scholarly journals Relación de la percepción del acudiente del menor sobre la calidad del servicio asistencial de vacunación y su adherencia al programa ampliado de inmunización

2015 ◽  
Vol 12 (1) ◽  
pp. 64
Author(s):  
William De Jesús Atehortua-Puerta ◽  
Martha Lucia Albarracín-Eugenio ◽  
Mónica Anyely Jiménez-Sepúlveda ◽  
Ángela María Pérez-Zabala ◽  
Norida Eliana Turriago-García
Keyword(s):  
Quality Of Care ◽  
Public Perception ◽  
Medication Compliance ◽  
Waiting Times ◽  
Immunization Program ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
High Level ◽  
Relationship Of

Objetivo: determinar la relación de la percepción del acudiente del menor sobre la calidad del servicio asistencial de vacunación y su adherencia al Programa Ampliado de Inmunización en una institución de salud en Cúcuta. Materiales y Métodos: estudio descriptivo, corte transversal, con una muestra de 334 niños. Se aplicó el cuestionario de la Escala Servqual, evaluando las dimensiones de elementos tangibles: fiabilidad, capacidad de respuesta, seguridad y empatía. Se utilizó la escala de Linkert donde 1 es la menor calificación y 5 la mayor calificación. Resultados: los acudientes tienen una percepción de indiferencia del 55.7% e insatisfacción del 34.4% en la dimensión tangible porque en oportunidades carecen de información. Menor es el nivel de satisfacción en la fiabilidad con el 24.3% expresaron sentirse muy satisfechos con los tiempos de espera prolongados para el acceso al servicio. Mientras en la capacidad de respuesta, el 6.9% de los acudientes manifestaron estar satisfechos, opinión más frecuente en acudientes de niños entre los 2 y 5 años. Igualmente frente a la seguridad, la mayoría expresan un grado de satisfacción neutro, siendo más frecuentes en acudientes de menores de 1 año y medio de edad 61.2%. Para la empatía, se constata un nivel alto de insatisfacción donde solo el 5.1% se considera satisfecho frente a un 43.1% de insatisfacción. Conclusión: los usuarios se encuentran vinculados al servicio de vacunación por demanda y necesidad pero es evidente que se debe fortalecer todas las dimensiones de forma integral. PALABRAS CLAVE: Cumplimiento de la medicación, percepción pública de la ciencia, satisfacción del paciente, vacunación. Relationship of the children caregiver perception on the quality of care vaccination service and its adherence to the expanded immunization program ABSTRACT Objective: to determine   the relationship of the child´s caregiver perception on the quality of care vaccination service and its adherence to the expanded immunization program in a health institution in Cucuta city. Materials and Methods: a descriptive, cross-sectional, with a sample of 334 children, Servqual Scale questionnaire was applied, testing  the dimensions of tangibles, reliability, responsiveness, assurance and empathy. Linkert scale is used, where 1 is the lowest rating and 5 is the highest rating. Results: the caregivers have perceived indifference of 55.7% and 34.4% dissatisfaction in the tangible dimension opportunities because they have a certain lack of information. The lower level of satisfaction with the reliability 24.3% reporting a very good feeling of satisfaction with long waiting times for accessing  to the service. While responsiveness 6.9% of caregivers were satisfied. That is the more frequent opinion of caregivers of children between 2 and 5 years old. Facing security, most of them have a neutral level of satisfaction, being more frequent in caregivers of children under 1 year and a half old 61.2%. For empathy, there is a high level of dissatisfaction where only 5.1% is satisfied compared to 43.1% of dissatisfaction. Conclusion: Users are attached to the vaccination service by demand and need but it´s evident to strengthen all dimensions integrally. KEYWORDS: medication compliance, public perception of science, patient satisfaction, vaccination. Relacionamento de guardião da percepção da criança sobre a qualidade do serviço de vacinação e cuidados de sua adesão ao programa de imunização ampliada RESUMO Objetivo: para determinar a relação do guardião percepção da criança sobre a qualidade do serviço de vacinação e cuidados de sua adesão ao Programa Alargado de Vacinação em uma instituição de saúde em Cucuta. Materiais e Métodos: estudo descritivo, transversal, com uma amostra de 334 crianças, questionário Servqual Escala foi aplicada, avaliando as dimensões de tangibilidade, confiabilidade, receptividade, segurança e empatia. Linkert escala em que 1 é a classificação mais baixa e 5 a mais alta classificação é usado. Resultados: os cuidadores têm percebido a indiferença de 55,7% e 34,4% insatisfação nas oportunidades dimensão tangíveis por falta de informação. Quanto mais baixo o nível de satisfação com a fiabilidade com 24,3% relataram sentir-se muito satisfeito, com longos tempos de espera para o acesso ao serviço. Enquanto a capacidade de resposta, 6,9% dos cuidadores estavam satisfeitos, guardiões de opinião mais freqüentes de crianças entre 2 e 5 anos. Também contra mais segurança, expressando um grau de satisfação neutra, sendo mais freqüente em cuidadores de crianças menores de 1 ano e meio de idade 61,2%. Para empatia, um alto nível de insatisfação onde apenas 5,1% está satisfeito em comparação com 43,1% de insatisfação é encontrado. Conclusão: Utilizadores estão ligados à demanda de serviços de vacinação e precisa, mas claramente deve ser reforçada todas as dimensões de forma holística. PALAVRAS-CHAVE: conformidade com a medicação, percepção pública da ciência, a satisfação do paciente, a vacinação.

