Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany
|
|
- Britney Carr
- 6 years ago
- Views:
Transcription
1 International Journal for Quality in Health Care 2011; Volume 23, Number 5: pp Advance Access Publication: 29 June 2011 Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany TONIO SCHOENFELDER 1, JOERG KLEWER 2 AND JOACHIM KUGLER 1 1 Department of Public Health, Dresden Medical School, University of Dresden, Loescherstrasse 18, Dresden, Germany, and 2 Department of Public Health and Health Care Management, University of Applied Sciences Zwickau, Dr.-Friedrichs-Rings 2A, Zwickau, Germany Address reprint requests to: Tonio Schoenfelder, Department of Public Health, Dresden Medical School, University of Dresden, Loescherstrasse 18, Dresden, Germany. Tel: þ ; Fax: þ ; tonio.schoenfelder@gmx.de Accepted for publication 30 May /intqhc/mzr038 Abstract Objective. To identify key determinants of patient satisfaction. Design. Data used were obtained through a self-administered, post-visit questionnaire by random sampling during the period of January 2009 to September Setting. Thirty-nine hospitals in Germany. Participants. A total of 8428 patients. Main Outcome Measure. Global patient satisfaction was measured by a single item question. Attributes of medical aspects of care were measured using 12 items, performance of service using 3 items and different dimensions of patient expectations using 12 items. Medical aspects of care and performance of service items were entered into logistic regression analysis to identify determinants of patient satisfaction. Results. The results of the analysis showed that there are 10 determinants of global patient satisfaction. The outcome of treatment was overall, the most salient predictor followed by nursing kindness as the second most important component. Items reflecting information receiving about the undergoing treatment do not have a major influence on patient satisfaction. Conclusion. The analysis identified key determinants that should be altered first in order to improve global patient satisfaction. The results also indicate that some aspects of the hospital stay are not seen as relevant by patients and therefore are unrelated to satisfaction ratings. The findings suggest that variables measuring patients perceptions of care are more important determinants of global patient satisfaction in comparison to demographics and visit characteristics. Results of the present study have implications for health providers aiming at improving the service quality and quality of care. Keywords: health services research, patient satisfaction, quality management, hospital medicine, survey research Introduction Satisfaction can be described as a patient s reaction to several aspects of their service experience [1]. Patients thereby evaluate the health-care services as well as the providers from their own subjective point of view [2, 3]. There are several motivations for surveying patient satisfaction. It may influence health-care utilization, can be a predictor of subsequent health-related behavior [1, 4] and whether patients are willing or not to recommend their health-care provider to others [1, 3]. Patient satisfaction is a useful measure in assessing patterns of communication. Even though patients may not be able to judge specific technical aspects, they provide the best source of accurate information regarding clarity of explanations, helpfulness of information patients are receiving, barriers to obtaining care or the physician s interpersonal behavior [5, 6]. Though numerous works have addressed this topic, patient satisfaction remains difficult to determine [7]. It is a multidimensional concept consisting of various aspects which all of which do not necessarily have to do with the actual quality of care and service experienced by the patient. One criticism of patient satisfaction ratings has been the inability to account for International Journal for Quality in Health Care vol. 23 no. 5 # The Author Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved 503
2 Schoenfelder et al. expectations about medical care, which may be influenced by prior experiences with the health-care system [8]. In addition, patient characteristics also have an impact: older patients and those with lower levels of education appear to be more satisfied [9]. Furthermore, psychosocial determinants play a role in the sense that patients report greater satisfaction than they actually feel because they fear negative consequences in case they give negative feedback [10]. In Germany, measuring satisfaction has been mandatory since 2005 as an element of quality management reports regarding service quality and quality of care which have to be published by all providers aiming at supporting patients with information in order to allow benchmarking of hospitals [11]. As a consequence, several questionnaires have been used to evaluate in-patient care. Dimensions of what is being measured differ between these instruments. Therefore, as long as hospitals do not use the same instrument, each published patient satisfaction data reflects only the service quality and quality of care of its respective hospital. As a solution, a patient satisfaction survey among all 39 hospitals of the administrative district of Dresden was conducted to measure the outcome of in-patient health services of the entire area and to identify key determinants that predict higher patient satisfaction. Method Research setting and data collection The data set used in this study was obtained through a selfadministered, post-visit questionnaire during the period of January 2009 to September The survey was conducted in the district of Dresden (Germany) and included all 39 hospitals of the area. Participants were recruited from six departments: surgery, internal medicine, urology, neurology, ophthalmology and pediatrics. In 2008, about patients were hospitalized in these six departments and 39 hospitals. Survey participants were policy-holders of four statutory health insurances, which together have a market share of 85% of the region s total population. In order to include all area hospitals in the survey and to ensure all patients receive the same questionnaire, the statutory health insurances were chosen as source of contact because there was the potential risk some hospitals would deny participation due to the additional expenditure in organization and time. Study participants were randomly selected based on gender, age and the market share of their health insurance. Data source was the health insurances internal data pool. Sample selection criteria included only individuals who spent at least one night or more in the hospital