scholarly journals Quality of Obstetric Services: Perspectives of Patients, Obstetricians, and Midwives

Medicina ◽  
2011 ◽  
Vol 47 (2) ◽  
pp. 17
Author(s):  
Rosita Aniulienė ◽  
Aurelija Blaževičienė ◽  
Olga Riklikienė
Keyword(s):  
Health Care ◽  
Care Staff ◽  
Quality Of Services ◽  
Health Care Staff ◽  
Technical Quality ◽  
Professional Relationship ◽  
Functional Quality ◽  
Obstetric Services ◽  
Better Than

Objective. The aim of this study was to compare the perspectives of patients and health care staff on the quality of obstetric services in an obstetric department. Material and Methods. This study was carried out at the Department of Obstetrics, Hospital of Lithuanian University of Health Sciences, where 68 obstetricians and midwives and 334 female patients completed anonymous questionnaires. Two different versions of the questionnaire for patients and health care staff were prepared with the aim to compare the results of both groups. Results. Patients evaluated technical quality of services significantly better than health care staff. Other items were showed to have no significant differences with the exception of sterility of equipment and premises and appearance of physicians. Patients and health care staff had similar opinions about professional relationship between patients and physicians: patients can expect representation of their interests and evaluation of treatment progress. Evaluation of external efficiency revealed that respondents were satisfied with health care and would recommend the current health care institution to their friends and relatives or would use it again when needed. Conclusions. Patients evaluated technical quality of services significantly better than health care staff. The different perceptions of patients and health care staff about functional quality and external effectiveness of services in most aspects were insignificant.

scholarly journals Physician perceptions of the types of roles interpreters play in limited English proficient pediatric encounters and how they evaluate the quality of interpretation

2019 ◽  
Vol 20 ◽  
Author(s):  
Rebecca J. Schwei ◽  
Natalie Guerrero ◽  
Alissa L. Small ◽  
Elizabeth A. Jacobs
Keyword(s):  
Health Care ◽  
Limited English Proficient ◽  
Health Care Systems ◽  
Care Staff ◽  
Health Care Staff ◽  
Structured Interviews ◽  
Team Members ◽  
Medical Interpreters ◽  
Care Systems

AbstractPurposeThe purpose of this study is to understand different roles that interpreters play in a pediatric, limited English proficient (LEP) health care encounter and to describe what factors within each role inform physicians’ assessment of the overall quality of interpretation.BackgroundLanguage barriers contribute to lower quality of care in LEP pediatric patients compared to their English-speaking counterparts. Use of professional medical interpreters has been shown to improve communication and decrease medical errors in pediatric LEP patients. In addition, in many pediatric encounters, interpreters take on roles beyond that of a pure language conduit.MethodsWe conducted 11 semi-structured interviews with pediatricians and family medicine physicians in one health system. Transcripts were audio-recorded and transcribed verbatim. We analyzed our data using directed content analysis. Two study team members coded all transcripts, reviewed agreement, and resolved discrepancies.FindingsPhysicians described four different interpreter roles: language conduit, flow manager, relationship builder, and cultural insider. Within each role, physicians described components of quality that informed their assessment of the overall quality of interpretation during a pediatric encounter. We found that for many physicians, a high-quality interpreted encounter involves multiple roles beyond language transmission. It is important for health care systems to understand how health care staff conceptualize these relationships so that they can develop appropriate expectations and trainings for medical interpreters in order to improve health outcomes in pediatric LEP patients.

scholarly journals Experiences of Older Persons in Seeking Care at a Private Hospital in Urban India

2020 ◽  
Vol 6 ◽  
pp. 233372142091063
Author(s):  
Sachin Ganorkar ◽  
Zarina Nahar Kabir ◽  
Nasreen Rustomfram ◽  
Harshad Thakur
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Private Hospital ◽  
Care Staff ◽  
Health Care Staff ◽  
Structured Interviews ◽  
Urban India ◽  
Complex Health Problems ◽  
Payment Mechanisms

