PATIENT'S SATISFACTION COME FOR EXAMINATION AND REATMENT AT MEDICAL FACILITIES IN VIETNAM. SYSTEM OVERVIEW STUDY, PERIOD 2010-2020

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Tran Thi Ly ◽  
Dang Duc Nhu ◽  
Tran Quoc Thang ◽  
Duong Duy Luong

Background: Patient’s satisfaction is a measure of the health facilities’ reputation and quality of health services. Therefore, determining the satisfaction of the patients in the current context is extremely necessary and meaningful. It provides the evidence for quality improvement of health services.Objective: A systematic review to review research findings on the the satisfaction level and relevant factors, analysis of strengths, weaknesses and deficiencies that need to be supplemented by further studies.Methods: Systematic review.Results: Searched and analyzed 32 national studies related to patient satisfaction. The results show that studies were carried out on many different subjects and locations with different levels of satisfactionConclusion: The satisfaction level of patients is quite high (satisfaction rate is over 70%, average score is over 3.5). Factors with high satisfaction rates include: Information transparency; Behavioralattitude and professional capacity of medical staff. Factors with not high satisfaction rates include: Infrastructure; Accessibility; Service results. Relevant factors: Patient’s satisfaction is not / verylittle related to demographic factors such as: Age, occupation, education level, medical examination target (with health insurance / no health insurance). Factors related to the patient’s satisfaction levelinclude: waiting

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Tran Thi Ly ◽  
Tran Quoc Thang ◽  
Duong Duy Luong

Background: A famous hospital manager Joe Jansante said that "It is impossible to have patient’s satisfaction without medical staff’s satisfaction", satisfaction with the work of health workers will ensure that adequate human resources are maintained and improved quality of health services at health facilities. Objective: A systematic review to review research findings on the the satisfaction level and relevant factors, analysis of strengths, weaknesses and deficiencies that need to be supplemented by further studies. Methods: Systematic review. Results: Searched and analyzed 25 national studies related to medical staff’s satisfaction. The results show that studies were carried out on many different subjects and locations with  different levels of satisfaction.Conclusion: The satisfaction level of patients is quite high (satisfaction rate is over 50%, average score is over 3.0). Factors with high satisfaction rates include: Relationship with leaders, colleagues (61,3%-88,6%); Opportunities for learning and advancement (55.56%-2.5%) and job position (81.8%-93.3%) . Factors with not high satisfaction rates include: Salary (16.7%-31.11%); Non-salary (25.1%-42.3%); Management mechanism (20.3%); Facilities (23.7% -50.4%) and records (26.8%-40%). Relevant factors: Medical staff satisfaction is not/very little related to demographic factors such as: Age, gender, region of residence. Factors related to the medical staff  satisfaction level include: social relationships and mechanisms for management and operation of the unit.


2021 ◽  
pp. 074880682110247
Author(s):  
Paul von Waechter-Gniadek ◽  
Thomas Kündig ◽  
Pål Johansen ◽  
Roland Boeni

In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.


Retos ◽  
2015 ◽  
pp. 14-18 ◽  
Author(s):  
Marta González Pascual ◽  
Juan Carlos Manrique Arribas ◽  
Víctor Manuel López Pastor