throughout Participation was completely anonymous and voluntary. The questionnaire was accompanied by a cover letter informing the participants about the purpose of the study, and about their consent to participate when sending back the questionnaire. In total, post-paid surveys were distributed; were finally completed, resulting in a response rate of 32%. Out of the total number of completed surveys, 1617 questionnaires were considered problematic due to excessive missing and ambiguous data. Thus, these questionnaires were excluded and only 8428 surveys were finally analyzed. Questionnaire design The questionnaire represents a modified version of a survey instrument used by one of the statutory health insurances, which in turn was developed on the basis of a review of patient satisfaction literature, published instruments and verbatim patient responses to questions about hospital quality. Translating foreign survey instruments seemed inappropriate because of substantial structural differences between healthcare systems. The original instrument has been used in two previous regional surveys by the statutory health insurance; however, results were not published. For the present study, the order of questions was modified to make the questionnaire fit on two pages and one question was added which clarified in which department the patient was treated. The modified questionnaire was submitted to 38 discharged inpatients to ensure that wording, format length and sequencing of the questions were appropriate. The 37-item questionnaire was drafted in German and enquired about patient demographics and visit characteristics of the hospital stay (Table 1). The instrument also collected data regarding medical and service attributes of the undergone treatment, patients expectations of forthcoming healthcare events, importance of hospital setting and the kind of recommendation on a hospital patients would prefer. A description of the items is shown in Table 2. One item collected information concerning global satisfaction with the hospital stay in general. Patients responded on a six-point scale ranging from excellent/absolutely necessary to very poor/completely unnecessary. For data analyses, the lowest rating was coded with 1, the highest with 6. The questionnaire did not contain a billing dimension, as it would not apply to the German system, in which patients are not required to pay for hospitalizations. Analysis To identify dimensions of the questionnaire, factor analysis with Varimax rotation was performed. The Kaiser-Meyer- Olkin measure of sampling adequacy was high (0.90), indicating the matrix was well suited for factor analysis [12]; 27 items were submitted. Factor loadings of 0.4 or greater were considered significant for defining the factors. Each item was attributed to the factor on which it had the highest loading. Six components (eigenvalues.1), which accounted for 63% of the total variance, were identified (Table 2). Cronbach alpha was used in order to estimate the internal consistency of the subscales resulting in scores of The distribution of the satisfaction scores was skewed toward higher satisfaction. Therefore, the non-parametric Kruskal Wallis test was used to assess the effects of age and 504
3 Determinants of patient satisfaction Patient experience Table 1 Characteristics of the patient sample Variable Number of patients (%)... Gender 5774 (100) Male 2995 (51.9) Female 2779 (48.1) Missing 2654 Age 8373 (100), (7.6) (1.7) (4.3) (4.6) (8.4) (13.9) (22.1) (26.9) 80þ 845 (10) Missing 55 Quantity of hospitalizations 8205 (100) within previous 5 years (62) (29) (9) Missing 223 Department 7968 (100) Surgery 2699 (33.9) Internal medicine 2301 (28.9) Urology 1091 (13.7) Neurology 781 (9.8) Pediatrics 589 (7.4) Ophthalmology 507 (6.4) Missing 460 Source of admission 8381 (100) Specialist 3368 (40.2) General practitioner 2560 (30.5) Emergency 1881 (22.4) Self-admission 472 (5.6) Transfer from another clinic 100 (1.2) Missing 47 Length of stay 8243 (100) Too short 782 (9.5) Appropriate 5704 (69.2) Too long 509 (6.2) Do not know 1248 (15.1) Missing 185 Complications 8245 (100) Yes 919 (11) No 7326 (89) Missing 183 Use facility again? 8296 (100) Yes 6819 (82.2) No 440 (5.3) Do not know 1037 (12.5) Missing 132 gender on global satisfaction ratings. General associations between satisfaction ratings and visit characteristics were investigated with x 2 -tests and Fisher s exact test when cell counts were small. All associations were considered significant at P, 0.05 level. In order to assess determinants of patient satisfaction, logistic regression analysis with stepwise backwards likelihood ratio testing for model selection was performed. The dependent variable was the patient s global satisfaction rating for the complete hospital stay; it was dichotomized into excellent/good (reference) versus fair/acceptable/poor/ very poor. Independent variables were entered, which mirrored the patients experiences with the hospitals services; these were items of the factors medical aspects of care and performance of service. Therefore, variables addressing patient expectations were not entered. Additionally, all variables significant by bivariate analysis were included. The performance of the estimated model was tested on a validation sample. Therefore, the data set was divided into two groups: 70% of the cases were used for model development and the remaining data were used as validation sample for model testing. Because some of the analyzed questionnaires contained missing values, and therefore were excluded in the logistic regression, 4381 cases were used for model development and 1271 for validation. Data were analyzed using SPSS 15.0 for Windows (SPSS Inc., Chicago, IL). Results The majority of the study sample was male, aged and reported 1 2 hospitalizations within previous 5 years. Approximately 3368 (40%) participants were sent to hospital by a specialist and 2560 (31%) by their GP. A minority of respondents (919, 11%) reported post-discharge complications and 5704 (69%) assessed length of stay to be appropriate. Approximately 6819 (82%) patients would use the facility again in the case of another hospitalization (Table 1). Satisfaction ratings In total, 6595 (80%) patients rated the global satisfaction with hospital stay related to all performed services either excellent or good. The grouped median score was Kindness of the hospitals physicians (5.36) and nurses (5.34) reached the highest scores, while clear information about anesthesia (4.64) and medication (4.50) received the lowest ratings (Table 3). Associations between satisfaction and patient demographics and visit characteristics Gender, department, source of admission, and number of previous hospitalizations were not associated with global satisfaction. Patients age, however, was related to level of 505
