scholarly journals Patients Characteristics as Determinants of Patient Satisfaction: Modelling Satisfaction in a Transitional Economy

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Vera Dimitrievska ◽  
◽  
Ana Tomovska Misoska
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Patient Satisfaction ◽  
Health Care Professionals ◽  
Structural Equation ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Hospital Environment ◽  
Oblique Rotation ◽  
Internal Reliability

Introduction: This paper examines the factors and approaches the question of patients’ satisfaction in the health care delivery system in North Macedonia. Aim: The study aims to assess how key service quality dimensions relate to an important measure of performance patient satisfaction and to find the elements that are valued by patients and the reasons behind patient satisfaction or dissatisfaction. Materials and method: In this research study, the factor analysis was used to group 12 questions measuring patient satisfaction under certain extent with Promax oblique rotation using the satisfaction responses gauged by importance. We have performed a structural equation model (SEM) to determine the relationships between one or more independent variables (IVs). Results: All component measures were greater than .702 which shows strong internal reliability among components. The reliability levels for the three components were .842 for the hospital environment, .835 for admin and .702 for interaction with health care professionals. Cronbach’s Alpha test of the whole instrument was .903. Conclusions: The explanatory factor analysis (EFA) analysis identified three distinct components or factors of patient satisfaction: (i) hospital environment, (ii) medical administration and (iii) interactions with professionals or staff behaviour. These three factors obtained after exploratory factor analysis have a significant impact on patient satisfaction. This path estimates for our model provide insights into relationships among various constructs.

scholarly journals Patients Characteristics as Determinants of Patient Satisfaction: Modelling Satisfaction in a Transitional Economy

2021 ◽  
Author(s):  
Vera Dimitrievska ◽  
Ana Tomovska Misoska
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Patient Satisfaction ◽  
Health Care Professionals ◽  
Structural Equation ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Hospital Environment ◽  
Oblique Rotation ◽  
Internal Reliability

Introduction: This paper examines the factors and approaches the question of patients’ satisfaction in the health care delivery system in North Macedonia. Aim: The study aims to assess how key service quality dimensions relate to an important measure of performance patient satisfaction and to find the elements that are valued by patients and the reasons behind patient satisfaction or dissatisfaction. Materials and method: In this research study, the factor analysis was used to group 12 questions measuring patient satisfaction under certain extent with Promax oblique rotation using the satisfaction responses gauged by importance. We have performed a structural equation model (SEM) to determine the relationships between one or more independent variables (IVs). Results: All component measures were greater than .702 which shows strong internal reliability among components. The reliability levels for the three components were .842 for the hospital environment, .835 for admin and .702 for interaction with health care professionals. Cronbach’s Alpha test of the whole instrument was .903. Conclusions: The explanatory factor analysis (EFA) analysis identified three distinct components or factors of patient satisfaction: (i) hospital environment, (ii) medical administration and (iii) interactions with professionals or staff behaviour. These three factors obtained after exploratory factor analysis have a significant impact on patient satisfaction. This path estimates for our model provide insights into relationships among various constructs.

scholarly journals Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence

2018 ◽  
Vol 38 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Christina Canfield ◽  
Sandra Galvin
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Perception Of Support ◽  
Evidence Based Care

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

scholarly journals Evaluation of awareness about pharmacoeconomics in postgraduate students of a tertiary care teaching hospital: a questionnaire based observational study

2017 ◽  
Vol 6 (10) ◽  
pp. 2459 ◽  
Author(s):  
Rohini Gupta ◽  
Pavan Malhotra
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Medical Curriculum ◽  
Care Delivery ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Health Care Delivery System ◽  
Willingness To Participate ◽  
Cross Sectional ◽  
Postgraduate Students

Background: Pharmacoeconomics identifies, measures and compares the costs and consequences of drug therapy to health care systems and society. The per capita income of all middle class people is limited and the drug prices are growing extensively. Therefore, it is the responsibility of the health-care professionals to balance both cost and quality of treatment. Hence, this study was planned among the postgraduate students who form the major part of health care delivery system to assess their awareness about pharmacoeconomis.Methods: This was a questionnaire based cross-sectional study. Self-administered questionnaire was distributed among 72 residents, out of which 61 completely filled questionnaires were finally used for statistical analysis. The questionnaire contained questions relating to awareness, knowledge, method of application and students’ attitude about pharmacoeconomics.Results: The willingness to participate in the study among postgraduates was extremely poor. Those who have participated, almost 39% of participants were having awareness about the topic. Nearly 31 % of the participants were having knowledge regarding pharmacoeconomics and around 21 % of participants have learnt the method of application in various aspects.Conclusions: Study has revealed that that the knowledge and perception level of postgraduates in day to day use of pharmacoeconomic concepts are poor and limited. Therefore, it is very necessary to make them aware about the concept of pharmacoeconomics by incorporationg it in their medical curriculum and by conducting CMEs and Workshops on pharmacoeconomics.

Quality Shortfalls From Health Care Waste: A Unifying Root Cause of Burnout

2020 ◽  
pp. 37-46
Author(s):  
Stephen J. Swensen ◽  
Tait D. Shanafelt
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Poor Quality ◽  
Quality Health Care ◽  
Root Cause ◽  
Quality Health

The current health care delivery system is perfectly designed to create high rates of professional burnout in physicians, nurses, advanced practice providers, and other health care professionals. In most organizations, a gap exists between the quality of care professionals aspire to deliver and the quality of care actually delivered, which creates burnout. Poor quality health care is fundamentally about waste, and leaders in the health care industry have primary accountability and responsibility for system waste. The following are five categories of waste in health care: Failures of care delivery and care coordination, overtreatment, administrative complexity, pricing failures, and fraud and abuse.

scholarly journals TELEDENTISTRY DURING COVID 19

2021 ◽  
Vol 9 (03) ◽  
pp. 395-400
Author(s):  
Palak Srivastava ◽  
Pranjan Mitra
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Face To Face ◽  
Dental Health Care ◽  
Dental Professionals

The ongoing COVID19 pandemic has been a jarring blow to dental professionals as dental treatment requires close face-to-face encounters. To sustain the dental practice, Teledentistry is a cogent solution to continue providing dental care without adding to the risk of cross-infection via information technology. It is a necessary tool to obtain a balance between the safety of health care professionals still providing dental care to patients needing immediate intervention. The future of teledentistry is not limited to the pandemic its improvident to restrict the use of teledentistry when it has the potential to enhance the present dental health care delivery system.

Outcome measures in the rehabilitation of older adults

2001 ◽  
Vol 11 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Chris MacKnight ◽  
Colin Powell
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Medical Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Outcomes Of Care ◽  
Measuring Outcomes

Why measure?Before we consider what to measure and how to measure outcomes in the rehabilitation of frail older adults, an antecedent question is, why measure these things? Without an answer satisfactory for both measurers and measured, much effort and ingenuity will be expended with resultant perspiration and exasperation and little else.Traditionally, medical care, i.e. that identified by physicians, has assumed that its principal objective was patient care, i.e. that appreciated by patients. Outcomes of care from the viewpoint of the patient, of his or her informal supporters, of the involved health care professionals, and of the health care delivery system have to be clarified and made operationally explicit. This recognition requires definition and measurement. Thus a powerful reason for measuring outcomes for recipients and providers of health care, as well as the health care delivery system, is to know what is happening (the descriptive question) and with what effect (the analytical question).

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

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