scholarly journals Persepsi Pasien tentang Kualitas Layanan Mempengaruhi Kepuasan Pasien Rawat Inap Kelas III Rumah Sakit

2020 ◽  
Vol 14 (1) ◽  
pp. 37
Author(s):  
Sulistyaningsih Sulistyaningsih ◽  
Fitnaningsih Endang Cahyani ◽  
Nuli Nuryanti Zulala ◽  
Sri Lestari
Keyword(s):  
Hospital Inpatient ◽  
Hospital Services ◽  
Cross Sectional ◽  
Quality Dimension ◽  
Inpatient Services ◽  
Level Of Satisfaction ◽  
Cross Sectional Design ◽  
High Level ◽  
And Behavior

Background: The higher quality of hospital services will cause customers to have a high level of satisfaction and behavior. The purpose of the study was to analyze the quality of hospital inpatient services. Method: The survey research method used cross-sectional design. The sample of this study was 172 third class inpatients in PKU Muhammadiyah Gamping Hospital determined by consecutive sampling. Results: The results of study showed that patients' perceptions about the quality of inpatient services were mostly good on all dimensions (58%), most patients feel satisfied (63%). Conclusion: Education is significantly related to patients' perceptions of the quality of the hospital inpatient services. The experience of patients being treated in hospital is significantly related to inpatient satisfaction. Patients' perceptions of the quality of hospital inpatient services are significantly related to patient satisfaction. The quality dimension that needs to be improved is empathy, while the best is reliability.

scholarly journals Supportive Infusions in Integrative Breast and Gynecological Oncology – Report on Patientsʼ Satisfaction and Self-reported Effects and Side Effects

2018 ◽  
Vol 78 (11) ◽  
pp. 1129-1137 ◽  
Author(s):  
Carolin Hack ◽  
Sophia Antoniadis ◽  
Matthias Beckmann ◽  
Anna Brandl ◽  
Peter Fasching ◽  
...  
Keyword(s):  
Side Effects ◽  
Gynecological Cancer ◽  
Nutritional Therapy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Infusion Therapy ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
High Level

Abstract Background During cancer therapy, many patients suffer from malnutrition or vitamin deficiency. Treatment for nutrition-related deficiencies should therefore include nutritional therapy and possibly oral or intravenous substitution of micronutrients. Little information exists on multinutrient infusion therapies. The aim of this study was to develop standardized infusion protocols for integrative medicine infusions with micronutrients (IMed infusions) and to report on side effects of the treatment and patientsʼ satisfaction with it. Methods For the IMed consultancy service, four special formulas for intravenous use were developed in cooperation with the pharmacy at Erlangen University Hospital. A retrospective cross-sectional study was conducted between October 2015 and January 2018 in which 45 patients with gynecological or breast cancer (BC) and IMed infusion therapy were included. Follow-up data were obtained from 20 patients using a standardized questionnaire on IMed infusions. Results A total of 280 IMed infusions were administered in the study period. The majority of the patients received an IMed regeneration infusion (78%). The majority of the patients had BC and were receiving chemotherapy. Most patients reported a high or very high level of satisfaction with the organization (60%), general treatment (65%) and counseling (85%). Subjective improvement in their disease-related and therapy-induced symptoms, such as fatigue, polyneuropathy and physical efficiency, was reported by 70% of the patients, while 75% reported a subjective increase in quality of life. Side effects were rare and minor. Conclusions Therapy with IMed infusions in women with BC or gynecological cancer requires the same standards set for drug therapy. Although vitamins represent dietary supplements, appropriate assessment of the patientʼs medical history is needed and patients must receive appropriate information. For this purpose, standardized processes, as in the context of an IMed consultancy service, are helpful.

