scholarly journals The perception of students towards administration of health services at the Durban University of Technology’s Durban campus clinic

2021 ◽  
Author(s):  
◽  
Mthokozisi Richard Mnculwane
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Service Providers ◽  
Medical Condition ◽  
Health Care Facilities ◽  
Health Clinic ◽  
Quantitative Research Methods ◽  
Health Clinics ◽  
Students Satisfaction ◽  
Improve Service Delivery

Healthcare that does not satisfy the patient is usually less effective because less satisfied patients tend not to comply with instructions, they take longer to follow up with appointments and they have a poor understanding of their medical condition. The provision of overall quality healthcare for patients is a key motivation for many service providers. Surveys of service delivery towards healthcare satisfaction form an essential role in assessing public opinion of the service provided. Thus, the evaluation of the service provided by a clinic can be reflected in the degree of satisfaction perceived by individuals receiving the services. There is a paucity of literature on students’ satisfaction with health care facilities at institutions of higher learning and there is no known research conducted on service delivery at the DUT health clinics. This study intended to identify areas of service delivery at the DUT health clinics that may require improvement and to make recommendations to improve service delivery. The purpose of this study was also to identify the quality of service dimensions that play an important role in patient’s (students’) satisfaction at the Isolempilo Health Clinic at DUT, to measure student satisfaction of the service delivery and to make recommendations for improvement. The objectives of the study were to identify the students’ experiences of service delivery at the Isolempilo Health Clinic at DUT, to investigate the challenges/barriers experienced by students when accessing healthcare at the Isolempilo Health Clinic in DUT and to recommend ways to improve service delivery to students. This study used quantitative research methods to establish students’ experiences and perceptions of service delivery at the Isolempilo Health Clinic. Convenience sampling was used and data was collected in a form of close-ended questionnaire. Questionnaires were completed by a total of 120 students who visited the clinic for medical care constituted during the data collection period. The Statistical Package for the Social Sciences (SPSS) Version 24 software was used to capture participant’s information obtained from the questionnaires and it was used to analyse the data. Findings show that areas that demonstrated particularly high satisfaction are confidentiality of information, referral systems to other health care such as hospitals, the HIV Testing and Counselling and the language of communication. On the other hand, areas that revealed lower degrees of satisfaction are branding of the clinic and visibility of the clinic the booking system, operational hours and selling of commodities such as pregnancy tests. This study adds value as it recommends ways to improve service delivery at the Isolempilo Health Clinic.

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

scholarly journals Quality of Counselling Services for Pregnant Women in Community Clinics

2022 ◽  
Vol 02 (01) ◽  
Author(s):  
Shahzadi Mahmuda ◽  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Provider ◽  
Care Provider ◽  
Service Providers ◽  
Critical Role ◽  
Health Care Facilities ◽  
Maternal Health Service ◽  
Community Clinics

Maternal health service had a potentially critical role in the improvement of reproductive health. This descriptive study was carried out in Tangail district, from 1st January to 31st December, 2019 to find out the quality of counselling of services for pregnant women in community clinics during pregnancy period. Data were collected among 289 respondents by face to face interview who had delivered within last 24 months and respondents were selected purposively. The majority (97.6%) of the respondents were housewife and maximum (72%) of the respondent were below SSC in this study monthly family income mean was taka 16124.00± 10065.480. Majority of the respondents (99.2%) had received antenatal check-up from different health care facilities and highest (87.2%) had received from the community clinic other hands (6.0%) pregnant women got antenatal care from non-government hospital among 250 respondents (94.0%) pregnant women received ANC from CHCP also (4%) pregnant women received ANC from HA. Out of 250 pregnant women (70%) of the respondents were problem suffer during pregnancy. Here majority (59.6%) pregnant women were suffer from nausea and vomiting and only (6.3%) were suffering from constipation. Majority (89.2%) of the respondents had preparation about danger sign during pregnancy. Most 245 (98%) of the respondents of pregnant women had information about ANC and most (85.7%) got information from CHCF on other hand ride got information (2.9%) from neighbour. half (4.8%) of the respondents choice of conduct delivery at upazila health complex followed by (48.8%) only choice of conduct clinics. Most (98%) of the respondents had received TT vaccine and maximum (95.1%) of the respondents had completed TT vaccine. Enough skilled manpower for patient care (98.4%). Health care provider perform ANC check-up (96.8%). Health care provider counselling during pregnancy (96.4%) physical examination (98.0%) explanation of health. (99.2%) health care provider give any advice before departure (70.4%). Continue to follow-up health status over phone (99.2%). Service providers in health care shows that 33.3% was BSc/BA, 42.9% of service providers were masters and above their professional training more than one third (38.1%) of the providers has basic training, 47.6% had basic & CSBA and rest 14.3% had ECT and nutritional training. Majority 100% of the provider’s designation had CHCP, number of staff in two health care had more than half (57.1%) providers.

