scholarly journals Public Hospital Quality Assessment. Evidence from Greek Health Setting Using SERVQUAL Model

Author(s):  
Aspasia Goula ◽  
Maria-Aggeliki Stamouli ◽  
Maria Alexandridou ◽  
Lemonia Vorreakou ◽  
Aristeidis Galanakis ◽  
...  

(1) Background: Health care service quality has been equated with preparedness to provide, accessibility, suitability, adequacy, friendliness and ongoing support and has been connected to service excellence. The main aim of this study was to investigate patients’ perceptions and expectations regarding the quality of health services. (2) Materials and Methods: A cross-sectional analysis was carried out in 5 public general hospitals and convenience sampling was used as the sampling technique. Questionnaires were distributed to inpatients and outpatients and 700 valid questionnaires were returned. The SERVQUAL questionnaire was used for data collection in this survey. (3) Results: Overall, in this study, it became apparent that patients’ expectations as regarding the quality of the provided services were not met. All of the five quality dimensions had a negative gap between patients’ expectations and perceptions. (4) Conclusions: The findings suggested that hospital managers and health care professionals should be interested about patient expectations and subsequently they should search out ways and means to meet them. Open communication with patients, individualized attention, as well as responsiveness to their requirements, polite behavior, trustful atmosphere across the hospital and better physical facilities are the key elements that determine the patient’s judgment about quality.

Author(s):  
Cecilia B. Bello ◽  
Omolola Irinoye ◽  
Oluwaseyi A. Akpor

Background: The family plays a central role in the provision and maintenance of health status of its members and all factors that contribute to achieving optimal health. Aim: To compare the health status of one-parent and two-parent families using the McMaster model of family functioning. Setting: Ondo State, Southwest Nigeria. Methods: A descriptive cross-sectional design, using multi-stage simple random sampling technique. Data were collected using an adopted self-administered questionnaire from 250 purposely selected families from each sample group. The data entering was analysed using Statistical Package for Social Sciences (SPSS) software version 17.0. Results: Findings showed that one-parent fathers scored higher (mean = 74.4 ± 10.30) than two-parent fathers (70.5 ± 13.05), while one-parent mothers scored higher (mean = 69.7 ± 15.10) than two-parent mothers (mean 67.7 ± 14.78). This means that one-parent fathers have a better self-reported health status than two-parent fathers, while one-parent mothers have a better self-reported health status than two-parent mothers. One-parent fathers have the best self-reported health status. No significant (p > 0.05) difference in the health status of children from both families. Conclusion: Fathers are healthier than mothers, while one-parent fathers are healthier than two-parent fathers. Comparing the two groups of families, parents from one-parent families reported better health status than parents from two-parent families, whereas within each family group, fathers reported better health status than mothers. This places responsibility on health care professionals to explore family contexts during clinic visits so as to render a more comprehensive health care service to families.


2017 ◽  
Vol 24 (4) ◽  
pp. 1082-1098 ◽  
Author(s):  
Sabita Mahapatra

Purpose The purpose of this paper is to examine the effect of patient participation on patient satisfaction and the subsequent effect on patient behavior outcomes Design/methodology/approach The research employs self-administered survey method to test hypotheses. The convenience sampling approach is used to collected data from 410 patients in metropolitan cities of India. The data are analyzed using SmartPLS to test the proposed model. Findings The results shows patient participation is positively related to behaviour outcomes and patient confidence and satisfaction mediate the effect of patient participation on adherence. Research limitations/implications The study was limited to a small sample which may somewhat limit generalization of the findings. However, the findings, based on primary data, are insightful. Second, the current study was cross-sectional in nature, whereas a longitudinal study could had measured changes in perceptions over an extended time period. Practical implications The results provide interesting insights about the significance of patient participation in positive behavior outcome. These insights will enable health care professionals and government to formulate a suitable policy through which to encourage patient participation in health treatment regimes. Originality/value The paper demonstrates the influence of patient participation on behavior. There has been little research on this aspect in the Indian context to date, so this study offers an important guideline to the health care industry in relation to introducing customer empowerment into health care regimes.


