scholarly journals A Comprehensive Environmental Scanning and Strategic Analysis of Iranian Public Hospitals: A Prospective Approach

2020 ◽  
Author(s):  
Kimia pourmohammadi ◽  
Peivand Bastani ◽  
Payam Shojaei ◽  
nahid hatam ◽  
Asiyeh Salehi
Keyword(s):  
Economic Sanctions ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Environmental Scanning ◽  
Distribution Management ◽  
Strategic Direction ◽  
Efficiency And Effectiveness ◽  
Considerable Impact ◽  
Strategic Policies ◽  
Environmental Level

Abstract Objectives: This study was conducted to provide a strategic direction to public hospitals in Iran via environmental scanning in order to equip hospitals to plan and perform proactively and adapt with the ever-changing environment. Results: A mixed method study including in-depth interview and survey were used to determine influential environmental factors based on PESTLE (Political, Economic, Social, Technological, Legal and Environmental) and Douglas West framework (to determine the effectiveness and feasibility of factors). Issues identified at micro environmental level were over prescription, inequality in distribution of healthcare services and high demands for luxurious health services. Issues identified at the macro environmental level were related to changes in disease patterns, inappropriate hospital budgeting, economic sanctions, government corruption and healthcare centralization. In order to tackle the issues identified, it is paramount to enhance bed distribution management, improve strategic policies for a more equitable payment system, and enhance the efficiency and effectiveness of services by implementing a strategic inventory control. Furthermore, the considerable impact of economic sanctions on financial resources of Iranian hospitals should not be ignored.

scholarly journals A Comprehensive Strategic Analysis of the Environmental Scanning of Iranian Public Hospitals: A Prospective Approach

2019 ◽  
Author(s):  
Kimia pourmohammadi ◽  
Peivand Bastani ◽  
Payam Shojaei ◽  
nahid hatam ◽  
Asiyeh Salehi
Keyword(s):  
Interest Rates ◽  
Service Providers ◽  
Healthcare Services ◽  
Structured Interview ◽  
Public Hospitals ◽  
Environmental Scanning ◽  
Efficiency And Effectiveness ◽  
Key Issues ◽  
Political Economic ◽  
Strategic Policies

Abstract Objectives: This mixed-method study was conducted to interpret the political, economic, social and technological issues that encourage hospital managers to be aware of the conditions and be equipped to plan and perform proactively. Results: structured interview using Douglas West framework and a researcher-made questionnaire were used to determine the effectiveness and feasibility of hospitals’ environmental factors. The key issues at micro level environment of public hospitals were related to prescription and overuse of pharmaceuticals, inequality in distribution of healthcare services and high demands for luxurious services. At macro level: higher fertility rates, hospital services tariffs, changes in the patterns of diseases and inappropriate hospital budgeting have direct impact and economic sanctions, government corruption, centralization and high bank interest rates have indirect impact on public hospitals in Iran. Generally the strategic policies are required to improve quality-based payment system, enhance the efficiency and effectiveness of services, improving fair income generation and urging positive motivations for service providers are the strategies to cope with the future changes. Key words: public hospital, environmental scanning, strategic management, PESTLE analysis, future, Iran

A Comprehensive Strategic Analysis of the Environmental Scanning of Iranian Public Hospitals: A Prospective Approach

2020 ◽  
Author(s):  
Kimia pourmohammadi ◽  
Peivand Bastani ◽  
Payam Shojaei ◽  
Nahid Hatam ◽  
Asiyeh Salehi
Keyword(s):  
Waiting Times ◽  
Economic Sanctions ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Macro Level ◽  
Environmental Scanning ◽  
Efficiency And Effectiveness ◽  
Micro Level ◽  
The Government ◽  
Uncertain Future

