FACTORS ASSOCIATED WITH THE ASSESSMENT ON HEALTH CARE QUALITY AT COMMUNE HEALTH CENTERS IN THUA THIEN HUE PROVINCE

2017 ◽  
pp. 53-61
Author(s):  
Minh Tam Nguyen ◽  
Thi Hoa Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Satisfaction ◽  
Health Status ◽  
Care Quality ◽  
Health Care Facilities ◽  
Health Centers ◽  
Important Indicator ◽  
Care Services ◽  
Primary Care Services

Background: Patient satisfaction is an important indicator of healthcare quality. Better satisfaction is associated with greater adherence to treatment and better health outcomes. Primary care is considered the basic structure of many healthcare systems. Evaluation of healthcare provision is essential in the ongoing assessment and consequent quality improvement of healthcare services. Objective: To describe and analyze the determinants associated with patient assessment and satisfaction in primary care. Methods: The survey was conducted with 519 households and 209 patients at 18 commune health centers. The questionnaire included sociodemographic variables, health status, and use and satisfaction with primary care services. We undertook descriptive analyses, bivariate correlations to study the relationship between levels of satisfaction and the explanatory variables for demographics, health status and health services for households and patients. Results: The majority of households and patients were satisfied with the health care services at primary health care facilities. Satisfaction of waiting time, communication and counseling by healthcare providers was high. We found significant associations between the level of satisfaction and owning health insurance card, the first contact point assigned at CHCs, the severity of illness episodes, and health condition of participants. Conclusions: The results provide evidence on factors that should be taken into account in the planning and development of health policies with respect to the quality and delivery of primary care services in order to enhancing the satisfaction of clients. Key words: consumer satisfaction, patient satisfaction, primary care, quality indicators

A Comparison of Waiting Times, Patient Choice and Satisfaction in Three Primary Care Settings

2003 ◽  
Vol 9 (1) ◽  
pp. 68 ◽  
Author(s):  
Patrick Boltonl ◽  
Michael Mira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Waiting Times ◽  
Patient Choice ◽  
Care Services ◽  
Primary Care Settings ◽  
Primary Care Services ◽  
Choice Of Care

The objective of this study was to examine the interaction between patients' choice of care, their satisfaction with that care, and waiting time. Patient satisfaction and waiting times were recorded in three primary care settings in Sydney. The results show that patients in Australian primary care services do not like to wait, and those for whom waiting time is a determinant of choice are easier to satisfy than those for whom it is not, irrespective of the wait. Primary care services may be made be made more satisfying for consumers if consumers are better engaged in choosing their health care.

COMMON HEALTH PROBLEMS AND UTILIZATION OF PRIMARY HEALTH CARE SERVICES IN THE RURAL AREAS OF THUA THIEN HUE PROVINCE

2020 ◽  
pp. 62-71
Author(s):  
Tuan Duong Quang ◽  
Anh Le Ho Thi Quynh ◽  
Hung Nguyen Nam ◽  
Tam Nguyen Minh
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Status ◽  
Rural Areas ◽  
Health Problems ◽  
Care Utilization ◽  
Mountainous Area ◽  
Geography Information System ◽  
Care Services ◽  
Geography Information

Although health status in Vietnam has been much improved, people living in rural areas have faced several challenges, including a rapid increase of the aging population, inadequate capacity of health system, and problems of inequities in access to the healthcare system. Objectives: This study aimed to explore the common health problems and health care utilization of people living in the rural areas of Thua Thien Hue province. Methods: A cross-sectional study and geography information system application were carried out. A total of 2.631 individuals in 599 households of a lowland area and a mountainous area was interviewed with a structured questionnaire regarding to health status and health care utilization during the last 6 months. Geography information system software was used to visualize these data of household. Results: 32.8% of participants reported at least an episode of illness within 6 months prior to the interviews. Most of illness people lived in mountainous area. Fever, uncomplicated hypertension, cough, and headache were reported as the most common health problems among participants. Most of participants preferred to visit commune health centers and district hospitals. People in different areas have a significant difference trend from another in choosing health facilities. Conclusion: Residents in difficult-to-reach areas had high prevalence of health problems and experienced social and structural barriers of healthcare services access. It is necessary to improve the availability and quality of primary care services to improve the health status and accessibility of disadvantaged people. Keywords: primary care, utilization, rural areas, health care acessibility

