scholarly journals Consumer subsequent plan for selection of hospital in the perspective of hospital services and expenditure

2016 ◽  
Vol 6 (1) ◽  
pp. 14-19
Author(s):  
Farhana Begum ◽  
Shahinul Alam
Keyword(s):  
Hospital Care ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Poor People ◽  
Hospital Services ◽  
Private Hospitals ◽  
Public And Private ◽  
Female Ratio ◽  
Hospital Facility

Further utilization of hospital facility is influenced by the provision of hospital care and cost of services. This study was conducted among patients of public and private hospitals of Dhaka city, Bangladesh to explore the relationship of further utilization of hospital care and cost of services incurred during previous visits. A total 199 patients of 2 private and 2 public hospitals were included. Of them, 100 (50.25%) were from public and 99 (49.74 %) from private hospitals. Male: female ratio of the respondents was 111:88. The level of services was scored by patients on a 1-5 Likert scale on the aspects of services of doctors, nurses, other staffs; medicine supply; cleanliness; and investigation facilities. Poor people usually sought the services from public hospitals. About three-quarter of the respondents (76.9 %) mentioned that they would avail the facility of same hospital for their further ailment. Seventeen patients (17%) who were treated in government hospitals will not further utilize the services, and this was significantly higher (p-0.02) in the case of patients from private hospitals (29.3%). Regression analysis explored that quality of services (p=-0.000) and cost of services (p=0.001) influenced the plan of future consumption of hospital facility and quality of services having stronger influences. This study concludes that further utilization of the hospital facility was strongly influenced by the quality of services and next to that is cost of services. So we recommend for best and successive utilization of hospital services to improve facilities and minimization of cost are the essential needs.South East Asia Journal of Public Health Vol.6(1) 2016: 14-19

Healthcare Cost and Patient Satisfaction: A Comparative Analysis Between Public and Private Hospitals in Bangladesh

2021 ◽  
Author(s):  
Farhana Begum ◽  
Jamaliah Said ◽  
Syed Zabid Hossain ◽  
Mohammad Jahid Hasan ◽  
Normah Binti
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Comparative Analysis ◽  
Healthcare Cost ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Satisfaction Level ◽  
Private Hospitals ◽  
Public And Private ◽  
Female Ratio

Abstract Background and objective: Patient satisfaction and its relation with healthcare cost in Bangladesh remains unknown. The objective of the study was to perform a comparative analysis of satisfaction of patients in relation with healthcare cost in public and private healthcare settings in Bangladesh.Methods: This cross-sectional study was conducted at two public and two private hospitals in Dhaka city, Bangladesh. A total of 1120 respondents were included by purposive sampling. Data collection was performed with a semi-structured questionnaire. The level of satisfaction was assessed by a 5-point Likert scale. Expenditure details during hospital stay were also recorded. Informed consent was obtained, and study procedures were conducted according to the Declaration of Helsinki. SPSS 23 was used for statical test. Results: The mean age of the respondents was 50.10±21.13 (SD) years, with a male-female ratio of 1.14:1. The majority were from urban areas. The average health-care cost of patients in both the conservative and operative groups was statistically significantly higher in private hospitals than in public hospitals (p<0.001). The overall satisfaction level was higher among the patients who received care from private settings than the public (p<0.001). However, taking health care in private hospitals rather than public hospitals was independently associated with patient satisfaction when adjusted for other factors (age, sex, economic status, treatment type, duration of hospital stays, treatment outcome, and total expense).Conclusion: Despite higher expenses, the overall satisfaction level was significantly better in private health-care facilities. These findings need to be explored in further large multicenter studies.

scholarly journals Current status of quality of care for public hospitals in Korea : Comprehensive comparison with private hospitals

