Implementation of DIPSA evaluation framework in the Integrated Health Information Systems in public hospitals in Cyprus (Preprint)

2019 ◽  
Author(s):  
Antonis Stylianides ◽  
Jonh Mantas ◽  
Zoe Roupa ◽  
Edna Yamasaki
Keyword(s):  
Regression Analysis ◽  
Healthcare Professionals ◽  
Pearson Correlation ◽  
Health Information Systems ◽  
Healthcare Services ◽  
Demographic Characteristics ◽  
Evaluation Framework ◽  
Public Hospitals ◽  
System Quality

BACKGROUND Ministry of Health of Cyprus has implemented Integrated Health Information Systems (IHIS) in two hospitals in Cyprus. Effective use of IHIS could increase the effectiveness and quality of healthcare services. The absence of any evaluation of the existing IHIS prevents a detailed assessment of its safety, efficiency and effectiveness. OBJECTIVE The purpose of this study was to implement DIPSA evaluation framework which assessed the safety, quality of the system, collaborative interprofessional work, user satisfaction and the processes and procedures in place of the current IHIS in public hospitals in Cyprus. METHODS This project was conducted in 2017 in Cyprus. Doctors, nurses and other healthcare professionals, in total 309 subjects participated in the study. For the selection of the sample, a stratified random sampling was used based on the profession and the hospital of each participant. DIPSA evaluation framework was implemented and inferential statistics were used. Correlations were performed between the categories in the framework with the Pearson correlation method. Comparison of means (with independent samples T-test and One-way Anova) were also done between demographic characteristics and categories, the tests that were found with P -value ≤ 2 were then used in multiple regression analysis. Data analysis was done using SPSS v24. RESULTS Categories Satisfaction, Collaboration, System quality, Safety, Procedures were all rated moderately between 2.5 and 2.9. Every correlation between the categories was statistically significant with P < 0.01, but the highest Pearson correlation = 0.692 was found to be between System Quality and Satisfaction. Comparison of means between demographic characteristics and categories were performed and used in multiple regression analysis, which indicated where exactly the IHIS lacks. In addition, the open questions pointed out the 5 most common problems/needs that healthcare professionals encounter in their jobs (training, system upgrade, keep a log of data/procedures, collaboration and access). CONCLUSIONS DIPSA evaluation framework was implemented, which showed that some interventions could positively affect simultaneously one or more categories. For example, the most important need of intervention was the training of healthcare professionals, that was found that it could be affecting positively multiple categories (Satisfaction, Collaboration, Safety and Procedures). Other interventions that could affect IHIS in a positive way could be, that technical support that should be provided at all times, to upgrade the hardware where needed. To schedule daily collaboration of healthcare professionals with programmers, in order to cover their needs, by upgrading the software. To install “smart devices” within the different departments of the hospitals in order to support each other. There are also many other suggestions can help improve the healthcare services provided.

Perceptions of nurses on the impact of accreditation on quality of care

2014 ◽  
Vol 19 (2) ◽  
pp. 69-82 ◽  
Author(s):  
Ahmet Yildiz ◽  
Sidika Kaya
Keyword(s):  
Regression Analysis ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Positive Impact ◽  
Pearson Correlation ◽  
High Rate ◽  
Content Type ◽  
Independent Variables ◽  
The Impact

Purpose – This article aims to investigate perceptions of Turkish nurses on the impact of accreditation on quality of care and the effect of accreditation on quality results. Design/methodology/approach – This study was performed as a cross-sectional, questionnaire-based survey on 258 nurses who started working in the hospital before it was accredited and continued to work during and after accrediation and who therefore knew both the hospital's pre-accrediation and post-accreditation periods. In this study, descriptive statistical analyses (means and standard deviations) were carried out to explore the views of the participants on “quality results,” “benefits of accreditation” and “participation of employees.” “Quality results” was considered to be the dependent variable, while “benefits of accreditation” and “participation of employees” were accepted as the independent variables. The relationship between the dependent variable and the independent variables was tested using Pearson correlation and multiple regression analysis. External patient satisfaction data collected by the quality department of the hospital before and after accreditation were also investigated. Findings – It was found that nurses had generally high scores for the items concerning the benefits of accreditation. There was a statistically significant positive correlation between the dependent variable (quality results) and the independent variables (benefits of accreditation and participation of employees). Regression analysis indicated that R2=0.461 and the extent to which the independent variables explained the dependent variable was 46.1 per cent, which is a high rate. Patient satisfaction scores increased after accreditation. Practical implications – Our study suggest that providing support for nurses, especially nurses with administrative responsibilities and incorporating employees into the process are important for exercising quality standards. Originality/value – Hospital accreditation has a positive impact on quality results especially on quality of care provided to patients and patient satisfaction. Study findings could guide policy makers and hospital managers in Turkey and in other countries who are preparing or implementing accreditation.

