. Privacy was not maintained in 39.6%, and 18 (33.9%) reported negative feelings like anxiety and depression after their counseling. Conclusion Patient satisfaction is an important quality outcome indicator to measure success of the health care services. Evaluation of patient care is vital to provide opportunity for improvement like strategic framing of health plans. How to cite this article Syed TP, Sheikh Z, Hameed F. Assessment of Patient Satisfaction after Counseling by a Health Care Provider before Emergency Cesarean Section in a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2017;9(1):33-38.

scholarly journals Inpatient satisfaction level survey at a tertiary care hospital

2016 ◽  
Vol 5 (1) ◽  
pp. 240
Author(s):  
Shivani Shekhawat ◽  
Swati Garg ◽  
Drishti Jain ◽  
Urvashi Sharma
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Care Hospital ◽  
Mahatma Gandhi ◽  
Medical College ◽  
Gandhi Medical College

Background: Patient satisfaction is an important measure of quality of services in a healthcare organization. Other than the medical care issues, the satisfaction and experience involves personal relationships, attention to pain and health education, and the status of hospital environment. Patient's opinion is an important because dissatisfaction suggests opportunities for improvement of health services in the hospital. This study was done with the aim to assess the satisfaction levels in inpatients of a tertiary care hospital and to compare interdepartmental satisfaction scores in the same hospital.Methods: This cross-sectional survey was done in inpatients of the department of general medicine, general surgery and obstetrics & gynaecology wards of Mahatma Gandhi Medical College & Hospital, Jaipur for two consecutive days. A total of 150 adult female patients were included in the study. Structured questionnaire was developed from previously used survey tools, and validated in present patients group, and patient satisfaction was checked.Results: The demographic data of patients showed that majority of respondents were belonged to age group 20-30 years (50.7%) followed by less than 20 years (20%), more than 40 years (15.3%) and 30-40 years (12%). About 29.33% respondents were uneducated followed by primary level (25.33%), senior secondary level (24%) and graduation (21.33%). 90% respondents belonged to Hindu religion. 36.6% of the respondents were either technicians or doing a clerical job. Almost equal numbers (33.3%) were unemployed and 30% belonged to the labour class. Only 15 patients (10%) were either professionals or on managerial posts.Conclusions: This study highlighted overall patient satisfaction was good regarding the quality of health care services of Mahatma Gandhi Medical College and Hospital. Areas where patient satisfaction was found to be lowest were patience shown by the nursing staff while communicating with patients and hospital ambiance in terms of peacefulness, both of these are important aspects of health care and there is imperative need to address these problems effectively and urgently in order to improve quality of care.

scholarly journals Does Health Insurance give Us an Assurance? A Study on the Extent of Coverage of Health Insurance at a Tertiary Care Hospital in North India

2016 ◽  
Vol 4 (1) ◽  
pp. 25-30
Author(s):  
Sujeet K Sinha ◽  
Reena Kumar
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Insurance Company ◽  
Health Care Insurance ◽  
Care Needs ◽  
Insurance Policies

ABSTRACT Introduction Health insurance is emerging fast as an important mechanism to finance health care needs of the people. Complexity of the health insurance industry has been much talked about and less understood in the Indian scenario. Hence, it is imperative to assess the level of awareness that the population has with respect to health insurance policies. Materials and methods Cross-sectional prospective study conducted over a period of 6 months, at the third-party administrator (TPA) desk of the hospital. The data was collected using a preformed close-ended questionnaire after obtaining consent from all the participants. Only patients admitted in the hospital availing cashless hospitalization were included in the study. The study was undertaken with the objective to determine the level of awareness about insurance policies and procedures among those insured and identify the problems faced by those insured when availing cashless treatment. Responses to the variables in the questionnaire were compiled and tabulated using Excel 2010. Results Response rate of 76% was observed. 56% of the study population were planned admissions and 44% were admitted through emergency department. The study showed that about 56% of the principal policy holders were between 30 and 50 years of age. The awareness regarding the terms and conditions of the health care insurance policy and the servicing TPA was found to be 70%. However, on interacting with patients it came to light that despite being appraised by their insurance agent, they faced challenges while availing health care benefits under health care insurance and were ignorant about the procedure involved. For the current admission, in 78% of the cases, the TPA responded within 24 hours of intimation; however, in 22% cases there were delays in response from the TPA mostly attributed to communication gap between the Insurance Company and the TPA. Preexisting disease was not covered in 14% cases. 82% cases had to wait for more than 2 hours for the final clearance from the TPA. Over the years, as ascertained in 2016 also, the scenario of insurance has not undergone significant change. Conclusion Strategies to optimize claims by bringing about a uniformity in the rates being charged by the hospitals for different procedures are needed to increase coverage. How to cite this article Jain K, Sinha SK, Jain D, Kumar R. Does Health Insurance give Us an Assurance? A Study on the Extent of Coverage of Health Insurance at a Tertiary Care Hospital in North India. Int J Res Foundation Hospc Health Adm 2016;4(1):25-30.

