Research of simple medical service quality index system: Based on decision-making model

2021 ◽  
Author(s):  
Yingying Zang ◽  
Peng Li ◽  
Taotao Lv ◽  
Jingyun Yuan ◽  
Zhaoyang Wang ◽  
...  
Keyword(s):  
Decision Making ◽  
Service Quality ◽  
Medical Records ◽  
National Health System ◽  
Pairwise Comparison ◽  
Evaluation Framework ◽  
Pairwise Comparison Matrix ◽  
Number Of Patients ◽  
Decision Making Model

Abstract BackgroundThere are many private Chinese Medicine(CM) clinics in Europe, America and other countries to choose from, but for physicians and patients, the quality of the clinic's services is difficult to determine. Physicians provide access to CM therapies due to the increasing number of patients receiving treatment within the National Health System (NHS). However, it has become a challenge for both physicians and patients to determine the competence of those who provide CM therapies. Therefore, it is necessary to develop a simple and applicable evaluation list for assessing alternative providers.AimThrough the consensus of experts, a rapid decision-making scale for the quality of CM clinics is developed for use by physicians or patients.MethodsDonabedian evaluation framework was used to design the consultation questionnaire. The indicators were designed based on the evaluation ratings of CM and the opinions of acupuncture experts in China and overseas. Delphi Method was used to seek the opinions anonymously. A pairwise comparison matrix was constructed after two rounds of expert consultation, and the weight of each indicator was calculated.ResultsThe top three weightings in the secondary indicators were the doctor-patient relationship, the number of dominant diseases, and medical records. Besides, the three highest weightings in the technical level included the number of technical projects conducted in clinics, the number of dominant diseases, and the degree of perfection of medical records. The highest weighted items in the treatment ability included the treatment effect of general diseases and the efficiency of disease treatment and treatment of general diseases. In service quality, the incidence of hospital infection and adverse events were the highest weighted items.ConclusionIt is possible to focus on the choice of therapy providers for internists and patients based on the weightings of each entry. Technical skills, competence, and quality of service are the key factors to consider when choosing an therapy provider based on specific points in each item.

scholarly journals TQM DI RUMAH SAKIT

2019 ◽  
Author(s):  
vovi tridian ulfah ◽  
Rusdinal ◽  
Hade Afriansyah
Keyword(s):  
Service Quality ◽  
Medical Treatment ◽  
Community Service ◽  
Community Satisfaction ◽  
Private Hospitals ◽  
Number Of Patients ◽  
Satisfaction With Services ◽  
The Prestige

Abstrak¬¬-- a hospital is one of the community service centers that can accommodate people who will undergo medical treatment or care.the increasing number of people in Indonesia has resulted in a large number of patients to be dealt with, and it is evident that we can see that there are currently many private hospitals in circulation, thus reducing the prestige of public hospitals.To improve the quality of the hospital, it is necessary to improve the quality of the hospital, which is a challenge for leaders who are sick, especially in developing service quality, such as services from doctors, nurses, staff and other employees to increase community satisfaction with services. which is given

scholarly journals Refusal to Travel in the National Ambulance Service. A Patient Care Report examination.

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Eamonn Byrne ◽  
Sasha Selby ◽  
Paul Gallen ◽  
Alan Watts
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Shared Decision Making ◽  
Vital Signs ◽  
Ambulance Service ◽  
Guidance Document ◽  
Shared Decision ◽  
Clinical Guidance ◽  
Decision Making Model