Abstract Objectives: This study was conducted to interpret the micro and macro environmental issues of public hospitals in order to equip hospital managers to plan and perform proactively and could deal more better with uncertain future. Results: semi-structured in-depth interview and a researcher-made questionnaire were used to determine macro and micro level issues based on PESTLE (Political, Economic, Social, Technological, Legal and Environmental) and Douglas West framework in order to determine the effectiveness and feasibility of factors The key issues at micro level environment were related to prescription and overuse of pharmaceuticals, inequality in distribution of healthcare services and high demands for luxurious services. At macro level: changes in disease patterns, inappropriate hospital budgeting, economic sanctions, government corruption and centralization had a great impact on public hospitals in Iran. following the safety guidelines laid down by the government and better management of bed distribution in order to decrease waiting times at micro level and improve strategic policies in order to have quality-based payment system, enhance the efficiency and effectiveness of services and strategic purchasing are the most important ways at macro level. At this time, the considerable impact of economic sanctions on hospital financial resources should not be ignored.

scholarly journals Clinical diagnosis of 80 cases of dementia in a university hospital

2013 ◽  
Vol 62 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Renata Teles Vieira ◽  
Norami de Moura Barros ◽  
Leonardo Caixeta ◽  
Sergio Machado ◽  
Adriana Cardoso Silva ◽  
...  
Keyword(s):  
Demographic Data ◽  
Lewy Body Dementia ◽  
The Elderly ◽  
Healthcare Services ◽  
Epidemiological Studies ◽  
University Hospital ◽  
Functional Activities ◽  
Considerable Impact ◽  
The City ◽  
State Examination

OBJECTIVE: This study aims to estimate the prevalence of dementia subtypes and to assess the socio-demographic data of patients attending the outpatient clinic of dementia at Hospital das Clínicas from January 2008 to December 2009, in the city of Goiânia-GO, Brazil. METHODS: Procedures provided for diagnosis included physical and neurological examination, laboratory tests, neuroimaging and DSM-IV. The functional capacity and level of cognitive deficit were assessed by Pfeffer Functional Activities Questionnaire (Pfeffer-FAQ) and Mini-Mental State Examination (MMSE), respectively. RESULTS: Eighty patients met the criteria for dementia. The mean age was 63.48 (± 16.85) years old, the schooling was 3.30 (± 3.59) years old, the MMSE was 13.89 (± 7.79) and Pfeffer 17.73 (± 9.76). The Vascular Dementia (VD; 17.5%) was the most frequent cause of dementia, followed by Lewy body dementia (LBD) and Alzheimer's disease (AD) (12.25%). CONCLUSION: Considering entire sample and only the elderly over 60 years, VD, AD and LBD are the most common subtypes observed at both groups. Further epidemiological studies are necessary to confirm such rates, which may have a considerable impact on the organization and planning of healthcare services in our country.

Evaluating the total quality and its role in measuring consumer satisfaction with e-healthcare services using the 5Qs model: a structure equation modeling approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prachi Verma ◽  
Satinder Kumar ◽  
Sanjeev K. Sharma
Keyword(s):  
Service Quality ◽  
Consumer Satisfaction ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Equation Modeling ◽  
Total Quality ◽  
Content Type ◽  
Quality Perceptions

