scholarly journals Leadership Rounding to Improve Patient Satisfaction in Pediatric Ambulatory Care

2021 ◽  
Author(s):  
◽  
Tara Haskell
Keyword(s):  
Patient Satisfaction ◽  
Ambulatory Care ◽  
Customer Service ◽  
Treatment Compliance ◽  
The Body ◽  
Nursing Leaders ◽  
Care Services ◽  
Primary Care Services ◽  
High Staff Turnover ◽  
Poor Treatment

Practice Problem: Low patient satisfaction has been linked to poor treatment compliance, patients leaving the practice, staff decreased job satisfaction, and high staff turnover (Haskard Zolnierek & DiMatteo, 2009; Prakash, 2010). Magnet reporting has identified wide discrepancies in ambulatory clinics, with some clinics reporting below benchmark patient satisfaction ratings. PICOT: In pediatric ambulatory and primary care services, how will the implementation of leader-led customer service rounding, compared to current practice, increase family and/or patient satisfaction over 4 weeks? Evidence: Key findings are that the rounding needs to be population-specific, intentional, and swiftly followed up when problems are identified. The body of evidence suggests that implementing leadership rounding in a setting such as pediatric ambulatory care could benefit the patients served by building trust and communication. Intervention: Implementation of a leadership rounding survey modified from current hospital rounding tools on patients and families by nursing leaders. Outcome: While post-data results did not have a statistically significant change from the pre-data results, several identified needs for the clinics were discovered. Clinical significance, in this project, addresses the family-identified needs for change, which will impact future care. Conclusion: Rounding on families in pediatric ambulatory care is an integral part of the care that can identify patient satisfaction needs and practice differences between clinics, leading to more consistency in patient satisfaction in the future.

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

Effective change management in a regional Sub-acute Ambulatory Care Services setting

2012 ◽  
Vol 36 (1) ◽  
pp. 39 ◽  
Author(s):  
Bruce W. Campbell
Keyword(s):  
Change Management ◽  
Ambulatory Care ◽  
Change Process ◽  
Improve Patient Care ◽  
Healthcare Setting ◽  
Shared Vision ◽  
The Body ◽  
Care Services ◽  
Ambulatory Care Services

Government policies and community expectations in Australia continually lead to calls for healthcare change. These changes are often met with resistance from clinicians and managers. Making change happen requires consideration of the way policies, culture, context, shared vision and leadership can drive or impede change. This reflective case study critically investigates one change process; the evolution of a Sub-acute Ambulatory Care Services (SACS) program in an Australian regional hospital over a 3-year period. The new Community Rehabilitation Services (CRS) program evolved from a merger of Centre and Home Based Rehabilitation (CBR and HBR). Hospital amalgamations, closures and privatisation, and the Department of Health policy relating to SACS, ambulatory care and rehabilitation were some of the key elements explored in this paper. What is known about the topic? Healthcare is an industry constantly focussed on improving services and care to patients. There has been a lot written about change management in healthcare. Change can be difficult to implement and is a dynamic phenomenon. There are many factors which can assist or hinder change. What does this paper add? This reflective case study outlines the change process in this particular regional healthcare setting context within a multidisciplinary team. This paper adds to the body of knowledge by considering the influences of the unique history and culture of the setting, and the complex interrelated nature of factors which can affect change. What are the implications for practitioners? Healthcare service managers need to understand that the change process is complex and can be confusing. Government policy constantly drives change in this industry to improve patient care, but how an organisation works through this is unique to the setting. One size does not fit all, and understanding the organisation, staff, culture and having a vision at that point in time is an essential prerequisite. Any change requires working with people who need time to adapt, up skill and learn new processes and procedures. Reanalysing the change process and being flexible during the journey can assist in reaching the desired change outcome.