Author(s):  
Débora Bicudo Faria-Schützer ◽  
Fernanda Garanhani Surita ◽  
Larissa Rodrigues ◽  
Daiane Sofia de Morais Paulino ◽  
Egberto Ribeiro Turato

Abstract Objective To explore the experiences of women with obesity regarding self-care and the care provided by their families and health team after childbirth. Methods A clinical qualitative study performed at the Postnatal Outpatient Clinic of Hospital da Mulher, Universidade Estadual de Campinas, Brazil. The sample was selected using the saturation criteria, with 16 women with obesity up to 6 months after childbirth. Results The analysis comprised three categories: 1) postnatal self-care; 2) family support for woman after childbirth; and 3) postnatal health care service for women with obesity. Conclusion Women with obesity need support from the health team and from their families after childbirth, when they are overwhelmed by the exhausting care for the newborn. The present study reveals how important it is for health care professionals to broaden their perception and care provided after childbirth for women with obesity so they may experience an improvement in their quality of health and of life.


DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 25
Author(s):  
Dwi Hariyanto ◽  
Aprilia Aprilia ◽  
Annisa Mutiara Pertiwi

<p><strong><em>Background:</em></strong><em> Individuals in our contemporary society tend to depend on various types of services, including health care service. Managers of health care services must be aware of this situation to improve image and reputation as a public’s choice services. Image is an award obtained by a company for their excellence in services. In improving the image, a company needs the public’s or consumer’s appraisals for a marketing strategy formation. <strong>Purpose: </strong>As information to develop the image of Dental and Oral Hospital of Hang Tuah University, Surabaya. </em><strong><em>Materials and </em></strong><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>: </em></strong><em>descriptive analysis with cross sectional research design was used in this study. Simple random sampling of probability sampling technique was used to choose 100 respondents of this study. Respondents were given a questionnaire to assess the image of Dental and Oral Hospital, Hang Tuah University Surabaya. The results of the questionnaire were analyzed by using descriptive statistics. <strong>Result:</strong> Results on the image of Dental and Oral Hospital of Hang Tuah University showed that 83 respondents rated moderately good image, while 17 respondents rated poor image. <strong>Conclusion: </strong>Based on the SWOT matrix, it can be concluded that several development through consideration of internal and external factors can be beneficial to the progress of Dental and Oral Hospital of Hang Tuah University, Surabaya.</em></p><p><em> </em></p><p><strong><em>Keywords: </em></strong><em>Image, Marketing Strategy, Consumer Behavior, SWOT Analysis</em></p><p><em> </em></p><p><strong><em>Correspondence</em></strong><em>: Dwi Hariyanto, Public Dentistry, Faculty of Dentistry, Hang Tuah University, Arief Rahman Hakim 150, Surabaya, Phone 031-5912191. Email: </em><a href="mailto:[email protected]"><em>[email protected]</em></a><strong><em></em></strong></p>


2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.


Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 66
Author(s):  
Susy Katikana Sebayang ◽  
Erni Astutik ◽  
Desak Made Sintha Kurnia Dewi ◽  
Ayik Mirayanti Mandagi ◽  
Septa Indra Puspikawati

Introduction:  Improving health care-seeking behavior of the coastal communities is a pathway to improve their health. This analysis aims to explore the health care-seeking behavior of the coastal communities in Banyuwangi District to recommend the room for improvement for health promotion and health service improvement for these communities. Method: Data from a cross-sectional survey of metabolic syndrome and mental health conducted in coastal communities in Banyuwangi was used for analysis.  Randomly selected participants from a list of members of Family Welfare Development Group (Pembinaan Kesejahteraan Keluarga /PKK) were asked for an interview at corresponding village office in Ketapang, Bangsring, Bulu Agung, Grajagan and Kampung Mandar village.  Distribution of health care-seeking behaviors was analyzed individually and where possible were segregated by gender and age. Results: More than half of the coastal communities in Banyuwangi District went to health care service to seek health and 7 out of 10 turned to health care service to seek health for their family members.  Women more than men turned to health care service when they or their family members fell ill.  Private doctors rather than Puskesmas were more popular.  Private midwives were the most popular service for antenatal care (ANC) and delivery.  Although there was not a clear increase in health care service utilization over time, we found that contraceptive utilization increased with time. Conclusion: The utilization of health care service in Banyuwangi needs to be more promoted especially for men’s health.  


