scholarly journals KINERJA KLINIS SEBAGAI PREDIKTOR KEPUASAN PASIEN DENGAN MODERASI PRIORITAS KEGAWATAN PASIEN

2017 ◽  
Vol 13 (2) ◽  
pp. 155
Author(s):  
Kshanti Adhitya ◽  
Wisnu Untoro

Abstrak: Kinerja Klinis Sebagai Prediktor Kepuasan Pasien dengan Moderasi Prioritas Kegawatan Pasien. Tujuan penelitian ini menguji secara empiris kinerja klinis sebagai prediktor kepuasan pasien dengan moderasi triase. Penelitian ini menggunakan metode observasi cross sectional. Sampel penelitian ini adalah pasien, keluarga, pendamping sejumlah 479. Uji hipotesis dengan model regresi pengaruh langsung dan model pemoderasi dengan Moderated Regression Analysis (MRA). Pengujian hipotesis model pengaruh langsung menunjukkan bahwa tingkat kepuasan yang terjadi dapat dijelaskan 42,8% oleh seluruh prediktor. Hasil analisis MRA menunjukkan semua prediktor, variabel prioritas kegawatan, dan moderat secara bersama-sama berpengaruh terhadap kepuasan. Namun demikian variabel prioritas kegawatan pasien bukan merupakan variabel moderasi. Hipotesis pengaruh langsung prediktor kepuasan yaitu pelayanan perawat, pelayanan dokter, waktu tunggu berpengaruh signifikan terhadap kepuasan pasien didukung. Faktor registrasi dan instruksi pulang/lanjutan tidak berpengaruh terhadap kepuasan. Hipotesis prioritas kegawatan pasien sebagai pemoderasi pengaruh prediktor terhadap kepuasan pasien tidak didukung.   Kata kunci: kinerja klinis, kepuasan pasien, prioritas kegawatan, triase, IGD. Abstract: Clinical Performance as Predictor of Patient Satisfaction with Moderation of Patient Priorities. This study objective is to determine satisfaction predictors of clinical performance with triage as moderation. This research utilizes cross sectional observation. The research subject was 479 which are the patients, families, patient confidants in the ED of Orthopedic Hospital Soeharso. The hypotheses are tested using regression analysis and moderated regression analysis (MRA) approach. The results depict the satisfaction level up to 42.8% by all predictors of clinical performance.  MRA result concluded that the triage variable of the patient can not be moderating variable. Satisfaction predictor, i.e., nursing, physician, and the waiting time, significantly influences the patient satisfaction. Otherwise, Registration factors and advanced/discharge have no influence on satisfaction.  Triage as moderating of patient satisfaction is not supported. Keywords: clinical performance, patient satisfaction, emergency priority, triage, Emergency Department.

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Shabrina Adzania ◽  
Nucki Nursjamsi Hidajat ◽  
Elsa Pudji Setiawati

Background: Patient satisfaction survey is essential for evaluating and developing plans to improve health services' quality. One of the emergency department service quality indicators is decision time. Overcrowding of the emergency room as a result of long decision time may cause dissatisfaction among patients. This study aimed to evaluate the satisfaction level of patients receiving surgical services and the correlation between the satisfaction level and  surgical service decision time.Methods: A cross-sectional descriptive analytical study was conducted from September to November 2019 at the emergency department of Dr. Hasan Sadikin General Hospital. The consecutive sampling method was applied and a total of 110 patients met the inclusion and exclusion criteria. Patient satisfaction was assessed using a validated questionnaire and data on decision time was obtained from the patient’s medical record. Spearman correlation test was used to analyze the data.Results: This study discovered that most of the respondents were satisfied with the service (92.7%) and that decision was mostly made in less than 2 hours (79.1%). A weak negative correlation (ρ = - 0.144), was identified between decision time and patient satisfaction, albeit insignificant (p = 0.067), with a confidence interval of 95% (α = 5%).Conclusion: This study suggested that there is no correlation between patient satisfaction and decision time. Thus, decision time is not the main factor that determines patient satisfaction.


