scholarly journals Outpatient Satisfaction with Tertiary Hospitals in China: The Role of Sociodemographic Characteristics

2019 ◽  
Vol 16 (19) ◽  
pp. 3518 ◽  
Author(s):  
Hu ◽  
Zhou ◽  
Liu ◽  
Wang ◽  
Liu
Keyword(s):  
Patient Satisfaction ◽  
Sociodemographic Factors ◽  
Chinese Patient ◽  
Hospital Environment ◽  
Vulnerable Groups ◽  
Sociodemographic Characteristics ◽  
Outpatient Services ◽  
Specific Patient ◽  
Tertiary Hospitals ◽  
The Government

China’s increasing attention to patient satisfaction evaluation is part of an international trend of patient-centered healthcare. Patient sociodemographic characteristics are important intrinsic factors that will influence satisfaction. This paper aims to better understand how sociodemographic factors affect Chinese patient satisfaction with tertiary outpatient services using data from the 2017 China National Patient Survey. A total of 28,760 outpatient survey responses were analyzed, spanning 136 tertiary hospitals across 31 provinces. Multilevel logistic regression with fixed hospital effects was used to examine the association of patient satisfaction across multiple healthcare domains with sociodemographic factors. Results show that patients who were of a migrant population, of highest income, most educated, and who had medical aid insurance reported the lowest levels of overall satisfaction. Specifically, increasing age was correlated with decreased satisfaction in process management and affordability domains, while high-income and high-education outpatients reported lower satisfaction scores in the hospital environment domain. Furthermore, migrant patients experienced lower satisfaction across several domains. These intricate findings suggest that hospitals should tailor their services and evaluation metrics to specific patient demographics, and that the government should adopt policies that reduce disparities in healthcare access and affordability to ultimately improve the satisfaction of vulnerable groups.

scholarly journals Association of shared decision making with inpatient satisfaction: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China. Methods A cross-sectional survey of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models. Results The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals). Conclusions Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

The Functions of Integrated Child Development Services (ICDS): An Assessment of Existing Policy and Practice in Odisha

2021 ◽  
pp. 245513332110251
Author(s):  
Jagatabandhu Mohapatra ◽  
Ranjit Kumar Dehury ◽  
Parthsaratathi Dehury ◽  
Ranjan Pattnaik
Keyword(s):  
Child Development ◽  
Vulnerable Groups ◽  
Policy And Practice ◽  
Secondary Literature ◽  
Government Documents ◽  
Policies And Procedures ◽  
Lactating Mothers ◽  
Future Improvement ◽  
The Government ◽  
The Masses

The Integrated Child Development Services (ICDS) scheme is the world’s biggest and unique programme for nutrition and childcare, launched way back on 2 October 1975 by the Government of India. It is a centrally subsidised scheme implemented by states across the country for the benefit of children, especially for vulnerable groups. The scheme’s main objective is to improve the health and nutritional condition of children below six years of age, along with pregnant women and lactating mothers. The objective of the study is to critically analyse functions of the ICDS Scheme in the state of Odisha about implementation and monitoring. The analysis was done with the help of secondary literature and available data from government documents. The opinion and experience of various stakeholders like Anganwadi workers, supervisors and other government staff have been analysed for this purpose. This article describes existing policies and procedures of food procurement, storing, supply, cooking, production and serving cycle under ICDS Scheme in Odisha. The recommendations of the study may help for future improvement of various thrust areas of the ICDS Scheme. The article brings out critical factors accountable for the efficient implementation of the ICDS programme. Further, the study evaluates the ICDS Scheme based on existing government guidelines to reach out to the masses in Odisha.

scholarly journals Co-exploring the effects of COVID-19 pandemic on the livelihood of persons with disabilities in Bangladesh

