scholarly journals Analysis of quality indexes of the provided health services in public and private services of Angola

2016 ◽  
Vol 26 (2) ◽  
pp. 228
Author(s):  
Maria Teresa Conceição Vicente ◽  
Rodrigo Daminello Raimundo ◽  
Ligia Ajaime Azalis ◽  
Virginia Berlanga Campos Junqueira ◽  
Fernando Luiz Affonso Fonseca

Introduction: Quality indices are being increasingly used by leaders, managers and health professionals as operational tools to improve processes and reduce costs. Noting that there is a greater tendency of private hospitals operating in the regulatory model for market mechanisms, it is expected that the quality indicators that serve as a reference for monitoring the health management are more critical in public hospitals. Objective: Evaluate the quality of health services provided in public and private service in Angola. Methods: We analyzed 142 patients of a public and a private institutions in Angola in a structured interview on health indicators. The indices were collected according to the process structure components and results. Results: There are 51,453 calls in the public institution, remaining hospitalized a day, an average of 184 patients,  with an annual rate of bed occupancy of 90.84%. 50% of respondents praised the services and 22% complained about the quality of services. He was appointed as the main grounds for complaint the slow service (17%). The private institution received 2,222 patients, with an average of 570 patients. The mean hospital stay was 4.5 days. The average monthly rate of bed occupancy was 59.9%. In assessing the degree of satisfaction of care, regular or bad satisfaction obtained a rate of 60% in the private institution. Conclusion: There was no favorable results for quality in health management both in public service and in private.

Author(s):  
Amal Yassin

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


10.19082/2935 ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. 2935-2941 ◽  
Author(s):  
Mehran Alijanzadeh ◽  
Seyed Ali Moosaniaye Zare ◽  
Roya Rajaee ◽  
Seyed Mohammad Ali Mousavi Fard ◽  
Saeed Asefzadeh ◽  
...  

2013 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
AK Nepal ◽  
A Shrestha ◽  
SC Baral ◽  
R Bhattarai ◽  
Y Aryal

INTRODUCTION: Although the evidences suggest that more than one third tuberculosis (TB) cases are being managed in private sector, the quality of care in private sector is major concern. However, the information regarding the private practices were lacking. Therefore the study was conducted to gain insights on current practices of TB management at private sectors. MATERIALS AND METHODS: A descriptive cross sectional study, applying quantitative method, was conducted at two cities of Kaski among all private practitioners, private pharmacies and private laboratories through self administered questionnaire and structured interview schedule. RESULTS: Nearly one fourth of the TB suspects in the district were found to have consulted private providers with about 20.0% of the total smear positive cases diagnosed in private laboratories. Beside sputum microscopy, Private Medical Practitioners (PMPs) were also found to prefer other tests like X-ray, culture for TB diagnosis. Similarly, PMPs’ varying prescription of anti TB drugs beyond National TB Programme (NTP) recommendation along with their weak recording and case holding were noteworthy, and the cost of TB treatment seemed higher in private sector. Only one third of private institution had their staff trained in TB. Except some informal linkage, no collaboration between public and private sector was noted. CONCLUSIONS: Private sector was managing many TB cases in the district. However, their practice of TB management was not much satisfactory. Therefore NTP should take effective measures for Public Private Mix and to make them aware of the standards through training and orientation in order to improve the quality of care. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7085 Int J Infect Microbiol 2012;1(1):68-75


2019 ◽  
Vol 26 (2) ◽  
pp. 590-613 ◽  
Author(s):  
Swapnarag Swain

PurposeThe purpose of this paper is to compare perceived service quality of public/government and private medical college hospitals.Design/methodology/approachThis study adopts a descriptive, cross-sectional and research design. The research sample includes 340 in patients from six medical college hospitals located in the state of Odisha, India. Primary data are collected through a structured closed ended questionnaire containing 66 items on 1–7 point Likert scale. Statistical tools like factor analysis and ANOVA are performed with the help of SPSS-17 software to analyze the collected data.FindingsThis study identifies 13 dimensions of perceived hospital service quality. The comparative study indicates better performance of public/government hospitals across the technical dimensions of perceived service quality, whereas private hospitals report better performance across majority of the functional dimensions.Originality/valueIn the Indian healthcare system, public hospitals provide low-cost healthcare targeted toward low to middle socio-economic population whereas, large corporate private hospitals provide high-cost healthcare targeted toward high-income group. So the comparison between them produces an obvious result indicating better service quality in private hospitals. Present study minimizes this gap by comparing the service quality of public and private medical college hospitals. Medical colleges ensure access to health services for a larger group of people. Thus, similarity in the segment of population receiving medical services in public and private medical colleges is higher, making the comparison of perceived service quality fairer.


