scholarly journals The role of comprehensive international electronic medical file in improving the quality of medical services and achieving the satisfaction of stakeholders: An exploratory study in Jeddah, Saudi Arabia

2021 ◽  
Vol 10 (4) ◽  
pp. 15
Author(s):  
Nayef Al-Ghamri

Objective: The current study investigates the possible impact of creating a comprehensive international electronic medical file that is part of a database which can be used in various areas to achieve the highest levels of satisfaction for patients and official bodies and enhance the quality of medical services at hospitals as well. One of the key purposes of this e-file is achieving the readiness and confidentiality of data so that it can be shared among hospitals whether inside the Kingdom of Saudi Arabia or even abroad. In addition, the medical e-file may contribute to reducing the costs of treatment, monitoring the performance of doctors and minimising medical errors. Moreover, the e-file may be used for even other purposes such as security or financial reasons.Methods: The study employed the quantitative research design where 171 questionnaires were distributed to patients, managers and staff in 19 small private hospitals in Jeddah city. The questionnaire 44 questions were designed after conducting a small pilot study on 15 participants. The response rate was about 82.5% in terms of the study questionnaire as only 141 questionnaires were collected. 84 male and 57 female participants took part in the study.Results: The study shows that there is a statistically significant correlation between the use of the international electronic medical file and the enhancement of the quality level of services provided at hospitals, the electronic rehabilitation, training, integrity and awareness of medical staff, and the productivity of hospital workers in line with the Kingdom’s 2030 vision. Moreover, there is a statistically significant correlation between the use of the comprehensive international electronic medical file and raising the level of patient satisfaction by working to protect their medical and financial information and speeding up the process of providing it whenever needed, whether inside the KSA or abroad, as well as reducing the costs of treatment locally and internationally and raising the rates of patient awareness of their medical rights. The results also reveal that using the comprehensive international electronic medical file helps to link patients’ data to all concerned authorities, which leads to enabling them to monitor the performance of hospitals and their staff, monitor the performance of doctors, reduce medical errors, and follow up on patients’ cases and rights to the fullest extent.Conclusions: The study recommends the necessity of selecting and training medical personnel in a professional manner, including those working in the field of the database, and the necessity of maintaining the confidentiality of personal information.

2020 ◽  
Vol 1 (1) ◽  
pp. 31-37
Author(s):  
O.A. Aleksandrova ◽  
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A.V. Yarasheva ◽  
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...  

Background. One of the tasks of the state policy in the field of health care is to improve the quality of medical services for the population, to increase the requirements for the competencies of medical personnel, on the results of whose activities public health depends. In this regard, the efficiency of organizing the processes of basic training and retraining (additional education) of doctors acquires a special role. Purpose. Revealing urgent problems of professional training of doctors for the capital's health care. Materials and methods. Sociological research in the form of a series of expert interviews. Results. On the basis of the systematization of the information obtained by the authors in the course of the study, imperfections in the organization of the educational process in obtaining higher medical education are determined. Discussion. Professional training of doctors is a dynamically developing system, the effectiveness of which ultimately affects the quality of medical services provided to the population. Conclusion. Solving the problems associated with improving the content of curricula in medical universities, organizing the educational process and monitoring knowledge requires careful research and search for approaches that meet modern realities.


2019 ◽  
Vol 33 (4) ◽  
pp. 154-157 ◽  
Author(s):  
A. A. Solovyev ◽  
N. V. Kopysova