2018 ◽  
Vol 08 (04) ◽  
pp. 020-023
Author(s):  
Sonia Karen Liz Sequera ◽  
Savitha Pramilda Cutinho ◽  
Adriel Benita Quadros ◽  
Stephy Binny ◽  
Wandashisha Siangshai

AbstractEmergency Services are life saving measures for critically ill patients. If critically ill patients are not treated on time, the morbidity rates are likely to increase day by day. Hence, appropriate emergency care should be provided in each Emergency Department of the hospitals. This study intends to assess the Emergency Services provided to the patients in the Emergency Room of a hospital and also assess the level of patient satisfaction regarding the Services received. Aims : To identify the services received by the patients in the emergency room and to find out the patient satisfaction regarding the services received and to associate satisfaction level of emergency services with selected demographic variables. Settings and Design : Emergency department of a selected medical college hospital, Mangaluru and a Cross sectional descriptive study design. Material and Methods : A protocol based checklist of Emergency Services and a Semantic Differentiation scale to assess the satisfaction level of emergency services. Statistical analysis used : Frequency, Percentage, Mean, Standard Deviation and Chi-Square for association. Results : The major findings of the study shows that out of 60 patients 55% rated the services available as very good, 43% as good & 2% as satisfactory and with regard to satisfaction level, 90% patients were satisfied regarding the Emergency Services received in an Emergency Room. Conclusions : Pooled results showed that majority of the patients were satisfied with the emergency Services received and rated the available services as very good. Hence it reveals that the health care professionals of the selected hospital followed the emergency protocol of the hospital.


Author(s):  
Sara Viotti ◽  
Claudio Giovanni Cortese ◽  
Jacopo Garlasco ◽  
Erika Rainero ◽  
Ifeoma Nneka Emelurumonye ◽  
...  

This study aims to examine whether humanity of care and environmental comfort played a role in moderating the relationship between waiting time and patient satisfaction in an emergency department (ED). The study used a cross-sectional and non-randomized design. A total of 260 ED patients in two hospitals in Italy completed a self-report questionnaire. Moderated regression showed that after adjusting for control variables, waiting time was significantly and inversely associated with patient satisfaction. Humanity of care and environmental comfort showed a positive and significant association with patient satisfaction. Finally, the interaction term between waiting time and humanity of care was found to be significant, whereas the interaction effect between waiting time and environmental comfort was not significant. The conditional effect showed that when humanity of care was low, waiting time was negatively and significantly related to patient satisfaction. By contrast, when humanity of care was medium and high, the relationship between waiting time and patient satisfaction was not significant. These findings shed light on the key role of humanity of care in moderating the relationship between waiting time and patient satisfaction. The complex interrelations emerged should be carefully considered when interventions to foster patient satisfaction in an ED context are planned.


Author(s):  
Okpri Meila

Service satisfaction is achieved if what the patient gets exceeds what is expected. This study to determine the level of BPJS patient satisfaction and dimensions affect the level of satisfaction with pharmaceutical services provided in Drugstore Clinic Satkes Pusdokkes Headquarter Police. This reasearch was conducted the data of patients who were treated and carried out in cross sectional, by distribution questioner and analyzed descriptive. Reasearch subjects were teken by quota sampling technique. The level of satisfaction of this study was measured based on five dimensions of service quality and analyzed using percentase and likert scalet. The results of the showed that patients who were treated at the Drugstore Clinic Satkes Pusdokkes Headquarter Police were satisfied with the services provided by the services provided Keyword : Satisfaction level, pharmaceutical services, BPJS


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skhvitaridze ◽  
T Lobjanidze ◽  
A Papidze ◽  
E Barjadze ◽  
N Landia

