scholarly journals Patient Satisfaction in the Peruvian Health Services: Validation and Application of the HEALTHQUAL Scale

2020 ◽  
Vol 17 (14) ◽  
pp. 5111
Author(s):  
Fernando Barrios-Ipenza ◽  
Arturo Calvo-Mora ◽  
Félix Velicia-Martín ◽  
Fernando Criado-García ◽  
Antonio Leal-Millán
Keyword(s):  
User Satisfaction ◽  
Health Sector ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Attractive Alternative ◽  
Path Modeling ◽  
Outpatient Services ◽  
Cross Sectional ◽  
The Relationship

During recent years, public–private partnerships (PPPs) in the health sector have been an attractive alternative for improving healthcare services in developing countries such as Peru. Therefore, it is fundamental to consider a comprehensive set of healthcare qualities, like the HEALTHQUAL scale, when we measure dimensions of healthcare service quality. Currently, no studies have applied HEALTHQUAL in Peruvian hospitals. The purposes of this study were to (1) validate and evaluate the application of the HEALTHQUAL scale to measure user satisfaction in outpatient services at two PPP hospitals in Peru; and (2) test the relationship between user satisfaction, efficiency, and loyalty. A descriptive, cross-sectional study based on the HEALTHQUAL scale was carried out at the end of 2018. The measurement items were satisfaction with healthcare personnel, satisfaction with nonhealthcare personnel, satisfaction with facilities and equipment, perception of efficiency, and trust. The scale was administered to a nonprobability sample of 250 users who attended one of two PPP hospitals—Barton and Kaelin. The application of partial least squares path modeling significantly impacted on the perceived efficiency in the items of healthcare personnel, nonhealthcare personnel, and facilities and equipment. The HEALTQUAL scale demonstrated sufficient validity and thus can be applied for measuring user satisfaction in PPP hospitals.

scholarly journals Socioeconomic determinants of unmet need for outpatient healthcare services in Iran: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  
Keyword(s):  
Health System ◽  
Age Groups ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Utilization Of Healthcare

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.

The disparity in geographical accessibility to healthcare resources in Iran: the comparison of two cross-section

2016 ◽  
Vol 9 (2) ◽  
pp. 86-94
Author(s):  
Sara Emamgholipour Sefiddashti ◽  
Ali Kazemi Karyani ◽  
Sadegh Ghazanfari
Keyword(s):  
Health Sector ◽  
Health Resources ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Access To Healthcare ◽  
Cross Sectional ◽  
Healthcare Resources ◽  
Policy Makers ◽  
Content Type ◽  
Study Population

Purpose – Accessing adequate healthcare to all people is one of the main goals of the health sector. The purpose of this paper is to investigate healthcare services access development of the provinces in Iran during 2007 and 2013. Design/methodology/approach – This is a descriptive cross-sectional study. The study population included all the provinces in Iran. The data for 13 variables, including physical and human health resources, was collected from the Ministry of Health and Medical Education and the Statistics Center of Iran. Taxonomy technique was used to determine the degree of healthcare services access development in the provinces. Findings – The findings show that Semnan was the province with the most developed healthcare services access with development score of 0.342 while Sistan Balocehstan province was the least developed with development score of one in 2007. In the year 2013, Chahar-Mahal Bakhtiari and Sistan Baluchestan were the least and most developed provinces with scores of 0.551 and 0.989, respectively. The mean and standard deviation of the development scores in access to healthcare services in 2007 and 2013 were 0.7463±0.1268 and 0.7766±0.1058, respectively. Originality/value – Most previous studies that examined disparities in access to healthcare resources in Iran only considered one resource. This study applied a taxonomy technique to investigate the disparity and changes in access using 13 main healthcare resources. This approach helped the authors to investigate whether the decisions of the policy makers were intended to eliminate the disparities.

scholarly journals Confidence in Health-Services Availability During Disasters and Emergency Situations—Does it Matter?—Lessons Learned from an Israeli Population Survey

2019 ◽  
Vol 16 (19) ◽  
pp. 3519 ◽  
Author(s):  
Cohen ◽  
Shapira ◽  
Aharonson-Daniel ◽  
Shamian
Keyword(s):  
Health Services ◽  
Community Resilience ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Lessons Learned ◽  
Cross Sectional ◽  
Emergency Situations ◽  
Community Resiliency ◽  
Israeli Population ◽  
The Relationship

Abstract: The association between health and community resilience is well established in the literature. However, maintaining continuity of healthcare services during emergencies, and their contribution in the context of community resiliency have not been sufficiently studied. This study aims to explore the relationship between the public’s confidence in the availability of healthcare services during and following emergencies, and community resilience. A cross-sectional study was conducted among 3478 Israeli adults, using the Conjoint Community Resilience Assessment Measurement (CCRAM) tool. Associations between confidence in health services availability during emergencies, socio-demographic variables, and community resilience as measured by the CCRAM score were analyzed. The results revealed that confidence in the availability of health services positively correlated with community resilience score (r(3377) = 0.580, p < 0.001), and that it contributed significantly to increasing resilience (OR = 2.67, 95% CI (2.4–2.9), p < 0.001). Maintaining continuity of healthcare services during emergencies has effects beyond the provision of medical treatment. For instance, the confidence of the population in the availability of these services contributes to community resilience. In turn, this finding can be translated into practical resilience building actions and to facilitate community health.