2021 ◽  
Vol 5 (1) ◽  
pp. e10
Author(s):  
Hey Jin Ko ◽  
Eunji Yun ◽  
Boryung Ahn ◽  
Won Mo Jang ◽  
Jin Yong Lee
Keyword(s):  
Quality Of Care ◽  
Quality Evaluation ◽  
Public Hospitals ◽  
Quality Level ◽  
Incentive Scheme ◽  
Hospital Services ◽  
Average Quality ◽  
Private Hospitals ◽  
Comprehensive Comparison

Objective: This ecological study aims to perform a comprehensive comparison and evaluation of the quality of care in public and private hospitals according to hospital type.Methods: Thisstudy compared and analyzed the results of the National Quality Assessment Program (NQAP) of Health Insurance Review and Assessment Service (HIRA) and Incentive Scheme for Quality Evaluation of Hospital Services. The NQAP results published on the HIRA website, as of the end of May 2021, and the internal data of HIRA for the 2020 Incentive Scheme for Quality Evaluation of Hospital Services were used as data collection sources.Results: The NQAP analysisrevealed that the overall average scores were higher for public rather than private hospitals, while the Incentive Scheme for Quality Evaluation of Hospital Services analysis reported that the proportion of higher grades (i.e., grades 1 and 2) was higher in public hospitals. Therefore, it was revealed that public hospital quality levels were notlowerthan that of private hospitals.However, itis necessary to improve the quality levelsin terms ofthe quality distribution.Conclusions: The quality levels of public hospitals are notlowerthan that of private hospitals. However,the high average quality level, we identified certain areas that required improvement in their quality level throughout the distribution. Currently, public hospitals that are particularly located in the lower ranks should strive to achieve the average quality level demonstrated by same level private hospitals, thereby, achieving progressive quality levels and minimizing the between institutions. Thus, furtherresearch should focus on identifying the trends of differencesin quality levels, and they should determine the causes by controlling for the characteristics of medical institutions.

Do patients really perceive better quality of service in private hospitals than public hospitals in India?

2019 ◽  
Vol 26 (2) ◽  
pp. 590-613 ◽  
Author(s):  
Swapnarag Swain
Keyword(s):  
Service Quality ◽  
Public Hospitals ◽  
High Income Group ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Perceived Service Quality ◽  
Medical College ◽  
Medical Colleges

PurposeThe purpose of this paper is to compare perceived service quality of public/government and private medical college hospitals.Design/methodology/approachThis study adopts a descriptive, cross-sectional and research design. The research sample includes 340 in patients from six medical college hospitals located in the state of Odisha, India. Primary data are collected through a structured closed ended questionnaire containing 66 items on 1–7 point Likert scale. Statistical tools like factor analysis and ANOVA are performed with the help of SPSS-17 software to analyze the collected data.FindingsThis study identifies 13 dimensions of perceived hospital service quality. The comparative study indicates better performance of public/government hospitals across the technical dimensions of perceived service quality, whereas private hospitals report better performance across majority of the functional dimensions.Originality/valueIn the Indian healthcare system, public hospitals provide low-cost healthcare targeted toward low to middle socio-economic population whereas, large corporate private hospitals provide high-cost healthcare targeted toward high-income group. So the comparison between them produces an obvious result indicating better service quality in private hospitals. Present study minimizes this gap by comparing the service quality of public and private medical college hospitals. Medical colleges ensure access to health services for a larger group of people. Thus, similarity in the segment of population receiving medical services in public and private medical colleges is higher, making the comparison of perceived service quality fairer.

scholarly journals Measuring and Assessing the Wealth Influence on the Efficiency of the Health System through the Private Sector

2020 ◽  
Vol 31 (4) ◽  
pp. 437-449
Author(s):  
Mina Fanea-Ivanovici ◽  
Marius-Cristian Pană ◽  
Mihail Dumitru Sacală ◽  
Cristina Voicu
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Health Sector ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals ◽  
The Public ◽  
Public Health Sector ◽  
Private Health Sector

