scholarly journals Effects of Results-Based Financing on Patient Satisfaction in Afghanistan

2021 ◽  
Author(s):  
◽  
M. Essa Tawfiq
Keyword(s):  
Patient Satisfaction ◽  
Financial Incentives ◽  
Physical Appearance ◽  
Health Facilities ◽  
Health Provider ◽  
Health Providers ◽  
Provider Performance ◽  
Post Conflict ◽  
Results Based Financing

<p>A Results-Based Financing (RBF) program has been implemented in Afghanistan since September 2010 to improve the quality of health care and increase the utilization of maternal and child health services. This PhD study examines the impact of RBF on patient satisfaction and on determinants of patient satisfaction at health facility level in Afghanistan. Determinants of patient satisfaction in the study refer to health provider performance, availability of medicines, vaccines, equipment, and physical appearance of health facilities.  I used data collected from a panel of health facilities over a three-year period. The data consist of nearly 3000 patient observations and exit interviews. I included 112 health facilities in my study. These health facilities were part of the 428 health facilities which had been randomly assigned to treatment and control groups prior to the start of RBF in 2010. Financial incentives were distributed among health providers in the treatment facilities through four administration mechanisms: salary-based, task-based, equal-amount, and mixed-method. Follow-up surveys were conducted in 2011 and 2012 in the same 112 facilities, but for new cross-sections of patients and health providers. I analysed a range of patient satisfaction and patient satisfaction determinants measures using a regression-adjusted difference-in-differences estimation model.  The results from this study show that after a period of two years, there was an increase of only 8 percentage points in the proportion of patients who were very satisfied with services as a whole. However, the effect was not statistically significant. Similarly, specific aspects of patient satisfaction were not significantly affected by the intervention. Likewise, RBF did not have any significant effect on health provider performance, on availability of medicines, vaccines, and equipment, and on physical appearance of health facilities over a two-year period. I also found no difference in RBF treatment effects by the different incentive administration mechanisms.  My study provides evidence which suggests that paying monetary incentives alone may not have the impetus to improve health provider performance to the satisfaction of patients in a post conflict country. In such settings, RBF initiatives need to include both financial and non-financial incentives for health providers in order to achieve the intended objectives of quality of care and patient satisfaction. My study provides pragmatic recommendations aimed at holistic approaches to improving quality and delivery of healthcare in a post conflict setting.</p>

scholarly journals Effects of Results-Based Financing on Patient Satisfaction in Afghanistan

2021 ◽  
Author(s):  
◽  
M. Essa Tawfiq
Keyword(s):  
Patient Satisfaction ◽  
Financial Incentives ◽  
Physical Appearance ◽  
Health Facilities ◽  
Health Provider ◽  
Health Providers ◽  
Provider Performance ◽  
Post Conflict ◽  
Results Based Financing

<p>A Results-Based Financing (RBF) program has been implemented in Afghanistan since September 2010 to improve the quality of health care and increase the utilization of maternal and child health services. This PhD study examines the impact of RBF on patient satisfaction and on determinants of patient satisfaction at health facility level in Afghanistan. Determinants of patient satisfaction in the study refer to health provider performance, availability of medicines, vaccines, equipment, and physical appearance of health facilities.  I used data collected from a panel of health facilities over a three-year period. The data consist of nearly 3000 patient observations and exit interviews. I included 112 health facilities in my study. These health facilities were part of the 428 health facilities which had been randomly assigned to treatment and control groups prior to the start of RBF in 2010. Financial incentives were distributed among health providers in the treatment facilities through four administration mechanisms: salary-based, task-based, equal-amount, and mixed-method. Follow-up surveys were conducted in 2011 and 2012 in the same 112 facilities, but for new cross-sections of patients and health providers. I analysed a range of patient satisfaction and patient satisfaction determinants measures using a regression-adjusted difference-in-differences estimation model.  The results from this study show that after a period of two years, there was an increase of only 8 percentage points in the proportion of patients who were very satisfied with services as a whole. However, the effect was not statistically significant. Similarly, specific aspects of patient satisfaction were not significantly affected by the intervention. Likewise, RBF did not have any significant effect on health provider performance, on availability of medicines, vaccines, and equipment, and on physical appearance of health facilities over a two-year period. I also found no difference in RBF treatment effects by the different incentive administration mechanisms.  My study provides evidence which suggests that paying monetary incentives alone may not have the impetus to improve health provider performance to the satisfaction of patients in a post conflict country. In such settings, RBF initiatives need to include both financial and non-financial incentives for health providers in order to achieve the intended objectives of quality of care and patient satisfaction. My study provides pragmatic recommendations aimed at holistic approaches to improving quality and delivery of healthcare in a post conflict setting.</p>