scholarly journals HUBUNGAN AKSEPTOR KB IUD DENGAN KEJADIAN KEPUTIHAN DI PUSKESMAS JETIS KOTA YOGYAKARTA

2019 ◽  
Vol 7 (1) ◽  
pp. 18-25
Author(s):  
Rr Nindya Mayangsari ◽  
Siti Saidah ◽  
Besse Lidia
Keyword(s):  
Vaginal Discharge ◽  
Hypothesis Test ◽  
Health Sector ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
The Relationship

The implementation of the Family Planning (KB) program in Indonesia raisesvarious problems in the health sector which are generally experienced by many women.One of the problems faced by women in line with the dissemination of this program inIndonesia is the emergence of vaginal problems in the use of Intra-Uterine Device (IUD)contraception. Leucorrhoea is abnormal vaginal secretion in women, the longer the useof an IUD, the more at risk of developing vaginal discharge. This study aims to study andanalyze the relationship between IUD KB acceptors and vaginal discharge. The researchdesign used was an observational method with a cross sectional study design. Sample sizewas 92 patients. The sample used was patients aged 18-60 years who sufferedleucorrhoea at the Jetis Primary Health Center, Yogyakarta City. Sampling usingpurposive sampling technique. The relationship between intra-uterine devicecontraceptive acceptors and vaginal discharge was analyzed using Chi-Square using theSPSS version 21.0 for Windows program. There was a statistically significant associationof patients using intra-uterine device contraception and experiencing vaginal dischargetotaling 43 people (46.7%) and 12 people who did not experience vaginal discharge(13.1%). While patients who did not use intra-uterine device contraception and hadvaginal discharge were 21 people (22.8%) and those who did not suffer from vaginaldischarge were 16 people (17.4%). The Chi-square hypothesis test results obtainedsignificance 0.029 where p <0.05. There is a relationship between intra-uterine devicecontraceptive acceptors and the incidence of vaginal discharge in the Jetis PrimaryHealth Center in Yogyakarta which is statistically significant.

scholarly journals A cross-sectional study of the relationship between delayed healthcare utilisation and chronic conditions among older adults during the COVID-19 pandemic in Ireland

2021 ◽  
Vol 4 ◽  
pp. 112
Author(s):  
Niamh Hennelly ◽  
Georgia Lalor ◽  
Sarah Gibney ◽  
Rose Anne Kenny ◽  
Mark Ward
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Healthcare Utilisation ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Policy And Practice ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
The Impact ◽  
The Relationship

Background: Many healthcare services were cancelled or postponed during the coronavirus 2019 (COVID-19) pandemic, likely impacting the management of chronic conditions prevalent among older adults in Ireland. Methods: Data from the Irish Longitudinal Study on Ageing COVID-19 study and previous waves were used. Taking healthcare demand into account, the relationship between delayed healthcare utilisation among older adults (≥50) with chronic conditions was examined. Further analyses examined the reasons for delays in healthcare utilisation, and whether they were the result of the reduced availability of healthcare services or participant decisions. Results: In total, 31.6% of participants reported experiencing healthcare delay. The first analysis found that older adults with two or more chronic conditions were more likely to have experienced healthcare delay than those with no chronic conditions (odds ratio (OR): 1.46, 95% confidence interval (CI): 1.11, 1.90). The second analysis found that older adults with two or more chronic conditions were more likely to have healthcare delayed by the provider (OR: 1.73, 95% CI: 1.16, 2.56), and were also more likely to delay their own healthcare (OR: 1.62, 95% CI: 1.14, 2.29) than older adults with no chronic conditions. Additionally, people aged 70 years and over, females, those with problematic alcohol consumption, those with third-level education, those who had visited the GP and those who reported polypharmacy were all more likely to experience healthcare delay, while older adults living with others and those living outside Dublin were less likely to experience healthcare delay. Conclusion: COVID-19 has had a significant impact on the healthcare utilisation of older adults in Ireland, with some groups of older adults impacted more than others. Policy and practice must now focus on how the healthcare needs of these groups can be best served. Further research is required to understand the impact of healthcare delays on health outcomes.

scholarly journals Workplace violence against medical students- A Turkish perspective

2019 ◽  
Vol 2 (1) ◽  
pp. 70-74
Author(s):  
Alperen Ince ◽  
Perihan Torun ◽  
Saad Ahmed Ali Jadoo
Keyword(s):  
Medical Students ◽  
Workplace Violence ◽  
Medical Training ◽  
Physical Violence ◽  
Healthcare Providers ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Study Data ◽  
Outpatient Services ◽  
Cross Sectional