The purpose of the study was to analyze the state of satisfaction of the population in the provision of medical services and to observe the changes taking place in this area in connection with the start of the national project “Lean Polyclinic”. The studies were conducted in the form of a questionnaire survey of patients of two medical institutions, namely: the Regional Public Health Institutions “Children’s City Hospital No. 2” and “B. I. Alperovich City Clinical Hospital No. 3”.The material of the study was the responses on paper of the interviewed patients. The average indicators of patient satisfaction with the received medical services were determined by means of statistical calculations. The survey was conducted at the start of the project in May‑July of 2017 and again in October‑December of 2017.Results. The initial survey revealed the presence of such problems as insufficient number of automated workplaces; heavy workload of the doctor when working in the Medical Information System of the Tomsk Region; imperfection of the card filing cabinet; insufficient number of racks for storing outpatient cards, front-office and back-office were located in the same room and did not have a partition, which created noise and interfered with the work of call-center operators; the need to contact the registry to get the outpatient card when the visit was previously assigned; difficult orientation of patients in the clinic; long-term preventive examination of children aged 1 year; mixed flows of healthy and sick patients; and lack of personnel. The repeated survey reflected the changes that occurred in connection with the start of the “Lean Polyclinic” project: the number of detected violations tended to decrease, which indicated the improvement in the quality of services and the improvement in the organization of medical personnel work.Conclusion. Thus, the present study established that the use of lean production technologies contributed to the quality of medical services and it had a beneficial effect on the processes of organizing the work of medical institutions. 


Author(s):  
Wan-I Lee ◽  
Chun-Chi Chen ◽  
Yu-Bin Huang

In 1993, Taiwan has transformed into an aged society. Compared with general patients, older patients differ considerably in body functionality, mentally, and mobility-wise. The primary customers of medical institutions are adult patients in Taiwan, and the needs of older patients are often ignored; however, older patients visiting the case hospital in this study accounted for nearly 30% of the total number of outpatients. This indicates that the needs of older patients are a matter requiring the serious attention of medical personnel. This is a common issue for all countries that were entered an aging structure of the population. This study investigated the attention paid by supervisors and medical personnel involved with medical decisions to the quality of medical services received by older outpatients. An analytic hierarchy process (AHP) was employed to interview 10 experts in older medical care providing age-friendly medical care at the case hospital, medical staff including senior physicians, nursing department supervisors, administration department supervisors, and certified managers. The results indicate that the supervisors and medical personnel considered the “communication and services” provided to older patients during their medical treatments to be the most crucial factor in their treatment process, rating it twice as important as the next most important criteria, the care process and physical environment. Medical personnel paid great attention to communicate with and servicing older patients; listening to their needs and concerns was deemed the most critical, followed by being able to empathize with them to solve problems. Asking patients about their problems when they visited the hospital was considered the most crucial aspect of the care process; in the physical environment, it was spatial planning and traffic flow design. The results of this study enable other countries' medical institution managers and relevant competent authorities to gain insight into the attention paid by front-line employees in promoting age-friendly medical care. If supervisors and medical personnel involved with medical decisions share a similar attitude toward promoting medical service quality, government authorities and medical institutions can implement and enhance an age-friendly medical treatment environment for older patients, as well as increase quality of patient-centered medical services.


As a result of liberal reforms of the national healthcare system, the structure of the state sector of medical services production has changed. The number of hospitals has more than halved, and the number of hospital beds has decreased from 2,037.6 thousand in 1990 to 1,182. 7 thousand in 2017, while the motivation of medical personnel has changed. External professional motivations of medical service providers began to prevail over internal ones. To achieve an acceptable level of accessibility and quality of medical services to the population, it will be necessary not only to restore the structural elements of domestic medicine, but also to revise the ideology of professional selection of medical school applicants, adapt medical education to the requirements of "Medicine 5P" and radically change the personnel policy.


Author(s):  
Nicoleta Chicu ◽  
Alecxandrina Deaconu ◽  
Lavinia Rasca

Abstract The way we recognize and manage emotions, empathy, stress management, and the ability to build harmonious relationships, or emotional intelligence, are little explored in the medical field, although they have been shown to play a very important role in recovering patients and increasing the degree of their satisfaction with the accessed medical services. The purpose of the research is to highlight, based on the results of an investigation, whether the emotional intelligence of medical staff influences the quality of the medical services offered and patients’ satisfaction. Towards this end, the authors performed a survey based on the emotional intelligence test developed by Daniel Goleman and presented in his book “Emotional Intelligence”, and modified and adapted by Mihaela Roco. The patients included in the sample answered to a questionnaire related to their satisfaction when they used medical services.


