scholarly journals A comparative study of patients’ satisfaction with different levels of hospitals in Beijing: Why do patients prefer high-level hospitals?

2020 ◽  
Author(s):  
Chengsen Cui ◽  
Xu Zuo ◽  
Yujia Wang ◽  
Haiyan Song ◽  
Jingyu Shi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Comparative Study ◽  
Medical Treatment ◽  
Statistical Significance ◽  
Nonparametric Tests ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
High Level ◽  
Different Levels

Abstract Background: To promote the integration of medical resources, Beijing has built medical alliances since 2012, but this reform has not changed the state of disordered medical treatment. Patients are still willing to go to high-level hospitals for medical treatment. What causes patients to prefer high-level hospitals? To explore the reasons behind this preference for high-level medical treatment among patients and to guide patients to make visits in an orderly manner, we conducted this study and compared patients' satisfaction with hospitals of different levels in the context of medical resource integration.Methods: This study conducted a questionnaire survey among 1,250 patients who were selected in 18 medical alliances in Beijing from October to December 2016. The study type is a comparative study based on cross-sectional data. Patient satisfaction was the main outcome, and descriptive analysis, chi-square tests, nonparametric tests and binary logistic regression analysis were used. The level of statistical significance was set at p<0.05.Results: The overall satisfaction score of the medical alliances was 3.375, and the satisfaction scores of core hospitals and cooperative hospitals were 2.77 and 3.07, respectively. The overall patient satisfaction rate was 44.62%, and the satisfaction rates of core hospitals and cooperative hospitals were 34.34% and 50.43%, respectively. The type of hospital and understanding of medical alliance policy were the factors associated with patient satisfaction with the medical alliance.Conclusions: The patients’ satisfaction with cooperative hospitals was higher than their satisfaction with core hospitals. Although the patients were more satisfied with the service attitude of the cooperative hospitals, they still preferred core hospitals due to their higher expectations for their medical treatment and greater trust in their medical technology. It is necessary to explore the establishment of closed medical alliances under the unified management of human and financial resources to enable medical alliances to become a community of common interests and provide integrated medical services for patients.

scholarly journals A comparative study of patients’ satisfaction in different levels of hospitals in Beijing: Why do patients prefer high-level hospitals?

2020 ◽  
Author(s):  
Chengsen Cui ◽  
Xu Zuo ◽  
Yujia Wang ◽  
Haiyan Song ◽  
Jingyu Shi ◽  
...  
Keyword(s):  
Comparative Study ◽  
Medical Treatment ◽  
Statistical Significance ◽  
Nonparametric Test ◽  
Satisfaction Score ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Satisfaction Rate ◽  
High Level

Abstract Background: In order to promote integration of medical resources, Beijing built medical alliances since 2012, but this reform did not change the state of disordered medical treatment. Patients are still willing to go to high-level hospitals for medical treatment. What causes patients to prefer high-level hospitals? In order to explore the reasons for the high-level medical treatment behavior of patients and guide patients to visits orderly, we conducted the study and compared the patients' satisfaction in different level hospitals under the background of the medical resource integration. Methods: This study conducted a questionnaire survey among 1,250 patients who were selected in 18 medical alliances in Beijing from October to December 2016. The study type is a comparative study based on cross-sectional data. The patients’ satisfaction was the main outcome, descriptive analysis, a chi-square test, a nonparametric test and binary logistic regression analysis were used. The level of statistical significance was set at p<0.05. Results: The overall satisfaction score of the medical alliances is 3.375, and the satisfaction score of core hospitals and cooperative hospitals is 2.77 and 3.07. The overall patient satisfaction rate is 44.62%, and the satisfaction rate of core hospitals and cooperative hospitals is 34.34% and 50.43%. The type of hospital and understanding of medical alliance policy are the associated factors of the patients’ satisfaction with the medical alliance. Conclusions: The patients’ satisfaction of cooperative hospitals was higher than that of core hospitals. Although the patients are more satisfied with the service attitude of the cooperative hospitals, they still prefer core hospitals due to their higher expectation for medical treatment and greater trust in the medical technology of the core hospitals. It is necessary to explore the establishment of the closed medical alliances under the unified management of human and financial resources, to promote medical alliances to become a community of common interests and provide integrated medical services for patients.

scholarly journals Comparative study of patients' satisfaction in different levels of hospitals in Beijing: Why do patients prefer high-level hospitals?

