scholarly journals An Exploration of the Role of Hospital Committees to Enhance Productivity

2015 ◽  
Vol 8 (3) ◽  
pp. 199 ◽  
Author(s):  
Hassan Amirabadi zadeh ◽  
Mohammad Reza Maleki ◽  
Masoud Salehi ◽  
Soudabeh Watankhah
Keyword(s):  
Public Hospitals ◽  
P Value ◽  
Main Concern ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Capital Cities ◽  
Process Feedback ◽  
And Performance

<p>Productivity is the main concern of hospitals as organizations providing health services. As the role of hospital committees is increasing and their productivity and performance improvement is very important, the present study was performed to identify weaknesses and strengths of committee sessions. This analytical-descriptive study was conducted cross- sectional from January to April in 2012. Summary of 405 committee session’s agendas related to 11 kinds of committees in 8 hospitals (out of 23 hospitals) of capital cities in 3 provinces of Sistan and Balouchestan, South Khorasan and Khorasan Razavi in Iran were extracted. Data<strong> </strong>was collected through a form and was analyzed by SPSS16 software using descriptive statistics and variance analysis and content analysis technique. This study showed that the number of hospital committee's sessions holding in 2012 was more than 2011.The differences between public and private hospitals in terms of the following subjects were significant (P-Value &lt; 0.001). In terms of the number of selected policies, participants of the committees, and the duration of the sessions the public hospitals had better conditions. And regarding documentation process, feedback of decisions to personnel and the implementation of the formulated policies in the committees, private hospitals performed better. According to the results of this study, to improve the productivity of hospital committees, it is suggested to motivate senior, tactical and operational managers to appropriately participate in the committees and necessary planning for the committees in advance is mandatory.</p>

Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

2020 ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhenxing Gong
Keyword(s):  
Ethical Climate ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

scholarly journals Assessment of surgical capacity in Chiapas, Mexico: a cross-sectional study of the public and private sector

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e044160
Author(s):  
Lina Roa ◽  
Ellie Moeller ◽  
Zachary Fowler ◽  
Fernando Carrillo ◽  
Sebastian Mohar ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Public Hospitals ◽  
Surgical Volume ◽  
Sectional Study ◽  
Surgical Capacity ◽  
Catastrophic Expenditure ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public

IntroductionSurgical, anaesthesia and obstetric (SAO) care are essential, life-saving components of universal healthcare. In Chiapas, Mexico’s southernmost state, the capacity of SAO care is unknown. This study aims to assess the surgical capacity in Chiapas, Mexico, as it relates to access, infrastructure, service delivery, surgical volume, quality, workforce and financial risk protection.MethodsA cross-sectional study of Ministry of Health public hospitals and private hospitals in Chiapas was performed. The translated Surgical Assessment Tool (SAT) was implemented in sampled hospitals. Surgical volume was collected retrospectively from hospital logbooks. Fisher’s exact test and Mann-Whitney U test were used to compare public and private hospitals. Catastrophic expenditure from surgical care was calculated.ResultsData were collected from 17 public hospitals and 20 private hospitals in Chiapas. Private hospitals were smaller than public hospitals and public hospitals performed more surgeries per operating room. Not all hospitals reported consistent electricity, running water or oxygen, but private hospitals were more likely to have these basic infrastructure components compared with public hospitals (84% vs 95%; 60% vs 100%; 94.1% vs 100%, respectively). Bellwether surgical procedures performed in private hospitals cost significantly more, and posed a higher risk of catastrophic expenditure, than those performed in public hospitals.ConclusionCapacity limitations are greater in public hospitals compared with private hospitals. However, the cost of care in the private sector is significantly higher than the public sector and may result in catastrophic expenditures. Targeted interventions to improve the infrastructure, workforce availability and data collection are needed.

scholarly journals The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhen-Xing Gong
Keyword(s):  
Ethical Climate ◽  
Public Hospitals ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background Workplace climate is a great significant element that has an impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals. Methods This study conducted a cross-sectional survey on 559 nurses from China in May 2019. The questionnaire was distributed to nurses by sending a web link via the mobile phone application WeChat through snowball sampling methods. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test, and analysis of variance test, and Mplus 7.4 was used for group comparison (p < .05). Results The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = − 0.277; CI 95 % = [-0.452, − 0.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = − 0.352; CI 95 % = [-0.651, − 0.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = 0.397; CI 95 % = [0.120, 0.651]; p < .01). Conclusions As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And the independent climate has a great effect on extra-role service behaviors for nurses in public hospitals.