4 Schoenfelder et al. Table 2 Results of the factor analysis and reliability testing Factors and abbreviated items (number of items) Factor loadings Variance explained (in %) Cronbach alpha... Factor I: Medical aspects of care (12) Individualized medical care 0.84 Clear reply of inquiries by physicians 0.82 Clear information about undergoing operations 0.82 Clear information about medication 0.77 Discharge procedures and instructions 0.76 Clear information about anesthesia 0.70 Physician s knowledge of patient anamnesis 0.69 Kindness of the hospital s physicians 0.67 Organization of procedures and operations 0.66 Outcome of treatment 0.65 Efficiency of admitting procedure 0.56 Kindness of the hospital s nurses 0.51 Factor II: Service expectations (4) Expectations of nurses kindness 0.83 Expectations of physicians kindness 0.82 Expectations of quality of food 0.74 Expectations of accommodation 0.73 Factor III: Performance of service (3) Accommodation 0.76 Cleanliness 0.74 Quality of food 0.65 Factor IV: Setting (3) Distance between clinic and place of residence 0.91 Location and accessibility 0.89 Clinic size 0.51 Factor V: Recommendation (3) General practitioner 0.80 Specialist 0.79 Relatives and friends 0.48 Factor VI: Expectations of care (2) High quality care 0.83 Clear information about undergoing treatment 0.78 satisfaction (P, 0.001). A comparison of the grouped median values of the global satisfaction score showed that younger patients of age groups,15, and rated this aspect with 4.43, 4.72, 4.66, respectively. Among the other patients, the global satisfaction score in the age group of consistently decreased from 4.93 to 5.10 in the age group of.80 years. Study participants rating global satisfaction from fair to very poor reported significant lower willingness to be hospitalized in the same clinic again (P, 0.001). Patients reporting postdischarge complications were less satisfied with their complete hospital stay in comparison to patients without complications (P, 0.001, 4.49 with complications versus 5.16 without), were also less willing to be hospitalized again in the same clinic (P, 0.001) and reported length of stay to be too short (P, 0.001). Results of the multivariate logistic regression analysis The analysis revealed 10 determinants of global patient satisfaction (Table 4). The most influential determinants were outcome of treatment (OR 3.70) and kindness of the hospital s nurses (OR 2.78) and physicians (OR 1.96). Four variables of the medical aspect of care factor were not included in the regression model: clear reply of inquiries by physicians, clear information about medication, anesthesia and undergoing operations. Regarding the performance of service component, lower ratings of accommodation and quality of food resulted in decreasing global patient satisfaction. Cleanliness was the only service aspect not included in the model. The results of the model development sample were similar to those of the validation sample: 92.7% versus 506
5 Determinants of patient satisfaction Patient experience Table 3 Levels of global patient satisfaction, satisfaction with medical aspects of care and satisfaction with performance of service; 6.0 ¼ best, 1.0 ¼ worst Abbreviated item content Grouped median... Global satisfaction with hospital stay 5.04 Medical aspects of care Kindness of the hospital s physicians 5.36 Kindness of the hospital s nurses 5.38 Efficiency of admitting procedure 5.23 Outcome of treatment 5.17 Clear reply of inquiries by physicians 5.14 Individualized medical care 5.10 Organization of procedures and operations 5.04 Physician s knowledge of patient anamnesis 4.85 Clear information about undergoing operations 4.74 Discharge procedures and instructions 4.66 Clear information about anesthesia 4.64 Clear information about medication 4.50 Performance of service Cleanliness 5.34 Accommodation 5.14 Quality of food % of all cases were assigned correctly. The Nagelkerke-R 2 resulted in Table 4 Results of the multivariate logistic regression analysis: determinants of global patient satisfaction Variable OR (95% CI) P-value... Outcome of treatment 3.70 ( ),0.001 Kindness of the hospital s 2.78 ( ),0.001 nurses Kindness of the hospital s 1.96 ( ),0.001 physicians Organization of procedures 1.68 ( ),0.001 and operations Quality of food 1.60 ( ),0.001 Accommodation 1.50 ( ),0.001 Individualized medical care 1.46 ( ),0.001 Discharge procedures and 1.43 ( ),0.001 instructions Physician s knowledge 1.38 ( ),0.001 of patient anamnesis Efficiency of admitting 1.25 ( ) procedure Clear information about / undergoing operations Clear information about / anesthesia Clear information about / medication Clear reply of inquiries by / physicians Cleanliness / n ¼ 4381, Nagelkerke R 2 ¼ /, non-significant variable. Post-visit expectations, recommendation of clinic and setting After their hospital stay, patients attached the highest priority to high quality care (5.77), followed by clear information about their undergoing treatment (5.62) as well as nursesapos; (5.43) and physicians kindness (5.41). Patients attached least importance to quality of food (4.80) and accommodation (4.74). Recommendation by relatives or friends on a certain hospital (3.39) was less important than recommendations by specialists (5.23) and GPs (4.88). Regarding setting, patients attached least importance to clinic size (3.26), followed by distance between clinic and place of residence (4.55), and location (4.73). Discussion The study identified key determinants of patient satisfaction in the investigated in-patient setting. Most prior research analyzed data gained from patients of a very limited number of hospitals. Analyzed data in this study were obtained from randomly selected patients of all 39 Dresden area hospitals using the same method; therefore, results are an outcome measure for the health services of the entire district. Main findings The results of the regression analysis showed that there are 10 determinants of global patient satisfaction. Thereby, both medical and service elements of the hospital stay were important dimensions. The outcome of treatment was overall the most salient predictor of global patient satisfaction followed by nursing and physicians kindness. These results are consonant with prior research which highlighted the importance of communication between patients and hospital staff [10, 13]. The major impact of nursing kindness and its greater meaning in comparison to physicians kindness corresponds with other study results [14, 15], which found communication with nurses and nursing care to be more important to patients. Possibly, patients experience more contact with nurses than doctors as nurses are the first responders to patients if they feel discomfort or have general questions [15]. Both organization of admission and discharge were associated with global patient satisfaction. Patients attached most importance to discharge procedures and instructions, which is partly inconsistent with study research of Elliott et al. [15], who found discharge information to be of least importance to patients. However, the strength of this association was 507