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

scholarly journals Swedish health care system – some trends of its reforming

2010 ◽  
Vol 1 (1) ◽  
pp. 151-164 ◽  
Author(s):  
Marcin Moks
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Service Providers ◽  
Diagnosis Related Groups ◽  
Health Care Facilities ◽  
System Reform ◽  
Swedish Health Care ◽  
Care Facilities ◽  
Care System

The constant increase in public health expenditure, which is being observed from the 60s, initiated research into way to optimize it. The aim the article is to show concepts of the health reforms which have been applied in the Swedish health service. In the article are presented main proposals of changes in the system financing and service provision. Article characterizes patient participation in costs of services, private health insurance, privatisation of health care facilities, purchase-provider split and providers reimbursement. The articles begins with the overview of concepts related to health care system reform. Next, the health system in Sweden is shortly presented. The main part of the article presents the reforms which has been implemented in the financing and services provision. Patients’ participation in financing of the health system has been extended by fees for service. The importance of private medical insurance is marginal. Purchaser-provider split has been introduced in most of counties. In general primary care facilities have been privatised. In regard to service providers reimbursement is generally used global budgeting, feed for service or diagnosis-related groups.

scholarly journals Evaluating Eye Health Care Services Progress Towards VISION 2020 Goals in Gurage Zone, Ethiopia.

2021 ◽  
Author(s):  
Tiliksew Teshome ◽  
Omar Salamanca ◽  
Alana Calise ◽  
Jibat Gemida Soboka
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Human Resources ◽  
Catchment Area ◽  
Care Center ◽  
Health Care Facilities ◽  
Vision 2020 ◽  
Eye Care ◽  
Primary Eye Care ◽  
Eye Health

Abstract Background Ethiopia signed the VISION 2020 Global Declaration and launched its eye health program in 2002. Since then, there has been limited systematic and comprehensive evaluation of the progress towards VISION 2020 goals in Ethiopia.Purpose To evaluate Gurage Zone progress towards VISION 2020 targets and process indicators.Method An institutional-based cross-sectional study was conducted among all public and private eye health care facilities in the Gurage Zone within the Southern Nations, Nationalities, and People Region of Ethiopia. The evaluation protocol was adopted from the VISION 2020 situational analysis data collection tool. We used this structure to evaluate progress in terms of human resources, infrastructure, and service delivery at the Zonal Health Office and facility level.Result At the time of the study, the Gurage Zone had a 1.7 million catchment area population. There was a total of five eye care centers, of which one was established by a Non-Governmental Organization. Three of these facilities were secondary eye care centers with an operating theater and two of them were primary eye care centers. At the zonal level, there is no survey data available on the prevalence of blindness. There was no systemic evaluation of VISION 2020 process indicators. The budget allocation specific to eye health care was less than 0.7% of the total budget of the office. The human resources for eye health in the catchment area were: one ophthalmologist, two cataract surgeons, five optometrists, and 12 ophthalmic nurses, which is below the VISION 2020 targets for human resources for eye health. In terms of equipment, neither primary eye care center had a slit lamp biomicroscope, and two of the three secondary eye care centers did not have intraocular pressure (IOP) measuring equipment. Only one secondary eye care center was providing glaucoma surgical services, and no center provided either emergency or elective pediatric surgery. The cataract surgical rate (CSR) determined by the study was 1967.ConclusionGurage Zone had not achieved VISION 2020 goals in terms of critical human resources and service delivery. We recommend that the Zonal Health Office carries out a focused and baseline evaluation of eye health care service achievements.

scholarly journals Changes in the time of COVID-19: a quality improvement initiative to maintain services at a youth sexual health clinic

2021 ◽  
pp. sextrans-2021-055265
Author(s):  
Andrew C Lim ◽  
Meghana Venkatesh ◽  
Danielle L Lewald ◽  
Patricia J Emmanuel ◽  
Lisa Sanders
Keyword(s):  
Quality Improvement ◽  
Service Delivery ◽  
Sexual Health ◽  
Urban Youth ◽  
Community Outreach ◽  
Health Clinic ◽  
Quality Improvement Initiative ◽  
Reproductive Health Services ◽  
Health Clinics ◽  
Sexual Health Clinics

ObjectivesAdolescents and young adults (AYAs) face difficulties accessing sexual and reproductive health services. These difficulties were exacerbated for a variety of reasons by the COVID-19 pandemic. We document strategies and outcomes implemented at an urban youth sexual health clinic in Florida that allowed uninterrupted provision of services while protecting against spread of COVID-19.MethodsThe plan–do–study–act (PDSA) model was used to implement COVID-19 interventions designed to allow continued service delivery while protecting the health and safety of staff and patients. This method was applied to clinic operations, community referral systems and community outreach to assess and refine interventions within a quick-paced feedback loop.ResultsDuring the COVID-19 pandemic, changes made via PDSA cycles to clinical/navigation services, health communications and youth outreach/engagement effectively responded to AYA needs. Although overall numbers of youth served decreased, all youth contacting the clinic for services were able to be accommodated. Case finding rates for chlamydia, gonorrhoea, syphilis and HIV were similar to pre-pandemic levels.ConclusionsQuality improvement PDSA initiatives at AYA sexual health clinics, particularly those for underserved youth, can be used to adapt service delivery when normal operating models are disrupted. The ability for youth sexual health clinics to adapt to a changing healthcare landscape will be crucial in ensuring that under-resourced youth are able to receive needed services and ambitious Ending the HIV Epidemic goals are achieved.