2021 ◽  
Vol 41 (3) ◽  
Author(s):  
Adity Shayontony Das ◽  
Fatema Akter Bonny ◽  
Arifa Bente Mohosin ◽  
Sabina Faiz Rashid ◽  
Md Tanvir Hasan
Keyword(s):  
Social Life ◽  
World Health ◽  
Vulnerable Groups ◽  
Formal Sector ◽  
Economic Activities ◽  
Middle Income ◽  
Persons With Disabilities ◽  
Household Level ◽  
The Government ◽  
Health Organization

Background: According to World Health Organization (WHO), vulnerable groups such as persons with disabilities are facing severe impacts of the pandemic. There has always been significant challenges and hurdles in terms of achieving adequate and equitable inclusivity of persons with disabilities in all sections of social life. Education and employment of persons with disabilities were least focused which created more marginalization for the community. The long term impact of these marginalization has also led to the lack of jobs and social security of persons with disabilities, which is very clear now given the crisis in place. In low and middle income countries like Bangladesh the situation is even worse. To better understand the conditions of persons with disabilities in this crisis situation, the present study was initiated to explore the dimensions of livelihood with respect to income and wellbeing of persons with disabilities and to generate evidence for developing policies around these issues.Methods: A qualitative study was undertaken among 30 persons with disabilities from 8 different geographical divisions of Bangladesh. The interviews were conducted through telephone calls due to the existing COVID-19 crisis and mobility restrictions. The respondents were purposively selected based on gender, type of disability, area of resident (urban, rural) and their ability to communicate, therefore most (25/30) respondents were persons with physical disability. Thematic analysis was conducted to generate the findings of the study.Findings: Study findings revealed that majority of the respondents were involved in informal jobs. Predominantly males were daily wage-earners and often the sole breadwinner of the families, very few females were involved in economic activities. Since they had no stable income, the economic shock from the COVID-19 pandemic had affected them badly even leading to household level famine. The study identifies low level of education and informal job security as the primary causes of socio-economic insecurity among persons with disabilities, resulting in challenges in ensuring a stable livelihood during crisis situations, such as COVID-19.Conclusion: Constant alienation of persons of disabilities from the formal sector results in the deterioration of their livelihood standards which even worsen during any emergency crisis such as COVID-19. The study pinpoints that only aided services are not adequate to ensure persons with disabilities' rights rather there is an urgent need of disability inclusion in formal job sector and livelihood training for persons with disabilities. To achieve the Sustainable Development Goals 2030 and to irradiate the inequality towards persons with disabilities in the society it is important for the Government and concern bodies to focus on the inclusiveness with better implementation and monitoring strategies.

scholarly journals Retrospective study on socio-demographic factors responsible for acceptance of IUCD among postpartum women

2019 ◽  
Vol 7 (3) ◽  
pp. 882
Author(s):  
Pavan Sable ◽  
Rajendra Bagul ◽  
Alokkumar Singh
Keyword(s):  
Retrospective Study ◽  
Educational Status ◽  
Sociodemographic Factors ◽  
Normal Vaginal Delivery ◽  
Postpartum Women ◽  
Age Group ◽  
Rural Government ◽  
The Government ◽  
Socio Demographic Factors ◽  
Year 2000

Background: Despite the availability of modern and scientific measures, unacceptably high numbers of maternal deaths still occur in developing countries. Spacing methods of family planning may avoid maternal and infant deaths. The Government of India launched postpartum IUCD (PPIUCD) services in the year 2000; although acceptance of Postpartum IUCD is a real concern.Methods: The retrospective study was conducted in rural government hospital in Maharashtra during 2016 - 2017. We analyzed sociodemographic variables and acceptance of Postpartum IUCD among postpartum women. The sample size was 595 (N=595). The sociodemographic factors studied included age, type of delivery, sex of newborn, socioeconomic status, educational status, etc.Results: The total postpartum women included in the study was 595, out of which, 202 (34%) accepted for postpartum IUCD whereas 393 (66%) rejected for the same. The most common age group was 20-25 years (65%), followed by age group 25-30 years (30%). Primipara was the comment group (45%) and normal vaginal delivery was common (95%). The educational status of both, the postpartum women and their husband, showed statistically significant association with acceptance of postpartum IUCD (p<0.05).Conclusions: The acceptance Postpartum IUCD was low (34%). The women’s and their husband’s educational status is an important factor in acceptance of Postpartum IUCD (p<0.05). Due attention should be given to enhancing educational level of women, also effective counselling both for pregnant woman and her husband during ANC is required.