Patient Satisfaction: A Tool towards Quality Improvement

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Ume Sughra ◽  
Manaal Siddiqui ◽  
Sorath Noorani ◽  
Hassan Mansoor ◽  
Sultana Kausar
Keyword(s):  
Quality Improvement ◽  
Patient Satisfaction ◽  
Satisfaction Level ◽  
Cross Sectional Survey ◽  
Good Tool ◽  
Cross Sectional ◽  
Staff Members ◽  
Level Of Satisfaction ◽  
High Level

Purpose:  To determine the importance of patient satisfaction as a tool for quality improvement. Study Design:  Cross sectional survey. Place and Duration of Study:  Pediatric Ophthalmology Department of Al-Shifa Trust Eye Hospital, Rawalpindi, from May 2017 to September 2017. Methods:  This study included 500 individuals, who were caregivers of children visiting the hospital at the time of data collection. Individuals who visited departments other than pediatric department were excluded. Two groups were made. Group 1 included 300 individuals who were interviewed for to assess the patient satisfaction. On the basis of response, play area was made spacious, additional registration counters were placed and more reception staff members were hired to shorten the waiting and registration time, additional fans were installed in the waiting area and patient information was displayed on TV screens to aid uneducated patients and their attendants. Second group with 200 individuals were interviewed after these improvements. Pretested structured questionnaire was used to collect data regarding socio-demographic characteristics and experience of visit to the hospital. SPSS version 20 was used for descriptive and inferential data analysis. Results:  Participants in this survey showed high level of satisfaction after interventions 45 to 65%.There was statistically significant association between satisfaction level and improvement in services was found (p < 0.001). Conclusion:  Satisfaction level of patients depends upon the quality of services and medical care provided and it can be used as a good tool for improving the services in the hospitals. Key Words:  Satisfaction, Outpatient department, Hospital.

scholarly journals Prevalence and determinants of self-directed referrals amongst patients at hospitals in eThekwini District, KwaZulu-Natal 2015

2019 ◽  
Vol 61 (2) ◽  
pp. 52
Author(s):  
A. Rajman ◽  
O. H. Mahomed
Keyword(s):  
Quality Of Care ◽  
Waiting Time ◽  
Protective Factor ◽  
Waiting Times ◽  
Referral Letter ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Patient Awareness ◽  
District Hospitals

Background: Non-compliance with designated referral pathways has ramifications such as increased patient waiting time, overburdening of higher levels of care and increasing healthcare costs on patients and the healthcare system. The purpose of this study was to assess the determinants of self-directed referrals amongst patients attending hospitals in the eThekwini district of KwaZulu-Natal.Methods: An analytic, cross-sectional study was conducted at the Medical Outpatient Departments across five district hospitals in eThekwini using interviewer-administered questionnaires. Descriptive statistics were used to determine the proportion and the most frequent factors contributing towards patient self-referral. The likelihood of patients to self-refer was tested using chisquare (X2) and a multivariate regression model.Results: There were 315 patients interviewed with 35% (n = 109/315) having self-referred. The majority (51%; 55/107) of selfreferrals were male and were of African race (74%; n = 80/107). Five institutional factors, namely: availability of medication at the pharmacy (98%); quality of care at the facility (93%); waiting time at facility (92%); services provided (90%); and attitude of healthcare workers (87%), were ranked as the main drivers of self-referral. Multivariate logistic regression established a significant positive association between patient self-referral and male gender (OR 1.73; CI 1.04–2.87, p 0.05). Age 39 years (OR 0.96; CI 0.94–0.99, p 0.05); and patient awareness of a referral letter (OR 0.28; CI 0.09–0.86, p 0.05) emerged as protective factor against self-referrals.Conclusion: Males patients tend to bypass the referral pathway whilst younger patients and patients who were aware of a referral letter were less likely to bypass the referral system. In addition to addressing the systemic challenges of waiting times, quality of care and availability of medication, a patient-oriented approach that comprises education, encouragement and increased patient awareness is an important strategy to improve referral pathway compliance.

