Expectant mothers’ value drivers at the maternity hospital: evidences from a monocentric study.

2020 ◽  
Author(s):  
Luca Buccoliero ◽  
Domenico Pitrelli ◽  
Elena Bellio ◽  
Chiara Saviane ◽  
Giulia Annovi ◽  
...  
Keyword(s):  
Patient Experience ◽  
Quality Care ◽  
Patient Empowerment ◽  
Clinical Information ◽  
Growth Strategy ◽  
Competitive Growth ◽  
Process Of Care ◽  
Value Drivers ◽  
Patient Centered ◽  
Expectant Mothers

Abstract Background – Patient experience is recognized as one of the key elements of quality control within healthcare organizations, becoming crucial for a competitive growth strategy. In fact, delivering patient-centered healthcare experiences is seen as one of the basic requirements of good quality care. Women have been largely invisible in patient centered satisfaction research, especially if considering women needs during pregnancy and labor. The aim of this paper is to understand the experiential value drivers of expectant mothers through a holistic experiential marketing perspective. This paper enlightens the elements of in-hospital stays from different perspectives, contributing to a better and more exhaustive understanding of the patient’s needs and preferences.Methods – Three studies were designed and conducted referring to a maternal and child health hospital: two focus groups involving expectant and new mothers (study 1), a qualitative analysis to understand the online overall sentiment regarding hospital experiences during pregnancy (study 2) and a survey with collected data analyzed through SEM to identify the most influential and significant factors affecting women’s overall satisfaction in the in-hospital stay (study 3).Results – The qualitative research returned some valuable insights on the role of interaction with staff, information quality and brand. Sentiment analysis revealed the relevance of online patient experience. Finally, the quantitative SEM analysis confirmed that the relationship between patients and staff and patient empowerment impact the most on the overall satisfaction. Furthermore, the brand value plays a mediating role in this positive relationship.Conclusions – Results suggest to prioritize the establishment of strong human relationships between clinical staff and patients, based on the availability of high quality clinical information. The conducted studies through their main finding, could support an improvement in the process of care based on expectant mothers’ needs and behaviours.

Identifying Predictors of Patient Satisfaction with Telehealth Consultations in German-Speaking Countries: Standardized Online Questionnaire (Preprint)

2021 ◽  
Author(s):  
Diana Manuela Roccaro-Waldmeyer ◽  
Philippe Schucht ◽  
Winfried Post ◽  
Michael Dahlweid
Keyword(s):  
Patient Satisfaction ◽  
Sample Size ◽  
Healthcare Provider ◽  
Online Survey ◽  
Quality Care ◽  
Patient Empowerment ◽  
Online Questionnaire ◽  
Patient Centered ◽  
German Speaking ◽  
Survey Responses

BACKGROUND Telehealth services can contribute to fulfilling the long-standing promise of patient-centered care, by delivering high-quality care at a location convenient to patients or by increasing patient access to healthcare-related information. In German-speaking countries, telehealth consultations were not particularly widespread before the outbreak of the Covid-19 pandemic. OBJECTIVE We aimed at investigating the experience of patients in German-speaking countries with telehealth consultations, especially with respect to patient satisfaction (expressed as their willingness to have another telehealth consultation, main study outcome) and aspects related to patient empowerment. We hypothesized particularly video consultations to increase patient satisfaction and empowerment related aspects. METHODS A standardized online questionnaire composed of seven quickly answerable questions was used to conduct an online survey in line with published recommendations. To estimate the proportion of patients willing to have another telehealth consultation, the necessary minimum sample size to be studied was determined to be 384 (confidence: 95%; error: 5%; population proportion: 50%, definitive sample size: 411). RESULTS We reached a total of 28,814 followers via social media to obtain more than 5,735 clicks and views, resulting in 411 complete survey responses. 93% of the respondents having had video consultations, but only 32% of those having had phone consultations (66% of all 411) indicated that they would want to have another telehealth consultation again. By far the most important predictor of this main outcome was, whether patients understood the conversation with their healthcare provider. CONCLUSIONS Our results demonstrate a high acceptance of telehealth consultations by patients in German-speaking countries and emphasize the importance of patients to thoroughly comprehend the communication with their healthcare provider, a prerequisite for patient empowerment. They further provide evidence for video consultations to lead to higher patient satisfaction (reflected by a higher willingness to have another telehealth consultation), and to a higher degree of patient empowerment, than phone consultations.

