O Internato de Formação Especializada em Neurocirurgia: Qual o Atual Panorama Nacional?

Introduction: In Portugal, the number of neurosurgery residents has been rising steadily. However, there are no robust studies assessing the level of satisfaction and quality of the current training programs. The aim of this study was to describe and quantify the level of satisfaction about Neurosurgery residency in 2019, in Portugal.Material and Methods: Quantitative observational cross-sectional study based on an original questionnaire about the level of satisfaction of neurosurgical training in Portugal in 2019, sent electronically to residents and young consultants between October and December 2019.Results: A total of 37 responses were obtained from physicians aged around 29.0 (± 4.0) years old, of which 78.4% were men and 54.1% from centers in the center/south of the country/islands. Overall, 51.4% of the answers came from first three years’ residents. As for the theoretical training, there was dissatisfaction with the morbidity and mortality meetings (59.5%), existence of sessions/anatomical lab (89.2%), participation in medical education (64.9%) and in research (64.9%). As for practical training, there was dissatisfaction only towards outpatient clinics (56.8%). There is a tendency for the first surgery to occur in the first month of residency and, in ascending order, firstly a cranial trauma surgery (5.09 ± 4.59 months), then for cerebrospinal fluid diseases (5.95 ± 4.3 months), peripheral nerves (6.0 ± 7.0 months), craniotomy (6.59 ± 3.88 months) and lumbar spine diseases (11.41 ± 1.5 months). Pediatric surgery was the last type of surgery to begin (19.36 ± 20.0 months). There seems to be a generalized satisfaction with the annual (59.5%) but not with thefinal examination (37.8%).Conclusion: This study has succeed at being a better description of the Portuguese neurosurgical centers and of the level of satisfaction about neurosurgical training in Portugal.

Download Full-text

ANALISA TINGKAT KEPUASAN PASIEN RAWAT JALAN DI INSTALASI FARMASI BUDI SETIA LANGOWAN KABUPATEN MINAHASA

PHARMACON ◽

10.35799/pha.8.2019.29366 ◽

2019 ◽

Vol 8 (4) ◽

pp. 888

Author(s):

Gerald N. P. Tulung ◽

Gayatri Citraningtyas ◽

Imam Jayanto

Keyword(s):

Health Services ◽

Outpatient Service ◽

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Cross Sectional ◽

A Value ◽

Level Of Satisfaction ◽

The Relationship

ABSTRACT The quality of health services is classified as good if the health services provided could cause satisfaction to each patient in accordance with the level of satisfaction of the average population who are the main target of the health service. The purpose of this study was to determine the level of satisfaction of outpatients with the quality of pharmacy services at the Pharmacy Installation at Budi Setia Langowan Hospital. This research is a cross-sectional study with the study sample determined using the accidental sampling method, which is a sampling technique by taking samples randomly. Data were taken by prospective way then analyzed using statistical methods with SPSS analysis program, using bivariate analysis to test the relationship between independent variables, namely the level of outpatient satisfaction with the dependent variable namely Outpatient Service Quality (Tangibles, Reliability, Responsiveness, Assurance, and Empathy) given by the hospital to outpatients. The results showed that the value of outpatient patient satisfaction was at a positive index with a value of 0.07 with a CSI value of 87.74, which was in the very satisfied range, thus stating overall of the patients receiving pharmaceutical services at the Budi Setia Langowan Pharmacy Installation, had felt very satisfied. Keywords: Analysis of the level of satisfaction of outpatients, Budi Setia Langowan. ABSTRAK Kualitas pelayanan kesehatan digolongkan baik jika pelayanan kesehatan yang diberikan dapat menimbulkan rasa puas pada setiap pasien yang sesuai dengan tingkat kepuasan rata-rata penduduk yang menjadi target utama dari pelayanan kesehatan tersebut. Tujuan penelitian ini untuk mengetahui tingkat kepuasan pasien rawat jalan terhadap kualitas pelayanan kefarmasian di Instalasi Farmasi Rumah Sakit Budi Setia Langowan. Penelitian ini merupakan penelitian cross-sectional dengan sampel penelitian ditetapkan menggunakan metode accidental sampling, yaitu teknik pengambilan sampel dengan mengambil sampel secara bebas. Data yang diambil secara prospektif kemudian dianalisis menggunakan metode statistik dengan program analisis SPSS, dengan menggunakan Analisis bivariat untuk melakukan uji hubungan antara variabel bebas yaitu tingkat kepuasan pasien rawat jalan dengan variabel terikat yaitu Mutu Pelayanan Rawat Jalan (Tangibles, Reliability, Responsiveness, Assurance, dan Emphaty) yang diberikan Rumah Sakit kepada pasien tawat jalan. Hasil penelitian menunjukan nilai Ikj kepuasan pasien rawat jalan berada pada indeks positif dengan nilai 0,07 dengan nilai CSI sebesar 87,74 yang berada pada rentang sangat puas, sehingga menyatakan secara keseluruhan pasien yang menerima pelayanan kefarmasian di Instalasi Farmasi Budi Setia Langowan sudah merasa sanggat puas. Kata kunci : Analisa tingkat kepuasan pasien rawat jalan, Budi Setia Langowan.