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

Improving Hospital’s Quality of Service in Vietnam: The Patient Satisfaction Evaluation in Multiple Health Facilities

2021 ◽  
pp. 1-11
Author(s):  
Nhung Thach Phuong ◽  
Phuong Vu Hoang ◽  
Tuan Mac Dang ◽  
Trang Nguyen Thi Huyen ◽  
Tam Ngo Thi
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Health Facilities ◽  
Satisfaction Evaluation ◽  
Multiple Health

scholarly journals Pengaruh Fasilitas Kesehatan Dan Motivasi Kerja Terhadap Kepuasan Pasien Melalui Kualitas Pelayanan Pada Unit Rawat Inap Di RSUD Haji Makassar Provinsi Sulawesi Selatan

2021 ◽  
Vol 2 (1) ◽  
pp. 55-68
Author(s):  
Aznira Nurul Hidayah ◽  
Nurmuati Muchlis ◽  
Rasyidin Abduallah
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Health Facility ◽  
Work Motivation ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
South Sulawesi

Background: Measurement of customer satisfaction is an important element in providing better, efficient and more effective service. This study aims to determine the effect of health facilities and work motivation on patient satisfaction through service quality in inpatient units at Haji Makassar Hospital, South Sulawesi Province. Method: The research design used in this study was an analytic survey with a Cross Sectional Study approach. Sampling was done by total sampling method with a total sample of 68 people. Methods of data analysis using statistical analysis calculations using the SPSS program using path analysis. Results: The results showed that from the Sobel test there was a significant and positive effect of the health facility variable at t count 3.984> 1.987 and work motivation t count of 3.011> 1.987 on patient satisfaction through service quality, there was a significant effect of the health facility variable 0.000 <0.005 on satisfaction, no there is a significant effect of work motivation variable 0.155> 0.000 on patient satisfaction, there is a significant influence of the health facility variable 0.000 <0.005 and the work motivation variable 0.001 <0.005 on service quality, and there is a significant effect of the service quality variable 0.000 <0.005 on patient satisfaction.Conclusion: The conclusion of the study shows that there is an effect of health facilities and work motivation on patient satisfaction through the quality of service at Haji Makassar Hospital, South Sulawesi Province. So it is suggested to the hospital to maintain the quality of its service.

scholarly journals Analysis Of Influence Of Service Quality And Facilities Of Room On Patients Satisfaction In Hospitals

2020 ◽  
Vol 1 (1) ◽  
pp. 51-60
Author(s):  
Inun Nur Rochma ◽  
Karim Budiono ◽  
Zainulloh Zainulloh
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Causal Relationship ◽  
Research Study ◽  
Health Facilities ◽  
Patients Satisfaction ◽  
Result Show

This research aim to determine whether the patient is satisfied with the services and health facilities that were provided by the hospitals in and determine what factors are influential in dtermining the level of patient satisfaction to services and facilities provided by the hospital yasmin. Design of the study is divided into three types,  namely research exploratory, descriptive and explanatory.  Research study kind of explanatory research because the goal is to explain the causal relationship between variables testing hipotesis result show that the variable of service quality and room facilities have a significant effect on patient satisfaction at Yasmin Hospital. Keywords: Quality of service, space facilities, patient satisfaction.

scholarly journals Patient satisfaction against the quality of dental health services at dental polyclinic of Tenriawaru General Hospital in Bone Regency

2016 ◽  
Vol 1 (3) ◽  
pp. 177 ◽  
Author(s):  
Fuad H. Akbar ◽  
Rini Pratiwi
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
General Hospital ◽  
Dental Health ◽  
Physical Appearance ◽  
Medical Services ◽  
Research Subjects ◽  
Five Dimensions ◽  
Dental Health Services

Patient satisfaction against the quality of dental health serviceswas a comparison between the perception of care received by expectation before getting treatment. The Research was conducted at Tenriawaru General Hospital in Bone Regency based on the five dimensions of service quality, they were the assurance, empathy, responsiveness, physical appearance, and medical services by using Likert scale. The study was descriptive with a sample of 65 people. The research subjects were all visitors (patient) Dental Polyclinic of Tenriawaru General Hospital in Bone Regency. Results showed patient satisfaction on dimensions of assurance 84.6% falling into the category satisfied. On the dimensions of empathy showed 81.5% of patients satisfied. On the dimensions of responsiveness showed 36.9% of patients satisfied. On the dimensions of physical appearance showed 84.6% of patients satisfied. On the dimensions of medical services showed 72.3% of patients satisfied. Based on the result of patient satisfaction against the quality of dental health services at the Dental Polyclinic of Tenriawaru General Hospital in Bone Regency which reviewed from five dimensions showed patients satisfied against the quality of dental health services at Tenriawaru General Hospital in Bone Regency.