PRELIMINARY ASSESSMENT OF GPS' KNOWLEDGE AND ATTITUDE ABOUT PERSON CENTRED CARE

2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
General Practice ◽  
Patient Empowerment ◽  
Patient Relationship ◽  
Preliminary Assessment ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Term Care ◽  
Family Doctors ◽  
Person Centered Care ◽  
Centered Care

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.

INTEGRATED MEDICAL DATA MANAGEMENT SYSTEMS REVIEW

2019 ◽  
Author(s):  
Ihor Pysmennyi
Keyword(s):  
Health Informatics ◽  
Quality Care ◽  
Exchange Process ◽  
Knowledge Exchange ◽  
Clinical Information ◽  
Mobile Network ◽  
Developed Countries ◽  
Management Systems ◽  
Learning Techniques ◽  
Drastic Increase

In recent years we’ve seen breakthrough research success in medicine and computer science enabled by novel technology advancements, data analyses capabilities and learning techniques. Despite this, quality care doesn’t have full cove­ rage even in developed countries and access to care is recognised as one of the biggest challenges to the global healthcare system. Bound with population growth in remote areas in developing regions, which lack skilled professionals and medical resources, as well as aging in developed countries this caused a strong need for increasing healthcare effectiveness. Enabled by development of cloud technologies, quick expansion of mobile network coverage and internet access Clinical Information Management Systems integrated with decision support systems, Telemedicine (inclu­ ding distributed Virtual Healthcare Teams and medical imaging), Mobile Healthcare, medical Internet of Things (mIoT), Consumer Health Informatics with personal intelligent health assistants, Health Information Exchanges and deep learning techniques for diagnostics and knowledge extraction are among the state-of-the-art solutions which are more or less successfully used for coping with the problem mentioned above. This paper reviews current situation with implementing these novel informational systems, analyses their advantages, drawbacks, implementation impediments and outcome effectiveness suggesting platform for empowering their integration and maximizing output of each module. Such solution will have a synergy effect and result in a drastic increase of medical resource utilization effectiveness, service quality and providing bigger and fuller coverage with less spending at the same time empowering knowledge exchange process and laying foundation for future development and innovations in the whole healthcare domain.

scholarly journals Parental Involvement Policies for Minors Seeking Abortion in the Southeast and Quality of Care

2021 ◽  
Author(s):  
Kari White ◽  
Subasri Narasimhan ◽  
Sophie A. Hartwig ◽  
Erin Carroll ◽  
Alexandra McBrayer ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Parental Involvement ◽  
Service Delivery ◽  
Quality Care ◽  
Health Service Delivery ◽  
Policy Implications ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Staff Members

Abstract Introduction Thirty-seven states require minors seeking abortion to involve a parent, either through notification or consent. Little research has examined how implementation of these laws affect service delivery and quality of care for those who involve a parent. Methods Between May 2018 and September 2019, in-depth interviews were conducted with 34 staff members involved in scheduling, counseling, and administration at abortion facilities in three Southeastern states. Interviews explored procedures for documenting parental involvement, minors’ and parents’ reactions to requirements, and challenges with implementation and compliance. Both inductive and deductive codes, informed by the Institute of Medicine’s healthcare quality framework, were used in the thematic analysis. Results Parental involvement laws adversely affected four quality care domains: efficiency, patient-centeredness, timeliness, and equity. Administrative inefficiencies stemmed from the extensive documentation needed to prove an adult’s relationship to a minor, increasing the time and effort needed to comply with state reporting requirements. If parents were not supportive of their minor’s decision, participants felt they had a duty to intervene to ensure the minor’s decision and needs remained centered. Staff further noted that delays to timely care accumulated as minors navigated parental involvement and other state mandates, pushing some beyond gestational age limits. Lower income families and those with complex familial arrangements had greater difficulty meeting state requirements. Conclusions Parental involvement mandates undermine health service delivery and quality for minors seeking abortion services in the Southeast. Policy Implications Removing parental involvement requirements would protect minors’ reproductive autonomy and support the provision of equitable, patient-centered healthcare.

