scholarly journals Development and evaluation of a hospital management practice rating scale

2018 ◽  
Vol 7 (1) ◽  
pp. 9
Author(s):  
Yidan Zhu ◽  
Ruya Guo ◽  
Lixia Dou ◽  
Yifei Zhao ◽  
Shenshen Li ◽  
...  
Keyword(s):  
Rating Scale ◽  
Management Practice ◽  
Clinical Pathways ◽  
Hospital Management ◽  
Relevant Information ◽  
Four Dimensions ◽  
Coronary Syndromes ◽  
Hospital Stays ◽  
Test Retest Reliability ◽  
High Degree

Background: Lacking methods to quantify the inter-hospital variance in hospital management practice (HMP) is a bottle neck for research on HMP and quality of care. This study aims to quantify the inter-hospital variance in HMP by developing a novel rating scale of HMP and evaluating its feasibility, reliability and validity.Methods: Based on the theory of hospital management, we developed a HMP rating scale with 4 dimensions: Target, operations, performance and talent management. We used questionnaires to collect relevant information from the hospital director, the medical affairs director, the head of the department of cardiology, and a cardiologist. And we also requested a list of administration documents. For validation of the scale, we applied it to 101 hospitals that had participated in the Third Phase of the Clinical Pathways in Acute Coronary Syndromes Study (CPACS-3) in 2013 and repeated it in 2014.Results: The HMP rating scale includes 17 indicators and 47 sub-indicators in the four dimensions; 85% and 97% of hospitals responded to the first and second survey respectively. A high degree of the test-retest reliability for the overall score (ICC = 0.8) was found between the two time points. Both split-half and Cronbach’α coefficient of the overall score exceeded 0.85. Cumulative percentage of variance in all dimensions was above 60%, and factors extracted in each dimension were highly consistent with the designed indicators and sub-indicators. The overall HMP score was different between hospital groups with different revenues, patients’ hospital stays, and number of clinical pathways (All p values < .01).Conclusions: The HMP rating scale was demonstrated reliable, valid, and responsive, but future studies with larger sample size in different settings are needed to confirm the study findings.

Development of a Parent Report Measure for Profiling the Conversational Skills of Preschool Children

1997 ◽  
Vol 6 (4) ◽  
pp. 25-33 ◽  
Author(s):  
Luigi Girolametto
Keyword(s):  
Rating Scale ◽  
Parent Report ◽  
Parental Perceptions ◽  
Communicative Ability ◽  
Conversational Skills ◽  
Scale Scores ◽  
The Individual ◽  
Test Retest Reliability ◽  
High Degree ◽  
Report Measure

A rating scale was developed for parents to use in profiling the conversational skills of their toddlers and young preschoolers with expressive skills between 12–36 months. The scale items were tested on 60 children with language delays and measured parental perceptions of two types of conversational interactions specifically designed to respond to the partner (i.e., answer questions, continue the topic of conversation) and to assert (i.e., request, initiate topics). Evaluation of the psychometric properties of the rating scale indicates that the individual items within each set are correlated with the total scale scores for responsiveness and assertiveness, respectively. Alpha coefficients were stable when calculated for two different samples. Moreover, administering the scale twice to a subset of 20 parents yielded a high degree of short-term test-retest reliability. The profiles of 6 children are presented to illustrate the clinical usefulness of the rating scale as a means of identifying areas of deficit and selecting potential treatment goals. The rating scale provides a clinically useful tool for including parental perceptions in the overall assessment of the young child's communicative ability.

scholarly journals The hospital management practices in Chinese county hospitals and its association with quality of care, efficiency and finance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yidan Zhu ◽  
Yifei Zhao ◽  
Lixia Dou ◽  
Ruya Guo ◽  
Xuefei Gu ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Performance Appraisal ◽  
Management Practices ◽  
Rating Scale ◽  
Management Practice ◽  
Statistical Significance ◽  
Hospital Management ◽  
Care Quality ◽  
Cross Sectional

Abstract Background County hospitals as the backbone of the China’s healthcare system are providing services for over 70% of the total population. However, the hospital management practice (HMP) and its links with quality of care, efficiency and finance in these hospitals are unknown. Methods We did two cross-sectional surveys of HMP in 2013 and 2015 among 101 county hospitals across rural China. Three managing roles (hospital director, director of medical affairs office and director of cardiology) and a cardiologist were invited to the surveys. A novel HMP rating scale, with 100 as full score, was used to measure the HMP in 17 indicators under four dimensions (target, operation, performance, and talent management) for each hospital. We analyzed the association of HMP score with variables on quality of care, efficiency and finance using linear mixed models with and without adjustment for potential confounders. Findings A total of 95 hospitals participated in at least one survey and were included in the analysis. The overall mean HMP score varied dramatically across the hospitals and 84% of them scored less than 60. The dimension mean HMP score was 38.6 (target), 56.4 (operation), 53.2 (performance) and 55.7 (talent), respectively. The pattern of indicator mean HMP score, however, was almost identical between hospitals with high and low overall HMP score, showing the same ‘strength’ (staff satisfaction, staff performance appraisal, ‘hard wares’, patient-centered services, etc.) and ‘weakness’ (target balance, target setting, continuous quality improvement, penalties on staff with dissatisfied performance, etc.). The associations of overall mean HMP score with quality of care and efficiency variables and cost per hospitalization was not statistically significant. The statistical significance in the association with hospital annual total income disappeared after adjusting for region, teaching status, number of competitors, number of staff and number of beds in use. Conclusion The HMP in Chinese county hospitals scores low in general and was not significantly associated with hospital care quality, efficiency and finance. The current healthcare reform in China should address the micro level issues in hospital management practices.

