Health Care Quality: The impact of hospital quality system in private and public sector on patients’ satisfaction in Kurdistan region of Iraq

Forming a patient-oriented health care system, patients’ participation in health care quality assessment has become the imperative of our time.The objective of the research was to analyze the impact of doctors’ and health care system credibility on satisfaction with health care.Materials and methods. Sociological survey of 530 patients was conducted. The patients completed their treatment in the surgical departments of inpatient facilities in Ivano-Frankivsk region. According to its results the patients were divided into two groups: satisfied (372 people) and not satisfied (158 people) with the level of health care services in the department and the hospital as a whole.Results of the research. Nearly 60% of the surveyed patients were determined not to trust their doctors and one third of respondents did not know their primary care physician. This significantly increased the chances of dissatisfaction with health care (OR= 4.11; 95% CI: 1.67–10.14, p<0.001 and OR=1.96; 95% CI: 1.33–2.90 respectively; p<0.001) and promoted inefficient use of the health care system resources as a result of unreasonable hospitalization (in 18.8% cases). Conclusions. Patients who do not trust doctors in general and do not know their general practitioner remain dissatisfied with inpatient care by 1.5-10 times more often.

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Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN ◽

10.33859/dksm.v10i1.437 ◽

2020 ◽

Vol 10 (1) ◽

pp. 11-24

Author(s):

Agustinus Hermino

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Care Quality ◽

Health Sector ◽

Well Being ◽

Individual Variability ◽

Care Quality ◽

Global Era ◽

The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life

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Medical Errors

Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety - Advances in Medical Education, Research, and Ethics ◽

10.4018/978-1-5225-2337-6.ch002 ◽

2017 ◽

pp. 33-60

Author(s):

Jayita Poduval

Keyword(s):

Health Care ◽

Medical Errors ◽

Health Care Professionals ◽

Health Care Quality ◽

Service Providers ◽

Care Quality ◽

System Failures ◽

Root Cause ◽

The Impact ◽

Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

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The Impact of Discharge Decisions on Health Care Quality

Management Science ◽

10.1287/mnsc.44.3.400 ◽

1998 ◽

Vol 44 (3) ◽

pp. 400-415 ◽

Cited By ~ 14

Author(s):

Emre Berk ◽

Kamran Moinzadeh

Keyword(s):

Health Care ◽

Health Care Quality ◽

Care Quality ◽

The Impact

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Nurse/patient ratio increase and the impact on health care quality and cost in a center of a public hospital intensive care and teaching

Journal of Critical Care ◽

10.1016/j.jcrc.2017.09.097 ◽

2017 ◽

Vol 42 ◽

pp. 401

Author(s):

Andreza Werli-Alvarenga ◽

Fernando Antônio Botoni ◽

Daniela Mascarenhas de Paula ◽

Edna Marileia Meireles Leite

Keyword(s):

Health Care ◽

Intensive Care ◽

Health Care Quality ◽

Public Hospital ◽

Care Quality ◽

Ratio Increase ◽

The Impact

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Capitation, Advances in Medical Technology, and the Advent of a New Era in Medical Ethics

American Journal of Law & Medicine ◽

10.1017/s0098858800007863 ◽

1996 ◽

Vol 22 (2-3) ◽

pp. 331-360 ◽

Cited By ~ 1

Author(s):

Michael J. Malinowski

Keyword(s):

Health Care ◽

Health Care Quality ◽

The United States ◽

Care Quality ◽

Care Needs ◽

New Era ◽

For Profit ◽

Zero Sum ◽

The Impact ◽

Care Costs

Health care is being capitated throughout the United States, and much of the spread of capitation is attributable to the efforts of insurers to contain costs. The present lack of comprehensive studies evaluating the impact of capitation on overall health care quality leaves vast room for speculation.Capitation does, however, carry a very fundamental certainty with broad implications. Whether the arrangement calls for a fixed sum for treating a particular ailment, a set fee for meeting all of an individual patient’s health care needs, or a standard charge for supplying all the medication for a specific condition, capitation sets limits. Because the health care costs for any given patient or condition are in reality zero-sum rather than fixed, capitation is about pooling patients and rationing. It involves denying services to some patients despite a general contractual commitment to coverage, presumably so that more patients can be covered or receive better care. The implications of capitation are even more significant when set fully in the context of the overall health care reform now underway. Simultaneously and comprehensively, health care is being managed, made for-profit, and consolidated.

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Deming Meets Braverman: Toward a Progressive Analysis of the Continuous Quality Improvement Paradigm

International Journal of Health Services ◽

10.2190/ve9l-w378-55g3-l0r3 ◽

1994 ◽

Vol 24 (4) ◽

pp. 655-673 ◽

Cited By ~ 10

Author(s):

Gordon D. Schiff ◽

Norbert I. Goldfield

Keyword(s):

Health Care ◽

Quality Improvement ◽

Public Sector ◽

Continuous Quality Improvement ◽

Health Care Quality ◽

Care Quality ◽

Scientific Management ◽

Health Care Leadership ◽

Continuous Quality ◽

Improving Health Care

The continuous quality improvement (CQI) model has rapidly become the dominant management paradigm in U.S. industrial and health care leadership circles. Despite its widespread corporate acceptance and its relevance to public sector policy issues, there has been a paucity of progressive analysis of CQI. The authors begin by noting remarkable similarities between CQI critiques of Taylorism (so-called scientific management of work) with those made by Braverman, a leading Marxist analyst of the work process. Each of the 14 principles of CQI pioneer W. E. Deming are explained and analyzed for their progressive content. These pluses are then contrasted with 18 problematic issues in an attempt to challenge and go beyond the constraints of CQI as it is currently being applied in health care and other sectors. These issues include (1) mismatch between rhetoric and reality, (2) public sector issues, and (3) broader contradictions. The authors emphasize the genuine need for improving health care quality and the relevance of CQI for addressing this need. They challenge progressives to grapple with the profound contradictions by the CQI paradigm, inviting a broader dialogue on CQI's meaning for improving the public's health.