scholarly journals The challenges faced by service providers on satellite mental health-care facilities in Yangon, Myanmar: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kyaw Lin ◽  
Sun Lin ◽  
Than Tun Sein
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Service Providers ◽  
Health Workers ◽  
Health Care Facilities ◽  
Significant Treatment ◽  
Content Type

PurposeMyanmar has an insufficient number of mental health workers with few institutional facilities resulting in a significant treatment gap. Although few mental health services are integrated into primary health care (PHC), the challenges are unknown. This study aimed to assess the challenges perceived by providers in the service delivery of satellite mental health care (SMHC) in two sample townships in Yangon.Design/methodology/approachThe research was based on a case study design by applying a qualitative approach using in-depth interviews (IDIs). In the three types of service providers, a total of six staff participated as interviewees. These consisted of two team leaders, two clinical specialists providing consultations to clients and two mental health nurses.FindingsProviders perceived the following as major challenges in the provision of services: unstable financial resources and management, insufficient human resources and capacity of service providers, restricted outpatient services, the lack of a functional referral system, overcrowding, inadequate individual consultation time, long-waiting hours, finite opening days and hours and poor setting of infrastructure, resulting in lack of privacy.Research limitations/implicationsIn the absence of similar studies in Myanmar, findings could not be placed in the context of the national literature for comparison. Further, the study involved a limited number of respondents, which may have affected the findings.Originality/valueAlthough the challenges revealed were not uncommon in mental health services in developing countries, this study focused on a specific model of mental health care integrated into general healthcare settings in Myanmar. The findings offer a benchmark on efforts to develop decentralized mental health services in Myanmar and provide input for future in-depth studies.

scholarly journals Curing or causing? HIV/AIDS in health care system of Punjab, Pakistan

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254476
Author(s):  
Muhammad Ahmed Abdullah ◽  
Babar Tasneem Shaikh ◽  
Haider Ghazanfar
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Care System ◽  
Health Care Services ◽  
Systems Approach ◽  
Control Program ◽  
Phenomenological Approach ◽  
Health Care Facilities ◽  
Care System ◽  
Hiv Aids

Background Pakistan’s National AIDS Control Program has registered 44,000 HIV/AIDS patients to date, but the actual number of cases have been estimated to be as high as 150,000–170,000. The health care system has a very important role to play in this equation and must be reformed to improve the health care services in Pakistan, with regards to HIV/AIDS. Methods It was a qualitative research employing a phenomenological approach. The principal researcher visited nine public and private health care facilities and conducted 19 key informant interviews with people working for providing preventive and curative services, in addition to the observations made on the site. Results Pakistan’s health system has a limited capacity to address the HIV spread in the country, with its current resources. There is an obvious scarcity of resources at the preventive, diagnostic and curative level. However, menace can be curtailed through measures taken at the service delivery level by checking the unsafe needles practices, unclean surgical procedures and an unregulated and untrained private health workforce which are dangerous potentials routes of transmission of the virus to the general population. Healthcare establishments carry the chances of nosocomial infections including HIV/AIDS. Poverty, illiteracy and stigma associated with the disease is compounding the overall situation. Conclusion Improved accessibility to service delivery with a greater focus on prevention would be imperative to address the threat of HIV/AIDS in Pakistan. A health systems approach would help in identifying gaps at both strategic and operational levels, and concurrently find and implement solutions.

scholarly journals Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Wendy V. Norman ◽  
Barbara Hestrin ◽  
Royce Dueck
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Health Services ◽  
Service Delivery ◽  
Service Providers ◽  
Full Range ◽  
Health Centre ◽  
Access Barriers ◽  
Care Providers ◽  
Abortion Care

Background. Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. The toll-free pregnancy options service (POS) of British Columbia Women’s Hospital and Health Centre sought to improve access to services and overcome barriers experienced by women seeking abortion.Methods. We describe the development and implementation of a province-wide toll-free telephone counseling and access facilitation service, including establishment of a provincial network of local abortion service providers in the Canadian province of British Columbia from 1998 to 2010.Results. Over 2000 women annually access service via the POS line, networks of care providers are established and linked to central support, and central program planners receive timely information on new service gaps and access barriers.Conclusion. This novel service has been successful in addressing inequities and access barriers identified as priorities before service establishment. The service provided unanticipated benefits to health care planning and monitoring of provincial health care related service delivery and gaps. This model for low cost health service delivery may realize similar benefits when applied to other health care systems where access and referral barriers exist.

Sign in / Sign up

Export Citation Format

Share Document