Background: Workplace violence against healthcare providers including the medical students being an important issue all over the world. The aim of this study is to survey the medical students about exposure to workplace violence (WPV) while they are doing their medical training in private tertiary hospitals. Methods: This was a cross-sectional study carried out among all medical students (4th, 5th, and 6th class) attending a teaching hospital at Bezmialem Vakif University (BVU), Istanbul, Turkey. A total of 150 students in the 2017-2018 academic year were recruited in this study. Data were collected using a modified questionnaire through a face to face interview. Data were analyzed using SPSS 16. Results: About one-third of the surveyed students (54, 36.0%) exposed to violence and 71.3% of them witnessed incidents of violence against healthcare providers at the workplace. The prevalence of physical violence and verbal abuse among medical students was reported at 5.5% and 92.6% respectively. About 81.5% were females compared to 18.5% of their counterparts. Patients (38.9%) and their relatives (61.1%) were the main sources of the violence respectively. More than half (57.0%) of students exposed to violence at outpatient services and 25.9% at the emergency room and 16.7% at inpatient wards. Few of them (22, 14.7%) thought that they will get support if they make a complaint. Conclusion: Being a medical student and has direct contact with patients and their relative is not always safe practice. Our results suggested a high prevalence of verbal and physical abuse against medical students. Health sector authorities should adopt a restrictive and clear strategy to protect medical students and other healthcare providers.

Informal payments for health care in Iran

2018 ◽  
Vol 23 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Mohammad Meskarpour Amiri ◽  
Abbas Assari ◽  
Mohammadkarim Bahadori ◽  
Ramin Ravangard ◽  
Sayyed Morteza Hosseini-Shokouh
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Sector ◽  
Nationwide Survey ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Informal Payments ◽  
Content Type ◽  
One Year

PurposeReducing informal payments (IPs) for health services has always been a top priority for health policymakers all over the world. As the newest attempts to reduce IPs, Iran’s Government applied a set of reforms in the health care system in 2014 called “Health Sector Evolution Plan” (HSEP). The purpose of this paper is to investigate the prevalence and nature of IPs one year after implementing this plan.Design/methodology/approachThis descriptive and cross-sectional study was a nationwide survey on Iran's health sector informal payments carried out in 2016. To do this, a sample of 1,112 Iranain households was selected from all over the country using a multistage cluster-stratified sampling method. The prevalence and nature of IPs were determined through conducting face-to-face interviews using a standard questionnaire.FindingsOne year after implementing the HSEP, about 27.7 percent of sampled Iranians had at least one experience of IPs for health services. The prevalences of compulsory and voluntary IPs were 21.4 and 11.5 percent, respectively. IPs were reported by 26.1 and 12.5 percent in the inpatient and outpatient services, respectively.Originality/valueAccording to the results, compulsory IPs are still prevalent in both the outpatient and inpatient services of Iran’s health system and it seems that the HSEP has not been completely successful in achieving the goal of eradicating IPs. It can be said that the HSEP has been the first step toward eradicating IPs in Iran and should not be the last one. The study provides useful results of the prevalence and nature of IPs after implementing the HSEP, which should be considered in designing the next steps.

scholarly journals Rural-Urban Disparities and Factors Associated with Clients’ Satisfaction with Healthcare in a Nigerian population

2021 ◽  
Vol 7 (3) ◽  
pp. 268-281
Author(s):  
AK Ahmed ◽  
OY Ojo ◽  
MJ Saka ◽  
GA Salaudeen
Keyword(s):  
Waiting Time ◽  
Strong Predictor ◽  
Group Discussion ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Cross Sectional ◽  
Multi Stage ◽  
Rural And Urban

Background: Clients’ satisfaction surveys are required to identify gaps and challenges in providing healthcare services; to ensure the quality of care and patient satisfaction. Objectives: To compare and assess factors responsible for healthcare satisfaction among rural and urban communities in Ilorin East Local Government Area (LGA) of Kwara State to improve service provision among the communities. Methods: This was a comparative, cross-sectional study involving rural (250) and urban (250) respondents selected through a multi-stage sampling technique and surveyed using an interviewer-administered questionnaire. Focus Group Discussion was also used to collect qualitative data. Participants were selected through the purposive sampling technique. Results: The proportion of clients who expressed satisfaction was 172 (68.8%) among urban and 175 (70.0%) among rural respondents, (z = 0.57; p = 0.45). The attitude of healthcare personnel influenced satisfaction among both the rural (56.0%) and urban (63.3%) respondents, respectively; short waiting time (12.8%) and privacy of the consulting rooms (13.7%) were reasons influencing satisfaction with service. Conclusion: Short waiting time and privacy of consulting room were reasons for service satisfaction among clients. Waiting time was a strong predictor of satisfaction. There is a need to improve health personnel’s attitude to work to ensure clients’ satisfaction with healthcare services.

Sign in / Sign up

Export Citation Format

Share Document