Patient Satisfaction with the Health Services Provided by the Pharmacist at a General Hospital in Riyadh, Saudi Arabia

2014 ◽  
Vol 2 (4) ◽  
pp. 517
Author(s):  
Khalaf Ali Al-Jumah ◽  
Mohamed Azmi Hassali ◽  
Ibrahim Alzaagi
Keyword(s):  
Patient Satisfaction ◽  
Employment Status ◽  
Cross Sectional Study ◽  
Pharmacy Services ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Item Questionnaire ◽  
Level Of Satisfaction ◽  
High Level

Background: Patient satisfaction is one of the main indicators for determining the quality of the services provided to patients by pharmacists.Objective: The purpose of this study was to determine the patients’ satisfaction and various factors affecting satisfaction with pharmacists dispensing services atKingSaudMedicalCity inRiyadh,Saudi Arabia.Methods: A cross-sectional study was conducted to explore patient satisfaction with the pharmacy services from August through September2013. A self-administered, 10-item questionnaire was administered randomly to 500 participants to evaluate patient satisfaction. Twenty questionnaires were excluded because they were incomplete. Statistical Package for Social Sciences (SPSS) version 17.0 for Windows was used to analyze the data.Results: The response rate of this study was 96%. Most of the respondents were female (252, 52.4%), and 69.9% of the sample visited the pharmacy 3 or more times per year. The majority of the patients reported a high level of satisfaction, which was slightly variable among the groups, particularly with respect to the education level and employment status of the patients. Patients with a high school education or less were the most satisfied with the pharmacy services with a mean score of 3.50 (df= 2.969, F= 3.659, p=<0.006). Unemployed patients were the most satisfied with the pharmacy services, with a mean score of 3.52  (df= 2.580, F= 3.138, p=<0.044).Conclusion: The patients reported a high level of satisfaction with the pharmacy services atKingSaudMedicalCity inRiyadh. 

scholarly journals HUBUNGAN WAKTU TUNGGU DAN SIKAP PETUGAS DENGAN KEPUASAN PASIEN PADA INSTALASI FARMASI RUMAH SAKIT ISLAM SURABAYA (RSIS) JEMURSARI

2019 ◽  
Vol 3 (1) ◽  
pp. 1-8
Author(s):  
Agus Aan Adriansyah ◽  
Ima Nadatien
Keyword(s):  
Patient Satisfaction ◽  
Waiting Time ◽  
Significant Relationship ◽  
Hospital Pharmacy ◽  
Waiting Times ◽  
Chi Square ◽  
Cross Sectional ◽  
Patient Dissatisfaction ◽  
Level Of Satisfaction

Introduction: Jemursari Surabaya Islamic Hospital has a Pharmacy Installation service that requires long prescription service waiting times. This resulted in the emergence of patient dissatisfaction with the quality of services available at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya. In relation to patient satisfaction and the quality of service at the Jemursari Islamic Hospital, there are still patients who are dissatisfied with the services of the Jemursari Islamic Hospital Pharmacy Installation staff. This study aims to analyze the relationship between waiting time and the attitude of the officer with patient satisfaction at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya. Method: this study was an observational analytic study using aapproach cross sectional. The research locations were in Depo 1 Pharmacy Installation, Jemursari Islamic Hospital, Jl Jemursari no. 51-57, Jemur Wonosari, Wonocolo, Surabaya City, East Java. The research sample was 100 respondents using random sampling techniques. The data obtained were then analyzed using thetest chi square. Results: the results of the study showed that there was a significant relationship between service waiting time and the attitude of the officers in the service at the Pharmacy Installation with the level of satisfaction felt. Waiting time for services at Depo 1 Pharmacy is not in accordance with the Standard Minimum Procedure that has been determined. Conclusion: the waiting time and attitude of the officers have a significant relationship to patient satisfaction.

Pengaruh Kualitas Pelayanan Terhadap Kepuasan Nasabah Tabungan Britama Pada Bank BRI Cabang Fatmawati

Liquidity ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 72-80
Author(s):  
Viva Faronika ◽  
Asriyal Asriyal
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Service Quality ◽  
Acceptable Level ◽  
Level Of Service ◽  
Level Of Satisfaction ◽  
Service Policies ◽  
Improve Service Quality ◽  
Relationship Of