scholarly journals Health-Care Waste: Knowledge of Primary Care nurses

2018 ◽  
Vol 71 (5) ◽  
pp. 2367-2375 ◽  
Author(s):  
Ana Paula Mhirdaui Sanches ◽  
Karen Sayuri Mekaro ◽  
Rosely Moralez de Figueiredo ◽  
Silvia Carla da Silva André
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Health ◽  
Chemical Waste ◽  
Know How ◽  
Paulo State ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Nurses ◽  
Health Care Waste

ABSTRACT Objective: to describe the knowledge of nurses on Health-Care Waste Management (HCW) in Family Health Units (FHU) of São Carlos city, São Paulo State. Method: exploratory, descriptive and quantitative approach. The research was carried out with nurses of 16 FHU of the municipality of São Carlos-SP. Data were collected through an interview using a tool validated and analyzed using descriptive statistics. Results: it is noteworthy that 68.7% (11) of the nurses did not know how to describe how chemical waste was sorted. In addition, regarding the treatment of HCW, 50.0% (8) of the nurses did not know if the general waste were subjected to some type of treatment. Conclusion: the HCW management can be considered a challenge in the nurses' agenda inserted in the Primary Care services, which refers to the need to implement periodic training on the management of this waste.

scholarly journals Assessing the quality of maternal health care in Indigenous primary care services

2010 ◽  
Vol 192 (10) ◽  
pp. 597-598 ◽  
Author(s):  
Alice R Rumbold ◽  
Ross S Bailie ◽  
Damin Si ◽  
Michelle C Dowden ◽  
Catherine M Kennedy ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Maternal Health ◽  
Maternal Health Care ◽  
Care Services ◽  
Primary Care Services

scholarly journals A háziorvosok teljesítményének minőségi értékelése. Mi a probléma a háziorvosi indikátorokkal?

2016 ◽  
Vol 157 (9) ◽  
pp. 328-335 ◽  
Author(s):  
László Róbert Kolozsvári ◽  
Imre Rurik
Keyword(s):  
Primary Care ◽  
Family Physicians ◽  
Indicator System ◽  
Care Quality ◽  
Proper Solution ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Quality ◽  
Quality Of Primary Care

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.

scholarly journals Patient satisfaction with rheumatological outpatient care in the Republic of Bashkortostan

2021 ◽  
Vol 67 (2) ◽  
pp. 3-3
Author(s):  
I.Z. Zubairov ◽  
◽  
L.Sh. Nazarova ◽  
S.G. Ahmerova ◽  
D.Kh. Kalimullina ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Outpatient Care ◽  
Care Quality ◽  
Health Care Facilities ◽  
Republic Of Bashkortostan ◽  
Study Results ◽  
Care Facilities ◽  
The Republic

Due to high prevalence of rheumatic diseases, which are often characterized by a chronic, progressive course and early patient disability, the problem of health care quality in rheumatology remains extremely relevant. The purpose of the study was to analyze patient satisfaction with availability and quality of rheumatological outpatient care provided by health care facilities of the Republic of Bashkortostan. A survey of 289 adult patients who visited a rheumatologist for outpatient care at health care facilities of the Republic of Bashkortostan was conducted from May,1 to December,1, 2019 The study results show that in general patients expressed high satisfaction with the services provided and conditions of health care facilities (77% and 78%, respectively). At the same time, satisfaction with doctors’ professional skills was moderate (54%), while satisfaction with the organization of making a rheumatological appointment and official website of the facility was low (37% and 29%, respectively). In general, the data obtained indicate that patients highly appreciate quality of rheumatological outpatient care in the Republic of Bashkortostan. However, the need to further improve professional competencies of doctors, organization of scheduling appointments and official websites of health care facilities call for a special attention.