Objective: The study aims to describe the experiences of older persons in seeking health care in a private hospital in urban India. Methods: Semi-structured interviews were conducted with 50 older persons admitted in or visiting a private hospital in Hyderabad city in India between the period November 2017 and April 2018. The data were analyzed using Content Analysis. Results: Dimensions related to payment mechanisms, quality of health care staff, and hospital quality were reported to be important for the older persons. Payment mechanisms were related to discounts, insurance support, and reducing out-of-pocket expenditure. Quality of care was related to optimizing hospital operational processes like discharge time, standard of treatment, and trustworthiness of the medical staff. Discussion: Payment mechanism can be made friendly for the older persons. Quality of hospital including its staff can be enhanced by developing geriatric-specific competencies which can help them to understand and treat complex health problems specific for the older population.

scholarly journals Mindfulness for Healthcare Professionals

2020 ◽  
Vol 12 (1) ◽  
pp. 33
Author(s):  
Mita Mistry
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Potential Role ◽  
Working Environment ◽  
Good News ◽  
Care Staff ◽  
Health Care Staff ◽  
Number Of Patients ◽  
Reducing Stress

Heavy demands on health care staff include dealing with a large number of patients, long hours, restricted control over the working environment and ongoing organisational changes. Such conditions have been directly associated with growing stress levels and symptoms of burnout amongst health care professionals, and consequently, affecting the quality of care delivered to patients. 1 The good news is that this is now increasingly recognised and is indeed a catalyst for change in the development of awareness aimed at building self-care skills for clinicians. In particular, there is a growing body of evidence in Mindfulness-based interventions, which have a potential role in reducing stress and burnout.

scholarly journals Multiple burdens of stigma for prisoners participating in opioid antagonist treatment (OAT) programmes in Indonesian prisons: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rita Komalasari ◽  
Sarah Wilson ◽  
Sudirman Nasir ◽  
Sally Haw
Keyword(s):  
Health Care ◽  
Drug Use ◽  
Care Staff ◽  
Opioid Antagonist ◽  
Health Care Staff ◽  
Prison Staff ◽  
Content Type ◽  
Effective Strategies ◽  
Programme Participation

Purpose In spite of the effectiveness of opioid antagonist treatment (OAT) in reducing injecting drug use and needle sharing, programmes in prison continue to be largely stigmatised. This affects programme participation and the quality of programmes delivered. This study aims to explore how Indonesian prison staff and prisoners perceived and experienced stigma relating to prison OAT programmes and identify potential strategies to alleviate this stigma. Design/methodology/approach Three prisons in Indonesia were selected as part of a qualitative case study. Two of the prisons provided OAT, in the form of methadone maintenance treatment (MMT). Purposive and snowball sampling were used to recruit study participants. In total, 57 semi-structured interviews were conducted with prison governors, health-care staff, prison officers and prisoners. Prisoners included both participants and non-participants in methadone programmes. The data were analysed thematically. Findings MMT programme participants were perceived by both prison staff and other prisoners to be engaged in illicit drug use, and as lazy, poor, dirty and unproductive people. They were also presumed to be HIV-positive. These multi-layered, intersectional sources of (inter-personal) stigma amplified the effects on prisoners affecting not only their quality of life and mental health but also their access to prison parole programmes, and therefore the possibility of early release. In addition, organisational factors – notably non-confidential programme delivery and lack of both family and institutional supports for methadone prisoners – exacerbated the stigmatisation of MMT programme participants. Practical implications Effective strategies to alleviate stigma surrounding OAT programmes such as MMT programmes are urgently needed to ensure participation in and the quality of programmes in prisons. Originality/value Many prisoners reported experiencing stigma relating to their participation in MMT programmes in both the methadone prisons studied. They often emphasised the ways that this stigmatisation was amplified by the ways that MMT programme participation was associated with drug use and HIV infection. However, these intersecting experiences and concerns were not recognised by health-care staff or other prison staff. Effective strategies to alleviate stigma surrounding OAT programmes such as MMT programmes are urgently needed to ensure participation in and the quality of programmes in prisons.