El presente artículo aporta los resultados de la evaluación llevada a cabo al final del primer curso de implantación de un programa municipal integral de deporte en edad escolar, especialmente centrados en los índices de satisfacción que ofrecen los diferentes agentes implicados: alumnos, padres, profesores y monitores. Se diseñó un cuestionario «ad hoc» para cada una de las cuatro poblaciones implicadas en el desarrollo del programa: alumnado, familias, profesorado y monitores. Se aplicó en las dos últimas semanas del programa. Los datos fueron analizados con el paquete estadístico SPSS 15.0. Los resultados muestran que, en términos generales, el programa integral de deporte escolar ha generado unos índices de satisfacción bastante elevados en todos los grupos participantes. Se analizan los puntos fuertes y débiles del proyecto respecto a los siguientes aspectos: encuentros de los viernes, uso de las instalaciones, actitud y metodología empleada por los monitores, enfoque que se le da a la actividad físico-deportiva (AFD) e información recibida sobre el proyecto. Conclusión: la evaluación del funcionamiento del programa muestra un índice de satisfacción muy elevado en todos los agentes implicados, aunque aparecen algunos puntos débiles que deberían ser mejorados en los siguientes cursos de aplicación.. Palabra clave: deporte escolar, proyecto investigación, índice de satisfacción, deporte educativo.Abstract: This paper provides the results of the evaluation carried out at the end of the first year of implementation of an integrated municipal scholar-sports project, especially focusing on the satisfaction ratings provided by various stakeholders (students, parents, teachers and monitors). A questionnaire was designed «ad hoc» for each of the four people involved in the development of the program: students, families, teachers and monitors. It was applied in the last two weeks of the program. Data were analyzed with SPSS 15.0. The results show that, overall, the integrated program of scholar-sport has generated very high satisfaction rates in all participating groups. We analyze the strengths and weaknesses of the project on the following aspects: the Friday meetings, use of facilities, attitude and methodology used by the monitors, an approach that is given to exercise regularly (AFD) and information received about the project. Conclusion: The performance evaluation of the program shows a very high satisfaction rate in all the agents involved, although there are some weaknesses that should be improved in the following application.Key words: Scholar-Sports, Project Research, Satisfaction Index, Educational Sport.


Author(s):  
Gamal Ghoniem ◽  
Bilal Farhan ◽  
Mashrin Lira Chowdhury ◽  
Yanjun Chen

Abstract Introduction and hypothesis This study aimed to report 3-year completed follow-up of the safety and efficacy of Macroplastique® (MPQ) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). Methods This is a retrospective analysis of all women who completed 3-year follow-up post-MPQ injection(s) at ten medical centers. We used the ROSE registry data report of Macroplastique® [Macroplastique® Real-time Observation of Safety and Effectiveness (ROSE) registry P040050/PAS001 on 2017]. Subjective incontinence outcome and adverse effects were assessed. Results The study included all patients (n = 70) who completed 3-year follow-up after the last MPQ injection. Twenty-four of 70 (34%) patients had two injections; 21/70 (30%) patients reported Stamey grade 0 and 28/70 (40%) reported Stamey grade 1. The overall patient satisfaction was 68% who completed 3-year follow-up. The composite success rate (I-QoL, PGI-S, and Stamey grade improvement) was 51.4%. No serious adverse events (AE) were reported within the completed 3-year follow-up. Conclusions MPQ was found to be safe and efficacious for the treatment of SUI secondary to ISD in women. The overall high satisfaction rate was sustained from baseline to 3 years post-injection. Most complications were minor and transient without sequelae.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Liu ◽  
Tengteng Li ◽  
Nafei Guo ◽  
Hui Jiang ◽  
Yuehong Li ◽  
...  

Abstract Background Low risk pregnancy ending in a vaginal birth is best served and guided by a midwife. Utilizing a midwife in such cases offers many emotional and economic advantages and does not increase the risks for mother or neonate. However, women’s experience and satisfaction of midwife-led maternity care is rarely reported in China. The primary objective of this study is to describe the experience of Chinese women receiving midwife-led maternity care, and to report their satisfaction level of the experience. Methods The study is a cross-sectional survey of 4192 women who had natural birth from March–June 2019 in a maternity care center, Shanghai, China. We used a self-administered questionnaire addressing items related to women’s experience during childbirth, as well as their satisfaction with midwife-led maternity care. We also included demographic and perinatal characteristics of each participant. Descriptive statistics and correlations analysis between groups of different experience and satisfaction were used. Results In this sample, 87.7% of women had a Doula and a family member present during childbirth. Epidural anesthesia was used in 75.6% and episiotomy was needed in 23.2%. Free positioning during the first stage of labor and free positioning during the second stage of labor and delivery were adopted in 84.3 and 67.9% of the cases, respectively. Moderate to severe perineal pain and moderate to severe perineal edema were reported in 43.1 and 12.2% of the participants, respectively. High satisfaction level was found when there was midwife-led prenatal counseling and presence of Doula and family member, Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during the first stage of labor, and midwifes’ postpartum guidance. Negative satisfaction was seen with perineal pain and edema. Conclusion Women in this survey generally had high satisfaction with midwife-led maternity care. This satisfaction is probably felt because of the prenatal counseling by the midwife and allowing a Doula and a family member in the room during childbirth. Other intangible factors to improve the satisfaction level were Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during first stage of labor, and early skin to skin contact.