Patient satisfaction with primary care services in Lithuania

2005 ◽  
Vol 11 (1) ◽  
pp. 31-32
Author(s):  
Jonas Kairys ◽  
Egle Zebiene ◽  
Virginijus Sapoka
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Care Services ◽  
Primary Care Services

scholarly journals Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Thomas A. Odeny ◽  
Jeremy Penner ◽  
Jayne Lewis-Kulzer ◽  
Hannah H. Leslie ◽  
Starley B. Shade ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Wait Time ◽  
Hiv Care ◽  
Hiv Education ◽  
Hiv Services ◽  
Care Services ◽  
Primary Care Services ◽  
Rural Kenya

HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya. Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic. We then integrated HIV and primary care services. Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic. Changes in patient responses were assessed using truncated linear regression and logistic regression. At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32–5.56), HIV education (aOR 3.28, 95% CI 1.92–6.83), and wait time (aOR 1.97 95% CI 1.03–3.76). Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06–3.86). Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33–8.52). Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction.

scholarly journals Perception of university students about doctors and quality of health care provision at clinics: a multi-national study in India, Pakistan, Spain and United States of America

2019 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Dnyanesh Limaye ◽  
Gerhard Fortwengel ◽  
Ravi Shankar Pitani ◽  
Sushama Sathe ◽  
Sanika Chivate ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Satisfaction Score ◽  
National Study ◽  
Female Participant ◽  
Eligibility Criterion ◽  
State University ◽  
Care Services ◽  
Primary Care Services ◽  
Physician Patient

Background: Patient satisfaction is considered as an indicator of the healthcare quality. Information on patient satisfaction based on medical expertise of the physician, interpersonal skills, physician-patient interaction time, perception and needs of the patient allow policymakers to identify areas for improvement. Primary care services and healthcare structure differ between the countries. The present study was done to determine and analyze the determinants associated with patient satisfaction in India, Pakistan, Spain and USA.Methods: This descriptive study was performed in January to August 2019 among students from Mumbai University, India, Dow University of Health Sciences, Karachi, Pakistan, University CEU Cardenal Herrera, Valencia, Spain, Texas State University, Texas, USA. On the basis of the eligibility criterion (those who gave a written informed consent and were registered students of respective university) 890 (India: 369, Pakistan: 128, Spain: 195, USA: 99) students were selected for the present study.Results: India had almost similar male (49%) to female (51%) ratio of participants. For other 3 countries (PK, ES, US), female participant percentage was nearly 20% or even more as compared to male participants. Overall participant’s satisfaction score about medial expertise of the doctor were highest in India (71%) and were lowest in Spain (43%). Overall satisfaction score about time spent with doctor were highest for India (64%) and were lowest for Spain (41%). Overall satisfaction score about communication with doctor were highest for US (60%) and were lowest for PK (53%). Overall satisfaction score for medical care given by the doctor was lowest in PK (43%) and was highest in US (64%). Overall satisfaction about doctor, highest number of US (83%) and lowest number of PK (32%) participants were satisfied about medical interaction with doctors.Conclusions: These multi-country findings can provide information for health policy making in India, Pakistan, Spain and USA. Although the average satisfaction per country, except Pakistan is more than 60%, the results suggest that there is ample room for improvement.

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.

scholarly journals Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions?

2017 ◽  
Vol 19 (04) ◽  
pp. 398-406 ◽  
Author(s):  
Yakup Akpinar ◽  
Hakan Demirci ◽  
Ersin Budak ◽  
Ayse Karalar Baran ◽  
Ali Candar ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Emergency Departments ◽  
Emergency Services ◽  
Family Doctor ◽  
Working Hours ◽  
Family Doctors ◽  
Care Services ◽  
Primary Care Services ◽  
First Contact

AimTo identify the reasons why patients with minor complaints choose emergency departments (EDs) as a first contact of care and whether dissatisfaction with primary care services influences their decisions.MethodsIn this study, a self-completed survey called EUROPEP was given to 535 outpatients who were admitted to the XXXXX Hospital in Bursa and examined in the green zone in July 2015. Patients were asked about their complaints and why they preferred EDs as a first contact of care.ResultsEDs were the first contact of care in 87.8% of cases. In all, 9% of patients registered to family physicians who were working outside the city of Bursa. There was no relationship between patient satisfaction and the number of previous visits to EDs in last 12 months (P=0.09). The main reasons for admitting to the emergency services were feeling excessive pain (20.4%), perception of urgency (14.5%) and that the family doctor services were closed outside working hours (13.2%). The mean patient satisfaction with family practice offices was calculated to be 68.1%.ConclusionsThe frequency of admission to EDs as a first contact of care was extremely high in the absence of a referral system. Patients who did not have family doctors in the settlement where they live put an extra burden on the EDs. Overall, patient satisfaction with their GPs did not influence the number of visits to EDs but accessibility remains a big challenge.

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