Health Services Quality and Patient Satisfaction

2016 ◽  
pp. 1-15 ◽  
Author(s):  
Sofia Xesfingi ◽  
Athanassios Vozikis
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Patient Satisfaction ◽  
Healthcare Quality ◽  
Quality Of Healthcare ◽  
Third Party ◽  
Health Providers ◽  
Care Industry ◽  
Medical Health

Quality of care from the patient's perspective and patient satisfaction are two major multidimensional concepts that are used several times interchangeably. Patient satisfaction is a topic that is important both to medical (health) providers, the patients (consumers) and other third-party stakeholders in the medical care industry; it is, therefore, a dominant concept in quality assurance and quality improvement programmes. Patient satisfaction is an important measure of healthcare quality because it offers information on the provider's success at meeting the expectations of most relevance to the client. The importance of quality in the health care sector has been recognized recently, but it has been accelerated over the past years through the development of quality assurance, quality improvement programmes and patients' agendas. Patients are the ones situated at the front lines of care; therefore their opinion may provide useful insights into the quality of healthcare in different European systems, nevertheless the methodological limitations that should be taken into consideration.

scholarly journals Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania

2020 ◽  
Vol 5 (5) ◽  
pp. e002326
Author(s):  
Peter Binyaruka ◽  
Laura Anselmi
Keyword(s):  
Technical Efficiency ◽  
Financial Incentives ◽  
Pay For Performance ◽  
Health Centre ◽  
Health Facilities ◽  
Care Hospital ◽  
Health Providers ◽  
Health Centres ◽  
Before And After ◽  
The Impact

BackgroundEnsuring efficient use and allocation of limited resources is crucial to achieving the UHC goal. Performance-based financing that provides financial incentives for health providers reaching predefined targets would be expected to enhance technical efficiency across facilities by promoting an output-oriented payment system. However, there is no study which has systematically assessed efficiency scores across facilities before and after the introduction of pay-for-performance (P4P). This paper seeks to fill this knowledge gap.MethodsWe used data of P4P evaluation related to healthcare inputs (staff, equipment, medicines) and outputs (outpatient consultations and institutional deliveries) from 75 health facilities implementing P4P in Pwani region, and 75 from comparison districts in Tanzania. We measured technical efficiency using Data Envelopment Analysis and obtained efficiency scores across facilities before and after P4P scheme. We analysed which factors influence technical efficiency by regressing the efficiency scores over a number of contextual factors. We also tested the impact of P4P on efficiency through a difference-in-differences regression analysis.ResultsThe overall technical efficiency scores ranged between 0.40 and 0.65 for hospitals and health centres, and around 0.20 for dispensaries. Only 21% of hospitals and health centres were efficient when outpatient consultations and deliveries were considered as output, and <3% out of all facilities were efficient when outpatient consultations only were considered as outputs. Higher efficiency scores were significantly associated with the level of care (hospital and health centre) and wealthier catchment populations. Despite no evidence of P4P effect on efficiency on average, P4P might have improved efficiency marginally among public facilities.ConclusionMost facilities were not operating at their full capacity indicating potential for improving resource usage. A better understanding of the production process at the facility level and of how different healthcare financing reforms affects efficiency is needed. Effective reforms should improve inputs, outputs but also efficiency.

Health Services Quality and Patient Satisfaction

2017 ◽  
pp. 1172-1182
Author(s):  
Sofia Xesfingi ◽  
Athanassios Vozikis
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Patient Satisfaction ◽  
Healthcare Quality ◽  
Quality Of Healthcare ◽  
Third Party ◽  
Health Providers ◽  
Care Industry ◽  
Medical Health

Quality of care from the patient's perspective and patient satisfaction are two major multidimensional concepts that are used several times interchangeably. Patient satisfaction is a topic that is important both to medical (health) providers, the patients (consumers) and other third-party stakeholders in the medical care industry; it is, therefore, a dominant concept in quality assurance and quality improvement programmes. Patient satisfaction is an important measure of healthcare quality because it offers information on the provider's success at meeting the expectations of most relevance to the client. The importance of quality in the health care sector has been recognized recently, but it has been accelerated over the past years through the development of quality assurance, quality improvement programmes and patients' agendas. Patients are the ones situated at the front lines of care; therefore their opinion may provide useful insights into the quality of healthcare in different European systems, nevertheless the methodological limitations that should be taken into consideration.

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