scholarly journals Users’ Perceptions, Experiences and Level of Satisfaction with the Quality of a Courtyard Garden in a Malaysian Public Hospital

2018 ◽  
Vol 3 (9) ◽  
pp. 63
Author(s):  
Madihah Mat Idris ◽  
Magda Sibley ◽  
Karim Hadjri
Keyword(s):  
Publishing House ◽  
Healthcare Delivery ◽  
Field Measurements ◽  
Public Hospitals ◽  
Healthcare Delivery System ◽  
Face To Face ◽  
Design Concepts ◽  
Level Of Satisfaction ◽  
Different Types

During the 1970s, different types of hospital courtyard design (HCG) were implemented in the planning of Malaysian public hospitals. Consequently, various hospitals of different scales and design concepts were built to provide a better healthcare delivery system for local communities. However, the different typologies of HCG designs are yet to be systematically evaluated. Furthermore, designers and hospital managers are not aware of how different types of HCG perform. Face-to-face interview surveys and field measurements were employed in this study to develop an understanding of users’ perceptions, experiences and satisfaction levels with the quality of HCG in a Malaysian public hospital.Keywords: Hospital courtyard garden; perceptions; experiences; level of satisfaction.eISSN: 2398-4287 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.https://doi.org/10.21834/e-bpj.v3i9.1534

scholarly journals What are Users’ Perceptions of the Hospital Courtyard Garden and How Satisfied are they with it?

2019 ◽  
Vol 4 (13) ◽  
pp. 60-76
Author(s):  
Madihah Mat Idris ◽  
Magda Sibley
Keyword(s):  
Open Access ◽  
Peer Review ◽  
Public Hospital ◽  
Publishing House ◽  
Field Measurements ◽  
Public Hospitals ◽  
Environmental Attributes ◽  
Level Of Satisfaction ◽  
International Publishing ◽  
Open Access Article

Since the 1970s, courtyard gardens with diverse scales and design configurations have been introduced in the planning of Malaysian public hospitals to enhance users’ experiences. However, these have never been systematically evaluated to understand of how they perform and what improvements can be made to them to increase their responsiveness to users’ needs and inform the practice of both hospital designers and managers. This paper presents the results of fieldwork conducted in a large central courtyard in a Malaysian public hospital. Interview surveys and field measurements were conducted to provide a new understanding of users’ perceptions of the various physical and environmental attributes and their satisfaction levels with them. Keywords: Hospital courtyard garden; perceptions; experiences; level of satisfaction. eISSN 2514-751X © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/aje-bs.v4i13.348

Prerequisites to support high-quality clinical trials in children and young people

2020 ◽  
pp. archdischild-2019-318677
Author(s):  
Steven Hirschfeld ◽  
Florian B Lagler ◽  
Jenny M Kindblom
Keyword(s):  
Clinical Trials ◽  
Healthcare Delivery ◽  
Paediatric Population ◽  
Ecosystem Functions ◽  
Healthcare Delivery System ◽  
High Quality ◽  
Children And Young People ◽  
The Right ◽  
Support Decision Making

Children have the right to treatment based on the same quality of information that guides treatment in adults. Without the proper evaluation of medicinal products and devices in paediatric clinical trials that are designed to meet the rigorous standards of the competent authorities, children are discriminated from advances in medicine. There are regulatory, scientific and ethical incentives to address the knowledge gap regarding efficacy and safety of medicines in the paediatric population. High-quality clinical trials involving children of all ages can generate data that will ultimately close the knowledge gaps and support decision making.For clinical trials that enrol children, the needs are specialised and often resource intensive. Prerequisites for successful paediatric clinical trials are personnel with training in both paediatrics and neonatology and expertise in clinical trials in these populations. Moreover, national and international networks for efficient collaboration, dissemination of information, and sharing of resources and expertise are also needed, together with competent, efficient and high-quality local infrastructure with effective processes. Monitoring and oversight bodies with the relevant competence, including expertise in paediatrics, is also an important prerequisite for paediatric clinical trials. Compromise in any of these components will compromise the downstream results.This paper discusses the structures and competences needed in order to perform effective, high-quality paediatric clinical trials with the ultimate goal of better medicines and treatments for children. We propose a model of examining the process as a series of components that each has to be optimised, then all the components are actively optimised to function together as an ecosystem, and the resulting ecosystem functions well with the general research system and the healthcare delivery system.