scholarly journals Exploring the responsiveness of public and private hospitals in Lagos, Nigeria

2012 ◽  
Vol 1 (1) ◽  
pp. 2 ◽  
Author(s):  
Tomilola Adesanya ◽  
Olayinka Gbolahan ◽  
Obadah Ghannam ◽  
Marisa Miraldo ◽  
Bhavesh Patel ◽  
...  
Keyword(s):  
Health System ◽  
Public Hospitals ◽  
World Health ◽  
World Health Report ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Health Report ◽  
The World ◽  
Public And Private Hospitals

According to the World Health Report 2000, health system responsiveness is proposed as one of the three key objectives of any health system. This multi-domain concept describes how well a health system responds to the expectations of their users concerning the non-health enhancing aspects of care. In this study we aim to compare the levels of responsiveness experienced by users of private and publicly managed hospitals in Nigeria, and through these insights, to propose recommendations on how to improve performance on this measure. This quantitative, cross-sectional study uses a questionnaire that is adapted from two responsiveness surveys designed by the World Health Organization (WHO). Researchers collected responses from 520 respondents from four hospitals in Lagos, Nigeria. Analysis of the data using statistical techniques found that significant differences exist between the performance of public and private hospitals on certain domains of responsiveness, with privately operated hospitals performing better where differences exist. Users of private hospitals also reported a higher level of overall satisfaction. Private hospitals were found to perform particularly better on the domains of dignity, waiting times, and travel times. These findings have implications for the management of public hospitals in focusing their efforts on improving their performance in low scoring domains. Performance in these hospitals can be improved by emphasis on staff training and demand management.

scholarly journals Nurses’ Perspectives on the Impact of Marketing Mix Elements (7Ps) on Patients’ Tendency to Kind of Hospital

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Ghasem Abedi ◽  
Roya Malekzadeh ◽  
Mahmood Moosazadeh ◽  
Ehsan Abedini ◽  
Edris Hasanpoor
Keyword(s):  
Work Experience ◽  
Marketing Mix ◽  
Healthcare Management ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Statistical Population ◽  
Public And Private Hospitals ◽  
The Impact

BACKGROUND: Marketing mix (7Ps) is a critical concept in healthcare management and health marketing. Hence, this study was conducted to investigating the role of 7Ps on patients’ disposition to the kind of hospital from nurses’ perspectives.METHODS: A cross-sectional study design was used in 2015. The study was conducted in one state in Iran (Mazandaran). The statistical population included nurses (n=235) in public and private hospitals were selected randomly through the list. Data were collected by questionnaire and were analyzed using SPSS software (version 22).RESULTS: The results showed that 38.6 percent of nurses were males and the others (61.4 percent) were females. Their mean age was 31.0±7.1 years, and the majority of them belonged to the 30-40 age group. The mean work experience of them was 11.42±6.5years. The findings showed that there were significant differences between nurses’ perspectives in public and private hospitals about the effect of 7Ps elements on patients’ tendency to the public and private hospitals (p<0.05).CONCLUSIONS: According to the results, the officials of public hospitals should take more attention to the elements like product, place, promotion, people, physical assets and process management more than the past because these elements cause that the patients are disposed to the private hospitals while the government make more investment in public hospitals.

scholarly journals Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Tayue Tateke ◽  
Mirkuzie Woldie ◽  
Shimeles Ololo
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Addis Ababa ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Outpatient Health Services ◽  
Public And Private Hospitals

Background: Patients have explicit desires or requests for services when they visit hospitals. However, inadequate discovery of their needs may result in patient dissatisfaction. This study aimed to determine the levels and determinants of patient satisfaction with outpatient health services provided at public and private hospitals in Addis Ababa, Central Ethiopia.Methods: A comparative cross-sectional study was conducted from 27 March to 30 April 2010. The study included 5 private and 5 public hospitals. Participants were selected using systematic random sampling. A pre-tested and contextually prepared structured questionnaire was used to conduct interviews. Descriptive statistics, analysis of variance, factor analysis and multiple linear regressions were performed using computer software (SPSS 16.0).Results: About 18.0% of the patients at the public hospitals were very satisfied whilst 47.9% were just satisfied with the corresponding proportions a bit higher at private hospitals. Selfjudged health status, expectation about the services, perceived adequacy of consultation duration, perceived providers’ technical competency, perceived welcoming approach and perceived body signalling were determinants of satisfaction at both public and private hospitals.Conclusions: Although patients at the private hospitals were more satisfied than those at the public hospitals with the health care they received, five of the predictors of patient satisfaction in this study were common to both settings. Thus, hospitals in both categories should work to improve the competencies of their employees, particularly health professionals, to win the interests of the clients and have a physical structure that better fits the expectations of the patients.