scholarly journals The personal crisis in the selected hospital and impact to the safety

2019 ◽  
Vol 292 ◽  
pp. 01046
Author(s):  
Eva Hoke ◽  
Romana Heinzová ◽  
Jiří Konečný
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Organization ◽  
Healthcare Facilities ◽  
Quality Of Patient Care ◽  
Current Economic Situation ◽  
Market Situation

The contribution focuses on the current economic situation, especially on low unemployment, which has an impact on the labor market situation in the Czech Republic. Generally, low unemployment is a positive phenomenon in the economy, but what if unemployment is so low that organizations and businesses cannot find high-quality employees? Today, it is already proven that effective using of human capital within economic operators significantly improves their economic performance and, as far as public sector organizations are concerned, it improves public services. Well educated and motivated employees who are not overloaded can become the "brand" of individual healthcare facilities and a human factor as the source of the wealth and prosperity of state and non-state healthcare facilities. Our attention is therefore focused on selected health care organization, where there has been an acute shortage of medical and non-medical staff. The paper deals with the analysis of low unemployment, which is called the personal capacities crisis, its causes and its consequences as well. How to solve this critical shortage of health care staff? So far, the quality of Czech health care has been very high, but if this situation is maintained, the quality of patient care can be fundamentally endangered. The conclusion of the paper contains suggestions and recommendations on how to make this area more effective.

scholarly journals Prevalence of diabetes mellitus and factors associated with screening uptake in Kanjongo, Nyamasheke District, Rwanda

2018 ◽  
Vol 1 (1) ◽  
pp. 6-10
Author(s):  
Eléazar Ndabarora ◽  
Védaste Ngirinshuti ◽  
Jean Claude Twahirwa ◽  
Dariya Mukamusoni ◽  
Fulgence Munyandamutsa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Early Detection ◽  
Care Staff ◽  
Health Care Staff ◽  
Diabetes Screening ◽  
Factors Associated ◽  
Sub Saharan ◽  
Prevalence Of Diabetes Mellitus

The prevalence of diabetes mellitus in Sub-Saharan Africa was 13.7% in 2016 (Werfalli, Engel, Musekiwa, Kengne, & Levitt, 2016), which is higher than 8.7%, the global diabetes prevalence in 2015 (WHO, 2016). Fewer studies explored the factors associated with diabetes early detection for its prevention and control (WHO, 2016). Study objectives were: (1) to determine the prevalence of diabetes mellitus among the population attending the monthly community work in a selected sector, and (2) to identify the factors associated with diabetes screening and early detection. All 383 respondents who were attending the community monthly work were invited to be screened for diabetes and to be surveyed using an interview-guide questionnaire. Out of 383 respondents, 60.3% were female and 39.7% were male. The prevalence of diabetes was 8.6%, and only 27.9% have been tested before. The majority (95.3%) perceived regular testing beneficial, 62.4% perceived themselves susceptible to get diabetes, and 94.8% perceived diabetes as a serious disease. The sources of information were radio and television (89.6%), health care staff (79.4%), mass campaigns (73.1%), Community Health Workers (CHWs) (67.1%), and the neighbors (57.7%). Reported barriers to screening were lack of information (87.5%), delay of health insurance (79.1%), lack of readiness of the health care staff (75.7%), perceived quality of health care (52.2%) and the perceived cost (46.5%). The factors associated with the screening were the age (p=0.01), occupation (p<0.000), the perceived susceptibility (p˂ 0.000), the perceived threat (p=0.005), community sensitization by CHWs (p=0.003), mass campaign (p=0.001), and neighbors (p=0.009). Diabetes prevalence was lower than the Sub-Saharan prevalence estimates. Community sensitization through CHWs, mass campaigns and neighbors, information provision, disease perception, age, occupation, and quality of health care were the predictors of diabetes screening. Decentralized community sensitization and screening programs are highly recommended.  

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