IMPROVING THE SERVICE QUALITY OF HEALTHCARE IN GHANA: The Role of Locum Nursing

2013 ◽  
Vol 03 (12) ◽  
pp. 01-14
Author(s):  
Keelson, Solomon A. ◽  
Ann Dodor
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Sampling Technique ◽  
Research Problem ◽  
Quality Of Healthcare ◽  
Public Hospitals ◽  
Nurse Shortage ◽  
Quality Healthcare ◽  
Hospital Administrators

The study was purposed to consider how encouraging use of locum nursing could aid in managing nurse shortage in the country and consequently improve the service quality of healthcare in Ghana. To be able to address the research problem and achieve the objectives, thirty public hospitals and thirty private hospitals were selected from the three major cities in Ghana to provide data for the study. Also, 250 locum nurses were sampled for information. Nursing Supervisors or Hospital Administrators from the selected hospitals were use as informant for the study. The paper adopted a survey approach, where incidental sampling technique was used to select the hospitals, and the snowball together with incidental sampling methods were used for selecting locum nurses for the study. Mean and standard deviation were the data analysis method used. The findings confirmed that locum practice in Ghana is relatively low. Similarly, the paper also suggested that locum contribute to addressing the issue of nurse shortage in Ghana. At the same time locum nursing was found to contribute to quality healthcare delivery in the country. Appropriate policy directions were recommended.

scholarly journals Quality of Life : Public open space effects

2018 ◽  
Vol 3 (10) ◽  
pp. 124-132
Author(s):  
Achmad Delianur Nasution ◽  
Wahyuni Zahrah
Keyword(s):  
Quality Of Life ◽  
Open Space ◽  
Publishing House ◽  
Public Open Space ◽  
Level Of Satisfaction ◽  
International Publishing ◽  
The Relationship ◽  
Open Access Article ◽  
Space Effects

Since the open space quality and quantity becomes decline in many cities of developing countries, the research means to identify the relationship between quality of public open space (POS) and quality of life (QOL) in Medan, Indonesia. The study measured the level of satisfaction of the visitors of POS by using five scale Likert Scale. The analysis shows that people perceived ‘function’ as the most significant factor for POS and ‘health’ as the most important aspect for QOL. Thus, there is a strong correlation between quality of POS and the physical QOL. Keywords: quality of public open space, quality of life, Medan, perception. eISSN 2514-751X © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/aje-bs.v3i10.319

The Aphasia Action, Success, and Knowledge Programme: Results from an Australian Phase I Trial of a Speech-Pathology-Led Intervention for People with Aphasia Early Post Stroke

2017 ◽  
Vol 18 (3) ◽  
pp. 284-298 ◽  
Author(s):  
Brooke Ryan ◽  
Kyla Hudson ◽  
Linda Worrall ◽  
Nina Simmons-Mackie ◽  
Emma Thomas ◽  
...  
Keyword(s):  
Social Impact ◽  
Phase 1 ◽  
Family Members ◽  
Randomised Control Trial ◽  
Speech Pathology ◽  
Face To Face ◽  
Post Stroke ◽  
Level Of Satisfaction

Background: Speech pathologists work to optimise communication and reduce the emotional and social impact of communication disability in patients with aphasia but need evidence-based interventions to effectively do so.Objective: This phase 1 study aims to evaluate an Australian speech-pathology-led intervention called the Aphasia Action, Success, and Knowledge (Aphasia ASK) programme for patients with aphasia early post stroke.Methods: A convergent parallel mixed-methods design was utilised. The intervention included up to six individual face-to-face sessions with seven participants with aphasia and their nominated family member(s). Quantitative outcomes assessing mood, quality of life, and communication confidence were conducted for the participants with aphasia. Follow-up interviews were conducted with both participants with aphasia and family members to determine their perceptions of the programme.Results: Significant improvements were found in communication confidence and mood after treatment and the gains were maintained at 3-month follow-up. Participants with aphasia and their family members reported a good level of satisfaction with the programme.Conclusions: Findings suggest the Aphasia ASK programme is a suitable intervention with positive initial outcomes for people with aphasia. A larger scale evaluation with a greater variety of participants is now required. An Australian cluster randomised control trial is planned.