Big data management and environmental performance: role of big data decision-making capabilities and decision-making quality

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Qasim Ali Nisar ◽  
Nadia Nasir ◽  
Samia Jamshed ◽  
Shumaila Naz ◽  
Mubashar Ali ◽  
...  
Keyword(s):  
Decision Making ◽  
Big Data ◽  
Data Management ◽  
Environmental Performance ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Public And Private Hospitals

PurposeThis study is undertaken to examine the antecedents and role of big data decision-making capabilities toward decision-making quality and environmental performance among the Chinese public and private hospitals. It also examined the moderating effect of big data governance that was almost ignored in previous studies.Design/methodology/approachThe target population consisted of managerial employees (IT experts and executives) in hospitals. Data collected using a survey questionnaire from 752 respondents (374 respondents from public hospitals and 378 respondents from private hospitals) was subjected to PLS-SEM for analysis.FindingsFindings revealed that data management challenges (leadership focus, talent management, technology and organizational culture for big data) are significant antecedents for big data decision-making capabilities in both public and private hospitals. Moreover, it was also found that big data decision-making capabilities played a key role to improve the decision-making quality (effectiveness and efficiency), which positively contribute toward environmental performance in public and private hospitals of China. Public hospitals are playing greater attention to big data management for the sake of quality decision-making and environmental performance than private hospitals.Practical implicationsThis study provides guidelines required by hospitals to strengthen their big data capabilities to improve decision-making quality and environmental performance.Originality/valueThe proposed model provides an insight look at the dynamic capabilities theory in the domain of big data management to tackle the environmental issues in hospitals. The current study is the novel addition in the literature, and it identifies that big data capabilities are envisioned to be a game-changer player in effective decision-making and to improve the environmental performance in health sector.

scholarly journals THE AMOUNT OF BALLOON FIXATION FLUID VOLUME EFFECTSS ON URINE LEAKAGE IN PERMANENT CATHETER INSTALLATION

2021 ◽  
Vol 5 (1) ◽  
pp. 57-61
Author(s):  
Veronica Ririn Marwaningsih
Keyword(s):  
Key Words ◽  
Fluid Volume ◽  
P Value ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Research Population ◽  
Urine Leakage ◽  
The Right

THE AMOUNT OF BALLOON FIXATION FLUID VOLUME EFFECTSS ON URINE LEAKAGE IN PERMANENT CATHETER INSTALLATION Ririn Marwaningsih1, Sunarsih2, NikenAstuti 3 1Program studi  D III, Sekolah Tinggi Ilmu Kesehatan Elisabeth Semarang Email : [email protected] 2RS Elisabeth Semarang Email : [email protected]       ABSTRACT Background: The appropriate volume of balloon fixation still becomes a matter of discussion in the permanent catheter installation. The providing of fixation fluid on varied catheter installation is still found practically. The incidence of urine leakage in patients with permanent catheters is still often found. The amount of fixation fluid volume used needs to be studied to provide input on how much the right fixation volume for the permanent catheter installation. The purpose of this study is to determine the role of the amount of catheter balloon fixation volume on the incidence of permanent catheter leakage. Methods: The design of this research is analytic observational with a cross-sectional approach. The research population was patients in private hospitals in Semarang who had permanent catheters installed. The sample uses total sampling in accordance with the inclusion and exclusion criteria by taking samples from 17-21 January 2019 as many as 53 respondents.  Results: 33 (62.3%) respondents had 10 ml fixation volume permanent catheter (62.3%), 13 respondents (24.5%) had permanent 20 ml balloon fixation volume and 7 (13.2%) respondents had permanent 25 ml balloon fixation volume. There were 7 respondents (13.2%) who had urine leakage and 46 respondents (86.8%) did not. The Mann-Whitney test showed a p value of 0.047 (<0.05). Conclusion: the volume of balloon fixation fluid has a role in the incidence of urine leakage in permanent catheter installation. Key words: volume of catheter balloon fixation fluid, catheter balloon, urine leakage, permanent catheter

scholarly journals Perceptions of Fellowship Trainees in Public and Private Tertiary Care Hospitals of Karachi