Download Full-text

Supportive Infusions in Integrative Breast and Gynecological Oncology – Report on Patientsʼ Satisfaction and Self-reported Effects and Side Effects

Geburtshilfe und Frauenheilkunde ◽

10.1055/a-0754-2923 ◽

2018 ◽

Vol 78 (11) ◽

pp. 1129-1137 ◽

Cited By ~ 1

Author(s):

Carolin Hack ◽

Sophia Antoniadis ◽

Matthias Beckmann ◽

Anna Brandl ◽

Peter Fasching ◽

...

Keyword(s):

Side Effects ◽

Gynecological Cancer ◽

Nutritional Therapy ◽

Cross Sectional Study ◽

University Hospital ◽

Infusion Therapy ◽

Cross Sectional ◽

Level Of Satisfaction ◽

High Level

Abstract Background During cancer therapy, many patients suffer from malnutrition or vitamin deficiency. Treatment for nutrition-related deficiencies should therefore include nutritional therapy and possibly oral or intravenous substitution of micronutrients. Little information exists on multinutrient infusion therapies. The aim of this study was to develop standardized infusion protocols for integrative medicine infusions with micronutrients (IMed infusions) and to report on side effects of the treatment and patientsʼ satisfaction with it. Methods For the IMed consultancy service, four special formulas for intravenous use were developed in cooperation with the pharmacy at Erlangen University Hospital. A retrospective cross-sectional study was conducted between October 2015 and January 2018 in which 45 patients with gynecological or breast cancer (BC) and IMed infusion therapy were included. Follow-up data were obtained from 20 patients using a standardized questionnaire on IMed infusions. Results A total of 280 IMed infusions were administered in the study period. The majority of the patients received an IMed regeneration infusion (78%). The majority of the patients had BC and were receiving chemotherapy. Most patients reported a high or very high level of satisfaction with the organization (60%), general treatment (65%) and counseling (85%). Subjective improvement in their disease-related and therapy-induced symptoms, such as fatigue, polyneuropathy and physical efficiency, was reported by 70% of the patients, while 75% reported a subjective increase in quality of life. Side effects were rare and minor. Conclusions Therapy with IMed infusions in women with BC or gynecological cancer requires the same standards set for drug therapy. Although vitamins represent dietary supplements, appropriate assessment of the patientʼs medical history is needed and patients must receive appropriate information. For this purpose, standardized processes, as in the context of an IMed consultancy service, are helpful.

Download Full-text

Avaliação da Satisfação do Paciente Hospitalizados em Relação ao Atendimento Fisioterapêutico

Journal of Health Sciences ◽

10.17921/2447-8938.2018v20n3p200-204 ◽

2018 ◽

Vol 20 (3) ◽

pp. 200

Author(s):