2008 ◽  
Vol 38 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Faizullah Kakar ◽  
Abdul Hamid Ahmadzai ◽  
Najibullah Habib ◽  
Asadullah Taqdeer ◽  
A Frederick Hartman

Although postconflict Afghanistan has some of the worst health indicators in the world, the government is working hard to rebuild the health infrastructure, extend services to underserved areas and improve the quality of health services. An outbreak of cholera El Tor O1 that struck Kabul and spread nationwide in 2005, prompted a collaborative response from the Afghan Ministry of Public Health, partner agencies, and the system established to provide the Basic Package of Health Services, of which diarrhoeal disease control is an essential component. This response illustrates that, with good preparation, it is possible to respond to an outbreak of cholera effectively. The very low mortality rate during the outbreak (0.1%) shows how a resource-poor country can succeed in providing high-quality health services with government commitment, coordinated action by partners, proper case management and treatment and expanded access to services.


2021 ◽  
Vol 2 (4) ◽  
pp. 1-5
Author(s):  
Bankole Adebanji ◽  
Bamide Olusola Ogunlade ◽  
Kayode James Adebayo

The rate of unemployment in Nigeria is increasing everyday with almost two million young graduates entering into the labour markets every year. This is indeed very worrisome! This paper discussed the issues of unemployment among graduates and the need to create an enabling environment for new start-ups. The study used a descriptive research design of survey type in assessing the impacts of entrepreneurship skills on Nigerian engineering students. Sample size consisted of 132 lecturers selected from (public and private) universities and a polytechnic in Ado Ekiti, Nigeria. Questionnaire on Impact of Entrepreneurial Skills on Engineering Students (QIESES) was used to collect data. Test-retest method was used to determine reliability of the instrument, a coefficient of 0.81 was obtained. Data collected were analyzed using descriptive and inferential statistics such as frequency count, mean, standard deviation (SD) and T-test. The study revealed that public and private institution lecturers’ perception has significant effect on the challenges facing the implementation of entrepreneurial education in Nigerian tertiary institutions. It was therefore recommended that tertiary institutions should fulfill its roles as a major catalyst for technological advancement and economic growth. There is need to bring in to teaching, lecturers that are entrepreneurial inclined to develop study programs that enable students’ creativity, initiative thinking and enhances original leadership thinking.


2016 ◽  
Vol 67 (3) ◽  
pp. 365-373 ◽  
Author(s):  
Anna Rybarczyk-Szwajkowska ◽  
Dominika Cichońska ◽  
Romuald Holly

Author(s):  
Hady Pranoto

The health center has the task of providing health services to the community, to be able to win the competition among the existing health centers; a health center should have a good operating system, a computerized operating system to improve services in the field of administration. However, providing a computerized system is not enough, many other health centers or competitors also use a computerized system. Unfortunately, health centers in Indonesia have not yet implemented business intelligence application. There are many public and private health centers do not apply automated operational system. A study of the literature is conducted to find evidence of the application of BI, and any sector of the BI can be applied. Many sectors in health services where BI can be applied to improve the productivity quality of service and competitiveness in this era of globalization.


2020 ◽  
Vol 3 (2) ◽  
pp. 126-135
Author(s):  
Sideeq Ali ◽  

Background and objective: The 1 to 2 hours for the first 24 hours after surgical operation is a crucial time to perform patient care. The study aimed to assess and compare quality of immediate post operation nursing care for patients undergoing surgeries in the public and private hospitals in Erbil City. Methods: A comparative study design was conducted on non-probability and purposive sample of 106 nurses (53 nurses of public hospitals and 53 nurses from private hospitals) in the surgical unit in all public and some private hospitals in Erbil city. The data was col-lected between February and July, 2019 by direct observation and using an observational questionnaire. Results: The majority of the nurses were young adults who had graduated from a nursing institute who were of middle income and lived in an urban area. The duration of experi-ence as a nurse was between 1 to 10 years. The majority of the nurses (98.1%) in the pub-lic hospitals they practiced poor nursing care practice, while most of the nurses (69.8) in the private hospitals practiced good nursing care practices. Very high significant differ-ence found between immediate post operation nursing care in public and private hospi-tals (P <0.000). Conclusion: The study concluded that; postoperative nursing care is very important to improve health services, but the quality of the nursing care in the public hospitals as a generally was very poor when compared with the private hospitals. We recommended improving their skills by implementation job description, opening training course and monitoring of the nurses as well as awareness and follow-up.


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