scholarly journals The importance of soft skills development in a hard data world: learning from interviews with healthcare leaders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Traci H. Abraham ◽  
Greg L. Stewart ◽  
Samantha L. Solimeo
Keyword(s):  
Leadership Training ◽  
Soft Skills ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Care Staff ◽  
Patient Centered ◽  
Data Infrastructure ◽  
Hard Data ◽  
Formal Leadership ◽  
Healthcare Leaders

Abstract Background Learning healthcare systems have invested heavily in training primary care staff to provide care using patient-centered medical home models, but less is known about how to effectively lead such teams to deliver high quality care. Research is needed to better understand which healthcare leadership skills are most utilized or in need of development through additional training. Method Semi-structured telephone interviews with healthcare leaders familiar with Patient-Aligned Care Teams (PACT) implementation in the U.S. Department of Veterans Affairs (VA). We interviewed sixteen (N = 16) physician, nursing, and administrative leaders at VA facilities located in the upper Midwestern United States. Content analysis of interviews transcripts using template techniques. Results Participants described instrumental challenges that they perceived hindered leadership effectiveness, including the supervisory structure; pace of change; complexity of the clinical data infrastructure; an over-reliance on technology for communication; and gaps in available leadership training. Factors perceived as facilitating effective leadership included training in soft skills, face-to-face communication, and opportunities for formal training and mentorship. A cross-cutting theme was the importance of developing “soft skills” for effective PACT leadership. Conclusions Although formal leadership training and development were perceived as beneficial, healthcare leaders familiar with PACT implementation in the VA described a mismatch between the skills and knowledge PACT leaders need to succeed and the training available to them. Closing this gap could improve retention of skilled and knowledgeable healthcare leaders, thereby reducing the costs associated with training and leading to improvements in healthcare delivery.

PATIENTS’ JOURNEY THROUGH INFLAMMATORY BOWEL DISEASE (IBD): A QUALITATIVE STUDY

2021 ◽  
Vol 27 (Supplement_1) ◽  
pp. S53-S54
Author(s):  
Tina Aswani Omprakash ◽  
Norelle Reilly ◽  
Jan Bhagwakar ◽  
Jeanette Carrell ◽  
Kristina Woodburn ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Qualitative Study ◽  
Patient Experience ◽  
Bowel Disease ◽  
Quality Care ◽  
Diagnostic Testing ◽  
Healthcare Providers ◽  
Indeterminate Colitis ◽  
Patient Journey ◽  
Inflammatory Bowel

Abstract Background Inflammatory bowel disease (IBD) is a debilitating intestinal condition, manifesting as Crohn’s disease (CD), ulcerative colitis (UC) or indeterminate colitis (IC). The patient experience is impacted by a lack of awareness from other stakeholders despite growing global disease prevalence. To gain deeper insight of the patient experience, promote quality care, and enhance quality of life, we performed a qualitative study of the patient journey starting from pre-diagnosis through treatment. Methods U.S. patients with IBD were recruited via UC/CD support groups and organizations, social media platforms, blog followers, and personal networks. Participants were screened via an emailed survey and asked to self-identify as medically diagnosed on the basis of reported diagnostic testing. Interviews were conducted by qualitative researchers by phone or web conferencing. Open-ended questions were developed to support and gather information about our learning objectives—primarily, our desire to understand the unique experiences of UC/CD patients in their journey from symptom onset through diagnosis, treatment and maintenance (e.g. “Upon diagnosis, what were your immediate thoughts about the condition?”). This qualitative data were analyzed using Human-Centered Design methodology, including patient typologies (personas), forced temporal zoom (journey maps), forced semantic zoom (stakeholder system mapping), and affinity mapping for pattern recognition of unmet needs. Results A total of 32 patients were interviewed: N=17 CD patients, N=13 UC patients and N=2 IC patients. The interviewed population reflected regional, demographic, and disease-related diversity (Table 1). Five unique, mutually exclusive journeys were identified to understand and classify patient experiences: (1) Journey of Independence, (2) Journey of Acceptance, (3) Journey of Recognition, (4) Journey of Passion and (5) Journey of Determination (Figure 1). Patients with IBD expressed a need for increased awareness, education, and training for providers to shorten the path to diagnosis. Mental health support was found to be a critical gap in care, particularly for major treatment decisions (e.g., surgery). The inclusion of emotional support into the treatment paradigm was perceived as essential to long-term wellness. Patient attitudes and self-advocacy varied on their individual journeys; understanding these journeys may accelerate time to diagnosis and treatment. Conclusion Better understanding of patient journeys can help healthcare providers improve their approach to patient care and coordination.