scholarly journals Stakeholders' Perception of the Introduction of Specialized Hospitals for Urologic Diseases: Qualitative Study

2021 ◽  
Vol 27 (2) ◽  
pp. 2-17
Author(s):  
Hye-Ran Jeong ◽  
Jee-Hee Pyo ◽  
Eun-Young Choi ◽  
Ju-Young Kim ◽  
Young-Kwon Park ◽  
...  
Keyword(s):  
Group Discussion ◽  
Healthcare Delivery ◽  
Government Support ◽  
Healthcare Delivery System ◽  
Hospital System ◽  
Urologic Diseases ◽  
Specialized Hospital ◽  
Depth Interview ◽  
Hospital Systems

Purpose: The purpose of this study is to seek in-depth perspectives of stakeholders on the necessity and specific criteria for designating a specialized hospital for urologic diseases.Methods: Eight participants experts in urology medicine and specialized hospital system were divided into four groups. Following the semi-structured guidelines, an in-depth interview was conducted twice and a focus group discussion was conducted three times. All the interviews were transcribed verbatim and analyzed.Results: The majority of participants predicted that there would be demand for specialized hospitals for urologic diseases. The criteria of designating a specialized hospital, such as the number of hospital beds and quality of health care, have to be modified in consideration of the specificity of urology. The introduction of a specialized hospital would improve the healthcare delivery system, positively affecting hospitals and patients. Furthermore, government support is essential for the maintenance of specialized hospital systems as urology hospitals experience difficulties in generating profits.Conclusion: This study is expected to be used as base data for introducing and operating a specialized hospital for urologic diseases. In addition, it is expected that the methodology and results of this study would encourage follow-up studies on specialized hospitals and provide guidelines to evaluate the effectiveness of such hospitals in other medical fields.

scholarly journals Use of Telemedicine for Initial Consultations in Elective Orthopaedics—Results from a Large Volume Centre

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003 ◽  
Author(s):  
Kalpesh Shah
Keyword(s):  
Pilot Study ◽  
Large Volume ◽  
Lower Limb ◽  
Healthcare Delivery ◽  
Face To Face ◽  
Prospective Pilot Study ◽  
Number Of Patients ◽  
Workforce Capacity ◽  
Very High

Category: Healthcare Delivery Introduction/Purpose: Telehealth and telemedicine are at the heart of healthcare Vision for several countries including Canada, U.S.A, Scotland, etc; and and the aim is to use technologies to transform the way health and is delivered. Deployed thoughtfully and carefully, telehealth and telecare can help generate efficiencies through more flexible use of our workforce capacity and by reducing travel and minimising access delays. In line with this we wanted to use telemedicine for doing preoperative consultations for elective foot/ankle and lower limb arthroplasty procedures in patients referred from remote parts of the country to our hospital. The purpose of our study was to prove that telemedicine clinics (or Tele clinics) are just as safe, effective and satisfactory as face to face interactions between doctors and their patients. Methods: Two studies were conducted at this hospital between 2015-16. The first was a prospective pilot study of 50 new patients who were all seen using two different consultation rooms; with the patient along with a physiotherapist in one room, and the surgeon in another. Patients were seen via the Telemedicine unit without being aware that the surgeon was in the same building, and were then asked to rate their experience. The unanimous positive feedback received from this pilot study encouraged us to start using Tele clinics for initial consultations on a regular basis. The second study is a retrospective analysis of the safety and quality of the Tele clinics during a twelve months period. Results: 4 surgeons saw 320 patients in the Tele clinics over the study period of 12 months for foot/ankle as well as lower limb arthroplasty conditions. The number of patients who required surgery and the number of additional investigations carried out were similar to the ones from regular clinics. Feedback from patients remained very high for the Tele-clinics. Conclusion: Tele-clinics are largely used for reviewing patients after surgery. Our study shows that Tele-clinics can also be used for initial consultation for routine orthopaedic conditions, and are as safe and effective as face to face consultations. This provides an opportunity to treat patients in new ways and help manage rising costs and demand.

scholarly journals State control and doctors’ abuse of clinical autonomy: An empirical analysis of doctors’ clinical practice in Chinese public hospitals