2019 ◽  
Author(s):  
Miguel Ángel Amor-García ◽  
Roberto Collado-Borrell ◽  
Vicente Escudero-Vilaplana ◽  
Alejandra Melgarejo-Ortuño ◽  
Ana Herranz-Alonso ◽  
...  

BACKGROUND The large number of available cancer apps and their impact on the population necessitates a transparent, objective, and comprehensive evaluation by app experts, health care professionals, and users. To date, there have been no analyses or classifications of apps for patients with genitourinary cancers, which are among the most prevalent types of cancer. OBJECTIVE The objective of our study was to analyze the quality of apps for patients diagnosed with genitourinary cancers using the Mobile Application Rating Scale (MARS) and identify high-quality apps. METHODS We performed an observational cross-sectional descriptive study of all smartphone apps for patients diagnosed with genitourinary cancers available on iOS and Android platforms. In July 2019, we searched for all available apps for patients with genitourinary cancers (bladder, prostate, cervical, uterine, endometrial, kidney, testicular, and vulvar) or their caregivers. Apps were downloaded and evaluated, and the general characteristics were entered into a database. The evaluation was performed by 2 independent researchers using the MARS questionnaire, which rates 23 evaluation criteria clustered in 5 domains (Engagement, Functionality, Esthetics, Information, and Subjective Quality) on a scale from 1 to 5. RESULTS In total, 46 apps were analyzed. Of these, 31 (67%) were available on Android, 6 (13%) on iOS, and 9 (20%) on both platforms. The apps were free in 89% of cases (41/46), and 61% (28/46) had been updated in the previous year. The apps were intended for prostate cancer in 30% of cases (14/46) and cervical cancer in 17% (8/46). The apps were mainly informative (63%, 29/46), preventive (24%, 11/46), and diagnostic (13%, 6/46). Only 7/46 apps (15%) were developed by health care organizations. The mean MARS score for the overall quality of the 46 apps was 2.98 (SD 0.77), with a maximum of 4.63 and a minimum of 1.95. Functionality scores were quite similar for most of the apps, with the greatest differences in Engagement and Esthetics, which showed acceptable scores in one-third of the apps. The 5 apps with the highest MARS score were the following: “Bladder cancer manager,” “Kidney cancer manager,” “My prostate cancer manager,” “Target Ovarian Cancer Symptoms Diary,” and “My Cancer Coach.” We observed statistically significant differences in the MARS score between the operating systems and the developer types (<i>P</i>&lt;.001 and <i>P</i>=.01, respectively), but not for cost (<i>P</i>=.62). CONCLUSIONS MARS is a helpful methodology to decide which apps can be prescribed to patients and to identify which features should be addressed to improve these tools. Most of the apps designed for patients with genitourinary cancers only try to provide data about the disease, without coherent interactivity. The participation of health professionals in the development of these apps is low; nevertheless, we observed that both the participation of health professionals and regular updates were correlated with quality.


2019 ◽  
Vol 19 (3) ◽  
pp. 602
Author(s):  
Mila Triana Sari ◽  
Hartati Sandora ◽  
Haflin Haflin

The solitory custom community of Suku Anak Dalam (SAD) is one of group society whose life are depend to the natural researches in the forest. It is needed an effort to provide service in order to meet their needed, especially health care service for improving their quality of life in the solitary custom Community of Suku Anak Dalam.  This research was conducted in order to know about the persepsion of SAD society towards Health Care Service in the Working Area of Puskesmas Pematang Kabau. This research was conducted on Januari until February 2017 for the purpose of getting understanding about persepsion of solitary custom Community of Suku Anak Dalam towards health care service, the number of participants were 15 people. This is qualitative research with purposive sampling method. The research instruments were indepth interview and interview guide. The result of the research analyzed by using Colaizzi Technique. The finding of the research showed five themes:  the reason of SAD Society in terms of receiving care service. Secondly, the respond of SAD society, thirdly, about the changing and the impact of SAD society. Fourth, the meaning of health care service to SAD society. And fifth the experience of SAD society towards health and service.SAD society gave respond about perception or possitive support towards Health Care Service.


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