A Tsunami of Love: Overcoming the Violence of Curiosity—The Lived Experiences of Young Adults Born with Variations of Sex Characteristics

2021 ◽  
Vol 14 (2) ◽  
pp. 11-35
Author(s):  
Eva De Clercq
Keyword(s):  
Young Adults ◽  
Interpretative Phenomenological Analysis ◽  
Quality Care ◽  
Phenomenological Analysis ◽  
Sex Characteristics ◽  
Health Providers ◽  
Structured Interviews ◽  
Patient Centered ◽  
Medical Settings ◽  
Insight Into

This study provides insight into the experiences of young adults born with variations of sex characteristics to identify aspects of care and social support that need improvement. Semi-structured interviews with intersex youths in Switzerland were analyzed using interpretative, phenomenological analysis. Young adults desire timely, patient-centered information about their diagnoses. Peer support is key to delivering high-quality care but rarely systematically implemented. Intersex youth often face misrepresentation, stigma, and discrimination in medical settings and in society. Increased visibility alone cannot tackle these issues, but a feminist curiosity of care will enable health providers and society to overcome preconceptions of body normativity.

Patientoriented Algorithm for the X-ray Therapy Cabinet of Oncology Dispensary

2021 ◽  
Vol 66 (5) ◽  
pp. 45-49
Author(s):  
J Zuenkova ◽  
D. Kicha ◽  
A. Abramov ◽  
Y. Buynova ◽  
L. Klisova
Keyword(s):  
Patient Satisfaction ◽  
Skin Cancer ◽  
Patient Experience ◽  
Adherence To Treatment ◽  
Patient Centered ◽  
X Ray ◽  
Non Melanoma Skin Cancer ◽  
Study Results ◽  
Therapy Room ◽  
Melanoma Skin

Results: IIntroduction: Superficial X-ray therapy is a common treatment of non-melanoma skin cancer with a high incidence worldwide. Interrupting the course of radiation therapy can negatively affect patient survival and treatment results. Low treatment adherence may be associated with a lack of a patient-centered approach and ineffective communications. The original study shows that patients undergoing X-ray therapy for cancer may have different needs. Based on the study results an algorithm for a patient-oriented approach has been developed for the X-ray cabinets. Purpose: To develop a patient-oriented algorithm of the X-ray therapy room to address the issues of increasing patient satisfaction and forming their adherence to treatment. The objectives of the study included studying and detailing the needs of the patients who passed the X-ray therapy and to develop the patient-oriented algorithm for the X-ray therapy room. Material and methods: The study of the patient's values was carried out from 2019 to 2020 by interviewing using open-ended questions to find out the deep motives and beliefs of patients. The study was based on Milton Rokich’s (2005) model of value orientations, which was adapted to the objectives of the study. Results: The study included 116 patients undergoing treatment with the X-ray therapy at the City Clinical Oncology Dispensary. As a result of the study, the following patient needs were identified: clinical outcome of the procedure 111 (96 %), safety of treatment and adverse reactions 106 (91 %), cosmetic outcome 53 (46 %), convenience of the treatment schedule 42 (36 %), painlessness of the procedure 39 (34 %), the ability to lead a normal lifestyle 27 (23 %), comfortable conditions for the procedure 16 (14 %), financial costs associated with treatment 10 (9 %), preservation of organ function 4 (3 %). On the basis of the data obtained, a patient-oriented algorithm for the X-ray therapy was developed, including a communication plan with the patient. The study results clearly demonstrate that even with the same disease and condition, patients may have different priorities hat need to be considered to improve patient experience and adherence to treatment. Conclusion: Radiation treatment decision-making based on the patients values is important for the development of the patient-centered management in oncology since this directly affects patients’ adherence to treatment. Exploring the values and needs of patients is an opportunity to influence and improve the metrics of the patient experience. Due to the mass incidence of non-melanoma skin cancer, the introduction of patient-centered approaches is an important part of patient satisfaction and increase of patients adherence to the treatment.

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