2019 ◽  
Author(s):  
Chengsen Cui ◽  
Xu Zuo ◽  
Yujia Wang ◽  
Haiyan Song ◽  
Jingyu Shi ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Nonparametric Test ◽  
Satisfaction Score ◽  
Binary Logistic Regression Analysis ◽  
Patients Satisfaction ◽  
Satisfaction Rate ◽  
Total Satisfaction ◽  
High Level

Abstract Background: In order to promote the vertical flow and integration of medical resources, Beijing built medical alliances since 2012, but this practice did not change the disordered state of medical treatment. Patients are still willing to go to high-level hospitals for medical treatment. What causes patients to prefer high-level hospitals? Through previous research, patients' choice of medical treatment was affected by patients' satisfaction. Therefore, we compared the patients' satisfaction in different level hospitals under the background of the medical resource integration. Methods: This study conducted a 48-person interview and a questionnaire survey among 1,250 patients who were treated in 18 medical alliances in Beijing from October to December 2016. The patients’ satisfaction was the main outcome, descriptive analysis, a chi-square test, a nonparametric test and binary logistic regression analysis were used. The level of statistical significance was set at p<0.05. Results: The total satisfaction score of the medical alliances is 3.375, and the satisfaction score of core hospitals and cooperative hospitals is 2.77 and 3.07 respectively. The overall patient satisfaction rate is 44.62%, among which the satisfaction rate of core hospitals is 34.34% and that of the cooperative hospitals is 50.43%. The type of hospital and understanding of medical alliance policy are the influencing factors of the patients’ satisfaction with the medical alliance. Conclusions: Patients are more satisfied with the core hospitals. However, because core hospitals have obtained the most subsidies with limited financial compensation, the gap between core hospitals and cooperative hospitals is growing. The phenomenon of disorderly medical treatment in China seems more intense. Therefore, it is necessary to explore the establishment of closed medical alliances so that provide integrated medical services for patients.

scholarly journals Patients’ Satisfaction With Inpatient Orthopedic Physiotherapy Services at a Tertiary Hospital in Ghana

2018 ◽  
Vol 6 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Paapa Kwesi Ampiah ◽  
Josephine Ahenkorah ◽  
Margaret Karikari
Keyword(s):  
Patient Satisfaction ◽  
Road Traffic ◽  
Tertiary Hospital ◽  
Nonparametric Tests ◽  
Study Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Patient Satisfaction Questionnaire ◽  
Patients Satisfaction

Background:Although assessing patient satisfaction ensures quality assurance, compliance, and better effects of therapy, patient satisfaction studies are lacking within the Ghanaian physiotherapy domain.Objective:To ascertain patients’ satisfaction with physiotherapy services and evaluate factors that influence satisfaction levels at the trauma and orthopedic directorate of Komfo Anokye Teaching Hospital.Method:A cross-sectional survey was done, and systematic random sampling was used to recruit participants. One-hundred twenty (120) patients participated in the study. Data were collected using an adapted structured patient satisfaction questionnaire. Data obtained were analyzed using SPSS version 24. Descriptive statistics and nonparametric tests were performed.Results:The mean age of participants was 39.9 ± 15.8 years. They comprised 48 (40%) females and 72 (60%) males. The most common cause of patient admission was road traffic accident (71.7%). All dimensions of satisfaction assessed were highly rated (>90%). Majority of the participants reported that they were satisfied (95.7%) and compliant (91.6%) with the physiotherapy treatment. Respect shown by therapist (98%) and courtesy and friendliness (97%) were the most rated indices; however, some respondents had uncertainties pertaining to patient involvement in decision-making. The majority of participants also reported that due to their satisfaction, compliance came naturally (75.9%) and reported compliance had a significant association with satisfaction ( P = .02). Age was also found to influence satisfaction ( P = .04).Conclusion:Patient satisfaction with physiotherapy services rendered at the inpatient facility was high, and satisfaction reportedly translated into ease with compliance.

scholarly journals Association of shared decision making with inpatient satisfaction: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China. Methods A cross-sectional survey of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models. Results The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals). Conclusions Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

scholarly journals The Uptake and Vaccination Willingness of COVID-19 Vaccine among Chinese Residents: Web-Based Online Cross-Sectional Study

Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 90
Author(s):  
Yi Kong ◽  
Hao Jiang ◽  
Zhisheng Liu ◽  
Yi Guo ◽  
Dehua Hu
Keyword(s):  
Health Status ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Binary Logistic Regression Analysis ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Web Based ◽  
The Difference ◽  
High Level