Author(s):  
Melanie Joy Criss

This article discusses the use of telerehabilitation technologies in occupational therapy for school-based practice. Telerehabilitation, for the purpose of this program, included the implementation of occupational therapy services via two-way interactive videoconferencing technology. The subjects included in this pilot program were children, ages 6 to 11 years, who attended an online charter school and had difficulties in the areas of fine motor and/or visual motor skills which impacted success with handwriting. Each participant completed a virtual evaluation and six 30-minute intervention sessions. The Print Tool™ Assessment was used to determine progress pre- and post-program. A learning coach/student satisfaction survey was given at the end of the program to determine participant satisfaction. Outcomes revealed improvements in handwriting performance for most students who participated in the program and high satisfaction rates reported by all participants.


2014 ◽  
Vol 9 (3) ◽  
pp. 83
Author(s):  
Richard Hayman

A Review of: Cirasella, J., & Bowdoin, S. (2013). Just roll with it? Rolling volumes vs. discrete issues in open access library and information science journals. Journal of Librarianship and Scholarly Communication, 1(4). http://dx.doi.org/10.7710/2162-3309.1086 Abstract Objective – To understand the prevalence of, motivations for, and satisfaction with using a rolling-volume publishing model, as opposed to publishing discrete issues, across open access academic journals in library and information science. Design – A 12 question survey questionnaire. Setting – English-language, open access library and information science (LIS) journals published in the United States of America. Subjects – A total of 21 open access LIS journals identified via the Directory of Open Access Journals that were actively publishing, and that also met the authors’ standard of scholarliness, which they established by identifying a journal’s peer-review process or other evidence of rigorous review. Based on responses, 12 journals published using discrete issues, while 9 published as rolling volumes or as rolling volumes with some discrete issues. Methods – In late 2011, the study’s authors invited lead editors or primary journal contacts to complete the survey. Survey participants were asked to identify whether their journal published in discrete issues, rolling volumes, or rolling volumes with occasional discrete issues, with the latter two categories combined as one for ease of results analysis. Survey logic split respondents into two groups, either discrete-issue or rolling-volume. Respondents in both categories were posed similar sets of questions, with the key difference being that the questions directed at each category accounted for the publication model the journals themselves identified as using. Editors from both groups were asked about the reasons for using the publication model they identified for their journal: within the survey tool, authors provided 16 potential reasons for using a discrete-issue model, and 13 potential reasons for using a rolling-volume model. Respondents from both groups were asked to mark all reasons that applied for their respective journals. The survey also included questions about whether the journal had ever used the alternate publishing model, the editor’s satisfaction with their current model, and the likelihood of the journal switching to the alternate publishing model in the foreseeable future. Main Results – The authors collected complete responses from 21 of the original 29 journals invited to participate in the study, a response rate of 72%. For the 12 journals that identified as using discrete issues, ease of production workflow (91.7%), clear production deadlines (75.0%), and journal publicity and promotion (75.0%) were the three most common reasons for using a discrete-issue model. For the nine journals using rolling volumes, improved production workflow (77.8%), decreased dependence on production deadlines (77.8%), and increased speed of research dissemination (66.7%) were the three most common reasons cited for using a rolling-volume model. Findings show that overall satisfaction with a journal’s particular publication model was a common factor regardless of publishing model in use, though only the rolling-volume editors unanimously reported being very satisfied with their model. This high satisfaction rate is reflected in editors’ positions that they were very unlikely to switch away from the rolling-volume method. While a majority of editors of discrete-issue journals also reported being very satisfied or somewhat satisfied with their current model, the mixed responses to whether they would contemplate switching to the alternate model suggests that awareness of the benefits of rolling-volume publishing is increasing. Conclusion – Researchers discovered a greater incidence of rolling-volume model journals with open access LIS journals than anticipated, suggesting that this is an area where additional research is necessary. The relative newness of the rolling-volume model may be a contributing factor to the high satisfaction rate among editors of journals using this model, as journal editors are likely to be more deliberate in selecting this model over the traditional discrete-issue publishing model. Workflow and production practices were identified as key characteristics for selecting a publishing model regardless of the model selected, and therefore this is another area in need of further investigation.