scholarly journals Quality of Service as a Predictor of Customer Satisfaction in Healthcare Sector

2020 ◽  
Vol 16 (1) ◽  
pp. 71-87
Author(s):  
Muzna Ashfaq ◽  
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Pearson Correlation ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Quality Healthcare ◽  
Effective Strategies ◽  
Regression Techniques

This study examines role of quality of service as a predictor of customer satisfaction in private hospitals. Using a sample of customers of selected private hospitals in Karachi, this study used reliability statistics, Pearson correlation analysis, and OLS regression techniques to analyse the data. The results show that private hospitals are trying to deliver healthcare service that is at par with the expected standards set by their customers. The findings of this study will help management of these hospitals to develop and implement appropriate and effective strategies that would be helpful in delivering quality healthcare services to the patients.

Evaluating the total quality and its role in measuring consumer satisfaction with e-healthcare services using the 5Qs model: a structure equation modeling approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prachi Verma ◽  
Satinder Kumar ◽  
Sanjeev K. Sharma
Keyword(s):  
Service Quality ◽  
Consumer Satisfaction ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Equation Modeling ◽  
Total Quality ◽  
Content Type ◽  
Quality Perceptions

PurposeThis article initially aims to explore the factors of every quality construct of the 5Qs model of service quality and, second, identify the significant factors affecting the total quality of e-healthcare services and its association with consumer satisfaction using a multidimensional hierarchical 5Qs model of e-healthcare service quality.Design/methodology/approachQuestionnaire-oriented research was performed at three public hospitals of Punjab and Chandigarh. In total, 53 variables were covered in all quality constructs for data collection from the designated public hospitals. The respondents who agreed to have knowledge regarding e-Healthcare services and were availing these services were included in the study. The analysis comprised structural equation modeling technique using AMOS 21.FindingsThe outcomes suggest that the 5Qs model is more comprehensive and can be used to evaluate service quality perceptions using e-Healthcare services. The research identified 11 sub-dimensions for the five quality constructs of the 5Qs model, representing total quality, which is primary to consumer satisfaction. “Overall objectivity” and “technical objectivity” defined the quality of object. The quality of process of e-Healthcare services was characterized by “functionality,” “timeliness” and “responsiveness.” Quality of infrastructure was defined by “technical infrastructure,” “physical infrastructure,” “manpower skills” and “organizational infrastructure.” “Manner of interaction” and “timely interaction” defined the quality of interaction. The atmosphere was represented by only one factor. The results also suggest that quality of infrastructure, quality of interaction and quality of atmosphere play the most significant role in total quality leading to consumer satisfaction.Research limitations/implicationsTheoretical implications: The multidimensional hierarchical model will help the researchers study the e-Healthcare service quality in a more organized manner, and the outcomes of this study can be linked with that of future studies for more generalized application in other public hospitals. The sub-dimensions of each quality construct of the 5Qs model can be applied in private hospitals, and the hierarchical model can be tested in different industries to measure service quality perceptions of the consumerPractical implicationsThe outcomes of the study can be applied in various public sector hospitals to redesign the e-Healthcare services based on consumers' perception for better consumer satisfaction and quality services. This paper identifies the role of each quality construct in e-Healthcare services for improvement in the total quality, which in turn will lead to higher satisfaction for the consumers.Originality/valueIn this study, the original 5Qs model has been used for the first time in a new instrument to understand better and design quality e-Healthcare services. The paper explores the sub-factors of each quality construct and its significance in measuring the total quality.

scholarly journals Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic

2020 ◽  
pp. 003329412096547 ◽  
Author(s):  
Faruk Bozdağ ◽  
Naif Ergün
Keyword(s):  
Life Satisfaction ◽  
Healthcare Workers ◽  
Positive Emotions ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Public Health Issue ◽  
Psychological Resilience ◽  
Quality Of Sleep ◽  
Emotional Resilience

The COVID-19 pandemic as a public health issue has spread to the rest of the world. Although the wellbeing and emotional resilience of healthcare professionals are key components of continuing healthcare services during the COVID-19 pandemic, healthcare professionals have been observed in this period to experience serious psychological problems and to be at risk in terms of mental health. Therefore, this study aims to probe psychological resilience of healthcare workers. The findings of this study showed that in order to raise psychological resilience of healthcare professionals working during the COVID-19 pandemic their quality of sleep, positive emotions and life satisfaction need to be enhanced. Psychological resilience levels of healthcare workers in their later years were found to be higher. Doctors constitute the group with the lowest levels of psychological resilience among healthcare workers. The current study is considered to have contributed to the literature in this regard. Primary needs such as sleep which are determinants of quality of life, life satisfaction and psychological resilience should be met.

scholarly journals The Influence of the Service Quality of Eyelash Beauty Treatment and Perceived Value on Behavior Intention