<p><strong>Introduction</strong></p><p>Every patient has the right to refuse treatment and, or transport (RTT) to hospital (1). The National Ambulance Service (NAS) has operated under a clinical guidance document that requires an assessment of patient capacity and a baseline amount of data to be gathered on every patient to facilitate the patient making an informed decision (2,3). An increase in the rate of non-conveyance of patients and refusal to travel calls as well as an increasing number of complaints prompted a quality improvement initiative based on improving and facilitating a shared decision-making model.</p><p><strong>Aim</strong></p><p>For patients who RTT, to establish a baseline quality of information collected and recorded on a Patient Care Report.</p><p><strong>Methods</strong></p><p>All NAS incidents closed with a refusal of treatment or transport, from 1<sup>st</sup> Jan 2017 to 9<sup>th</sup> November 2017 were identified from National Emergency Operation Centre (NEOC). A random selection of 75 Patient care reports (52 Paper and 23 Electronic) were identified and reviewed. Compliance with the refusal to travel guidance document was measured.</p><p><strong>Results</strong></p><p>31% of paper PCR’s reviewed were missing a complete set of vital signs. An average of 48.4 % (Median 48.4% Range 36.5% to 61.5%) were missing a complete second set of vital signs. 17.3% of combined forms were missing the patient’s chief complaint and 38.7% had no practitioner clinical impression entered. 24% had no capacity assessment completed.</p><p><strong>Conclusion</strong></p><p>Clinical information recorded by NAS staff did not meet the clinical guidance document requirements. It is impossible to assess what information was given to a patient to facilitate a shared decision-making model. The quality of NAS documentation can be improved for patients who refuse to travel.</p>

Decision-Making Model for Convention Site Selection

2012 ◽  
Vol 538-541 ◽  
pp. 895-900 ◽  
Author(s):  
Han Chen Huang
Keyword(s):  
Decision Making ◽  
Site Selection ◽  
Political Conflict ◽  
Decision Makers ◽  
City Image ◽  
Analytic Hierarchy ◽  
Number Of Factors ◽  
Decision Making Model ◽  
Hierarchy Process

A number of factors must be considered when selecting a convention site. Typically, most selections are based on the decision makers’ knowledge and experience, which may lead to biased decisions based on the decision makers’ subjective judgment. This study establishes decision-making evaluation factors and attributes for convention site selection based on a literature review. After surveying experts’ opinions using questionnaires, we employed the fuzzy analytic hierarchy process (FAHP) to analyze the weighting of the factors and attributes. The results show that of the five evaluation factors, site environment is the most important, followed by meeting and accommodation facilities, local support, extraconference opportunities, and costs. Additionally, the five most important attributes among the 20 evaluation attributes are the suitability of convention facilities, suitability and quality of local infrastructure, climate, city image, and political conflict or terrorist threats.

A Fuzzy Decision-Making Model for the Key Performance Indicators of Hospital Service Quality Evaluation

2020 ◽  
pp. 42-62 ◽  
Author(s):  
Melih Yucesan ◽  
Suleyman Mete ◽  
Muhammet Gul ◽  
Erkan Celik
Keyword(s):  
Decision Making ◽  
Service Quality ◽  
Medical Staff ◽  
Quality Criteria ◽  
Healthcare Services ◽  
Hospital Service ◽  
Public And Private ◽  
Service Quality Evaluation ◽  
Public And Private Hospitals ◽  
Decision Making Model

One of the major concerns of the healthcare industry throughout the world is to provide better hospital service quality. Management and delivery of hospital healthcare services are achieved in a competitive environment in Turkey. For this reason, to make better decisions, the services provided by the public and private hospitals should be monitored and evaluated according to the viewpoint of medical stakeholders. This chapter presents a cause-and-effect, decision-making model in evaluating hospital service quality criteria. Since the decision-making process involves the vagueness of human judgments, a combination of fuzzy sets and decision-making trial and evaluation laboratory (DEMATEL) is used. Results of the study demonstrate that medical equipment level of the hospital, the attitude of nurses and medical staff to patients, pharmacists' advice on medicine preservation, medical staff with professional abilities, outpatient waiting time for medical treatment, and number and quality of the bathrooms available have more impact on the entire hospital service quality. In conclusion, the proposed approach will contribute to better providing of healthcare services at a higher quality level.

scholarly journals Application of the AHP-BWM Model for Evaluating Driver Behavior Factors Related to Road Safety: A Case Study for Budapest

Symmetry ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 243 ◽  
Author(s):  
Sarbast Moslem ◽  
Danish Farooq ◽  
Omid Ghorbanzadeh ◽  
Thomas Blaschke
Keyword(s):  
Decision Making ◽  
Road Safety ◽  
Driver Behavior ◽  
Pairwise Comparison ◽  
Scientific Data ◽  
Analytic Hierarchy ◽  
Pairwise Comparison Matrix ◽  
Proposed Model ◽  
Decision Making Problem ◽  
Complex Decision Making