Abstract Aim To evaluate patients' satisfaction with the quality of nursing care and examine factors which affect their decision. Design A retrospective, cross-sectional, descriptive survey study. Methods Data were collected using a structured questionnaire in Georgian language was administered to the patients. The response rate was 93% and the final sample was composed of 173 patients who enrolled consequently after taking written informed consent. One hospital and one outpatient department in the capital city of Georgia were selected for the study setting. Data were collected during one month. Data on demography was collected. Descriptive and inferential statistics were applied accordingly using STATA version 17. Eligible criteria: Adults, capable of independent communication and who talk Georgian language, did not have any severe process or complications, were in the recovery stage, with no referral and discharging to home. Results Majority of respondents were aged between 56-65 years (50%), males (52.5%), residents of the capital city (70%), having higher education (80%) and employed (75%). Overall, 89% of patients described provided nursing care as an excellent. The most important factors, which affect patients' satisfaction are the waiting time before admission, safety of services, comfortable environment along with the proper level of care and attentiveness. These results can be generalized and may be useful in comparative studies of patient satisfaction. Key messages Permanent evaluation of nursing care is important to evaluate patients satisfaction. Factors as waiting time, safety of services, comfortable and friendly environment, and attentiveness are key for high level of satisfaction.


2015 ◽  
Vol 8 (1) ◽  
pp. 143 ◽  
Author(s):  
Saeed Amina ◽  
Ahmad Barrati ◽  
Jamil Sadeghifar ◽  
Marzeyh Sharifi ◽  
Zahra Toulideh ◽  
...  

<p><strong>BACKGROUND</strong><strong> </strong><strong>&amp;</strong><strong> </strong><strong>AIMS:</strong> Measuring and analyzing of provided services times in Emergency Department is the way to improves quality of hospital services. The present study was conducted with aim measuring and analyzing patients waiting time indicators in Emergency Department in a general hospital in Iran.</p> <p><strong>MATERIAL</strong><strong> </strong><strong>&amp;</strong><strong> </strong><strong>METHODS:</strong> This cross-sectional, observational study was conducted during April to September 2012. The study population consisted of 72 patients admitted to the Emergency Department at Baharlo hospital. Data collection was carried out by workflow forms. Data were analyzed by t.<strong> </strong>test and ANOVA.</p> <p><strong>RESULTS:</strong> The average waiting time for patients from admission to enter the triage 5 minutes, the average time from triage to physician visit 6 minute and the average time between examinations to leave ED was estimated 180 minutes. The total waiting time in the emergency department was estimated at about 210 minutes. The significant<strong> </strong>correlation between marital status of patients (P=0.03), way of arrive to ED (P=0.02) and type of shift work (P=0.01) with studied time indicators were observed.</p> <p><strong>CONCLUSION:</strong> According to results and comparing with similar studies, the average waiting time of patients admitted to the studied hospital is appropriate. Factors such as: Utilizing clinical governance system and attendance of resident Emergency Medicine Specialist have performed an important role in reducing of waiting times in ED.</p>


2021 ◽  
Vol 8 (1) ◽  
pp. 1-9
Author(s):  
Shihab AL Sheikh ◽  

When compared with Ketamine alone for PSA in ED settings, the Ketofol with rapid onset of action, faster recovery time, cardio respiratory stability, less adverse events, and high patient satisfaction level make it a better option.


2021 ◽  
Author(s):  
Marank de Steenwinkel ◽  
Juanita A Haagsma ◽  
Esther C.M. van Berkel ◽  
Lotte Rozema ◽  
Pleunie P.M. Rood ◽  
...  

