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

2021 ◽  
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 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 Association of shared decision making with inpatient satisfaction: A cross-sectional study

2020 ◽  
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 was 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 Association of Shared Decision Making with Inpatient Satisfaction: A Cross-Sectional Study

2020 ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Decision Making ◽  
Patient Satisfaction ◽  
Shared Decision Making ◽  
Inpatient Care ◽  
Regression Models ◽  
Shared Decision ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals

Abstract Background: We assess inpatient perceived shared decision making (SDM) and test the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China.Methods: A cross-sectional survey was conducted with 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018. We assessed SDM overall and 4 aspects of SDM and tested the factors that influenced SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and inpatient care overall), adopting multilevel mixed linear regression models.Results: The positive response rate (PRR) for SDM overall among the inpatients of public tertiary hospitals in Shanghai was high (95.30%), while the PRR for “My physician informed me of different treatment alternatives” was relatively low (88.63%). In addition, inpatients who underwent surgery during admission had higher PRRs and adjusted PRRs for SDM overall than those who did not undergo surgery (96.01% vs. 95.00% and 94.15% vs. 92.99%, respectively). Based on three-level mixed regression models, the study showed that inpatients with positive responses for SDM overall had higher adjusted satisfaction rates (SRs) for physician services, medical expenses, outcomes and inpatient care overall (98.89%, 91.73%, 98.44% and 97.34%, respectively) than those without positive responses (88.91%, 72.44%, 88.66% and 87.86%, respectively). The greatest differences in adjusted SRs between inpatients with or without positive responses for SDM were found for inpatient satisfaction with medical expenses and informed consent in SDM.Conclusions: Inpatient PRRs for SDM in public tertiary hospitals in Shanghai are high overall but are lower for information about alternatives. SDM can be affected by the SDM preference of both patients and physicians, medical condition, physician workload and professional requirements. Patient satisfaction with physician services, medical expenses, treatment outcomes and inpatient care overall can be improved through good SDM.

scholarly journals Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020200 ◽  
Author(s):  
He Liu ◽  
Ying Li ◽  
Siqi Zhao ◽  
Mingli Jiao ◽  
Yan Lu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Medical School ◽  
Safety Culture ◽  
Response Rate ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Heilongjiang Province ◽  
Cross Sectional ◽  
Positive Response Rate

ObjectivesMedical school education plays an important role in promoting patient safety. In this study, we assess medical students’ perceptions of patient safety culture, identify their educational needs and provide evidence on the most important content relating to patient safety for the medical school curriculum.MethodThis cross-sectional study was conducted in four medical universities in Heilongjiang province. Medical students in the first through five years completed an anonymous questionnaire—the Attitudes toward Patient Safety Questionnaire III. We analysed the differences in responses across the four universities and their cohorts.ResultsThe overall perceptions of patient safety culture across the four medical universities were positive. The highest positive response rate was for ‘I have a good understanding of patient safety issues as a result of my undergraduate medical training’ (range: 58.4%–99.8%), whereas the lowest positive response rate was for ‘medical errors are a sign of incompetence’ (14.7%–47.9%). Respondents in the earlier years of school tended to have more positive responses for items concerning working hours and team work; however, fourth and fifth year students had more positive responses for error inevitability. Items with the lowest positive response rates across the cohorts included items related to ‘professional incompetence as a cause of error’ and ‘disclosure responsibility’.ConclusionsWhile students generally had positive views of patient safety culture, none of them had been exposed to any formal curriculum content on patient safety. Policymakers should focus more on how educational needs vary across schools and cohorts in order to establish appropriate curricula.

scholarly journals Assessment of the Perceived Just Culture Among Nurses: A Cross- Sectional Study

2021 ◽  
Author(s):  
KENNETH JUN LOGRONO
Keyword(s):  
Response Rate ◽  
Positive Response ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
Just Culture ◽  
Positive Response Rate ◽  
Key Aspects

Abstract Background Achieving a highly reliable system and processes in the healthcare industry is a classic conundrum. As safe and quality healthcare has its increasing complexity, where errors are more likely to occur. Hence, most healthcare organizations have promoted the practice of Just Culture. The research study quantified and explained key aspects on the strengths and weaknesses of just culture dimensions which facilitated understanding in implementing a safety culture in Hamad General Hospital (HGH). Design: Perception was measured using the adapted JCAT through a descriptive, cross- sectional research design. Independent T-tests and One-way ANOVA were used to investigate the relationship between the demographic profile and just culture perception among 212 staff nurses in HGH. Results A strong positive perception among the staff nurses of Just Culture was found out based on its six (6) dimensions in Medical and Surgical In-Patient Units of HGH. Positive response rate is highest at Continuous Improvement dimension which is 88.66%. Balance dimension received the lowest rating with only 52.31% positive response rate.

scholarly journals Evaluation of safety attitudes of hospitals and the effects of demographic factors on safety attitudes: a psychometric validation of the safety attitudes and safety climate questionnaire

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chuang Zhao ◽  
Qing Chang ◽  
Xi Zhang ◽  
Qijun Wu ◽  
Nan Wu ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Health Professionals ◽  
Safety Climate ◽  
Response Rate ◽  
Positive Response ◽  
Demographic Factors ◽  
Liaoning Province ◽  
Safety Attitudes ◽  
Tertiary Hospitals ◽  
Positive Response Rate

