scholarly journals Disagreement Between Self-Reporting and Objective Diagnosis in Chronic Diseases Among Omanis 2008

2018 ◽  
Vol 10 (5) ◽  
pp. 97 ◽  
Author(s):  
Hilal Al Shamsi ◽  
Abdullah Almutairi
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Chronic Diseases ◽  
Healthcare Service ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Objective Measurement ◽  
The Self ◽  
Positive Agreement

Background: Health specialists and researchers usually collect information about chronic diseases from self-reports. However, the accuracy of self-reports has been questioned as it relies on the respondents’ understanding of pathological conditions and their ability to recall information. Accordingly, an objective diagnosis is generally regarded as a more precise indication of the presence of disease.Objective: The study objectives were to determine the extent of disagreement between self-reporting and objective diagnosis, identify contributory factors to the discrepancy, and examine the effects of the incongruity on quality of healthcare services and health status.Methods: Secondary data from the most recent Oman World Health Survey (OWHS), for which data were readily available (2008), were analysed in the current study. This was the most recent survey conducted in Oman to date as collection of the data for the subsequent survey only commenced in February 2017 and is still in progress. Agreement between the self-reporting of chronic disease (diabetes mellitus and hypertension) and the results of medical examinations was calculated using kappa (ϰ) statistics. Sociodemographic risk factors for the self-reported and objective measurement of disease were identified (second objective). Univariate analysis was measured initially to determine associations between the variables and the outcome. Thereafter, significant variables were included in multivariate analysis performed using logistic regression. The impact of disagreement on quality of healthcare service and health status (third objective) was also examined using the chi-square test in relation to health service quality and health status variables.Results: Of 3524 Oman adults, aged ≥ 20 years (48% males), agreement between the self-reported and objective measurement of chronic disease was found to be poor to moderate (ϰ = 0.001-0.141). The highest agreement was observed for diabetes mellitus (ϰ = 0.402) and the lowest was found for asthma (ϰ = 0.000). Socioeconomic or demographic characteristics were not significantly associated with the degree of agreement attained between the methods used to measure chronic disease (p = > 0.050), except for sex, age and region. The discrepancy did not significantly impact on familial support (i.e., financial, social, health, physical and personal), the responsiveness of the health system, and household income or expenditure. However, the disagreement was associated with significant effects for other healthcare service and health status variables, i.e., quality of life and health service utilisation (p = < 0.050). It was found that people with the chronic disease and aware of their health status (positive agreement), and those with negative objective measure but positive self-reported disease (negative disagreement), were more likely to access healthcare services (83% of who had a positive agreement for chronic lung disease) and to be satisfied with the quality of care provided (82% of who had a negative disagreement for hypertension), compared to those who assumed they were healthy but had a chronic disease.Conclusions and Recommendations: Although agreement between the self-reported and objective measurement of chronic disease was found to be poor to moderate, we found that some socioeconomic demographic characteristics, such as educational and economic level, did not affect the agreement of measure tools for hypertension and diabetes, except for sex, age and region. Contrary to our expectations, disagreement between objective and self-reported measures in chronic diseases appears not to significantly impact on the quality of healthcare services and health status. The high use of health care services in participants with positive disagreement may result in unnecessary healthcare service costs required to treat chronic diseases. The implications on health services use and planning of this disagreement in the diagnosis of chronic diseases have been scarcely addressed in the literature, therefore, the results from our study need to be taken as a first approximation to this issue. Provided the unexpected results, we recommend examining closely the integrity of the dataset before giving full value about the validity of them.

scholarly journals Healthcare service quality-measurement models: a review

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Berhanu Endeshaw
Keyword(s):  
Developing Countries ◽  
Service Quality ◽  
Healthcare Service ◽  
Quality Measurement ◽  
Quality Of Healthcare ◽  
Measurement Model ◽  
Healthcare Services ◽  
Content Type ◽  
Measurement Models

PurposeThe purpose of this study was to review existing healthcare service quality-measurement models.Design/methodology/approachA review of the literature was conducted utilizing keywords “healthcare’’, “service quality’’, “measurement models”, “SERVQUAL”, “SERVPERF”, “HEALTHQUAL”, “PubHosQual” and “HospitalQual”. These investigations were selected from the “Emerald’’, “ABI/Inform”, “ScienceDirect” and “EBSCOhost” databases. A range of studies used in the makeup of the healthcare quality-measurement model for a 36 years period (1979 to 2015) were examined in an exhaustive survey of the literature. Of 137 studies reviewed, 74 studies were selected for analysis.FindingsAs yet, no consensus has been reached among scholars on the definition and indicators and factors of the quality of the healthcare services. Moreover, most of the current models are of Western origin and incongruent with the cultural and economic contexts of developing countries. The previous studies create scales resembling the generic measures of service quality, which may not be completely appropriate for assessing the perceived quality of healthcare services. Furthermore, previous studies were too narrow, overemphasizing the quality of healthcare only as far as the functional aspect of the services were concerned and paying too little attention to the technical aspects, using the experience of healthcare providers. These results have much room for failures. This is therefore advising healthcare organizations that need to develop their own models for measuring the quality of their services.Originality/valueGeneric models no longer suffice in measuring the quality of healthcare services. Developing countries should try and develop their own models for measuring the quality of healthcare services.