Maristela Prado e Silva Nazario ◽

Anna Caroline Morilha de Oliveira Hermoza ◽

Edivania Rodrigues de Araujo Oliveira ◽

Walkiria Shimoya Bittencourt ◽

Ariane Hidaldo Mansano Pletst

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Cross Sectional Study ◽

Speech Disorders ◽

Hospitalized Patients ◽

Cognitive Level ◽

Cross Sectional ◽

Low Socioeconomic ◽

Level Of Satisfaction

Resumo A qualidade é considerada um dos fatores decisivos para estabelecimento de metas específicas, assim como a satisfação do cliente, que tem o propósito de melhorar a efetividade dos cuidados prestados. O objetivo do estudo foi avaliar o grau de satisfação com o atendimento fisioterapêutico no âmbito hospitalar. Foi realizado um estudo transversal, em pacientes internados de ambos os sexos, maiores de 18 anos com condições de responder a um questionário sobre a avaliação da satisfação do atendimento recebido. Pacientes gravemente enfermos, em pré-operatório, com distúrbios da fala e com baixo nível cognitivo foram excluídos do estudo. Participaram do estudo 52 pacientes (idade 58,7±12,4 anos para o sexo masculino e 56,6±14,9 anos para sexo feminino). A maioria (76,9%) dos pacientes era de baixo nível socioeconômico. Os resultados mostram que os pacientes apresentam um bom nível de satisfação com o atendimento fisioterapêutico em relação ao terapeuta-paciente, aos membros da equipe de atendimento, à dinâmica e à infraestrutura do hospital. Respostas negativas figuraram apenas em algumas questões referentes à infraestrutura do hospital e trabalho multiprofissional. A questão relativa à satisfação com o atendimento da fisioterapia, em geral, obteve 23,1% de respostas “excelente”, 44,2%% de “ótimo” e 32,7% de “bom” e, dentro deste contexto, foram considerados satisfatórios. Conclui-se que os pacientes hospitalizados possuem baixo status socioeconômico e estão satisfeitos com o atendimento fisioterapêutico recebidos no âmbito hospitalar. Palavras-chave: Fisioterapia. Satisfação dos Pacientes. Hospitalização.Abstract Quality is considered one of the decisive factors for specific targets, as well as customer satisfaction, with the aim of improving the effective quality of care. The objective was to assess the satisfaction degree with the physical therapy care in hospitals. A cross-sectional study was carried out in hospitalized patients of both sexes, older than 18 years with conditions to respond to a questionnaire on the assessment of satisfaction of received care . Critically ill patients in the preoperative period, with speech disorders and low cognitive level were excluded. Results: The study included 52 patients (age 58.7 ± 12.4 years for males and 56.6 ± 14.9 years for females). The vast majority (76.9%) patients were of low socioeconomic status. The results show that patients have a good level of satisfaction with the physiotherapy on the therapistpatient relationship, to members of the service team, the dynamics and the hospital infrastructure. Negative responses figured in just a few issues of hospital infrastructure and multidisciplinary work. The question on satisfaction with the physiotherapy service in general obtained 23.1% of answers “excellent”, 44.2% of “good” and 32.7% “good”, and within this context, they were considered satisfactory. It is concluded that hospitalized patients have low socioeconomic status and are satisfied with the physiotherapeutic care received in hospitals.Keywords: Physiotherapy Specialty. Patient Satisfaction. Hospitalization.

Download Full-text

LEVEL OF PATIENT SATISFACTION TOWARDS PHARMACY SERVICES IN KIMIA FARMA TALANGSARI PHARMACY

JURNAL ILMIAH FARMASI AKADEMI FARMASI JEMBER ◽

10.53864/jifakfar.v4i1.47 ◽

2021 ◽

Vol 4 (1) ◽

pp. 14-18

Author(s):

Rina Dias Agustina ◽

Amaliyah Nurul Hidayah

Keyword(s):

Patient Satisfaction ◽

Prescription Drugs ◽

Cross Sectional Study ◽

Pharmaceutical Services ◽

Pharmacy Services ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Satisfaction ◽

Qualitative Descriptive

Pharmacy is one of the health service place that has product and service activities that are highly dependent on patient satisfaction. Patient satisfaction can be used as a benchmark for companies to develop their business in the future. The purpose of this study was to determine the level of patient satisfaction with pharmaceutical services at Kimia Farma Pharmacy Talangsari Jember. The type of this research was qualitative descriptive using cross sectional study. The population were patients who came to buy prescription or non-prescription drugs at the Kimia Farma Pharmacy Talangsari Jember in June 2020 with a total samples of 100 patients. The result showed that patient satisfaction to the services at Kimia Farma Pharmacy Talangsari Jember were quiet satisfied in reliability dimensions (60%) and tangible dimensions (55%) also in responsiveness dimensions (48%) and less satisfied in empathy dimensions (54%) and assurance dimensions (41%). It can be concluded that the level of patient satisfaction with pharmaceutical services at Kimia Farma Pharmacy Talangsari Jember were Keywords: level of satisfaction, quality of service

Download Full-text

Level of satisfaction of parents attending pediatric emergency

Annals of King Edward Medical University ◽

10.21649/akemu.v12i1.843 ◽

2016 ◽

Vol 12 (1) ◽

Author(s):

Humayun Iqbal Khan ◽

Muhammad Faheem Afzal ◽

Naila Khaliq

Keyword(s):