PurposeThis article initially aims to explore the factors of every quality construct of the 5Qs model of service quality and, second, identify the significant factors affecting the total quality of e-healthcare services and its association with consumer satisfaction using a multidimensional hierarchical 5Qs model of e-healthcare service quality.Design/methodology/approachQuestionnaire-oriented research was performed at three public hospitals of Punjab and Chandigarh. In total, 53 variables were covered in all quality constructs for data collection from the designated public hospitals. The respondents who agreed to have knowledge regarding e-Healthcare services and were availing these services were included in the study. The analysis comprised structural equation modeling technique using AMOS 21.FindingsThe outcomes suggest that the 5Qs model is more comprehensive and can be used to evaluate service quality perceptions using e-Healthcare services. The research identified 11 sub-dimensions for the five quality constructs of the 5Qs model, representing total quality, which is primary to consumer satisfaction. “Overall objectivity” and “technical objectivity” defined the quality of object. The quality of process of e-Healthcare services was characterized by “functionality,” “timeliness” and “responsiveness.” Quality of infrastructure was defined by “technical infrastructure,” “physical infrastructure,” “manpower skills” and “organizational infrastructure.” “Manner of interaction” and “timely interaction” defined the quality of interaction. The atmosphere was represented by only one factor. The results also suggest that quality of infrastructure, quality of interaction and quality of atmosphere play the most significant role in total quality leading to consumer satisfaction.Research limitations/implicationsTheoretical implications: The multidimensional hierarchical model will help the researchers study the e-Healthcare service quality in a more organized manner, and the outcomes of this study can be linked with that of future studies for more generalized application in other public hospitals. The sub-dimensions of each quality construct of the 5Qs model can be applied in private hospitals, and the hierarchical model can be tested in different industries to measure service quality perceptions of the consumerPractical implicationsThe outcomes of the study can be applied in various public sector hospitals to redesign the e-Healthcare services based on consumers' perception for better consumer satisfaction and quality services. This paper identifies the role of each quality construct in e-Healthcare services for improvement in the total quality, which in turn will lead to higher satisfaction for the consumers.Originality/valueIn this study, the original 5Qs model has been used for the first time in a new instrument to understand better and design quality e-Healthcare services. The paper explores the sub-factors of each quality construct and its significance in measuring the total quality.

Assessment of Healthcare Service Quality

2020 ◽  
pp. 271-291
Author(s):  
Segufta Dilshad ◽  
Afsana Akhtar ◽  
S. S. M. Sadrul Huda ◽  
Nandeeta Samad
Keyword(s):  
Service Quality ◽  
Quality Measurement ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Healthcare Facilities ◽  
Level Of Satisfaction ◽  
Related Quality ◽  
Private And Public

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

‘Please treat me like a person’—respectful care during adolescent childbirth

2020 ◽  
Vol 28 (6) ◽  
pp. 360-369
Author(s):  
Elizabeth Fuzy ◽  
Sheila Elizabeth Clow ◽  
Nicola Fouché
Keyword(s):  
Adolescent Mothers ◽  
Phenomenological Approach ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Term Infants ◽  
State Of Mind ◽  
Age Appropriate ◽  
Appropriate Education ◽  
Feeling Overwhelmed ◽  
Respectful Care

Background This study explored the lived childbirth experiences of ‘middle adolescent’ mothers between 14–16 years of age. Study design A qualitative design was followed with a Husserlian phenomenological approach and Colaizzi's seven steps to unravelling information. Using semi-structured conversations, information was gathered from six middle-adolescent mothers who had normal vaginal births of healthy term infants in two public hospitals in South Africa. Findings An overarching theme of preservation of personhood was identified. Three themes emerged i) unpreparedness for childbirth, ii) an unsettled state of mind during childbirth and iii) feeling overwhelmed by the experience. Conclusion More positive birth experiences were associated with respectful, non-judgmental midwife care and having their mothers as birth companions while humiliation, victimisation and rudeness were associated with negative birth experiences. Recommendations More focus is needed on adolescent-friendly healthcare services and age-appropriate education; continuous labour support; pain management and respectful care during childbirth.

Service Quality, Satisfaction and Trust: a Study of Public Hospitals in Bandung, Indonesia

2018 ◽  
Vol 7 (3.30) ◽  
pp. 393
Author(s):  
Marcellia Susan ◽  
. .
Keyword(s):  
Service Quality ◽  
Structural Equation ◽  
Service Providers ◽  
Clinical Care ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Care Process ◽  
Primary Data ◽  
Equation Modeling ◽  
The Public