Abstract Background The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health professionals in tertiary hospitals in the Liaoning province and to explore the effects of demographic factors on safety attitudes. Methods The SAQ-CS was used to conduct a cross-sectional survey in nine tertiary hospitals in Liaoning province. Results Cronbach’s alpha of each subscale of SAQ-CS were > 0.7, the values of GFI, TLI, and CFI were > 0.8, and RMSEA values ranged from 0.048–0.199. The mean of the safety attitudes of 2157 health professionals was 4.00, indicating a good safety attitude, with a positive response rate (% of items that scored ≥4) of 51.1%. The stress recognition subscale had the lowest score, with a mean of 2.73 and a positive response rate of 17.8%. A multiple linear regression equation revealed that demographic factors like gender, age, and training participation significantly affected the scores (βgender > 0.06, βage < − 0.08, βtraining < − 0.07, p < 0.05). Conclusions The psychometric properties of SAQ-CS are good and stable. Health professionals rate teamwork climate, safety climate, perception of management, and work conditions in Liaoning province are perceived as good; however, the stress of the health professionals is poor. To improve safety attitudes, it is necessary to not only reduce the stress of health professionals, but also to pay more attention to men, older health professionals, and health professionals who have not participated in safety training.

scholarly journals The Relationship Of Demand Utilization Of Health Service With Patient Satisfaction At Inpatient Care Unit Of Anuntaloko General Hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 1-12
Author(s):  
Dwi Sitti Oktania
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Service Quality ◽  
General Hospital ◽  
Inpatient Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Referral Center

Hospital is a comprehensive form of health service institution, includes aspects of promotive, preventive, curative and rehabilitation, as well as a public health referral center. Demand on healthcare service theory consists of revenue, visit cost and  service quality. Anuntaloko Regional General Hospital Parigi Moutong Regency is a referral center and regionalization hospital in Central Sulawesi Province, which the number of visits in 2016 to 2018 in a row were 19.186, 10.971 and 12.954. The study was purposed to determined Relation Between Requests for Use of Health Service and Patient Satisfaction on Inpatient Care Unit at Anuntaloko Regional General Hospital Parigi Moutong Regency. This was a quatitative analysis research with the cross sectional study approach. The population was patients on Inpatient Care Unit of Anuntaloko Regional General Hospital which amounted to 12.954 sampels and through purposive sampling technique. Data was analyzed univariate and bivariate variables using Chi-Square Test. The results showed that there are relation between revenue (p=0,002), visit cost (p=0,002) and service quality (p=0,000) with patients satisfaction on Inpatient Care Unit at Anuntaloko Regional General Hospital Parigi Moutong Regency. The Anuntaloko Regional General Hospital Parigi Moutong Regency is expected to observe routinly so that maintaining the service quality of the good things and improving the service quality of the lack variabels.

Contact Isolation for Infection Control in Hospitalized Patients: Is Patient Satisfaction Affected?

2008 ◽  
Vol 29 (3) ◽  
pp. 275-278 ◽  
Author(s):  
Leanne B. Gasink ◽  
Karyn Singer ◽  
Neil O. Fishman ◽  
William C. Holmes ◽  
Mark G. Weiner ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Infection Control ◽  
Inpatient Care ◽  
Multivariable Analysis ◽  
Hospitalized Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contact Isolation

The effects of contact isolation on patient satisfaction are unknown. We performed a cross-sectional survey and found that most patients lack education and knowledge regarding isolation but feel that it improves their care. In multivariable analysis, isolated patients were not less satisfied with inpatient care than were nonisolated patients.

scholarly journals Patient satisfaction after implementation of person-centred handover in oncological inpatient care – A cross-sectional study

PLoS ONE ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. e0175397 ◽  
Author(s):  
Anna Kullberg ◽  
Lena Sharp ◽  
Hemming Johansson ◽  
Yvonne Brandberg ◽  
Mia Bergenmar
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Clinical Observation on the Uterotonic Effect of I-mu Ts'ao (Leonurus artemisia)

1983 ◽  
Vol 11 (01n04) ◽  
pp. 77-83 ◽  
Author(s):  
Wei Chun Chan ◽  
Yuk Chu Wong ◽  
Yun Cheung Kong ◽  
Yui To Chun ◽  
Hang Tat Chang ◽  
...  
Keyword(s):  
Side Effects ◽  
Oral Dose ◽  
Success Rate ◽  
Clinical Observation ◽  
Response Rate ◽  
Positive Response ◽  
Dry Weight ◽  
Water Yield ◽  
Positive Response Rate ◽  
Fertile Women

Normal fertile women gives an oral dose of I-mu Ts'ao decoction (30 g. dry weight equivalent) showed an increase in intra-uterine pressure in 41.3% of 121 cases. The increase ranged from 150% to over 300% of spontaneous activity before dosing. A slightly higher success rate was observed with 2 successive doses or with improved experimental skill in later cases. Ergonovine (0.2 mg i.m.) scored a success rate of 61%. Therefore, I-mu Ts'ao decoction appeared to have a relative potency of 91% compared with ergonovine when the highest success rate (55.5%) of the former is considered. Blank control with water yield a positive response rate of 2.7%. There are no observable side-effects apart from diuresis.

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