scholarly journals SOCIODEMOGRAPHIC CHARACTERISTICS AS IT RELATES TO TRAVEL BEHAVIOUR IN SIDS: A CASE STUDY IN TRINIDAD

2020 ◽  
Author(s):  
Leah Wright ◽  
Trevor Townsend
Keyword(s):  
Developing Countries ◽  
Public Transportation ◽  
Revealed Preference ◽  
Travel Behaviour ◽  
Transportation System ◽  
Transportation Policy ◽  
Sociodemographic Characteristics ◽  
Middle Income ◽  
The Government ◽  
Bus Service

The objective of this research was to analyse the relationship between sociodemographic characteristics and the travel behaviour of Trinidadians. Many studies have shown that a relationship exists between the socio-economic and sociodemographic characteristics of an individual and their travel patterns. A better understanding of this relationship can influence transportation policy decisions and therefore, aid in improvement to the overall transportation structure. This understanding of travel behaviour is of particular importance in developing countries and SIDS, where there is limited geographical space, economic constraints and an influx of competitive unregulated paratransit modes into the transportation system. Trinidad, like other developing countries and SIDS, has a public transportation system that is dominated by paratransit modes. More notably, there is increasing penetration of illegally operated paratransit modes, that are aggressively competing in the market and gaining a lot of traction. Data was collected in January 2018 using a revealed preference survey of commuters’ work-based tours in, Trincity, a middle-income housing area with good highway and public transportation access. Results showed that income, age, distance from workplace and gender all affect the likelihood of public transport usage as a primary mode of a work tour and there were gender-based differences in the incidence of walking as part of the tour. Additionally, although most public transportation users considered the government bus service as the safest and illegal paratransit services as the least safe, the usage of such services was more than five times that of the bus. The research points to important service and policy actions which need to be taken to encourage and support shifts to more sustainable modes.

scholarly journals Government as a Key Duty Bearer in Transition Reforms from Socialism to Capitalism-The Case of Albania

2018 ◽  
Vol 14 (32) ◽  
pp. 84
Author(s):  
Arlinda Ymeraj
Keyword(s):  
Human Rights ◽  
Social Welfare ◽  
International Standards ◽  
Vulnerable Groups ◽  
Efficient Allocation ◽  
Allocation Of Resources ◽  
The Past ◽  
Socialist System ◽  
The Government ◽  
Effective Distribution

The paper “Government as a key duty bearer in transition reforms from socialism to capitalism – the case of Albania”, addresses the way in which the government should exercise its power to ensure that citizens have equal access to social welfare services, enjoying their rights. Albania, like other Central and Eastern European countries experienced the past socialist system, which failed. The failure of the socialist system was the failure of the state: in political, economic and social terms. As far as economic policies are concerned, all data demonstrate the collapse of socialism, because the system was based on inefficiency, which eroded growth. Regardless of the principles of communist regimes adopted in former communist countries’ Constitutions, the past system brought neither equity nor justice, and therefore instead of “social cohesion”, the contradictions among social groups and categories, deepened. After the failure of socialism, Albania embarked on the new path aimed at establishing democratic regimes through the protection of human rights and at raising the standard of living. Albania has been proactive in ratifying international conventions relating to human rights in general and to vulnerable groups. Very recently, on June 2014, the European Council granted Albania candidate status, as a recognition for the reform steps undertaken in harmonizing its domestic organic laws and legislation with international standards. As part of these twin obligations from UN intergovernmental and EU processes, Albanian governments after the 90s have been progressively taking measures vis-à-vis efficient allocation of resources and effective distribution of social welfare. Nevertheless, Albanian citizens live in a dire reality. Therefore, after 25 years of transition, one of the main goals of reforms, “Efficient allocation of resources to boost growth and effective distribution of social welfare to enhance equity”, seems not to have been achieved. Undoubtedly, this influences the controversial opinions about the government’s control vis-à-vis government’s mode of functioning, advancing arguments that examine whether it is a question of abuse or that of concentration of power.