Research on service quality has been performed by researchers on various research objects. In many previous studies, service quality provided by service providers became the factor that affects customer satisfaction and other various research variables. The study was conducted at public hospitals that offer healthcare services with a focus on service quality. The purpose of this study was to analyze the service quality provided by public hospitals, and to test their effect on the satisfaction and trust of patients or attendants. The objects of this research are the public hospitals in Bandung with the patients or attendants as the unit of analysis. Primary data were obtained through the dissemination of questionnaires on patients or attendants to obtain data on their evaluation of service quality of public hospitals, and their satisfaction and trust towards public hospitals. Obtained data was processed using structural equation modeling to confirm causality of related research variable. The results depict the service quality provided by public hospitals in Bandung covering infrastructure, personnel quality, clinical care process, administrative procedures, safety indicators, and social responsibility. Moreover, the results of hypothesis testing show that service quality has an influence on patient satisfaction, and ultimately affects their trust in the hospital.  

Exploring Entrepreneurs' Perceptions of Venture Capitalists' Added Value

2019 ◽  
Vol 39 (4) ◽  
pp. 447-462 ◽  
Author(s):  
Rajiv Vaidyanathan ◽  
Vijay Vaidyanathan ◽  
Vivek Wadhwa
Keyword(s):  
Added Value ◽  
Entrepreneurial Activity ◽  
Environmental Scanning ◽  
Venture Capitalists ◽  
Policy Makers ◽  
Strategic Direction ◽  
Practical Implications

Recent research on the marketing-entrepreneurship interface has highlighted the importance of understanding the relationships between various actors that enable entrepreneurial activity. Entrepreneurs often depend on VCs not just for funding, but also for their expertise in environmental scanning, innovation, and strategic direction. This study takes the perspective of entrepreneurs as consumers of the value offered by VC firms and uses a broad survey of entrepreneurs to understand the factors that could affect long term relationships between these actors. The results show that entrepreneurs select VCs primarily on their perceptions of the fairness of the contract, reputation, and startup valuation. We also find evidence that entrepreneurs are uniformly disappointed in their experiences with VCs when comparing their pre- and post-financing views. Our findings contain important implications for a creating a balanced macromarketing view of the VC-entrepreneur relationship and holds practical implications for venture capitalists, entrepreneurs, and policy makers.

scholarly journals Socio-Cultural Sustainability of Private Healthcare Providers in an Indian Slum Setting: A Bottom-of-the-Pyramid Perspective

2018 ◽  
Vol 10 (12) ◽  
pp. 4702 ◽  
Author(s):  
Federica Angeli ◽  
Shila Teresa Ishwardat ◽  
Anand Kumar Jaiswal ◽  
Antonio Capaldo
Keyword(s):  
Decision Making ◽  
Business Models ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Decision Making Process ◽  
Bottom Of The Pyramid ◽  
Social Entrepreneurs ◽  
Private Healthcare ◽  
Significant Difference

Delivery of affordable healthcare services to communities is a necessary precondition to poverty alleviation. Co-creation approaches to the development of business models in the healthcare industry proved particularly suitable for improving the health-seeking behavior of BOP patients. However, scant research was conducted to understand BOP consumers’ decision-making process leading to specific healthcare choices in slum settings, and the relative balance of socio-cultural and socio-economic factors underpinning patients’ preferences. This article adopts a mixed-method approach to investigate the determinants of BOP patients’ choice between private and public hospitals. Quantitative analysis of a database, composed of 436 patients from five hospitals in Ahmedabad, India, indicates that BOP patients visit a public hospital significantly more than top-of-the-pyramid (TOP) patients. However, no significant difference emerges between BOP and TOP patients for inpatient or outpatient treatments. Qualitative findings based on 21 interviews with BOP consumers from selected slum areas led to the development of a grounded theory model, which highlights the role of aspirational demand of BOP patients toward private healthcare providers. Overall, healthcare provider choice emerges as the outcome of a collective socio-cultural decision-making process, which often assigns preference for private healthcare services because of the higher perceived quality of private providers, while downplaying affordability concerns. Implications for healthcare providers, social entrepreneurs, and policy-makers are discussed.

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