Holistic approach to improved patient satisfaction in family medicine clinic: Findings from a tertiary facility-based survey in Calabar, Nigeria

Objectives: Patient satisfaction remains a critical tool for assessing quality of care in the emerging context of patient-centered care. The objective of this study was to assess patient satisfaction with services received at a tertiary family medicine clinic in Calabar, Nigeria. Material and Methods: This was a cross-sectional descriptive study with data collected from 208 adults by systematic random sampling using a validated self-administered patient satisfaction questionnaire-46. Data were analyzed using SPSS version 18. Results: Most respondents (188, 90.4%) were generally satisfied with overall services. Highest prevalence of satisfaction was with doctors (95.7%), while least prevalence of satisfaction was with facility (27.9%). Satisfaction with nurses and appointment each had prevalence rate of 69.2%, while 65.9% were satisfied with access to care. Proportionally, subjects who were satisfied with each of the five domains access, doctors and nurses care, appointment, and facility were also satisfied generally and vice versa (P < 0.05). Conclusion: In conclusion, a significant proportion of patients were satisfied with services received at the family medicine clinic. The level of patient satisfaction was dependent on the entire chain of service delivery. Patient satisfaction could be further improved by improving the five domains assessed, especially the condition of care environment at the clinic. Findings of this study may contribute significantly to improved patient care, add to existing local literature and further studies.

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Effect of Patient Centered Care Application on Inpatient Outcomes in Rskdia Pertiwi and Rsia Ananda (Woman and Child Hospitals)

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.5217 ◽

2020 ◽

Vol 8 (T2) ◽

pp. 162-167

Author(s):

Zulkarnain Abubakar ◽

Fridawaty Rivai ◽

Nurshanty A. Sapada

Keyword(s):

Patient Satisfaction ◽

Clinical Outcomes ◽

Family Satisfaction ◽

Patient Centered Care ◽

Bivariate Analysis ◽

New Paradigm ◽

Patient Centered ◽

Cross Sectional ◽

Inpatient Outcomes ◽

Centered Care

BACKGROUND: Patient-centered care (PCC) is a new paradigm in healthcare that places patients as the center of care to improve health outcomes and increase patient and family satisfaction. AIM: The study aimed to evaluating the effect of PCC application on inpatient outcomes, notably patient satisfaction, and clinical outcomes in RSKDIA Pertiwi and RSIA Ananda. METHODS: The study was quantitative analytic with cross-sectional design. A sample of 92 patients were determined proportionally, and selected with the inclusion criteria. Data were collected using measuring tools consisting of PCC questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of patient. Bivariate analysis was carried out to compare the PCC application between the two hospitals, and multivariate analysis to correlate the effect of PCC application to patient satisfaction, and clinical outcomes of inpatient in each hospital. RESULTS: There was effect of PCC application on patient satisfaction in RSKDIA Pertiwi (p = 0.017) and RSIA Ananda (p = 0.000), but there was no effect show to the clinical outcomes in RSKDIA Pertiwi (p = 0.718) and RSIA Ananda (p = 0.440), also there was no differences in the application of PCC (p = 0.492) between both hospitals. CONCLUSION: It can be concluded that the application of PCC attributed to patient satisfaction, but did not affect the clinical outcomes of inpatients at RSKDIA Pertiwi and RSIA Ananda; also there were no differences of PCC application between both hospitals. The hospitals management should improve the application of PCC, particularly in coordination of care.

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Healthcare Providers’ Attitudes, Knowledge, and Practice Behaviors for Educating Patients About Advance Directives: A National Survey

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909118813720 ◽

2018 ◽

Vol 36 (5) ◽

pp. 387-395 ◽

Cited By ~ 5

Author(s):

Frances R. Nedjat-Haiem ◽

Tamara J. Cadet ◽

Anup Amatya ◽

Shiraz I. Mishra

Keyword(s):