6 Schoenfelder et al. rather small compared with most of the other variables in the regression model. Items reflecting information receiving such as information about anesthesia, medication or undergoing operations did not have a major influence on patient satisfaction, although patients indicated these aspects would be highly relevant for future hospital stays. These results may suggest that patients lack of medical knowledge could have been influential, resulting in patients are not being able to judge if the received information is correct. This possibly also explains the heavy influence of the two service components, quality of food and accommodation on global satisfaction. Possibly, patients look for surrogate indicators of correct diagnosis and treatment to measure their own satisfaction [3]. However, cleanliness was not a predictor of global patient satisfaction. Regarding gender and age, the study results are consistent with most prior research that found similar satisfaction scores among men and women [9, 16, 17] and older patients being more satisfied with received services than younger individuals [9, 18]. One possible reason regarding the higher satisfaction rating of older study participants could be that older patients may be treated differently, e.g. more gently than younger ones [19]. However, the relation between global satisfaction and age faded when examining with multivariate techniques. Prior research indicated that a low health status leads to lower satisfaction scores [8, 20], which concurs with the results of the present study. Complications had a significant influence on different aspects of satisfaction in the bivariate analysis. Patients reporting about post-discharge complications were less likely to rate satisfaction regarding service and medical aspects of care as excellent or very good. Patients with experienced postdischarge complications significantly reported length of stay as too short. These patients judgments may have been affected by previous intensive political discussions, assuming that with the introduction of the diagnosis- related groups in Germany length of stay would decrease to a dimension that would deteriorate the quality of care. Methodology Patients of all 39 hospitals of one geographical area from six different departments were included in the data set and were randomly selected. Sample selection was based on the internal data pool of the participating statutory health insurances, covering 85% of the total population of the area in which the study was conducted in. Findings are representative for in-patients of the six departments in the investigated area. The 32% response in the present study may introduce a potential selection bias that could affect generalizability and validity of the results. However, Lasek et al. [21] found that the impact of non-response bias on satisfaction surveys of hospitalized patients might be relatively small. As the effect of non-response was not assessed in the present study, it is not possible to draw conclusions whether there were any differences in demographic or clinical characteristics. Regarding the high levels of satisfaction, there is a risk of an acquiescence and a social desirability bias that may have resulted in an over-reporting of satisfied patients [10, 22]. Another explanation could be the use of the single-item questions. Most patients tend to give positive answers if they are asked how satisfied they were [23, 24] even though if they have complaints about specific aspects of the received care [6]. It is unknown if proxy responses were involved in answering the questionnaire. This may represent another source of bias because patients receiving assistance when completing a questionnaire were found to be less satisfied than individuals who did so on their own [25]. In this study, a brief and feasible instrument was used. However, when revising the questionnaire, additional variables addressing patient demographics and visit characteristics should be included. For example, while the personal evaluation length of stay was recorded, the actual length of stay should also be included. Possibly, patients with a prolonged stay due to more serious conditions would have made different experiences on which to base their judgment compared with patients with a one-night stay. With exception of the factor recommendation, the internal consistency was satisfactory. To perform the regression analysis, the data set was divided into a development and a validation sample to avoid an overestimation of the parameters. Gained results were similar, indicating the variables serve as reliable determinants of global patient satisfaction. The logistic regression model explains 72% of the observed variation, indicating a very good data fit [26]. In summary, the present study identifies determinants of patient satisfaction and delivers information about aspects of the hospital stay that are not seen as relevant by patients. Findings are based on data gained from a large number of hospitals from one geographical area. Specifically, the degree to which patients were satisfied with the kindness of nurses and physicians showed strong predictive utility for overall patient satisfaction, while information regarding technical quality of care was not related to satisfaction ratings. Additionally, amenities which are not directly linked to the received care (such as accommodation) were of much importance to patients. Therefore, future research should put emphasis on collecting information about additional hotel aspects, regardless if these are important to patients or represent proxies for other aspects of the hospital stay. The results also suggest that variables measuring patients perceptions of care are more important determinants of global patient satisfaction in comparison to demographics and visit characteristics. Found variables are alterable and, therefore, provide implications for health providers aiming at improving the service quality and quality of care. Acknowledgements The authors thank the patients for their participation and also gratefully acknowledge Gregor Schoenfelder for his help with manuscript preparation. 508