scholarly journals Factors for Supporting Primary Care Physician Engagement With Patient Apps for Type 2 Diabetes Self-Management That Link to Primary Care: Interview Study (Preprint)

2018 ◽  
Author(s):  
Julie Ayre ◽  
Carissa Bonner ◽  
Sian Bramwell ◽  
Sharon McClelland ◽  
Rajini Jayaballa ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Physician ◽  
Self Management ◽  
Clinical Tool ◽  
Face To Face ◽  
Care Services ◽  
Primary Care Services ◽  
Potential Benefits

BACKGROUND The health burden of type 2 diabetes can be mitigated by engaging patients in two key aspects of diabetes care: self-management and regular contact with health professionals. There is a clear benefit to integrating these aspects of care into a single clinical tool, and as mobile phone ownership increases, apps become a more feasible platform. However, the effectiveness of online health interventions is contingent on uptake by health care providers, which is typically low. There has been little research that focuses specifically on barriers and facilitators to health care provider uptake for interventions that link self-management apps to the user’s primary care physician (PCP). OBJECTIVE This study aimed to explore PCP perspectives on proposed features for a self-management app for patients with diabetes that would link to primary care services. METHODS Researchers conducted 25 semistructured interviews. The interviewer discussed potential features that would link in with the patient’s primary care services. Interviews were audio-recorded, transcribed, and coded. Framework analysis and the Consolidated Criteria for Reporting Qualitative Research checklist were employed to ensure rigor. RESULTS Our analysis indicated that PCP attitudes toward proposed features for an app were underpinned by perceived roles of (1) diabetes self-management, (2) face-to-face care, and (3) the anticipated burden of new technologies on their practice. Theme 1 explored PCP perceptions about how an app could foster patient independence for self-management behaviors but could also increase responsibility and liability for the PCP. Theme 2 identified beliefs underpinning a commonly expressed preference for face-to-face care. PCPs perceived information was more motivating, better understood, and presented with greater empathy when delivered face to face rather than online. Theme 3 described how most PCPs anticipated an initial increase in workload while they learned to use a new clinical tool. Some PCPs accepted this burden on the basis that the change was inevitable as health care became more integrated. Others reported potential benefits were outweighed by effort to implement an app. This study also identified how app features can be positively framed, highlighting potential benefits for PCPs to maximize PCP engagement, buy-in, and uptake. For example, PCPs were more positive when they perceived that an app could facilitate communication and motivation between consultations, focus on building capacity for patient independence, and reinforce rather than replace in-person care. They were also more positive about app features that were automated, integrated with existing software, flexible for different patients, and included secondary benefits such as improved documentation. CONCLUSIONS This study provided insight into PCP perspectives on a diabetes app integrated with primary care services. This was observed as more than a technological change; PCPs were concerned about changes in workload, their role in self-management, and the nature of consultations. Our research highlighted potential facilitators and barriers to engaging PCPs in the implementation process.

scholarly journals Optimal Capacity Allocation when Patients encounter Congestion in Primary Healthcare Network

2019 ◽  
Vol 4 (2) ◽  
pp. 400-408
Author(s):  
Kaushal Kumar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Low Cost ◽  
Minimum Cost ◽  
Capacity Allocation ◽  
Health Care Facilities ◽  
Care Services ◽  
Health Decision ◽  
The Government ◽  
Out Of Pocket Expenses

Universal health care aims at providing low cost or if possible free primary care to everyone. Most countries pursue this goal and it is pertinent for developing countries to make the best use of their limited resources to achieve it. In spite of every effort from the government, unfortunately patients in India spend significant amount of money on travelling and out-of-pocket expenses for availing primary care services even at public funded facilities. We propose an optimization model to help health decision makers in managing existing capacity for alleviation of this problem. The model can be used in the identification of existing health care facilities that need to be upgraded or reduced with a view to improve their utilization at minimum cost. The model recognizes increase in patient out-of-pocket expenses incurred at facilities due to longer waiting time (congestion). Results from numerical experiments are presented to explicate the functioning of the model.

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