2020 ◽  
Vol 9 (1) ◽  
pp. 28-34
Author(s):  
Sadaf Zia ◽  
Maisam Abbas Onali ◽  
Hina Yousuf ◽  
Aria Masoom ◽  
Asna Shahab ◽  
...  
Keyword(s):  
Medical Education ◽  
Public Sector ◽  
Private Sector ◽  
Postgraduate Training ◽  
Tertiary Care ◽  
Public Hospitals ◽  
P Value ◽  
Private Hospitals ◽  
Public And Private ◽  
Tertiary Care Hospitals

Background: The issues pertaining to postgraduate medical education have been debated for long but there has been little contribution to this literature from developing countries. Therefore, a need to make an accurate assessment regarding current status of postgraduate training in Pakistan was felt and feedback from residents is the cornerstone of such an assessment. The objective of our study was to document perceptions of FCPS trainees of medical and surgical disciplines in private and public tertiary care hospitals of Karachi, Pakistan.Material and Methods: This was a cross sectional survey of the medical and surgical FCPS trainees in three hospitals (1 public and 2 private) of Karachi Pakistan, conducted over a period of two months (1st November 2018 to 31st December 2018). A total of 325 participants selected by convenient sampling technique were included in the study. Data was collected through structured self-developed questionnaire and analyzed by SPSS version 16.0.Results: The percentage of postgraduate trainees in private hospitals working for more than 80hours/week is higher than those working in public sector hospitals (59.4% versus 42.4%). Topic presentation and Academic meetings (Conferences, Workshops and CMEs) were the most preferred teaching strategies in Postgraduate training (77.4% and 77.5%). About 62.7% of the residents believed that their program was in line with CPSP guidelines. Public sector hospitals were better in terms of medical benefits giving partial cover (62.8%) than private sector (P-value <0.001). Majority of trainees at private sector hospitals seemed satisfied with their working environment than at public hospital (77.5% versus 12.5%) (P-value <0.001). Trainees perceived that the security arrangements at both public and private hospitals were not adequate, but in case of emergency private hospitals seemed to have better security response as compared to public hospitals (89% versus 23%) with a significant difference of <0.001.Conclusions: Perception of most of the postgraduate trainees is that they are being adequately trained for the challenges of an independent physician or surgeon.Key words: Postgraduate training programs, Medical education, Trainees perception  

scholarly journals Safety Status of Imaging Ward in Public and Private Hospitals

2021 ◽  
Vol 12 (2) ◽  
pp. 105-112
Author(s):  
Mohamad Saadati ◽  
Ramin Rezapour ◽  
Javad Sajjadi Khasraghi
Keyword(s):  
Content Validity ◽  
Public Hospitals ◽  
Electrical Safety ◽  
P Value ◽  
Private Hospitals ◽  
Public And Private ◽  
Employee Safety ◽  
Significant Difference ◽  
The Mean ◽  
Public And Private Hospitals

Background and Objectives: Safety is one of the main dimensions of quality of health services. Considering the expansion of imaging equipment in diagnosis of diseases and the importance of maintaining and improving the safety of patients and staff in these wards, this study aimed to investigate the safety status of imaging wards in hospitals. Material and Methods: This study is a cross-sectional descriptive-analytical study. The sampling method was the census so that all public and private hospitals in Tabriz city of Iran (7 public hospitals affiliated to Tabriz University of Medical Sciences and 6 private hospitals) were enrolled in the study. The instrument used was a researcher-made checklist whose content validity ratio was 0.82 and the Content Validity Index was 0.86. The safety status of the wards was evaluated in 9 domains. Data were analyzed by SPSS software version 24 using descriptive statistics and Mann-Whitney test. Results: The mean safety score of imaging wards was 79.78 ± 6.2 The average safety scores in public hospitals were 79.7±5.91 and private hospitals were 79.8 ±7.29. Radiation safety was the highest score in public and private hospitals (92.85 ± 8.09) and private (95.8 ± 9.17). The lowest standards compliance in public hospitals was related to electrical safety (69.28 ± 10.96). In private hospitals, employee safety had the lowest score (62.96 ± 9.07). There was a significant difference between the mean score of employee safety and the type of hospital ownership (public and private) (p value=0.019). Conclusion: Safety improvement in imaging should be studied as one of the priority issues in all hospitals. Employee safety had the lowest score thus it is necessary to implement strategies to improve employee safety including providing appropriate protective clothing, daily distribution of milk and proportionate compensation such as paying to work with radiation, reducing working hours and increasing annual leave according to existing laws.

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