Author(s):  
Krishankumar D. Patel ◽  
Ronak D. Karnavat ◽  
Dimple G. Viramgama ◽  
Roma K. Dalal

 Background: Cervical cancer ranks 3rd leading cause of cancer in the world. Cervical erosion is mostly asymptomatic in women but when symptoms like postcoital bleeding and vaginal discharge occur in the presence of cervical erosion, it becomes important to identify whether the erosion is a benign lesion or CIN or cancer by means of PAP smear and Biopsy. Treatment for benign and precancerous lesion can be provided by ablative or excisional methods. Cryotherapy was reliably used to treat cervical lesions.Methods: Women among 18 to 60 years of age attending outpatient department who had history of chronic discharge per vaginum, postcoital bleeding, dyspareunia, chronic pelvic pain. Patients were divided in two by PAP smear in erosion with inflammatory changes and presence of low grade squamous intraepithelial lesion. Cryotherapy was performed using double-freeze single session procedure. Each patient was followed up at 2, 6 and at 12 weeks. Complications and patients’ satisfaction were recorded and compared to calculate cure rate of symptoms, healing of lesion.Results: The healing efficacy of cryotherapy at 6th and 12th week was 87.8% and 91.1% respectively. Cryotherapy had high satisfaction rate. The cure rate was not affected by location of lesion and size of lesion in both inflammation and LSIL.Conclusions: Cryotherapy is an effective method for treatment of cervical erosion and effectively eliminates symptoms. Patients were highly satisfied. Cryotherapy is cheap, easy, and safe treatment. It is suitable for both hospital and office-based practice.


2020 ◽  
Vol 73 (6) ◽  
pp. 550-556 ◽  
Author(s):  
Hesham Elsharkawy ◽  
Hassan Hamadnalla ◽  
Ece Yamak Altinpulluk ◽  
Rodney A. Gabriel

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.


2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Alaa Mazy ◽  
Nadia Madkour ◽  
Hesham Shaalan

Abstract Background Parturients are highly anxious preoperatively. The worries of spinal anesthesia may preclude its acceptance despite being recommended. Procedural sedation is not a routine during regional blocks, but it is sensible that anesthesiologists should provide their blocks comfortably. The proposal is that implementing the propofol procedural sedation (PPS) may increase the acceptance rate of spinal anesthesia for cesarean section. Methods In this prospective observational study, the patients who refused spinal anesthesia primarily were interrogated to implement PPS for painless comfortable spinal anesthesia. Their acceptance rate was the primary outcome. In the sitting position, propofol 0.7 mg/kg and 20 mg increments were used as required. Patients were well supported and monitored. Data were compared by Mann-Whitney, chi-square, Fisher’s exact, and Friedman’s ANOVA tests as appropriate. Results The acceptance rate of spinal anesthesia increased from 17 to 93%. During PPS, the mean values of minimal mean blood pressure were not significantly decreased, while the mean values of the heart rate slightly increased. The minimal values of oxygen saturation showed no significant reduction compared to the basal values. Patients expressed a marked relief of anxiety and high satisfaction. Conclusion The use of propofol procedural sedation was effective in increasing the acceptance rate of spinal anesthesia during CS with safety and high patient’s satisfaction.


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