The aim of the paper is to provide an analysis of the dynamics of the public and private health sectors in Romania. Using descriptive statistics, it first investigates whether the public health sector follows the reformation trends suggested by official strategies and reports, and to what extent the private health sector is a viable alternative to the public one, by analysing the demand for private inpatient services. We look into the reduction in the occupancy degree in public hospitals as a means to increase the efficiency of public health expenditures, which represents one way to reform the public health sector. We also find that the increase in the occupancy degree in private hospitals is negatively correlated with the quality of services provided by public hospitals, but positively correlated with population wealth. Increase in the occupancy degree in private hospitals is an indicator of poor quality of services in public hospitals. It can also be explained by increasing expectations and requirements of beneficiaries as a reflection of increase in wealth and of their will to preserve their health capital. Using regression models, the paper then proposes the Wealth-Health Index, a composite indicator to explore the connection between wealth and health and the dynamics of the private health sector. Investment in physical infrastructure and the size of medical staff in the private sector is positively correlated with wealth increase.

Quality of Immediate Postoperative Nursing Care for Patients in Public and Private Hospitals in Erbil City, Iraq- Comparative Study

2020 ◽  
Vol 3 (2) ◽  
pp. 126-135
Author(s):  
Sideeq Ali ◽  
Keyword(s):  
Comparative Study ◽  
Nursing Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Post Operation ◽  
Public And Private Hospitals

Background and objective: The 1 to 2 hours for the first 24 hours after surgical operation is a crucial time to perform patient care. The study aimed to assess and compare quality of immediate post operation nursing care for patients undergoing surgeries in the public and private hospitals in Erbil City. Methods: A comparative study design was conducted on non-probability and purposive sample of 106 nurses (53 nurses of public hospitals and 53 nurses from private hospitals) in the surgical unit in all public and some private hospitals in Erbil city. The data was col-lected between February and July, 2019 by direct observation and using an observational questionnaire. Results: The majority of the nurses were young adults who had graduated from a nursing institute who were of middle income and lived in an urban area. The duration of experi-ence as a nurse was between 1 to 10 years. The majority of the nurses (98.1%) in the pub-lic hospitals they practiced poor nursing care practice, while most of the nurses (69.8) in the private hospitals practiced good nursing care practices. Very high significant differ-ence found between immediate post operation nursing care in public and private hospi-tals (P <0.000). Conclusion: The study concluded that; postoperative nursing care is very important to improve health services, but the quality of the nursing care in the public hospitals as a generally was very poor when compared with the private hospitals. We recommended improving their skills by implementation job description, opening training course and monitoring of the nurses as well as awareness and follow-up.

scholarly journals Pengaruh Motivasi Intrinsik, Motivasi Ekstrinsik dan Komitmen Pelayanan Tenaga Kesehatan Terhadap Kualitas Pelayanan BPJS Kesehatan

2020 ◽  
Vol 19 (1) ◽  
pp. 19-26
Author(s):  
Much. Riyadus Solichin ◽  
Kabul Trifiyanto
Keyword(s):  
Health Services ◽  
Intrinsic Motivation ◽  
Extrinsic Motivation ◽  
Service Providers ◽  
Health Workers ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals

The author of this paper aims to increase the delivery of health workers in private hospitals in serving patients using BPJS health. As for the background of this writing because now BPJS patients' views on health services are not good especially in private hospitals, marked by the issue of electronic media issues about public complaints that there are differences in health services provided by public hospitals compared to BPJS patients where parties public hospitals prioritize public patients more than patients participating in the health BPJS. This research is a quantitative study conducted through surveys and questionnaires. In this study involved 90 respondents in 9 private hospitals which are service providers in collaboration with BPJS in Kebumen Regency. For intrinsic motivation variable of 2,292 is greater than t table 1,198 with a significance value of 0.024 <0.05 so it can be concluded that the hypothesis is accepted. the t value for the extrinsic motivation variable is 0.029 smaller than t table 1.198 with a significance value of 0.977> 0.05 so it can be concluded that the hypothesis is rejected. t value for the commitment variable of 2.470 is greater than t table 1.198 with a significance value of 0.015 <0.05 so it can be concluded that the hypothesis is accepted. The results obtained are intrinsic motivation influencing the quality of labor services in private hospitals. So if the motivation of medical personnel services increases, the quality of services provided will increase. Extrinsic motivation does not affect the quality of labor services in private hospitals. So if the extrinsic motivation of medical personnel services increases / decreases, it cannot stimulate the quality of services provided. Commitment affects the quality of labor services in private hospitals. So if the commitment of medical personnel services increases, the quality of services provided increases. Intrinsic motivation, extrinsic motivation and commitment together affect the quality of labor services in private hospitals. So that the motivation of medical personnel services can stimulate the quality of services provided.

The Costing Systems in Saudi Arabian Hospitals: Do They Need to Be Modified?

2018 ◽  
Vol 8 (1) ◽  
pp. 359
Author(s):  
Hanadi Mohammed Alshamlan ◽  
Svetlana Zverovich
Keyword(s):  
Manufacturing Industry ◽  
Saudi Arabian ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Costing System ◽  
The Cost ◽  
Management Staff

Since most costing system studies concentrate on the manufacturing industry, the costing systems in Saudi Arabian hospitals are an important area to be investigated given a current lack of focus in this field. In this context, this article highlights the cost systems in 50 Saudi Arabian hospitals in both the public and private sectors. The participants in the study were asked about the costing systems used and which one they would prefer to use, along with the factors influencing ABC adoption. The main findings show that only 28% (14) of the surveyed hospitals adopt ABC. The adoption of ABC was much higher in public hospitals than private hospitals. In addition, general hospitals considered using ABC more often than specialised hospitals. There were some variables which could affect the ABC adoption, such as the education and qualifications of the accounting and management staff, the level of overhead costs and the size of hospitals. The greatest benefit of ABC adoption, which is agreed to by the participants, was the improvement in the quality of service. On the other hand, the participants also agreed that the biggest challenge of ABC adoption was the lack of staff expertise.

SERVICE QUALITY OF PUBLIC AND PRIVATE PHYSIOTHERAPY INSTITUTES: A COMPARATIVE STUDY IN LAHORE

2019 ◽  
Author(s):  
Roohi Abbas
Keyword(s):  
Physical Therapy ◽  
Service Quality ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Quality Dimensions ◽  
Service Quality Dimensions

Background: Ever since quality of services is gaining importance in every industry as it is the indicator of consumer/customer satisfaction, it is of utmost importance to measure service quality of educational institutes to determine the satisfaction of students. Thus, the study aimed to determine the important factors in service quality dimensions which contribute to the satisfaction of students. Methods: This was a Comparative Cross Sectional study in which final year department of physical therapy (DPT) students were included from three private and three public physiotherapy institutes. Results: The largest mean Positive Gap scores for Public Physiotherapy Institutes was 0.18 for accessibility and affordability 0.18. The largest negative mean gap score for Private Physiotherapy domain was “Accessibility and Affordability” found to be -1.96. Conclusion: Students were satisfied with service quality of private institutes in all domains except for the “Accessibility and Affordability” whereas, in Public Institutes largest negative quality gaps were found in “Empathy” and “Assurance”.

scholarly journals Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency

2021 ◽  
Vol 18 (14) ◽  
pp. 7225
Author(s):  
Beniamino Schiavone ◽  
Andrea Vitale ◽  
Mena Gallo ◽  
Gianlucasalvatore Russo ◽  
Domenico Ponticelli ◽  
...  
Keyword(s):  
Health Information ◽  
Nationwide Survey ◽  
Public Hospitals ◽  
Communication Strategy ◽  
Private Hospitals ◽  
The Public ◽  
Access To Health ◽  
Facebook Pages ◽  
Pandemic Wave

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.

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