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The Impact Of Pay-For-Performance On Health Care Quality In Massachusetts, 2001–2003

Health Affairs ◽

10.1377/hlthaff.27.4.1167 ◽

2008 ◽

Vol 27 (4) ◽

pp. 1167-1176 ◽

Cited By ~ 56

Author(s):

Steven D. Pearson ◽

Eric C. Schneider ◽

Ken P. Kleinman ◽

Kathryn L. Coltin ◽

Janice A. Singer

Keyword(s):

Health Care ◽

Health Care Quality ◽

Pay For Performance ◽

Care Quality ◽

The Impact

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Attitudes and perceptions of registered nurses during and shortly after acute care restructuring in Newfoundland and Labrador

Journal of Health Services Research & Policy ◽

10.1258/135581905774424474 ◽

2005 ◽

Vol 10 (2_suppl) ◽

pp. 22-30 ◽

Cited By ~ 7

Author(s):

Christine Way ◽

Deborah Gregory ◽

Norma Baker ◽

Sandra Lefort ◽

Brendan Barrett ◽

...

Keyword(s):

Health Care ◽

Registered Nurses ◽

Acute Care ◽

Newfoundland And Labrador ◽

Health Care Quality ◽

Personal Characteristics ◽

Care Quality ◽

Adverse Impact ◽

Workplace Conditions ◽

The Impact

Objectives To monitor changes in registered nurses' perceptions of the impact of seven years of health care restructuring in Newfoundland and Labrador (NL) and to measure the attitudinal and behavioural reactions over four years comparing the St John's region, where hospital aggregation occurred, to other regions of the province. Methods Data were collected on acute care nurses' personal characteristics and perceptions of the importance of reform and its impact on workplace conditions and health care quality in 1995, 1999, 2000 and 2002. Nurses' attitudes and intentions were monitored across three time periods (i.e.1999, 2000 and 2002). Results Perceived workplace conditions and health care quality, as well as attitudes and behaviours were generally negative. However, there was some improvement over time. The temporal sequence of scores suggests that restructuring had an adverse impact on nurses' attitudes. Few significant regional differences were observed. Conclusions Although health services restructuring had an adverse impact on nurses'attitudes, aggregation of hospitals in St John's region was achieved without further deterioration. Provincial wide initiatives are needed to promote more positive work environments and increase the organizational effectiveness.

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Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: Findings from repeated cross-sectional household surveys

10.21203/rs.3.rs-832356/v1 ◽

2021 ◽

Author(s):

Hermann Badolo ◽

Aristide Romaric Bado ◽

Hervé Hien ◽

Nicolas Méda ◽

Appunni Sathiya Susuman

Keyword(s):

Health Care ◽

Burkina Faso ◽

Health Care Quality ◽

Household Wealth ◽

Care Quality ◽

Health Care Seeking ◽

Care Seeking ◽

Factors Associated ◽

The Impact ◽

Childhood Fever

Abstract IntroductionFever is one of the most frequent reasons for paediatric consultations in Burkina Faso, but health care-seeking behaviours and the factors associated with health care-seeking in the event of childhood fever are poorly documented. This study aims to help fill this gap.MethodsThis study used the data from the baseline and endline surveys conducted to evaluate the impact of the Performance-Based Financing (PBF) program in Burkina Faso. Univariate and multivariate binary logistic regression analyses were used to identify the factors associated with appropriate healthcare-seeking for childhood fever. Odds ratios (ORs) were estimated to assess the strength of associations and used 95% confidence intervals for significance tests. Data were cleaned, coded and analysed using Stata software version 16.1.ResultsAmong the children under five who had a fever, 75.19% and 79.76 sought appropriate health care in 2013 and 2017, respectively. Being 24–59 months old (AOR: 0.344, 95% CI: 0.182–0.649 in 2013) and 79,2% (AOR: 0. 208, 95% CI: 0.115–0.376 in 2017), living in a very wealthy household households (AOR: 2.014, 95% CI: 1.149–3.531 in 2013 and AOR: 2.165, 95% CI: 1.223–3.834 in 2017), having a mother with a secondary or higher level of education or having made at least four antenatal care visits were significantly associated with seeking appropriate health care for childhood fever. Living in an area where the health facility is safe was also significantly associated with seeking appropriate care for childhood fevers.ConclusionThe findings underscore the need for interventions that would improve appropriate health care-seeking among mothers for their children. These interventions could include mothers’ sensitization to the benefits of modern health care use, increasing women’s education, improving household wealth status, improving the level of prenatal and postnatal care use and improving health care quality and safety in health facilities.

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