2019 ◽  
Vol 5 (1) ◽  
pp. 29-56 ◽  
Author(s):  
Zelin Yao
Keyword(s):  
Delivery System ◽  
Healthcare Delivery ◽  
Economic Benefits ◽  
Professional Autonomy ◽  
Public Hospitals ◽  
Medical Professionals ◽  
Health Administration ◽  
Clinical Practices ◽  
Healthcare Delivery System ◽  
Clinical Autonomy

Medical doctors enjoy a high degree of professional autonomy because they own and apply professional knowledge in helping patients. Therefore, laymen are unable to evaluate doctors’ clinical practices. For this reason, how to exert effective social control over doctors’ work has been a significant question in the sociology of professions. Based on fieldwork in Beijing, government statistics, and others’ research findings, this paper analyzes the working conditions and clinical practices of Chinese urban doctors. I find that medical professionals are still dependent upon public hospitals that continue dominating the healthcare delivery system, and thus they lack corporate autonomy and are incapable of negotiating working arrangements, payment for their services and their incomes with the state. This condition generates a distortion in doctors’ labor value. However, also because of the domination of the healthcare delivery system, public hospitals and their doctors have gained ‘dual dominance’ over both patients and pharmaceutical enterprises, by which doctors transform their rights of prescription into economic benefits. This informal income, including hongbao (red envelopes containing money) and kickbacks, compensates for doctors’ relatively low formal incomes resulting from the state’s control. However, doctors abuse clinical autonomy constantly and pervasively, by which they transform their monopolies of medical expertise into economic benefits. This also means that the regulation and supervision of health administration is unsuccessful, as is the profession’s self-regulation. Hence, this paper suggests that if the medical profession can effectively participate in health policy-making, medical professionals be given the right of free practice, and non-public medical institutions given the same status and policy treatments as public hospitals, these problems in the current healthcare system will be relieved or solved.

Blended Learning at Ajman University of Science and Technology

2014 ◽  
pp. 218-242
Author(s):  
Ahmed Ankit ◽  
Mirna Nachouki ◽  
Mahmoud Abou Naaj
Keyword(s):  
Blended Learning ◽  
Teaching And Learning ◽  
Science And Technology ◽  
Learning Approach ◽  
Learning And Teaching ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
Face To Face Learning ◽  
Instructor Satisfaction

Over the past few years, there has been a rapid increase in the development of technology-based learning and teaching. Professors have become more pragmatic in their approach to technology-based media by using it to supplement or to replace traditional face-to-face teaching. Blended learning, which combines both electronic and face-to-face interaction, has gained more ground as midway between distance and face-to-face teaching approaches. Thus, opportunities for both educators and learners have been created. The teaching and learning approach adopted at Ajman University of Science and Technology (AUST) combines an equal balance of traditional face-to-face and videoconference learning, complemented with the use of a learning management system (Moodle). Student and instructor satisfaction is considered the most important factor in measuring the quality of blended learning. The purpose of this chapter is, therefore, to examine student and instructor satisfaction of blended learning at AUST. The chapter demonstrates that the majority of students and instructors hold positive views but are still attached to the traditional face-to-face learning and teaching. They also show that the level of satisfaction may depend on individual experience as well as on the major studied/taught.

The Future of the Hospital Epidemiologist in the 1990s: Presidential Address, SHEA Annual Meeting, April 1994

1995 ◽  
Vol 16 (3) ◽  
pp. 179-182
Author(s):  
Peter A. Gross
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Federal Government ◽  
Cost Reduction ◽  
Presidential Address ◽  
Healthcare Delivery ◽  
Universal Coverage ◽  
Healthcare Delivery System ◽  
Medical Delivery

While the Democrats and the Republicans debate the Health Care Reform Bill and how we are going to pay for universal coverage, a revolution in healthcare delivery already is taking place right under our eyes. Even if the federal government doesn't pass legislation on healthcare this term, the healthcare delivery system will have been changed so dramatically that it will be unrecognizable from what we knew just a couple of years ago. Consolidation of hospitals, cost reduction, and the quality of care are themes that will be evident in medical delivery for the next few years. Among these three, cost reduction is and will be the engine of change.

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