Abstract Background Patient satisfaction is an important indicator of emergency care quality and has been associated with information dispensation at the Emergency Department (ED). Optimal information dispensation could improve patient experience and expectations. Knowing what kind of information patients want to receive and the preferred way of information dispensation are essential to optimize information delivery at the ED. The purpose of this cross-sectional observational study was to evaluate patient satisfaction concerning information dispensation (including general, medical and practical information), the need for additional information and preferences with regards to the way of information dispensation at the ED of a teaching hospital in the Netherlands. Results423 patients (patients ≥18 years with Glasgow Coma Scale 15) were enrolled (response rate 79%). The median patient satisfaction score concerning the overall information dispensation at the ED was 7.5 on a rating scale 0-10. Shorter length of ED stay was associated with higher patient satisfaction in multivariate analysis (P<0.001). The majority of respondents was satisfied regarding medical (N=328; 78%) and general information (N =233; 55%). Patients were less satisfied regarding practical information (N =180; 43%). Respondents who indicated that they received general, medical and practical information were significantly more often satisfied compared to patients who did not receive this information (P<0.001). Two thirds (N=260; 62%) requested more general information. Half of the respondents (N=202; 48%) requested more practical information and a third (N=152; 36%) requested more medical information. The preferred way for receiving information was orally (N=189; 44.7%) or by leaflets (N=108; 25.5%).ConclusionThe majority of respondents were satisfied concerning information dispensation at the ED, especially regarding medical information. Respondents requested more general and practical information and preferred to receive the information orally or by leaflets.


2018 ◽  
Vol 18 (2) ◽  
pp. 401
Author(s):  
Ririn Noviyanti Putri

Health services require hospitals to provide quality services in accordance with the needs and desires of patients with reference to the code of ethics profession. Hospital demand in providing good service quality can improve the degree of patient satisfaction. Patient satisfaction is a common problem that often occurs in the hospital. This study aims to determine the effect of human resources service on patient satisfaction and see the ratio of the level of satisfaction between general patients and BPJS. This research is a comparative and with cross sectional approach. The sample in this study were general patients and BPJS who treated in outpatient installation as 108 respondents using chi-square statistical test and T test. The results showed that there were eight variables related to patient satisfaction level, namely educational level (p=0,0001), job status (p=0.0001), membership status (p=0,001), Service of human resources (p=0.0001), Service procedures (p=0.0001), Service of pharmacy (p=0.0001), Comfort (p=0,012), And patient relationship with hospital staff (p=0,0001) and there was difference of satisfaction level between general patient and BPJS (p=0.0001). Human resources services affect the level of patient satisfaction and there is difference of satisfaction level between general patient and BPJS. Suggestions for hospitals to continuously evaluate services by implementing the Plan Do Check Act (PDCA) cycle, so that the shortcomings that occur during the service process can continue to be minimized.


2015 ◽  
Vol 2 (1) ◽  
pp. 27-31
Author(s):  
Zainab Abdullah ◽  
Nazir Ahmad ◽  
Saira Afridi

Objectives:The purpose of this study was to evaluate the patient satisfaction level with their dental appearance and treatment they desired to improve their facial aesthetics.Material & Methods:This cross-sectional study was performed out among 400 patients who visited the Sardar Begum Dental Hospital. A structured, interviewer-guided questionnaire was used to identify patient satisfaction level with their general dental appearance and desired treatments. Descriptive statistics such as mean and standard deviation (SD) for continuous variables and frequency and percentage for categorical variables were determined. The chi-square test was used to compare the age of patient’s satisfaction level with their dental appearance. The level of significance was set at 0.05.Results:Out of 400 patients, 39 % were males and 60% were females. Mean age recoded was 25.05+10.02 years. Of these patients, 64% were not satisfied with their general dental appearance. In addition, 59% were not happy with the color of their teeth, 51% regarded their teeth as poorly aligned. Dissatisfaction with tooth color was significantly higher in female than in male patients. Tooth whitening was the treatment most desired by patients (45.2%). 51% females, as compared to males, considered their teeth to be more poorly aligned i.e. and was 51%.Conclusions:Most patients in this study were not satisfied with their general dental appearance with a greater percentage of females expressing dissatisfaction than males. Age had an association with satisfaction level of the subjects. Unhappiness with tooth color and feelings of having protruding teeth also had a significant negative influence on patient satisfaction with general dental appearance.


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