7 Determinants of patient satisfaction Patient experience Funding This work was supported by the statutory health insurances Allgemeine Ortskrankenkasse Plus; Techniker Krankenkasse; Innungskrankenkasse classic and Barmer GEK. References 1. Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Eval Program Plann 1983;6: Ware JE, Snyder MK, Wright WR et al. Defining and measuring patient satisfaction with medical care. Eval Program Plann 1983;6: Otani K, Kurz RS, Harris LE. Managing primary care using patient satisfaction measures. J Healthc Manag 2005;50: Fitzpatrick R. Surveys of patient satisfaction: I important general considerations. BMJ 1991;302: Savage R, Armstrong D. Effect of a general practitioner s communication style on patients satisfaction: a controlled study. BMJ 1991;301: Epstein KR, Laine C, Farber NJ et al. Patients perceptions of Office Medical Practice: judging quality through the patients eyes. Am J Med Qual 1996;11: Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med 2001;51: Zhang Y, Rohrer J, Borders T et al. Patient satisfaction, selfrated health status, and health confidence: an assessment of the utility of single-item questions. Am J Med Qual 2007;22: Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med 1990;30: Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997;45: GKV-Spitzenverband, Germany. (S(dub4m43pmwgzoy55mgol0d55))/gesetzliche.Grundlagen.aspx (12 November 2009: legal requirement of quality reports in Germany). 12. Kaiser HF, Rice J. Little Jiffy, Mark IV. Educ Psychol Meas 1974;34: Sofaer S, Crofton C, Goldstein E et al. What do consumers want to know about the quality of care in hospitals? Health Serv Res 2005;40: Cleary PD, Keroy L, Karapanos G et al. Patient assessment of hospital care. QRB Qual Rev Bull 1989;15: Elliott MN, Kanouse DE, Edwards CA et al. Components of care vary in importance for overall patient-reported experience by type of hospitalization. Med Care 2009;47: Etter J, Perneger TV. Quantitative and qualitative assessment of patient satisfaction in a managed care plan. Eval Program Plann 1997;20: Garcia-Aguilar J, Davey CS, Le CT et al. Patient satisfaction after surgical treatment for fistula-in-ano. Dis Colon Rectum 2000;43: Grogan S, Conner M, Norman P et al. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Health Care 2000;9: Car-Hill R. The measurement of patient satisfaction. J Public Health Med 1992;14: Jaipaul CK, Rosenthal GR. Are older patients more satisfied with hospital care than younger patients? J Gen Intern Med 2003;18: Lasek RJ, Barkley W, Harper DL et al. Nonresponse bias on patient satisfaction surveys. Med Care 1997;35: Nguyen TD, Attkisson CC, Stegner BL. Assessment of patient satisfaction: development and refinement of a service evaluation questionnaire. Eval Program Plann 1983;6: van Campen C, Sixma HJ, Kerssens JJ et al. Assessing noninstitutionalized asthma and COPD patients priorities and perceptions of quality of health care: the development of the QUOTE-CNSLD instrument. J Asthma 1997;34: Williams B. Patient satisfaction: a valid concept? Soc Sci Med 1994;38: Quintana JM, González N, Bilbao A et al. Predictors of patient satisfaction with hospital care. BMC Health Serv Res 2006;6: Backhaus K, Erichson P, Plinke W et al. Logistische regression. In Multivariate Analysemethoden: Eine anwendungsorientierte Einfuehrung (in German). Berlin: Springer,
Patient assessments in surgery: Variables which contribute most to increase satisfaction. Joachim Kugler, Tonio Schoenfelder, Tom Schaal, Joerg Klewer
Dresden Medical School, Department of Public Health Patient assessments in surgery: Variables which contribute most to increase satisfaction Joachim Kugler, Tonio Schoenfelder, Tom Schaal, Joerg Klewer
More informationDepartment of Public Health, 74, Dresden, Germany. 2
MISCELLANEOUS Patient Satisfaction in Urology: Effects of Hospital Characteristics, Demographic Data and Patients Perceptions of Received Care Tonio Schoenfelder, 1 Tom Schaal, 1 Joerg Klewer, 2 Joachim
More informationThe Determinants of Patient Satisfaction in the United States
The Determinants of Patient Satisfaction in the United States Nikhil Porecha The College of New Jersey 5 April 2016 Dr. Donka Mirtcheva Abstract Hospitals and other healthcare facilities face a problem
More informationPatient Satisfaction: Focusing on Excellent
Patient Satisfaction: Focusing on Excellent Koichiro Otani, PhD, associate professor, Division of Public and Environmental Affairs, Indiana University Purdue University, Fort Wayne; Brian Waterman, director
More informationINPATIENT SURVEY PSYCHOMETRICS
INPATIENT SURVEY PSYCHOMETRICS One of the hallmarks of Press Ganey s surveys is their scientific basis: our products incorporate the best characteristics of survey design. Our surveys are developed by
More informationA comparison of two measures of hospital foodservice satisfaction
Australian Health Review [Vol 26 No 1] 2003 A comparison of two measures of hospital foodservice satisfaction OLIVIA WRIGHT, SANDRA CAPRA AND JUDITH ALIAKBARI Olivia Wright is a PhD Scholar in Nutrition
More informationA Client Satisfaction Survey at a Large Rural Medical Facility
A CLIENT SATISFACTION SURVEY AT A LARGE RURAL MEDICAL FACILITY 271 A Client Satisfaction Survey at a Large Rural Medical Facility Sarah Baier, Kim Mertes, and LuAnn Maternoski Faculty Sponsor: Sally Huffman,
More informationMeasuring healthcare service quality in a private hospital in a developing country by tools of Victorian patient satisfaction monitor
ORIGINAL ARTICLE Measuring healthcare service quality in a private hospital in a developing country by tools of Victorian patient satisfaction monitor Si Dung Chu 1,2, Tan Sin Khong 2,3 1 Vietnam National
More informationBarriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing
Southern Adventist Univeristy KnowledgeExchange@Southern Graduate Research Projects Nursing 4-2011 Barriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing Tiffany Boring Brianna Burnette
More informationPhysician Use of Advance Care Planning Discussions in a Diverse Hospitalized Population
J Immigrant Minority Health (2011) 13:620 624 DOI 10.1007/s10903-010-9361-5 BRIEF COMMUNICATION Physician Use of Advance Care Planning Discussions in a Diverse Hospitalized Population Sonali P. Kulkarni
More informationProceedings 59th ISI World Statistics Congress, August 2013, Hong Kong (Session CPS202) p.5309
Proceedings 59th ISI World Statistics Congress, 25-30 August 2013, Hong Kong (Session CPS202) p.5309 Statistical Analysis of Patients Satisfaction with Hospital Services: A Case Study of Shashemene and