Online Survey ◽

Survey Design ◽

Healthcare Providers ◽

Medical Decision ◽

Cross Sectional Survey ◽

Patient Centered ◽

Cross Sectional ◽

Practice Behaviors ◽

Centered Care ◽

Seriously Ill Patients

Background: Advance care planning for end-of-life care emerged in the mid-1970’s to address the need for tools, such as the advance directive (AD) legal document, to guide medical decision-making among seriously ill patients, their families, and healthcare providers. Objective: Study aims examine providers’ perspectives on AD education that involve examining (1) a range of attitudes about educating patients, (2) whether prior knowledge was associated with practice behaviors in educating patients, and (3) specific factors among healthcare providers such as characteristics of work setting, knowledge, attitudes, and behaviors that may influence AD education and documentation. Design: To examine providers’ views, we conducted a cross-sectional, online survey questionnaire of healthcare providers using social media outreach methods for recruitment. Methods: This study used a cross-sectional survey design to examine the proposed aims. Healthcare providers, recruited through a broad approach using snowball methods, were invited to participate in an online survey. Logistic regression analyses were used to examine providers’ views toward AD education. Results: Of 520 participants, findings indicate that most healthcare providers said that they were knowledgeable about AD education. They also viewed providing education as beneficial to their practice. These findings suggest that having a positive attitude toward AD education and experiencing less organizational barriers indicate a higher likelihood that providers will educate patients regarding ADs. Conclusion: Various disciplines are represented in this study, which indicates that attitudes and knowledge influence AD discussions. The importance of AD discussions initiated by healthcare providers is critical to providing optimal patient-centered care.

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Patients’ and Families’ Satisfaction with Visiting Policies in Cardiac Intensive Care Units

Global Journal of Health Science ◽

10.5539/gjhs.v9n1p67 ◽

2016 ◽

Vol 9 (1) ◽

pp. 67 ◽

Cited By ~ 1

Author(s):

Shiva Khaleghparast ◽

Soodabeh Joolaee ◽

Majid Maleki ◽

Hamid Peyrovi ◽

Behrooz Ghanbari ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Simple Random Sampling ◽

Vital Role ◽

Patient Centered ◽

Cross Sectional ◽

The Family ◽

Centered Care ◽

Cardiac Intensive Care ◽

Cross Sectional Design

BACKGROUND: Families play a vital role in the recovery of patients admitted to Intensive Care Units. They can help patients to adapt themselves to the crisis and feel more satisfied.OBJECTIVE: In this study, we examined the patients’ and families’ satisfaction with the current visiting policies in Cardiac Intensive Care Units in the largest Cardiovascular Medical and Research Center of Iran.METHOD: This research used a cross-sectional design with a simple random sampling. To do so, 303 patients admitted to those Cardiac Intensive Care Units and their families responded to a two-part questionnaire between September 2014 and March 2015. The inclusion criteria for patients were aged between 18 and 85, acceptable general status to respond to the questions of the questionnaire, and having one of the cardiac diseases symptoms. Intention to attend was the only inclusion criterion for the family members.RESULTS: The results showed that 167(55.1%) of the participants were dissatisfied with the limited visiting policies of the Cardiac Intensive Care Units, while the satisfaction rate was 43(14.2%). The remaining participants (30.7%) were slightly satisfied with the visiting policies in Cardiac Intensive Care Units.CONCLUSIONS: Patient-centered care is an expectation among patients and their families in the Cardiac Intensive Care Units. It seems that a change in visiting policies is necessary.

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Patient Satisfaction and Patient-Centered Care

JAMA ◽

10.1001/jama.2012.7381 ◽

2012 ◽

Vol 308 (2) ◽

pp. 139 ◽

Cited By ~ 69

Author(s):

Joel M. Kupfer ◽

Edward U. Bond

Keyword(s):

Patient Satisfaction ◽

Patient Centered Care ◽

Patient Centered ◽

Centered Care

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Formação de cuidadores de idosos institucionalizados

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v13i5a238934p1216-1222-2019 ◽

2019 ◽

Vol 13 (5) ◽

pp. 1216

Author(s):

Vitor Emanuel Sousa da Silva ◽

Kaiza Vilarinho da Luz ◽

Dalton Kaynnan de Prado Costa ◽

André Ricardo Ferreira da Silva Rocha ◽

Rosângela Nunes Almeida ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Care Education ◽