scholarly journals Psychometric Evaluation of the Persian Version of Barkley Adult Attention Deficit/Hyperactivity Disorder Screening Tool among the Elderly

Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Mostafa Sadeghi ◽  
Homayoun Sadeghi-Bazargani ◽  
Shahrokh Amiri
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Internal Consistency ◽  
Attention Deficit ◽  
Concurrent Validity ◽  
Rating Scale ◽  
Retest Reliability ◽  
Hyperactivity Disorder ◽  
Persian Version ◽  
Test Retest Reliability ◽  
Tabriz City

Background. The Barkley Adult Attention Deficit/Hyperactivity Disorder (ADHD) Rating Scale-IV (BAARS-IV) was developed, and it demonstrated good psychometric properties. The BAARS-IV includes 27 questions on the symptoms of adult ADHD. The purpose of the present study is to investigate the psychometric testing of the Persian version of BAARS-IV among the elderlies in Tabriz City. Method. This cross-sectional study was conducted in Tabriz City—in the west of Iran—in 2015 via enrolling of 121 old-aged people. We did the process of translation and adaptation of BAARS-IV and examined its concurrent validity, internal consistency, and test-retest reliability. Result. The BAARS-IV demonstrated good internal consistency and test-retest reliability. Correlations between the BAARS-IV and the CAARS-S: SV were high and evidence supporting concurrent validity was revealed. Cronbach’s alpha for the overall scale and subscales stood at 0.89, 0.81, 0.66, 0.56, and 0.82, respectively. Conclusion. The Persian BAARS-IV showed acceptable reliability and validity. BAARS-IV was determined to be composed of internally consistent and psychometrically sound items.

scholarly journals Pediatric Deep Brain Stimulation Using Awake Recording and Stimulation for Target Selection in an Inpatient Neuromodulation Monitoring Unit

2018 ◽  
Vol 8 (7) ◽  
pp. 135 ◽  
Author(s):  
Terence D. Sanger ◽  
Mark Liker ◽  
Enrique Arguelles ◽  
Ruta Deshpande ◽  
Arash Maskooki ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Basal Ganglia ◽  
Brain Stimulation ◽  
Rating Scale ◽  
Target Selection ◽  
Test Stimulation ◽  
Depth Electrodes ◽  
A New Technique ◽  
High Degree ◽  
Deep Brain

Deep brain stimulation (DBS) for secondary (acquired, combined) dystonia does not reach the high degree of efficacy achieved in primary (genetic, isolated) dystonia. We hypothesize that this may be due to variability in the underlying injury, so that different children may require placement of electrodes in different regions of basal ganglia and thalamus. We describe a new targeting procedure in which temporary depth electrodes are placed at multiple possible targets in basal ganglia and thalamus, and probing for efficacy is performed using test stimulation and recording while children remain for one week in an inpatient Neuromodulation Monitoring Unit (NMU). Nine Children with severe secondary dystonia underwent the NMU targeting procedure. In all cases, 4 electrodes were implanted. We compared the results to 6 children who had previously had 4 electrodes implanted using standard intraoperative microelectrode targeting techniques. Results showed a significant benefit, with 80% of children with NMU targeting achieving greater than 5-point improvement on the Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS), compared with 50% of children using intraoperative targeting. NMU targeting improved BFMDRS by an average of 17.1 whereas intraoperative targeting improved by an average of 10.3. These preliminary results support the use of test stimulation and recording in a Neuromodulation Monitoring Unit (NMU) as a new technique with the potential to improve outcomes following DBS in children with secondary (acquired) dystonia. A larger sample size will be needed to confirm these results.