More informationCUSTOMERS SATISFACTION TOWARD OPD SERVICE AT SOMDEJPHRAPHUTHALERTLA HOSPITAL, MUANG DISTRICT, SAMUTSONGKRAM PROVINCE, THAILAND
Original Article 39 CUSTOMERS SATISFACTION TOWARD OPD SERVICE AT SOMDEJPHRAPHUTHALERTLA HOSPITAL, MUANG DISTRICT, SAMUTSONGKRAM PROVINCE, THAILAND Ariyawan Khiewkumpan, Prathurng Hongsranagon *, Ong-Arj
More informationComparing Job Expectations and Satisfaction: A Pilot Study Focusing on Men in Nursing
American Journal of Nursing Science 2017; 6(5): 396-400 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20170605.14 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Comparing Job Expectations
More informationSATISFACTION LEVEL OF PATIENTS IN OUT- PATIENT DEPARTMENT AT A GENERAL HOSPITAL, HARYANA
INTERNATIONAL JOURNAL OF MANAGEMENT (IJM) ISSN 0976-6502 (Print) ISSN 0976-6510 (Online) Volume 6, Issue 1, January (2015), pp. 670-678 IAEME: http://www.iaeme.com/ijm.asp Journal Impact Factor (2014):
More informationPatient Safety Assessment in Slovak Hospitals
1236 Patient Safety Assessment in Slovak Hospitals Veronika Mikušová 1, Viera Rusnáková 2, Katarína Naďová 3, Jana Boroňová 1,4, Melánie Beťková 4 1 Faculty of Health Care and Social Work, Trnava University,
More informationWhose Experience Is Measured?: A Pilot Study of Patient Satisfaction Demographics in Pediatric Otolaryngology
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Whose Experience Is Measured?: A Pilot Study of Patient Satisfaction Demographics in Pediatric Otolaryngology
More informationA Study on AQ (Adversity Quotient), Job Satisfaction and Turnover Intention According to Work Units of Clinical Nursing Staffs in Korea
Indian Journal of Science and Technology, Vol 8(S8), 74-78, April 2015 ISSN (Print) : 0974-6846 ISSN (Online) : 0974-5645 DOI: 10.17485/ijst/2015/v8iS8/71503 A Study on AQ (Adversity Quotient), Job Satisfaction
More informationStatistical presentation and analysis of ordinal data in nursing research.
Statistical presentation and analysis of ordinal data in nursing research. Jakobsson, Ulf Published in: Scandinavian Journal of Caring Sciences DOI: 10.1111/j.1471-6712.2004.00305.x Published: 2004-01-01
More informationCHAPTER 5 AN ANALYSIS OF SERVICE QUALITY IN HOSPITALS
CHAPTER 5 AN ANALYSIS OF SERVICE QUALITY IN HOSPITALS Fifth chapter forms the crux of the study. It presents analysis of data and findings by using SERVQUAL scale, statistical tests and graphs, for the
More informationPREVALENCE AND LEVELS OF BURNOUT AMONG NURSES IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN
IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN Zaidah Binti Mustaffa 1 & Chan Siok Gim 2* 1 Kolej Kejururawatan Kubang Kerian, Kelantan 2 Open University Malaysia, Kelantan *Corresponding Author
More informationNURSES PROFESSIONAL SELF- IMAGE: THE DEVELOPMENT OF A SCORE. Joumana S. Yeretzian, M.S. Rima Sassine Kazan, inf. Ph.D Claire Zablit, inf.
NURSES PROFESSIONAL SELF- IMAGE: THE DEVELOPMENT OF A SCORE Joumana S. Yeretzian, M.S. Rima Sassine Kazan, inf. Ph.D Claire Zablit, inf. DEA, MBA JSY QDET2 2016 2 Professional Self-Concept the way in which
More informationAnalyzing Readmissions Patterns: Assessment of the LACE Tool Impact
Health Informatics Meets ehealth G. Schreier et al. (Eds.) 2016 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative
More informationRunning Head: READINESS FOR DISCHARGE
Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University
More informationTowards a national model for organ donation requests in Australia: evaluation of a pilot model
Towards a national model for organ donation requests in Australia: evaluation of a pilot model Virginia J Lewis, Vanessa M White, Amanda Bell and Eva Mehakovic Historically in Australia, organ donation
More informationBurnout in ICU caregivers: A multicenter study of factors associated to centers
Burnout in ICU caregivers: A multicenter study of factors associated to centers Paolo Merlani, Mélanie Verdon, Adrian Businger, Guido Domenighetti, Hans Pargger, Bara Ricou and the STRESI+ group Online
More informationThe significance of staffing and work environment for quality of care and. the recruitment and retention of care workers. Perspectives from the Swiss
The significance of staffing and work environment for quality of care and the recruitment and retention of care workers. Perspectives from the Swiss Nursing Homes Human Resources Project (SHURP) Inauguraldissertation
More informationNurse Consultant, Melbourne, Victoria, Australia Corresponding author: Dr Marilyn Richardson-Tench Tel:
Comparison of preparedness after preadmission telephone screening or clinic assessment in patients undergoing endoscopic surgery by day surgery procedure: a pilot study M. Richardson-Tench a, J. Rabach
More informationWhat matters most to patients? Participative provider care and staff courtesy
Patient Experience Journal Volume 1 Issue 1 Inaugural Issue Article 17 2014 What matters most to patients? Participative provider care and staff courtesy Andrew H. Van de Ven Carlson School of Management,
More informationAkpabio, I. I., Ph.D. Uyanah, D. A., Ph.D. 1. INTRODUCTION
International Journal of Humanities Social Sciences and Education (IJHSSE) Volume 2, Issue, January 205, PP 264-27 ISSN 2349-0373 (Print) & ISSN 2349-038 (Online) www.arcjournals.org Examination of Driving
More informationTO ANALYSE LEVEL OF PERCEPTION TOWARDS HOSPITAL VARIOUS SERVICES OFFERED BY MULTI - SPECIALITY HOSPITALS IN COIMBATORE CITY
TO ANALYSE LEVEL OF PERCEPTION TOWARDS HOSPITAL VARIOUS SERVICES OFFERED BY MULTI - SPECIALITY HOSPITALS IN COIMBATORE CITY Dr.S.Karthikeyan, Assistant Professor, Department of Commerce (CA), Government
More informationOutpatient Experience Survey 2012
1 Version 2 Internal Use Only Outpatient Experience Survey 2012 Research conducted by Ipsos MORI on behalf of Great Ormond Street Hospital 16/11/12 Table of Contents 2 Introduction Overall findings and
More informationValidity and Reliability of the Customer-Oriented Behaviour Scale in the Health Tourism Hospitals in Malaysia
International Journal of Caring Sciences September-December 2014 Volume 7 Issue 3 771 O R I G I N A L P A P E R Validity and Reliability of the Customer-Oriented Behaviour Scale in the Health Tourism Hospitals
More informationAppendix: Data Sources and Methodology
Appendix: Data Sources and Methodology This document explains the data sources and methodology used in Patterns of Emergency Department Utilization in New York City, 2008 and in an accompanying issue brief,
More informationUtilisation patterns of primary health care services in Hong Kong: does having a family doctor make any difference?