scholarly journals Introduction

2017 ◽  
Vol 37 (5) ◽  
pp. 135-136
Author(s):  
Siobhan O’Donnell
Keyword(s):  
Health Status ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Chronic Diseases ◽  
Well Being ◽  
Sociodemographic Factors ◽  
Activity Limitations ◽  
Sociodemographic Characteristics ◽  
Factors Associated ◽  
Health Related

We are pleased to bring you the second of two special issues on mood and anxiety disorders focussing on data from the 2014 Survey on Living with Chronic Diseases in Canada—Mood and Anxiety Disorder Component (SLCDC-MA). In December of 2016, we published the first issue, which included three articles describing various aspects of Canadian adults with a self-reported diagnosed mood and/or anxiety disorder including their sociodemographic characteristics, health status, activity limitations and level of disability and factors associated with well-being. The three articles in this (second) issue investigate topics related to the management of these disorders. Collectively, the articles explore key sociodemographic factors known to influence health-related outcomes and discuss strategies aimed at promoting the recovery and well-being of Canadian adults with a self-reported mood and/or anxiety disorder diagnosis.

scholarly journals Tracking the Deadlock of the Struggle on Inclusive Citizenship Study of the Disability Movement in DIY Province

2020 ◽  
Vol 4 (1) ◽  
pp. 67-86
Author(s):  
Isnenningtyas Yulianti
Keyword(s):  
Local Government ◽  
Social Groups ◽  
Vulnerable Groups ◽  
Movement Model ◽  
Persons With Disabilities ◽  
Local Regulation ◽  
National Movement ◽  
The Government ◽  
Disability Movement ◽  
As If

Abstract   Inclusive citizenship is currently being fought for by groups that care about vulnerable groups. In Indonesia the ideals of inclusive citizenship are also fought for persons with disabilities. So far, persons with disabilities have become excluded social groups. The disability movement is intensely voicing inclusive citizenship through the struggle to form regulations that can bring changes to the lives of persons with disabilities, starting from the CRPD Convention, the Disability Persons Act, then local regulation of Disabilities. This paper will use the concept of structuration Giddens and confronting the disability movement in fighting for inclusive citizenship with efforts from the government to capture the issue of inclusive citizenship. The Disability Movement in Yogyakarta Province is a model of the movement that has succeeded in fighting for regional regulations for persons with disabilities. This movement was considered successful when the national movement struggled for the Law on Persons with Disabilities experiencing a deadlock, but in the process the disability movement has not been able to process the issue of inclusive citizenship in its struggle, and the local government as if it does not understand what the disability movement is trying to achieve. Instead of make realize the ideals of inclusive citizenship, the Disability Movement is trapped in an exclusive movement model. The Movement Model in DIY Province is an example in the struggle for inclusive citizenship which was initially considered successful but later suffered a deadlock.  

scholarly journals Upaya Penanganan Khusus Narapidana Lansia sebagai Kelompok Rentan

2021 ◽  
Vol 1 (12) ◽  
pp. 855-867
Author(s):  
Elika Sifra Lidya ◽  
Mitro Subroto
Keyword(s):  
Justice System ◽  
Health Workers ◽  
The Elderly ◽  
Vulnerable Groups ◽  
Special Treatment ◽  
Correctional Institution ◽  
Correctional Services ◽  
The Social ◽  
Directorate General ◽  
The Government