scholarly journals Appraisal of Health Maintenance Organisations’ Performance in the Nigerian Healthcare Service Sector

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
James O. Akinbode ◽  
Eniola A. Sokefun ◽  
Muideen O. Aremu
Keyword(s):  
Service Delivery ◽  
Healthcare Service ◽  
Service Sector ◽  
Survey Design ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Health Maintenance ◽  
World Class ◽  
Level Of Significance

The quality of healthcare service delivery under the existing health maintenance organisations (HMOs) in Nigeria has been a major concern to enrollees who have contested the value received from their respective HMO accredited hospitals under the program. This paper appraised health maintenance organisations’ performance in the Nigerian healthcare service sector capturing enrollees’ experience on the issues of access, responsiveness, and quality of healthcare service choice to measure the success or failure of the program since inception. The study adopted survey design with three hundred forty enrollees of ten leading HMOs in Nigeria that operate in different parts of Lagos Metropolis. Data collected were analysed with relevant descriptive and inferential statistics while hypotheses tested were at 0.05 level of significance. Findings revealed that HMO accredited hospitals have not ensured adequate access of enrollees to healthcare services, their responsiveness to enrollees’ healthcare requests have not been impressive, and quality of healthcare services to enrollees have also not been excellent. Based on the findings, the study recommends that HMOs and government should improve on monitoring the quality of healthcare service delivery at their accredited hospitals and concluded that the performance of the HMOs in the area of healthcare service delivery is not world class when it comes to access, responsiveness, and quality of service delivery.

Chất lượng dịch vụ Bệnh viện Phụ sản MêKông qua cảm nhận của khách hàng ngoại trú năm 2019

2020 ◽  
Vol 04 (04) ◽  
pp. 9-17
Author(s):  
Ha Diem Tran ◽  
Thi Tu Quyen Bui
Keyword(s):  
Service Quality ◽  
Healthcare Service ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
High Level ◽  
Improve Service Quality

Objective: The aim of study is assessing the healthcare service quality through outpatient’s perception and analyzing several effects on the quality of healthcare services. Methods: The descriptive cross-sectional study, using quantity and qualitative method was conducted at MeKong Obstetric and Gynecology hospital. 285 selected outpatients filled the original SERVPERF questionaire which consists 22 questions about 5 dimensions of service quality: Reliability, Responsiveness, Assurance, Empathy and Tangible. Main findings: The results showed that the mean score of all the domains is 4.34 (± 0.41). The majority (96.1%) of respondents evaluated the quality of healthcare services in high level. The positive influencies on healthcare service included: qualifications of medication, reasonable cost, and short waiting. The negative remarkable factor is the unequal in a mount of clients in working-times. Conclusions: The hospital’s service quality has been evaluated very well, however the hospital needs to know how to meet clientsdemands through its policies concerning customers to improve service quality better. Keywords: healthcare service quality, SERVPERF, outpatient.

Hospital healthcare service quality, patient satisfaction and loyalty

2018 ◽  
Vol 35 (6) ◽  
pp. 1195-1214 ◽  
Author(s):  
Taqdees Fatima ◽  
Shahab Alam Malik ◽  
Asma Shabbir
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Healthcare Service ◽  
Service Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Content Type ◽  
Private Healthcare ◽  
Patient Loyalty

Purpose The purpose of this paper is to explain the patients’ views towards private healthcare service providers. The study focussed on hospital service quality and analysed the relative significance of quality measurements in anticipating the patients’ satisfaction and loyalty. The mediating role of patient satisfaction is assessed between quality of hospital healthcare services and patient loyalty. Design/methodology/approach A total 611 patients (both indoor and outdoor) participated in a questionnaire survey from the six private hospitals of capital city, Islamabad, Pakistan. Data were analysed through descriptive statistics, common method variance, reliability, correlation and regression in order to investigate customer perceived service quality and how the quality of services stimulates loyalty intentions towards private service suppliers. Findings Findings depict that private healthcare service providers are attempting to deliver well improved healthcare services to their customers. Results confirmed that better quality of healthcare services inclines to build satisfaction and loyalty among patients. The healthcare service quality aspects (i.e. physical environment, customer-friendly environment, responsiveness, communication, privacy and safety) are positively related with patient loyalty which is mediated through patient satisfaction. Practical implications Findings will help the hospital managers to articulate effective strategies in order to ensure superior quality of healthcare services to patients. The study will induce hospital management to deliver attentions towards the quality of private healthcare service systems and improvements towards the deficient healthcare services. Furthermore, the study will present a clear picture of patient’s behavioural attitudes; satisfaction and loyalty intentions towards the quality of healthcare services. Originality/value The study provides the views and perceptions of patients towards the quality of healthcare services. The healthcare service quality dimensions, i.e., physical environment, customer-friendly environment, responsiveness, communication, and privacy and safety were assessed. Hospital healthcare service quality was examined in order to find out its effect on patient satisfaction and patient loyalty.