The use of driver behavior has been considered a complex way to solve road safety complications. Car drivers are usually involved in various risky driving factors which lead to accidents where people are fatally or seriously injured. The present study aims to dissect and rank the significant driver behavior factors related to road safety by applying an integrated multi-criteria decision-making (MCDM) model, which is structured as a hierarchy with at least one 5 × 5 (or bigger) pairwise comparison matrix (PCM). A real-world, complex decision-making problem was selected to evaluate the possible application of the proposed model (driver behavior preferences related to road safety problems). The application of the analytic hierarchy process (AHP) alone, by precluding layman participants, might cause a loss of reliable information in the case of the decision-making systems with big PCMs. Evading this tricky issue, we used the Best Worst Method (BWM) to make the layman’s evaluator task easier and timesaving. Therefore, the AHP-BWM model was found to be a suitable integration to evaluate risky driver behavior factors within a designed three-level hierarchical structure. The model results found the most significant driver behavior factors that influence road safety for each level, based on evaluator responses on the driver behavior questionnaire (DBQ). Moreover, the output vector of weights in the integrated model is more consistent, with results for 5 × 5 PCMs or bigger. The proposed AHP-BWM model can be used for PCMs with scientific data organized by traditional means.

scholarly journals Fusion of BWM and AHP MCDM Methods to Choose the Most Suitable Secondary School for an Individual in the Context of Bangladesh

2019 ◽  
Vol 06 (03) ◽  
pp. 311-328
Author(s):  
N. S. M. Rezaur Rahman ◽  
Md. Abdul Ahad Chowdhury ◽  
Adnan Firoze ◽  
Rashedur M. Rahman
Keyword(s):  
Decision Making ◽  
Secondary School ◽  
Pairwise Comparison ◽  
User Preferences ◽  
Multi Criteria Decision Making ◽  
Analytic Hierarchy ◽  
Final Score ◽  
Hierarchy Process ◽  
Best Worst Method

Choosing the best schools from a group of schools is a multi-criteria decision-making (MCDM) problem. In this paper, we have represented a method that uses the fusion of two multi-criteria decision-making methods, Best–Worst Method (BWM) and Analytic Hierarchy Process (AHP), to rank some of the user preferred alternatives. The system considers the choice of the user and the quality of the alternatives to rank them. User preferences on the criteria are taken as inputs in the form of best–worst comparison vectors to measure the choice of the user. These values are applied to calculate the numeric weights of each of the criteria. These weights reflect the preference of the user. A dataset of secondary schools in Bangladesh has been compiled and used for automatic quantitative pairwise comparison on the alternatives to calculate the score of each alternative in every criterion, which reflects its quality in that criterion. These scores are calculated using AHP. The weights of the criteria as well as the scores of these alternatives in those criteria are then used to calculate the final score of the alternatives and to rank them accordingly. An extensive experimental analysis and comparative study is reported at the end of this paper.

scholarly journals Quality of patient, family, caregiver and public engagement in decision-making in healthcare systems: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032788
Author(s):  
Clayon Hamilton ◽  
M Elizabeth Snow ◽  
Nancy Clark ◽  
Shannon Gibson ◽  
Maryam Dehnadi ◽  
...  
Keyword(s):  
Decision Making ◽  
Scoping Review ◽  
Family Caregiver ◽  
Research Question ◽  
Grey Literature ◽  
Healthcare Systems ◽  
Evaluation Framework ◽  
Bibliographic Databases ◽  
Scientific Article

IntroductionTo advance person- and family-centred healthcare, government initiatives have supported the engagement of patients and family caregivers in decision-making in healthcare systems. There is, however, no consensus on how to define success for such initiatives. This scoping review aims to identify the key elements for defining the quality of patient and family caregiver engagement in decision-making across the engagement domains (individual, community/organisation, system) of British Columbia’s healthcare system. We will use those elements to develop a conceptual evaluation framework.Methods and analysisThis scoping review follows Arskey and O’Malley’s methodology. (1) The research question was identified through team discussions. (2) Articles for data source will be identified using a librarian-informed search strategy for seven bibliographic databases as well as grey literature sources. (3) Selected articles will be relevant to the evaluation of patient and family caregiver engagement in healthcare systems. (4) Two researchers will independently extract data into predefined and emerging categories. (5) The researchers will reconcile and organise the identified elements. The research team’s collective perspective will then refine the elements, and select, interpret and summarise the results. (6) Persons from key stakeholder groups will be consulted to refine the emergent conceptual framework.Ethics and disseminationWe will seek ethics approval for the stakeholder consultation. This study follows an integrated knowledge translation approach. The results will inform evaluation of the Patients as Partners Initiative of the British Columbia Ministry of Health, and will be disseminated as a scientific article, a research brief, and presentations at conferences and stakeholder meetings.