STUDIES IN HEALTH SERVICES CLK Lam 林露娟 GM Leung 梁卓偉 SW Mercer DYT Fong 方以德 A Lee 李大拔 TP Lam 林大邦 YYC Lo 盧宛聰 Utilisation patterns of primary health care services in Hong Kong: does having a family doctor
More informationPATIENT SATISFACTION AS AN INDICATOR OF SERVICE QUALITY IN MALAYSIAN PUBLIC HOSPITALS
PATIENT SATISFACTION AS AN INDICATOR OF SERVICE QUALITY IN MALAYSIAN PUBLIC HOSPITALS Noor Hazilah Abd Manaf, Assistant Professor International Islamic University Malaysia E-mail: hazilah@iiu.edu.my Phang
More informationSATISFACTION OF PATIENTS STAYING IN DAY SURGERY CLINIC FROM NURSING SERVICES
Original Article SATISFACTION OF PATIENTS STAYING IN DAY SURGERY CLINIC FROM NURSING SERVICES Zeynep Karaman Ozlu 1, Nadiye Ozer, Sevban Arslan 3, Isin Cantekin 4 ABSTRACT Objectives: To examine day surgery
More informationE valuation of healthcare provision is essential in the ongoing
ORIGINAL ARTICLE Patients experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care C Jenkinson, A Coulter, S Bruster, N Richards, T Chandola... See end
More informationDoctor Patient Gender Concordance and Patient Satisfaction in Interpreter-Mediated Consultations: An Exploratory Study
1 ORIGINAL ARTICLES Doctor Patient Concordance and Patient Satisfaction in Interpreter-Mediated Consultations: An Exploratory Study Alexander Bischoff, PhD, RN, MPH, * Patricia Hudelson, MA, PhD, and Patrick
More informationSCIENCE & TECHNOLOGY
Pertanika J. Sci. & Technol. 25 (S): 169-178 (2017) SCIENCE & TECHNOLOGY Journal homepage: http://www.pertanika.upm.edu.my/ Determinants of Patient s Satisfaction towards Hospital Services in a Specialist
More informationDoes a postoperative visit increase patient satisfaction with anaesthesia care?
British Journal of Anaesthesia 107 (5): 703 9 (11) Advance Access publication 19 August 11. doi:10.1093/bja/aer261 Does a postoperative visit increase patient satisfaction with anaesthesia care? D. Saal
More informationResearch & Reviews: Journal of Medical and Health Sciences. Research Article ABSTRACT INTRODUCTION
Research & Reviews: Journal of Medical and Health Sciences e-issn: 2319-9865 www.rroij.com Utilization of HMIS Data and Its Determinants at Health Facilities in East Wollega Zone, Oromia Regional State,
More informationRural Idaho Family Physicians Scope of Practice
Boise State University ScholarWorks Community and Environmental Health Faculty Publications and Presentations Department of Community and Environmental Health 1-1-2010 Rural Idaho Family Physicians Scope
More informationThe Effects of Cultural Competence on Nurses Burnout
, pp.300-304 http://dx.doi.org/10.14257/astl.2014.47.68 The Effects of Cultural Competence on Nurses Burnout So-Yun, Choi 1, Kyung-Sook, Kim 2 Department of Social Welfare, Namseoul University, Department
More informationStructure, process or outcome: which contributes most to patients' overall assessment of healthcare quality?
Postprint Version 1.0 Journal website http://qualitysafety.bmj.com/content/early/2011/02/21/bmjqs.2010.042358.abstr act Pubmed link http://www.ncbi.nlm.nih.gov/pubmed/21339310 DOI 10.1136/bmjqs.2010.042358
More informationRequired Competencies for Nurse Managers in Geriatric Care: The Viewpoint of Staff Nurses
International Journal of Caring Sciences September December 2016 Volume 9 Issue 3 Page 985 Original Article Required Competencies for Nurse Managers in Geriatric Care: The Viewpoint of Staff Nurses Ben
More informationPATIENT SATISFACTION IN PRIMARY HEALTH CARE CENTERS IN HAIL CITY, SAUDI ARABIA
American Journal of Applied Sciences 11 (8): 1234-1240, 2014 ISSN: 1546-9239 2014 F. Alshammari, This open access article is distributed under a Creative Commons Attribution (CC-BY) 3.0 license doi:10.3844/ajassp.2014.1234.1240
More informationPhysician Job Satisfaction in Primary Care. Eman Sharaf, ABFM* Nahla Madan, ABFM* Awatif Sharaf, FMC*
Bahrain Medical Bulletin, Vol. 30, No. 2, June 2008 Physician Job Satisfaction in Primary Care Eman Sharaf, ABFM* Nahla Madan, ABFM* Awatif Sharaf, FMC* Objective: To evaluate the level of job satisfaction
More informationThe Examination for Professional Practice in Psychology (EPPP Part 1 and 2): Frequently Asked Questions
The Examination for Professional Practice in Psychology (EPPP Part 1 and 2): Frequently Asked Questions What is the EPPP? Beginning January 2020, the EPPP will become a two-part psychology licensing examination.