2021 ◽  
Vol 27 (6) ◽  
pp. 1407-1416
Author(s):  
Soo-Ji Kim ◽  
Hye-Soon Heo ◽  
Mi-Ock Woo
Keyword(s):  
Regression Analysis ◽  
Data Analysis ◽  
Service Quality ◽  
Pearson Correlation ◽  
Perceived Value ◽  
Hierarchical Regression ◽  
Behavior Intention ◽  
Pearson Correlation Analysis ◽  
Reliability Verification

In this study, a questionnaire survey was conducted with women aged 20 to 50, in order to find how the service quality of eyelash beauty treatment and perceived value influence their behavior intention. For data analysis, SPSS23.0 and JAMOVI 1.6.16 program were used. For reliability verification, Cronbach’s α value was analyzed, and Pearson correlation analysis and hierarchical regression analysis were conducted. Firstly, according to the analysis on the influence of service quality on perceived value, assurance and empathy as the factors of service quality positively and significantly influenced perceived value. Secondly, according to the analysis on the influence of service quality and perceived value on behavior intention, assurance positively and significantly influenced behavior intention; responsiveness negatively and significantly influenced behavior intention. Therefore, The more assurance in perceived value and service quality, and the lower responsiveness in service quality, the more behavior intention.

e-Healthcare service quality: consumer satisfaction and its association with demographic characteristics

2020 ◽  
Vol 33 (6) ◽  
pp. 413-428 ◽  
Author(s):  
Prachi Verma ◽  
Satinder Kumar ◽  
Sanjeev K. Sharma
Keyword(s):  
Consumer Satisfaction ◽  
Strong Association ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Demographic Characteristics ◽  
Content Type ◽  
Interaction Quality ◽  
Quality Dimensions

PurposeUse of technology for quality healthcare services has developed into a new field known as “e-Healthcare services.” Healthcare providers often judge their quality of services with consumer satisfaction. With e-Healthcare services, consumer satisfaction is influenced by the quality of healthcare services provided and the demographic characteristics. The purpose of the present case study is to recognize the important predictors of quality, which are significant for consumer satisfaction with e-Healthcare services by using Zineldin's 5Qs model. It also aims to find the strength of association among the predictors of consumer satisfaction and the demographic characteristics of the respondents.Design/methodology/approachA questionnaire-based study was conducted at a public (PGIMER, Chandigarh) and a private hospital (Fortis Hospital, Mohali) of Punjab, India, from February 2018 to March 2019. The structured, closed-ended questionnaire, to be marked on a 1–5 point Likert scale, was adapted from Zineldin's 5Qs model and was distributed to the respondents sitting in the waiting halls of the selected hospitals. The respondents comprised of both the patients and their attendants who were aware of e-Healthcare services and were using them.FindingsThe analysis identified quality of interaction, quality of hospital atmosphere and quality of object to be the key predictors of consumer satisfaction with e-Healthcare services. The results reveal a strong association between different demographic characteristics and overall consumer satisfaction with e-Healthcare services.Practical implicationsThe results suggest that improvements in the quality of interaction, quality of hospital atmosphere and quality of object may result in higher consumer satisfaction with e-Healthcare services. Working on the identified dimensions of quality will help the e-Healthcare providers in identifying functional problems of e-Healthcare services and developing improvement strategies, which will also result in better health and quality outcomes. The results of this study will help the e-Healthcare providers in better segmentation of e-Healthcare consumers based on their demographic characteristics and in developing better marketing strategies.Originality/valueThis paper focuses on the quality of e-Healthcare services only and attempts to identify the quality dimensions, which leads to the satisfaction of e-Healthcare consumers. The identified quality dimensions will help in designing better e-Healthcare services and framing policies. It also highlights the association of demographic characteristics with important quality dimensions.

Demystifying Quality of Healthcare in the Cloud

2014 ◽  
pp. 284-301 ◽  
Author(s):  
Anastasius Moumtzoglou
Keyword(s):  
Cloud Computing ◽  
Sharp Increase ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Treatment Techniques ◽  
New Applications ◽  
Elusive Concept

Healthcare services have experienced a sharp increase in demand while the shortages in licensed healthcare professionals have formed one of the toughest challenges that healthcare providers face. In addition, illness has become more complex while advancement in technology and research have expedited the rise of modern and more effective diagnoses and treatment techniques. Cloud computing allows healthcare professionals to share medical records, including all sorts of image and accuracy while new applications or workloads can be started much faster, without going through the entire procurement process or testing the interoperability of the entire infrastructure. Moreover, although the notion of organizational culture is now routinely invoked in organizations and management literature, it remains an elusive concept. However, it is clear that managing the culture is one path towards improving healthcare, and cloud computing introduces a dynamic system adaptation, affecting the quality of care. This is explored in this chapter.