Objective: To investigate the uptake and vaccination willingness of the COVID-19 vaccine among Chinese residents and analyze the difference and factors that impact vaccination. Methods: The snowball sampling method was used to distribute online questionnaires. Relevant sociodemographic data along with the circumstances of COVID-19 vaccination were collected from the respondents. The χ2 test, independent samples t test and binary logistic regression analysis were used to analyze the data. Results: Among 786 respondents, 84.22% had been vaccinated. Over 80% of the vaccinated population have completed all the injections because of supporting the national vaccination policies of China, while the unvaccinated population (23.91%) is mainly due to personal health status. Meanwhile, statistical analysis revealed that the main predictors of not being vaccinated were younger age (3 to 18 years old), personal health status, and lower vaccinated proportion of family members and close friends (p < 0.05). Conclusions: There was a high level of uptake of the COVID-19 vaccine in China, and people who have not been vaccinated generally had a low willingness to vaccinate in the future. Based on our results, it suggested the next work to expand the coverage of the COVID-19 vaccination should be concentrated on targeted publicity and education for people who have not been vaccinated.

scholarly journals Frequency of number of roots and root canals of maxillary first premolar teeth.

2021 ◽  
Vol 28 (10) ◽  
pp. 1513-1518
Author(s):  
Munawar Aziz Khattak ◽  
Sana Arbab ◽  
Syed Amjad Shah
Keyword(s):  
Statistical Significance ◽  
Maxillofacial Surgery ◽  
P Value ◽  
Cross Sectional ◽  
Mean Values ◽  
Khyber Pakhtunkhwa ◽  
Root Canals ◽  
India Ink ◽  
Different Levels ◽  
Chamber Floor

Objective: To determine the frequency of the number of roots and root canals in a sample of 250 extracted maxillary first premolar teeth of patients visiting Peshawar Dental College and Hospital Khyber Pakhtunkhwa. Study Design: Cross Sectional. Setting: Department of Oral Biology, Peshawar Dental College and Hospital Khyber Pakhtunkhwa. Period: April 2016 to December 2016. Material & Methods: A total of 250 extracted human maxillary first premolars were collected from the Department of Oral & Maxillofacial Surgery, Peshawar Dental College, and Hospital Khyber Pakhtunkhwa. All teeth were visually inspected to count the number of roots. Subsequently, the access cavity was prepared, and pulp extirpated from each tooth. Endodontic explorer was used to locating the canal orifice(s) at the pulp chamber floor. Later the root canal orifices were injected with India ink to stain the canals. After that roots of teeth were sectioned at different levels to note down the number of canals. Data were analyzed using SPSS version 19. The statistical significance of the variations from mean values was considered significant if the p-value was less than 0.05. Results: Out of 250 maxillary first premolar teeth, 44.8% had one root, 40.4% had two separate and 12.8% had two fused roots. Three roots were seen in 2.0% teeth. Two root canals were present in the vast majority (70.4%), whereas one and three root canals were seen in 27.6% and 2.0% teeth, respectively. The correlation between the number of roots and root canals of maxillary first premolar teeth was highly significant. Conclusions: There was a high frequency of maxillary first premolars with two roots and two root canals.

scholarly journals Evaluation of patients' satisfaction on booking appointment system in dental school of Isfahan during 2018

2020 ◽  
Author(s):  
Firouzeh Nilchian ◽  
zahra ataie ◽  
Hamid Jamshidian
Keyword(s):  
Patient Satisfaction ◽  
Statistical Tests ◽  
Pearson Correlation ◽  
T Test ◽  
Dental School ◽  
Software Systems ◽  
Initial Examination ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Appointment System

Abstract Background: With the development of technology in recent years, booking appointment software systems have gained special and significant popularity among physicians and patients. As Medical university of Isfahan is one of the leading universities of the country the results of this study could be very important for the use of other health systems in different states of country. This research aimed to assess the patients’ satisfaction of the booking appointment system services of Isfahan dentistry faculty, considering its different types of booking systems and patient satisfaction. Methods: The study was descriptive and cross-sectional. The questionnaire was prepared using Zhang study in 2014 and the standard Forward-Backward translation method. In order to investigate the validity, the opinions of the professors of Isfahan Dental School were taken and the professional opinions of the individuals were applied. The questionnaire was distributed among patients referring to the dental school who had undergone the initial examination. After completing the data, SPSS software version 20 and descriptive and analytical statistical tests were used to analyze the data (a = 0.05).Results: In this study, independent t-test, Kruscal-Wallis test and Pearson correlation test were used to investigate the data. The Kruscal-Wallis test showed that overall satisfaction was significantly higher in patients who booked appointment online than in other patients (P = 0.003). The independent t-test showed that the mean scores of patient satisfaction with staff behavior (P = 0.03) and satisfaction with the waiting time (P = 0.01) were significantly different between native, non-native and passenger patients.Conclusion: Most of the people surveyed were generally relatively satisfied with the booking appointment services. Most of them surveyed came in person to queue. Most people cited cheap services as the main reason for their visits. Most people cited telephone busy signal as the reason for not using the telephone booking system.