Patient Centered ◽

Cross Sectional ◽

Calidad De Vida ◽

Caregiver Quality ◽

Centered Care ◽

Qualitative Descriptive ◽

Elderly Caregivers

RESUMOObjetivo: analisar a formação dos cuidadores de idosos institucionalizados. Método: trata-se de um estudo qualitativo, descritivo e transversal. Realizou-se com dez cuidadores de instituição de longa permanência (ILP), utilizando-se um instrumento semiestruturado. Submeteram-se os dados coletados à Análise de Discurso. Resultados: registra-se que predominaram as cuidadoras do gênero feminino, casadas, com idade média de 42 anos, e que o período médio de atuação na área foi de 7,1 anos. Sabe-se que 90% tinham formação em cuidador de idoso e elencaram, como dificuldades, colocar a fralda, dar banho, a comunicação e as estratégias para interagir com a teimosia dos idosos, bem como as demandas dos idosos e a sobrecarga de peso e de trabalho. Conclusão: concluiu-se que há a necessidade de se qualificar bem e atualizar a formação do cuidador profissional para que este possa executar a sua práxis com segurança, efetividade, eficiência e atenção centrada no paciente. Descritores: Saúde do Idoso; Cuidador; Qualidade de Vida; Atenção Primária à Saúde; Educação; Ensino.ABSTRACT Objective: to analyze the training of institutionalized elderly caregivers. Method: this is a qualitative, descriptive and cross-sectional study. It was carried out with ten caregivers of long-term institution (LTI), using a semi-structured instrument. The collected data were submitted to Speech Analysis. Results: it is recorded that the female carers, married, with a mean age of 42 years, predominated, and that the average period of performance in the area was 7.1 years. It is known that 90% had training in elderly caregivers and listed, as difficulties, putting diapers, bathing, communication and strategies to interact with the stubbornness of the elderly, as well as the demands of the elderly and the overload of weight and of work. Conclusion: it was concluded that there is a need to qualify well and update the training of the professional caregiver so that they can perform their praxis with safety, effectiveness, efficiency and patient-centered care. Descriptors: Elderly Health; Caregiver; Quality of life; Primary Health Care; Education; Teaching.RESUMEN Objetivo: analizar la formación de los cuidadores de ancianos institucionalizados. Método: se trata de un estudio cualitativo, descriptivo y transversal. Se realizó con diez cuidadores de institución de larga permanencia (ILP), utilizando un instrumento semiestructurado. Se sometieron los datos recogidos al Análisis de Discurso. Resultados: se registra que predominaron las cuidadoras del género femenino, casadas, con edad promedio de 42 años, y que el período promedio de actuación en el área fue de 7,1 años. Se sabe que el 90% tenía formación en cuidador de anciano y enumeró, como dificultades, colocar el pañal, bañar, la comunicación y las estrategias para interactuar con la terquedad de los ancianos, así como las demandas de los ancianos y la sobrecarga de peso y de trabajo. Conclusión: se concluyó que hay la necesidad de calificar bien y actualizar la formación del cuidador profesional para que éste pueda ejecutar su praxis con seguridad, efectividad, eficiencia y atención centrada en el paciente. Descritores: Salud del Anciano; Cuidadores; Calidad de Vida; Atención Primaria de Salud; Educación; Enseñanza.

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Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study

Journal of Medical Internet Research ◽

10.2196/22913 ◽

2020 ◽

Vol 22 (10) ◽

pp. e22913

Author(s):

Consuela Cheriece Yousef ◽

Abin Thomas ◽

Ahmed O Alenazi ◽

Sumaya Elgadi ◽

Laila Carolina Abu Esba ◽

...

Keyword(s):

Health Care ◽

National Guard ◽

Personal Health Record ◽

Patient Centered Care ◽

Personal Health ◽

Health Record ◽

Objective Data ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care

Background As health care organizations strive to improve health care access, quality, and costs, they have implemented patient-facing eHealth technologies such as personal health records to better engage patients in the management of their health. In the Kingdom of Saudi Arabia, eHealth is also growing in accordance with Vision 2030 and its National Transformation Program framework, creating a roadmap for increased quality and efficiency of the health care system and supporting the goal of patient-centered care. Objective The aim of this study was to investigate the adoption of the personal health record of the Ministry of National Guard Health Affairs (MNGHA Care). Methods A cross-sectional survey was conducted in adults visiting outpatient clinics in hospitals at the Ministry of National Guard Health Affairs hospitals in Riyadh, Jeddah, Dammam, Madinah, and Al Ahsa, and primary health care clinics in Riyadh and Qassim. The main outcome measure was self-reported use of MNGHA Care. Results In the sample of 546 adult patients, 383 (70.1%) reported being users of MNGHA Care. MNGHA Care users were more likely to be younger (P<.001), high school or university educated (P<.001), employed (P<.001), have a chronic condition (P=.046), use the internet to search for health-related information (P<.001), and use health apps on their mobile phones (P<.001). Conclusions The results of this study show that there is substantial interest for the use of MNGHA Care personal health record with 70% of participants self-reporting use. To confirm these findings, objective data from the portal usage logs are needed. Maximizing the potential of MNGHA Care supports patient engagement and is aligned with the national eHealth initiative to encourage the use of technology for high-quality, accessible patient-centered care. Future research should include health care provider perspectives, incorporate objective data, employ a mixed-methods approach, and use a theoretical framework.