Analysis of oral complications related to cancer therapy

2013 ◽  
Vol 9 (2) ◽  
Author(s):  
Antonio Eugenio Magnabosco Neto ◽  
Fernando Henrique Westphalen
Keyword(s):  
Oral Cavity ◽  
Cancer Treatment ◽  
Medical Records ◽  
Adverse Reactions ◽  
The Body ◽  
Cancer Therapies ◽  
Oral Complications ◽  
Dose Limitation ◽  
Number Of Patients

Introduction: The side effects and adverse reactions related to cancer therapies may cause significant alterations in the oral cavity, discomfort or even severe pain in parts of the body, patient’s nutritional deficiency, delay in the administration of oncologic drugs or dose limitation, an increase of hospitalization time and of the related expenses, as well as a decrease in the patient’s quality of life. Objective: The purpose of this study was to determine the deleterious effects of cancer therapies in the oral cavity. Material and methods: Data was gathered from medical records of the treatment of 643 cancer patients at the São José Hospital, in Joinville, state of Santa Catarina, from January to September 2012. Among the records selected for this study, 59.41% were female patients, with a mean age of 51 to 60 years. Results: Oral complications were reported in 72.47% of the patients, and the complication with the highest prevalence was mucositis (14.62%) followed by dry mouth (10.58%). Most of the patients had not received dental care prior to the cancer treatment, and no dental record was found. Conclusions: Several different oral disorders were reported as a result of cancer treatment, and a significant number of patients needed dental evaluation prior to the treatment.

Anticancer therapy within the last 30 days of life: Results of an audit and re-audit cycle from a regional cancer center.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18260-e18260
Author(s):  
Mike Nguyen ◽  
Alysson Wann ◽  
Babak Tamjid ◽  
Arvind Sahu ◽  
Javier Torres
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Retrospective Review ◽  
Medical Records ◽  
Quality Improvement Intervention ◽  
Separate Analysis ◽  
Number Of Patients ◽  
Audit Period ◽  
Improvement Intervention

e18260 Background: The therapeutic landscape in medical oncology continues to expand significantly. Newer therapies, especially immunotherapy, offer the hope of profound and durable responses with more tolerable side effect profiles. Integrating this information into the decision making process is challenging for patients and oncologists. Systemic anticancer treatment within the last thirty days of life is a key quality of care indicator and is one parameter used in the assessment of aggressiveness of care. Methods: A retrospective review of medical records of all patients previously treated at Goulburn Valley Health oncology department who died between 1 January 2015 and 30 June 2018 was conducted. Information collected related to patient demographics, diagnosis, treatment, and hospital care within the last 30 days of life. These results were presented to a hospital meeting and a quality improvement intervention program instituted. A second retrospective review of medical records of all patients who died between 1 July 2018 and 31 December 2018 was conducted in order to measure the effect of this intervention. Results: The initial audit period comprised 440 patients. 120 patients (27%) received treatment within the last 30 days of life. The re-audit period comprised 75 patients. 19 patients (25%) received treatment within the last 30 days of life. Treatment rates of chemotherapy reduced after the intervention in contrast to treatment rates of immunotherapy which increased. A separate analysis calculated the rate of mortality within 30 days of chemotherapy from the total number of patients who received chemotherapy was initially 8% and 2% in the re-audit period. Treatment within the last 30 days of life was associated with higher use of aggressive care such as emergency department presentation, hospitalisation, ICU admission and late hospice referral. Palliative care referral rates improved after the intervention. Conclusions: This audit demonstrated that a quality improvement intervention can impact quality of care indicators with reductions in the use of chemotherapy within the last 30 days of life. However, immunotherapy use increased which may be explained by increased access and perceived better tolerability.

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