LAPAS or Correctional Institution under the auspices of the Directorate General of Corrections is the final place of the criminal justice system process that fosters and integrates the social of convicts, so that when returning to society they are able to live a normal life. Elderly (according to Law No. 13 of 1998: Elderly) is a person whose age reaches the age of 60 years and above. In its efforts, Correctional Services interpret this understanding by regulating the rights of inmates contained in Law no. 12 of 1995 article 14 paragraph 1.The increasing age and declining body condition of the elderly inmates need special treatment both in health, treatment, and public services. Elderly inmates as much as possible are treated as people usually are, it's just that the place and application are different. This is for the implementation of part of Human Rights (HAM) as a national instrument. This special handling effort involves other stakeholders be it medical or health workers and the government to support the infrastructure needed. The elderly as one of the vulnerable groups become important objects in terms of how decent handlers are so that they feel cared for in their twilight years. Although until now still in the process and stages of refinement of special handling for them. The fact is still not optimal and this study illustrates how well the effort is.

scholarly journals Determinants of Loan Repayment of Government Funding to Vulnerable Groups; A Case of Biashara Fund in Kiambu County, Kenya

2019 ◽  
Vol 3 (VI) ◽  
pp. 83-100
Author(s):  
Keziah Njoki Mbugua ◽  
George Kosimbei
Keyword(s):  
Univariate Analysis ◽  
Negative Relationship ◽  
Government Funding ◽  
Vulnerable Groups ◽  
Primary Data ◽  
Future Research ◽  
Group Leadership ◽  
Inferential Statistics ◽  
Loan Repayment ◽  
The Government

In an attempt to alleviate poverty and empower the vulnerable population, many non- governmental organizations and government line agencies have provided revolving funds to its citizens. The County Government of Kiambu introduced Biashara Fund to empower its youth. The major challenge has been identifying the most deserving beneficiary and minimizing the risk of loan non-repayment. Such, has however not been possible as at times, the rate of defaulters has been reported to be substantially high, leading to writing off such debts at the expense of the revolving funds. The role of the government in providing start-up funds and ensuring sustainability is crucial. Ideally when such funds are borrowed, it is expected that they are repaid in order to empower another beneficiary thus creating a revolving fund and ensuring sustainability of the fund. However, this is often not the case as change of the government of the day at times leads to higher default rate of such funds. This study focused on determinants affecting loan repayment of government funding to venerable groups, a case study of Biashara Fund in Kiambu County, Kenya. The study specifically evaluated the influence of amount of credit borrowed, legislation put in place on loan repayment, borrowing process set and group leadership on loan repayment of government funding to venerable groups accessing Biashara Fund in Kiambu County. Descriptive survey was adopted for this study. The study targeted youth, women and persons with disability with emphasis on 60 groups and 865 individuals drawn across the 10 sub-counties in Kiambu County. The target category had advanced loans by the Biashara Fund from 2014 to 2017. A sample of 274 participants was used and was selected using stratified and simple random sampling. The study used a questionnaire as the sole primary data collection instrument. Data was analyzed using the Statistical Package for Social Sciences where both descriptive and inferential statistics were employ yed. A univariate analysis was done to get standard deviation, means frequency tables, histogram pie chart, graphs and percentages. Further inferential statistics were applied using regression analysis. The study established a relationship between group leadership and loan repayment of government funding by venerable groups accessing Biashara Fund in Kiambu County.  The study findings show that there is a significant negative relationship between the amount of credit borrowed and loan repayment of government funding by venerable groups accessing Biashara Fund in Kiambu County. The study concludes that there is a relationship between loan size and capacity to repay. The study also concludes that most of the youth, women and persons with disability were partially conversant with the Biashara loan rules. Policy makers need to come up with viable interventions to stimulate and create an enabling economic environment for innovation and business competitiveness, hence inducing performance of youth, women and disabled business projects. The youth, women and disabled problem thus requires properly planned well-structured and broad based programs. The study recommends that adequate liquidity should be ensured as depositors and borrowers should be able to access funds without subjecting the institutions to solvency and attainment of acceptable rates of return. Research and academicians with an interest in entrepreneurship and startup funding as they will understand the issues raised for future research.

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