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Attitudes of medical students in Pakistan toward the doctor-patient relationship

10.7287/peerj.preprints.606 ◽

2014 ◽

Author(s):

Waqas Ahmad ◽

Edward Krupat ◽

Yumna Asmaa ◽

Noor-E- Fatima ◽

Rayan Attique ◽

...

Keyword(s):

Medical Students ◽

Patient Centered Care ◽

Cross Sectional Study ◽

Individual Characteristics ◽

Patient Relationship ◽

Doctor Patient Relationship ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care ◽

Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

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A multilevel study of patient-centered care perceptions in mental health teams

10.21203/rs.3.rs-48898/v2 ◽

2020 ◽

Author(s):

Francois Durand ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Professionals ◽

Interprofessional Collaboration ◽

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care

Abstract Background: The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.Method: A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results: This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

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A Multilevel Study of Patient-Centered Care Perceptions In Mental Health Teams

10.21203/rs.3.rs-48898/v1 ◽

2020 ◽

Author(s):

Francois Durand ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Interprofessional Collaboration ◽

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

Team Processes ◽

Interprofessional Care ◽

Centered Care ◽

The Impact

Abstract Background: The combination of interprofessional collaboration in teams and patient-centered care is a necessary amalgamation when it comes to delivering complex mental healthy care and services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines the impact of predictors of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration, informal role self-efficacy in multidisciplinary mental health teams.Method: Cross-sectional multilevel design using self-administered bilingual validated questionnaires.Results: This study showed that belief in interprofessional collaboration’s impact on patient-centered perceptions is increased in teams with high collaboration. We also showed that collaboration is a mediator; that is, a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: In terms of research our results are in line with recent theorising on team processes and specifically established collaboration as key in a multilevel examination of predictors of patient-centered care perceptions. In terms of practice, we showed that multidisciplinary teams should know that working hard on collaboration as an answer to the complexity of patient-centered care impacts the teams’ ability to respond to its challenges but also impacts individuals’ beliefs central to the delivery of interprofessional care.

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Empathy and attitude toward communication skill learning as a predictor of patient-centered attitude: a cross-sectional study of dental students in Korea

BMC Medical Education ◽

10.1186/s12909-021-02674-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Minjung Lee ◽

Jungjoon Ihm

Keyword(s):

Communication Skills ◽

Online Survey ◽

Communication Skill ◽

Patient Centered Care ◽

Dental Students ◽

Skill Learning ◽

Reactivity Index ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care

Abstract Background Enhancing medical students’ practice of patient-centered care is a goal of medical schools. In addition to exploring the demographic and academic factors of the students, it is necessary to identify other attitudes and perceptions that may influence the student’s patient-centered attitude and inclination toward communication skill learning. This study aimed to assess patient-centered attitudes among dental students in Korea and identify the association between the students’ characteristics and empathy, communication skill learning attitude, and patient-centered attitude. Methods Data were collected via a cross-sectional online survey, and 312 dental students were included in the analyses. The study participants completed the Patient–Practitioner Orientation Scale (PPOS), the Interpersonal Reactivity Index (IRI), and the Communication Skills Attitude Scale (CSAS). Analyses were performed using independent samples’ t-tests, hierarchical multi-variable regression, and ANOVA with a post-hoc Tukey test. Results The students tend to be moderately patient-oriented toward the sharing subscale of PPOS score (M = 3.78, standard deviation [SD] = 0.54) and slightly more patient-centered toward the caring subscale of PPOS score (M = 4.41, SD = 0.52) of patient-centered attitudes. Being a female and a shorter academic period in dentistry were associated with attitudes toward patient-centered care. Empathy and positive attitude toward learning communication skills were also related to a patient-centered attitude, and among aspects of empathy, “empathic concern” had the greatest significant impact on patient-centered attitude. Conclusions Gender, academic period, empathy, and attitudes on learning communication skills were important influencing factors of patient-centered attitudes. Patient-centered attitude can and must be taught. Education programs should focus on enhancing empathy, emphasizing positive attitudes on learning communication skills, and conducting follow-up educational sessions to prevent students from becoming less patient-centered with an increase in duration of their academic period.

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