Patient Satisfaction ◽

Medical Officer ◽

Medical Personnel ◽

Pediatric Emergency ◽

Cross Sectional Study ◽

Cross Sectional ◽

Important Indicator ◽

Level Of Satisfaction ◽

Medical University

Background: Patient satisfaction is an important indicator of quality of health care. Without appreciable levels of patient satisfaction, health plans may not get full accreditation and will lack competitive edge enjoyed by full accredited plans. Objective: To study the level of satisfaction of the parents visiting Pediatric emergency of Mayo Hospital Lahore for medical care of their children and to formulate suggestions to further improve the quality of care. Design: Descriptive qualitative cross sectional study. Place and duration of study: This study was conducted in emergency section of the department of Pediatrics King Edward Medical University/Mayo Hospital Lahore in 45 days (July 01, 2005 to Aug 15, 2005). Patients and methods: During the study period, a total of 100 parents were selected by non-probability convenient sampling. Consent was taken and confidentiality was assured. They were interviewed by using a structured proforma. Results: Out of 100 parents, 60 were of male children and 40 wer e of female children. The questionnaire was scored for 14 core topics. Majority (71%) took less than 5 minutes for their first encounter from hospital door to the medical personnel. 47% were attended by casualty medical officer within 5 minutes and 40% were attended within 10 minutes. Out of total, 51% were attended by emergency doctors within 5 minutes. Overall attitude of "purchi clerk" was found to be satisfactory. Attitude of casualty medical officer, attending doctors, nursing staff was very good while that of paramedics was found to be good. Cleanliness in emergency was fair while comfort and environment of emergency was satisfactory. Availability of medicines in emergency was found to be excellent (82%). Overall, 22% of parents were fully satisfied while 11% were not satisfied at all. Mean level of satisfaction was 69.57%. Conclusion: It is concluded that majority of parents were satisfied with the services offered in Pediatric emergency of Mayo Hospital Lahore.

Download Full-text

Patient Satisfaction with the Health Services Provided by the Pharmacist at a General Hospital in Riyadh, Saudi Arabia

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v2i4.842 ◽

2014 ◽

Vol 2 (4) ◽

pp. 517

Author(s):

Khalaf Ali Al-Jumah ◽

Mohamed Azmi Hassali ◽

Ibrahim Alzaagi

Keyword(s):

Patient Satisfaction ◽

Employment Status ◽

Cross Sectional Study ◽

Pharmacy Services ◽

Cross Sectional ◽

Factors Affecting ◽

Item Questionnaire ◽

Level Of Satisfaction ◽

High Level

Background: Patient satisfaction is one of the main indicators for determining the quality of the services provided to patients by pharmacists.Objective: The purpose of this study was to determine the patients’ satisfaction and various factors affecting satisfaction with pharmacists dispensing services atKingSaudMedicalCity inRiyadh,Saudi Arabia.Methods: A cross-sectional study was conducted to explore patient satisfaction with the pharmacy services from August through September2013. A self-administered, 10-item questionnaire was administered randomly to 500 participants to evaluate patient satisfaction. Twenty questionnaires were excluded because they were incomplete. Statistical Package for Social Sciences (SPSS) version 17.0 for Windows was used to analyze the data.Results: The response rate of this study was 96%. Most of the respondents were female (252, 52.4%), and 69.9% of the sample visited the pharmacy 3 or more times per year. The majority of the patients reported a high level of satisfaction, which was slightly variable among the groups, particularly with respect to the education level and employment status of the patients. Patients with a high school education or less were the most satisfied with the pharmacy services with a mean score of 3.50 (df= 2.969, F= 3.659, p=<0.006). Unemployed patients were the most satisfied with the pharmacy services, with a mean score of 3.52 (df= 2.580, F= 3.138, p=<0.044).Conclusion: The patients reported a high level of satisfaction with the pharmacy services atKingSaudMedicalCity inRiyadh.

Download Full-text

Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i1.47950 ◽

2020 ◽

Vol 26 (1) ◽

pp. 31-36

Author(s):

Md Zakaria Sarkar ◽

AHM Ferdows Nur ◽

Utpal Kumar Dutta ◽

Muhammad Rafiqul Islam ◽

Debabrota Roy ◽

...

Keyword(s):

Hearing Loss ◽

Cross Sectional Study ◽

Surgical Trauma ◽

Group 14 ◽

Progressive Hearing Loss ◽

Cross Sectional ◽

Hearing Gain ◽

Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

Download Full-text