Treatment of Striae Alba using Fractional Radiofrequency with and without Lyophilized Growth Factors

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Marwa M. A Abdallah ◽  
Ahmed Abd Elfattah Afify ◽  
Nuha Hussain Ali Al-Rubaiay
Keyword(s):  
Patient Satisfaction ◽  
Growth Factors ◽  
Comparative Study ◽  
Collagen Synthesis ◽  
The Other ◽  
Treatment Modalities ◽  
Efficacy And Safety ◽  
Patients Satisfaction ◽  
Satisfaction Rate

Abstract Background Various treatment modalities have been applied to treat striae alba with low satisfaction rate. Fractional Microneedling radiofrequency provides deep dermal coagulation, thereby inducing collagen synthesis and tissue tightening. The addition of platelet lyophilized growth factors may add to the effect of fractional Microneedling radiofrequency. Objectives To evaluate and compare the efficacy and safety of fractional Microneedling radiofrequency alone or combined with lyophilized growth factors in the treatment of striae alba. Methods In this left-right comparative study, 25 patients suffering from striae alba on the abdomen received sessions of fractional microneedling radiofrequency with lyophilized growth factors on one side and with saline (as placebo) on the other side at 4 weeks interval. Patients‘ satisfaction was evaluated at the end of study using a questionnaire (Patients were asked the following questions: Are you satisfied with this treatment (completely satisfied, satisfied, partially satisfied, or not satisfied)?. Results There was a significant improvement in striae alba after treatment in both the lyophilized growth factors (p = &lt;0.0001) and placebo sides (p = &lt;0.0001), the lyophilized growth factors being superior (p = 0.002). Patient satisfaction was more on the LGF side (p = 0.034),where 6 versus 3 patients were completely satisfied. Erythema and hyperpigmentation were less on the lyophilized growth factors side. Conclusion The combination of fractional microneedling radiofrequency and lyophilized growth factors improves striae alba outcome.

scholarly journals Telephone Follow-Up following Office Anorectal Surgery

2008 ◽  
Vol 90 (6) ◽  
pp. 464-466 ◽  
Author(s):  
Rebecca C Fallaize ◽  
Christine Tinline-Purvis ◽  
Anthony R Dixon ◽  
Anne-Marie Pullyblank
Keyword(s):  
Patient Satisfaction ◽  
Medical Treatment ◽  
Patient Treatment ◽  
Second Line ◽  
Anorectal Surgery ◽  
Fissure In Ano ◽  
Level Of Satisfaction ◽  
Patient Appointment ◽  
High Level

INTRODUCTION Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction. PATIENTS AND METHODS Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male). All were telephoned at 6 weeks and were offered an 8-week OPA if they had continuing problems. Patients were telephoned at a later date by a member of the hospital's patient panel to assess satisfaction. RESULTS Overall, 88% were contacted at 6 weeks, 60% at the first attempt; 40% required two or more attempts. Of those who underwent banding, 68% were asymptomatic, 17% requested an OPA for re-banding and 15% requested an OPA for a different problem. Of fissure patients, 25% were cured; the remainder were prescribed either second-line medical treatment (8%), anorectal physiology (42%) or surgery (25%). All avoided an OPA. Of a potential 60 OPAs, 47 were saved by telephone follow-up. None of 7 non-contactable patients accepted a written offer of an OPA. Overall, 89% of patients were contacted by the patient panel; of these patients, 93% reported a high level of satisfaction. CONCLUSIONS Telephone follow-up can reduce the number of OPAs following out-patient treatment of minor anorectal conditions whilst maintaining a high level of patient satisfaction. However, it requires considerable consultant time. This process could be developed into either a nurse-led service with booked telephone appointments or a patient-led service to a dedicated hotline.

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