Author(s):  
S. R. Yessimzhanova

The article examines health capital as the basis for the functioning of human capital. The issue of understanding of human capital importance is still relevant for Kazakhstan, as well as in the development and implementation of its development model. Based on the analysis of demographic indicators characterizing the health of the population of Kazakhstan, revealed the negative trends in indicators of life expectancy and mortality caused by COVID–19. Marketing research conducted by interviewing patients showed for the most part their dissatisfaction with the quality of medical services provided, and the results of the expert survey made it possible to identify problems in medical care in the conditions of COVID–19 and identify ways to solve them. The analysis of the indicators allowed us to conclude that the health of the population in Kazakhstan has deteriorated over the past two years. Today, there is an acute shortage of personnel in healthcare institutions, especially in rural areas. Insufficient number of medical personnel leads to exceeding the specific weight of the time required for patient care, which affects the timeliness and quality of medical services. Not everyone receives a guaranteed amount of free medical care under the CSHI, the unemployed and the self-employed left behind. As a result, there is an objective need to increase investments in healthcare both from the state and from companies, as well as an individual.


2021 ◽  
pp. 65-72
Author(s):  
Larisa Arkadyevna Karaseva ◽  
Tatyana Vladimirovna Bessonova

The aim of the study the influence of job satisfaction of medical personnel on the quality of medical care. Results: the role of the nurse-leader in increasing the job satisfaction of medical personnel was studied; a comparative analysis of the attitude to work of medical personnel and their satisfaction in commercial and non-commercial medical organizations was carried out; formulated practical recommendations aimed at increasing the job satisfaction of medical personnel and the quality of medical services. Conclusion: formulated practical recommendations aimed at increasing job satisfaction of medical personnel and improving the quality of medical services provided to them.


Author(s):  
Agnieszka KRAWCZYK-SOŁTYS ◽  

Purpose: The aim of the article is to identify the current level of professional competencies and to determine the extent to which individual professional competencies affect the organizational competences of Emergency Medical Units in the areas of marketing (recognizing the patient's needs), quality (level of medical services) and logistics (provision of medical services in the right place and time). Design/methodology/approach: The model of professional competencies of medical staff employed in Polish EMU establishes eight domains. To achieve superior organizational performance is very important to identify which set of professional competencies is required to gain their strategic goals. The research was carried out in 2018 in Emergency Medical Units in six voivodships. 135 respondents took part in the survey. Findings: As a result of the research, it is determined that the highest level among the professional competencies presented in the model is characterized by transportation competencies. Among managerial competencies, the following have the greatest impact on the organizational competences of Emergency Medical Units: in the area of quality – transportation competencies, while in the areas of marketing and logistics – transportation, therapeutics and assessment and diagnostics competencies. Practical implications: Nowadays health systems are being confronted with rapidly increasing demand generated by the COVID-19 outbreak. A well-organized and prepared health system has the capacity to maintain equitable access to essential service delivery throughout an emergency, limiting direct mortality and avoiding increased indirect mortality. Originality/value: An integration professional competencies of medical personnel of Emergency Medical Units with its organizational competences especially relevant in pandemic time


Author(s):  
Anna Winiarczyk-Raźniak

The fundamental purpose of healthcare industry is to effectively provide medical services that improve the quality of health in a given society. The most important issue is the issue of access to medical facilities. The paper presents the spatial distribution of medical services across Mexico. This includes access to hospitals, clinics, and analytical laboratories, as well as the number and profile of medical personnel, as measured by the number of physicians, nurses, and dentists. Available data was used to construct a comprehensive index that was used to determine whether medical care in Mexico had become more or less accessible from 1995 to 2005.


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