Chemo-prophylaxis of COVID-19 with hydroxychloroquine: a study of health care workers attitude, adherence to regime and toxicities/side effects (Preprint)

2020 ◽  
Author(s):  
Debajyoti Bhattacharyya ◽  
Neeraj Raizada ◽  
Bharathnag Nagappa ◽  
Arvind Tomar ◽  
Prateek Maurya ◽  
...  
Keyword(s):  
Side Effects ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Perceived Threat ◽  
Care Hospital ◽  
Care Workers ◽  
Perceived Danger ◽  
Structured Questionnaire

BACKGROUND There are apprehensions among healthcare worker (HCWs) about COVID-19. The HCWs have been given hydroxychloroquine (HCQ) chemo-prophylaxis for seven weeks as per Government of India guidelines. OBJECTIVE To assess the apprehensions among HCWs about COVID-19 and to document accessibility, adherence and side effects related to HCQ prophylaxis in HCWs. METHODS A longitudinal follow up study was conducted in a tertiary care hospital. HCQ was given in the dose of 400 mg twice on day one, and then 400 mg weekly for seven weeks. 391 HCWs were interviewed using semi structured questionnaire. RESULTS 62.2% HCWs expressed perceived danger posted by COVID-19 infection. Doctors (54%) showed least acceptance and paramedics (88%) showed highest acceptance to chemo-prophylaxis. 17.5% participants developed at least one of the side effects to HCQ. Females and nursing profession were significantly associated with adverse effects. Common side effects were gastro-intestinal symptoms, headache and abnormal mood change. Most of these were mild, not requiring any intervention. Gender, professions and perceived threat of COVID-19 were significantly associated with acceptance and adherence to HCQ prophylaxis. CONCLUSIONS Two third of HCWs had perceived danger due to COVID-19. Three fourth of the HCWs accepted chemo-prophylaxis and four out of five who accepted had complete adherence to prophylaxis schedule. One out of five had developed at least one of side effects; however, most of these were mild not requiring any intervention.

scholarly journals Pattern of Emergent Head Computed Tomography Findings in a Tertiary Care Hospital during off Working Hours: Retrospective Analysis

2019 ◽  
Vol 10 (02) ◽  
pp. 207-211
Author(s):  
Rajneesh K. Patel ◽  
Amit Kumar Choubey ◽  
Brijesh K. Soni ◽  
Rajeev Sivasankar ◽  
Vikash Chauhan
Keyword(s):  
Computed Tomography ◽  
Health Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Working Hours ◽  
Care Hospital ◽  
Head Ct ◽  
Total Head ◽  
Ct Head ◽  
Head Computed Tomography

ABSTRACT Introduction: Emergency head computed tomography (CT) is rising exponentially during off working hours due to evidence-based medicine, patient’s expectation and desires, easy availability and apprehension of medico-legal cases, thereby raising health-care cost. There is huge gap in demand and supply of radiologist, especially during off working hours. There is need to know the pattern of emergency head findings. Materials and Methods: A retrospective analysis of all emergent noncontrast CT head during off working hours in the Department of Radiodiagnosis of a Tertiary Care Hospital, Mumbai, India, which were performed from June 2017 to May 2018. CT findings of 308 patients were analyzed. Results: About 63.6% of total head CT showed no significant abnormality. The most common abnormality was intracranial hemorrhage which was just 9.1% followed by acute infarct which was 6.2%. Extradural hemorrhage, subdural hemorrhage, and subarachnoid hemorrhage was only 1% each of total head CT findings. No significant abnormality was detected in 74.65%, 70.21%, 89.13%, 31.37%, 100%, and 69.09% in cases of head injury, seizure, giddiness/dizziness/syncope, cerebrovascular accident, transient ischemic attack, and altered sensorium, respectively. Conclusion: Pattern analysis of emergent head CT reveals that most of the emergent CT head shows no significant abnormality. There is a need for stringent guidelines for emergent head CT, training of emergency physician as well as CT technician for common findings to bridge the radiologist demand-supply gap for providing effective health care in peripheral hospitals.

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