scholarly journals An Unsupervised Behavioral Modeling and Alerting System Based on Passive Sensing for Elderly Care

2020 ◽  
Vol 13 (1) ◽  
pp. 6
Author(s):  
Rui Hu ◽  
Bruno Michel ◽  
Dario Russo ◽  
Niccolò Mora ◽  
Guido Matrella ◽  
...  
Keyword(s):  
Health Status ◽  
Healthcare Service ◽  
Behavioral Science ◽  
Elderly Care ◽  
Elderly Person ◽  
Real Life ◽  
Healthcare Services ◽  
Living Condition ◽  
Care Providers ◽  
Remote Healthcare

Artificial Intelligence in combination with the Internet of Medical Things enables remote healthcare services through networks of environmental and/or personal sensors. We present a remote healthcare service system which collects real-life data through an environmental sensor package, including binary motion, contact, pressure, and proximity sensors, installed at households of elderly people. Its aim is to keep the caregivers informed of subjects’ health-status progressive trajectory, and alert them of health-related anomalies to enable objective on-demand healthcare service delivery at scale. The system was deployed in 19 households inhabited by an elderly person with post-stroke condition in the Emilia–Romagna region in Italy, with maximal and median observation durations of 98 and 55 weeks. Among these households, 17 were multi-occupancy residences, while the other 2 housed elderly patients living alone. Subjects’ daily behavioral diaries were extracted and registered from raw sensor signals, using rule-based data pre-processing and unsupervised algorithms. Personal behavioral habits were identified and compared to typical patterns reported in behavioral science, as a quality-of-life indicator. We consider the activity patterns extracted across all users as a dictionary, and represent each patient’s behavior as a ‘Bag of Words’, based on which patients can be categorized into sub-groups for precision cohort treatment. Longitudinal trends of the behavioral progressive trajectory and sudden abnormalities of a patient were detected and reported to care providers. Due to the sparse sensor setting and the multi-occupancy living condition, the sleep profile was used as the main indicator in our system. Experimental results demonstrate the ability to report on subjects’ daily activity pattern in terms of sleep, outing, visiting, and health-status trajectories, as well as predicting/detecting 75% hospitalization sessions up to 11 days in advance. 65% of the alerts were confirmed to be semantically meaningful by the users. Furthermore, reduced social interaction (outing and visiting), and lower sleep quality could be observed during the COVID-19 lockdown period across the cohort.

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

Contemporary Aspects of Training in Vocational Secondary Schools and Students’ Health

2021 ◽  
pp. 53-59
Author(s):  
EI Shubochkina ◽  
EG Blinova
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Status ◽  
Chronic Diseases ◽  
Working Conditions ◽  
Educational Process ◽  
Vocational Schools ◽  
Medical Support ◽  
Second Year

Introduction: Current vocational secondary education (VSE) in Russia is characterized by a focus on practical training (as part of dual training) aimed at improving professional competencies of graduates. It also demonstrates negative trends in adolescent health, which requires optimization and development of specific algorithms of medical support for students aged 14–22 years and older appropriate to their academic and practical workload. Objective: To assess adaptation of college students to learning conditions, depending on their health status, and to substantiate ways of improving their health care. Material and methods: We retrieved and analyzed information from the database of multicenter studies conducted within the unified program of the National Medical Research Center for Children’s Health of the Russian Ministry of Health. Our sample included 197 first- and second-year college boys from the cities of Omsk and Moscow studying to become welders and auto mechanics. The quality of life, health and well-being indicators were evaluated according to the International Medical Outcomes Study 36-item short-form (MOS SF-36). The students were divided into subgroups based on their health status. The statistical processing complied with modern requirements and criteria of evidence-based medicine. Results: We established that vocational schools admitted a significant number of applicants with the above specialty preferences suffering from chronic diseases (21.1–26 %). Results of the questionnaire-based survey of future welders and car mechanics revealed difficulties in adaptation to the educational process of the students with chronic disorders expressed by lower quality of life indicators, frequent health complaints and feelings of fatigue, especially in second-year students who experience an increasing academic and practical workload. Conclusions: Students with chronic diseases mastering professions with hazardous working conditions represent population at risk, require health monitoring, determination of professional suitability, and control over the working conditions in industrial practice. The importance of protecting health of future professionals is determined by implementation of practice-based training in 42 % of vocational schools. Models of school medicine proposed to optimize health care in comprehensive schools can be adapted to conditions of secondary vocational facilities. Foreign studies have proved feasibility of an early onset of work-related diseases in certain occupations, even before completion of training, thus necessitating vocational guidance, professional medical advice, and development of an effective system of medical support for adolescents and students.

MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

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