Patients' participation in end-of-life care: Relations to different variables as documented in the patients' records

2010 ◽  
Vol 8 (3) ◽  
pp. 247-253 ◽  
Author(s):  
Irma Lindström ◽  
Fannie Gaston-Johansson ◽  
Ella Danielson
Keyword(s):  
Quality Of Care ◽  
End Of Life ◽  
Cognitive Dysfunction ◽  
End Of Life Care ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Life Care ◽  
High Quality ◽  
Care And Treatment

AbstractObjective:Patients' participation in care is crucial for assuring patients a high quality of care based on values such as autonomy. The patients are supposed to be actively involved in care and treatment, even though these situations are complex, as in the context of end-of-life-care. The aim in this study was to identify demographic and health-related variables‘ relation to patients’ participation during the last three months in life as documented in patients' records.Method:The population in the present study consists of 229 patients from 49 municipalities in a county in Sweden. Data were collected from all available documentation about deceased patients who were ≥18 years of age at the time of death and who had received healthcare services during the last 3 months of their life.Results:This article demonstrates patients' participation in end-of-life care as it was noted in the patients' documentation. Demographic variables such as age, gender, and residence did not differ between those who participated and those who did not. Patients with dementia and disorientation were separated from those who were not disoriented. There was no information about the wishes of the patients with dementia and disorientation and they were not described as participating in care and treatment. Cognitive intact patients were participating significant more often. These patients had also more symptom describes in the records. These results can indicate that a patient's participation depends upon either the patient's cognitive capability or the healthcare professionals' competence to communicate and provide adequate documentation regarding patients' participation at end-of-life. The documentation about the participation of patients with cognitive dysfunction is poor and needs further investigation, to achieve the goal of dignified end-of-life care for all patients.Significance of results:The results of the presents study call attention to the importance of finding innovative solutions to make patients with cognitive dysfunction involved in their care and treatment at end-of-life. Improvement of documentation showing patients' involvement in care is necessary, as is a discussion of how healthcare professionals can assure patients a high quality of care at end-of-life even if patients voices are not heard.

scholarly journals The correlation between health status and quality of life in southern Brazil

2008 ◽  
Vol 126 (5) ◽  
pp. 257-261 ◽  
Author(s):  
Carlos Zubaran ◽  
Karina Persch ◽  
Desire Tarso ◽  
Ana Ioppi ◽  
Juan Mezzich
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Pearson Correlation ◽  
Linear Regression Analysis ◽  
Correlation Coefficients ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Related

CONTEXT AND OBJECTIVE: The interconnections between quality of life and health status as assessed via questionnaires have not been thoroughly investigated. The objective of this study was to investigate a possible correlation between the constructs of general health status and quality of life as assessed by the Portuguese versions of two questionnaires recently adapted and tested in Brazil. DESIGN AND SETTING: This was a cross-sectional study in which two self-administered questionnaires were used. This investigation was conducted at healthcare services associated with the Universidade de Caxias do Sul, Brazil. METHODS: This study presents data from a sample of 120 volunteers who completed the Portuguese versions of the Personal Health Scale and the Multicultural Quality of Life Index questionnaires. Bivariate linear regression analysis and Pearson correlation coefficients were generated from the scores of the two questionnaires. RESULTS: A significant correlation between the concepts of quality of life and health status as evaluated by the Portuguese versions of both questionnaires was observed. Almost all of the health-related questions displayed strong correlations with the overall concept of quality of life. The magnitude of this correlation accounted for almost half of the observed variance. CONCLUSIONS: These findings indicate that, within this sample, health-related issues were key factors for the overall experience of wellbeing and quality of life. The similarities observed across the different groups indicate that the interrelation between health status and quality of life was homogenous, regardless of presence and/or type of ailments.

scholarly journals Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Aymen Elsous ◽  
Mahmoud Radwan ◽  
Samah Mohsen
Keyword(s):  
Interprofessional Collaboration ◽  
Gaza Strip ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Nurses And Physicians ◽  
The Gaza Strip ◽  
The Relationship

Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and quality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A cross-sectional study was conducted among nurses and physicians (n=414) in two main referral public hospitals in the Gaza Strip using the Arabic Jefferson Scale of Attitude toward Physician-Nurse Collaboration. Descriptive statistics and difference of means, proportions, and correlations were examined using Student’st-test, one-way ANOVA, and Pearson correlation andp<0.05was considered as statistical significant. Response rate was 42.8% (75.6% for nurses and 24.4% for physicians). Nurses expressed more positives attitudes toward collaboration than physicians (M ± SD on four-point scale:3.40±0.30and3.01±0.35, resp.) and experience duration was not proved to have an interesting influence. Teamwork approach in the professional practice should be recognized taking into consideration that the relationship between physicians and nurses is complementary and nurses are partners in patient care.

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