The Patient Satisfaction Interview for Partial Hospitalization Programs

1993 ◽  
Vol 72 (2) ◽  
pp. 387-390 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Marjory R. Jakus
Keyword(s):  
Patient Satisfaction ◽  
Physical Environment ◽  
Treatment Strategies ◽  
Partial Hospitalization ◽  
Community Based ◽  
Four Dimensions ◽  
Community Based Programs ◽  
Good Internal Consistency ◽  
Partial Hospitalization Program ◽  
Test Retest Reliability

The Patient Satisfaction Interview was developed to assess consumers' satisfaction with four dimensions of partial hospitalization programs: the physical environment, the therapists, the treatment strategies, and the preparation for community autonomy. Content validity of the measure was examined and cross-validated by independent samples of expert raters and patients. The measure was then administered to 30 patients participating in a six-month partial hospitalization program. Analyses showed test dimensions had good internal consistency and test-retest reliability. Six-month stability was good for three of the four scales as well as the over-all test score. Research using the test must examine its utility for description of satisfaction with community-based programs.

scholarly journals Diagnosis Based on Parent and Teacher Rating for Attention Deficit Hyperactivity Disorder

JMS SKIMS ◽  
2010 ◽  
Vol 13 (1) ◽  
pp. 11-14
Author(s):  
Abdul Rouf ◽  
Shabnum Rivees ◽  
A Wahid Khan ◽  
A G Madhosh ◽  
Zeba Zeba
Keyword(s):  
Attention Deficit ◽  
Rating Scales ◽  
Rating Scale ◽  
Teacher Rating ◽  
Parent Rating ◽  
Four Dimensions ◽  
Hyperactivity Disorder ◽  
Significant Difference ◽  
Adhd Children ◽  
Icd 10

Parents and teachers play a significant role in the diagnosis of ADHD in children in the clinical setting. With the same in consideration a study was conducted to compare the perception between parents and teachers on the rating scales for ADHD children. The study was conducted on a sample of parents and teachers of 100 children diagnosed as having ADHD as per ICD-10 diagnostic criteria. A newly constructed and standardized parent rating scale for parents of ADHD children and attention deficit comprehensive teacher rating scale for teachers was administered on the target sample. Results indicate that there was statistically no significant difference in the rating of perception between parents and teachers on four dimensions, viz (i) attention (ii) hyperactivity (iii) social skills (iv) oppositional behaviour of ADHD children. To verify these findings, positive correlation was found between parents and teachers perception on all the four dimensions.J Med Sci.2010;13(1);11-14

scholarly journals The Comprehensive Quality in Health Services by Using Six Sigma

2019 ◽  
Vol 7 (9) ◽  
pp. 83-103
Author(s):  
Amal Yassin
Keyword(s):  
Health Services ◽  
Six Sigma ◽  
Practical Importance ◽  
Hospital Management ◽  
Public Hospitals ◽  
Total Quality ◽  
Government Hospitals ◽  
Intermediate Degree ◽  
High Degree

Abstract The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact. Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms. To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state. A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016. The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system. The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided. Keywords: total quality management, health services, competitiveness, sigma six

scholarly journals Mineral Nutrition of Abaca (Musa textilis Née) Planted under Coconut and Rainforestation Production Systems

2016 ◽  
pp. 36-52
Author(s):  
Marlito Bande ◽  
Victor Asio ◽  
Joachim Sauerborn ◽  
Volker Römheld
Keyword(s):  
Nutrient Uptake ◽  
Production Systems ◽  
Soil Depth ◽  
Management Practice ◽  
Plant Part ◽  
Nutrient Deficiencies ◽  
History Of ◽  
Standard Values ◽  
Dead Plant ◽  
High Degree

The allocation of nutrients within the abaca plant is of interest, as it determines the amounts which may be removed from the farm, returned to the soil in dead plant part, and available for re-translocation to subsequent generations of suckers. Hence, the study was conducted to investigate the level of nutrition among abaca plants grown under diversified multi-strata agroecosystems and to understand the pattern of abaca nutrient uptake planted under coconut and Rainforestation production systems. The allocation of nutrients within the abaca plant is of interest, as it determines the amounts which may be removed from the farm, returned to the soil in dead plant part, and available for re-translocation to subsequent generations of suckers. Hence, the study was conducted to investigate the level of nutrition among abaca plants grown under diversified multi-strata agroecosystems and to understand the pattern of abaca nutrient uptake planted under coconut and Rainforestation production systems. In the abaca–coconut agroecosystem, results show that availability of macronutrients from different blocks demonstrates a high degree of significant differences (p≤0.01) within 0-30cm soil depth. These differences can be attributed to the history of land uses, farmer’s management practice and soil the type. On the other hand, it can be concluded that the trees planted under the Rainforestation system plays a significant role in the nutrient fluxes and the improvement of soil acidity. This is due to the fact that trees function as “nutrient-pumps”. Therefore, integrating abaca under the Rainforestation system is a best option. Finally, it is not enough and safe to conclude that the low nutrient concentration in abaca leaves is due to low nutrient in the soil concentration solution since the standard values for abaca is still unknown. Thus, using the results for diagnosing nutrient deficiencies is insufficient.

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