If the customer is greater than acceptable level of service, the cutomer is not satisfied. Conversely, if an acceptable level of service greater than the expectations of customers, the customer will be satisfied. This means that if Bank BRI branch Fatmawati can improve service quality to its customer it will affect the level of satisfaction. In this research found evidence that, in terms of the creation of quality services, Bank BRI branch Fatmawati is one of the branches that participate to implement the established policies and service in accordance with the exiting service standard in the banking world. Amount of influence the determination of quality of service policies applied by the Bank BRI branch Fatmawati indicated by r2. r2 value only 45 % and the rest 55 % influenced by other variables not studied. Meanwhile, the variable relationship of service quality to customer satisfaction can be seen from the values r = 0,67. This shows the value of the correlation coefficient between the variables of service quality to customer satisfaction. This means there are strong relationships between the independent variable X (quality of service) to the dependent variable Y (customer satisfaction). Since r = 0,67 (67 %) greater then 50 %.

scholarly journals Gender discrimination as a barrier to high-quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chioma Oduenyi ◽  
Joya Banerjee ◽  
Oniyire Adetiloye ◽  
Barbara Rawlins ◽  
Ugo Okoli ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Services ◽  
Gender Discrimination ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Care Assessment

Abstract Background Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services. We conducted a study at the beginning of a large family planning (FP) and maternal, newborn, child, and adolescent health program in Kogi and Ebonyi States of Nigeria to assess whether or not gender plays a role in access to, use of, and delivery of health services. Methods We conducted a cross-sectional, observational, baseline quality of care assessment from April–July 2016 to inform a maternal and newborn health project in health facilities in Ebonyi and Kogi States. We observed 435 antenatal care consultations and 47 births, and interviewed 138 providers about their knowledge, training, experiences, working conditions, gender-sensitive and respectful care, and workplace gender dynamics. The United States Agency for International Development’s Gender Analysis Framework was used to analyze findings. Results Sixty percent of providers disagreed that a woman could choose a family planning method without a male partner’s involvement, and 23.2% of providers disagreed that unmarried clients should use family planning. Ninety-eight percent believed men should participate in health services, yet only 10% encouraged women to bring their partners. Harmful practices were observed in 59.6% of deliveries and disrespectful or abusive practices were observed in 34.0%. No providers offered clients information, services, or referrals for gender-based violence. Sixty-seven percent reported observing or hearing of an incident of violence against clients, and 7.9% of providers experienced violence in the workplace themselves. Over 78% of providers received no training on gender, gender-based violence, or human rights in the past 3 years. Conclusion Addressing gender inequalities that limit women’s access, choice, agency, and autonomy in health services as a quality of care issue is critical to reducing poor health outcomes in Nigeria. Inherent gender discrimination in health service delivery reinforces the critical need for gender analysis, gender responsive approaches, values clarification, and capacity building for service providers.

scholarly journals Perceived quality of surgical care in association with patient-related factors and correlation to reported postoperative complications in Finland: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037708
Author(s):  
Ira Helena Saarinen ◽  
Jaana-Maija Koivisto ◽  
Antti Kaipia ◽  
Elina Haavisto
Keyword(s):  
Quality Of Care ◽  
Postoperative Complications ◽  
Cross Sectional Study ◽  
Perceived Quality ◽  
Living Alone ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Perceived Quality Of Care

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

scholarly journals Quality of Care Provided by Family Caregivers of Older People With Dementia: Measurement and Interpretations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Reason ◽  
People With Dementia ◽  
High Level ◽  
The Impact ◽  
The Relationship

Abstract Family caregivers of older people living with dementia are relatives, friends, or neighbors who provide assistance related to this condition, but who are unpaid for the services they provide. Although caregiving could be personally rewarding, many caregivers report a high level of strain. Compared to caregivers of older adults who do not have dementia, family caregivers of older people living with dementia report lower quality-of-life (QoL). In a published systematic review examining the relationship between family caregiver QoL and the quality of care provided, only one study was found to be somewhat relevant. The study suggested that the primary reason for an absence of research into the link between family caregiver QoL and quality of care was the absence of a questionnaire for measuring quality of care in dementia. Therefore, any attempt to investigate the impact of caregiver QoL on the care provided to older people with dementia must first address the lack of an instrument to measure quality of care. To address this issue, we interviewed approximately 20 family caregivers in order to elicit feedback on measurements and interpretation of the quality of care provided by family caregivers of older people living with dementia. Content analysis of the interview transcripts revealed that the quality of relationships with family, caregiver availability to provide or supervise care, and availability of paid or volunteer help are important for the quality of care provided. These results have important implications, particularly for the development of an instrument to measure quality of care in dementia.

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