More informationSatisfaction and Experience with Health Care Services: A Survey of Albertans December 2010
Satisfaction and Experience with Health Care Services: A Survey of Albertans 2010 December 2010 Table of Contents 1.0 Executive Summary...1 1.1 Quality of Health Care Services... 2 1.2 Access to Health
More informationThe Quality of Therapeutic Alliance between Patient and Provider Predicts General Satisfaction
MILITARY MEDICINE, 173, 1:85 90, 2008 The Quality of Therapeutic Alliance between Patient and Provider Predicts General Satisfaction Son Chae Kim, PhD RN*; Sinil Kim, MD ; CAPT Denise Boren, NC USN (Ret.)
More informationNursing Practice Environments and Job Outcomes in Ambulatory Oncology Settings
JONA Volume 43, Number 3, pp 149-154 Copyright B 2013 Wolters Kluwer Health Lippincott Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Nursing Practice Environments and Job Outcomes in Ambulatory
More informationTowards patient-centered health services in India a scale to measure patient perceptions of quality
International Journal for Quality in Health Care 2006; Volume 18, Number 6: pp. 414 421 Advance Access Publication: 29 September 2006 10.1093/intqhc/mzl049 Towards patient-centered health services in India
More informationAddressing Cost Barriers to Medications: A Survey of Patients Requesting Financial Assistance
http://www.ajmc.com/journals/issue/2014/2014 vol20 n12/addressing cost barriers to medications asurvey of patients requesting financial assistance Addressing Cost Barriers to Medications: A Survey of Patients
More informationLong-Stay Alternate Level of Care in Ontario Mental Health Beds
Health System Reconfiguration Long-Stay Alternate Level of Care in Ontario Mental Health Beds PREPARED BY: Jerrica Little, BA John P. Hirdes, PhD FCAHS School of Public Health and Health Systems University
More informationUvA-DARE (Digital Academic Repository) Improving the preoperative assessment clinic Edward, G.M. Link to publication
UvA-DARE (Digital Academic Repository) Improving the preoperative assessment clinic Edward, G.M. Link to publication Citation for published version (APA): Edward, G. M. (2008). Improving the preoperative
More informationA STUDY ON THE SATISFACTION OF PATIENTS WITH REFERENCE TO HOSPITAL SERVICES
15 A STUDY ON THE SATISFACTION OF PATIENTS WITH REFERENCE TO HOSPITAL SERVICES DR D. RAMA MOHAN*; DR. KANAGALURU SAI KUMAR** *Associate Professor & Addl. Med. Supdt, Department of Hospital Administration,
More informationFactors that Impact Readmission for Medicare and Medicaid HMO Inpatients
The College at Brockport: State University of New York Digital Commons @Brockport Senior Honors Theses Master's Theses and Honors Projects 5-2014 Factors that Impact Readmission for Medicare and Medicaid
More informationPredicting Transitions in the Nursing Workforce: Professional Transitions from LPN to RN
Predicting Transitions in the Nursing Workforce: Professional Transitions from LPN to RN Cheryl B. Jones, PhD, RN, FAAN; Mark Toles, PhD, RN; George J. Knafl, PhD; Anna S. Beeber, PhD, RN Research Brief,
More informationPERCEPTION STUDY ON INFORMATION, EDUCATION AND COMMUNICATION IN A TERTIARY CARE HOSPITAL,CHENNAI.
African Journal of Science and Research,2016,(5)4:14-18 ISSN: 2306-5877 Available Online: http://ajsr.rstpublishers.com/ PERCEPTION STUDY ON INFORMATION, EDUCATION AND COMMUNICATION IN A TERTIARY CARE
More informationExploring the Impact of Medicaid Expansion on West Virginia s Primary Care System
Exploring the Impact of Medicaid Expansion on West Virginia s Primary Care System Jessica L. Thayer, BA Medical Student West Virginia University School of Medicine Thomas K. Bias, PhD* Assistant Professor
More informationExecutive Summary. This Project
Executive Summary The Health Care Financing Administration (HCFA) has had a long-term commitment to work towards implementation of a per-episode prospective payment approach for Medicare home health services,
More informationCase study O P E N A C C E S S
O P E N A C C E S S Case study Discharge against medical advice in a pediatric emergency center in the State of Qatar Hala Abdulateef 1, Mohd Al Amri 1, Rafah F. Sayyed 1, Khalid Al Ansari 1, *, Gloria
More informationEvaluation of the Threshold Assessment Grid as a means of improving access from primary care to mental health services
Evaluation of the Threshold Assessment Grid as a means of improving access from primary care to mental health services Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation
More informationFactors of Patient Satisfaction based on distant analysis in HCAHPS Databases
Factors of Patient Satisfaction based on distant analysis in HCAHPS Databases Masumi Okuda Matsue Red Cross Hospital 200 Horo-machi Matsue, Shimane 81-852-24-2111 okuda@med.shimane-u.ac.jp Akira Yasuda
More informationBenjamin Janse *, Robbert Huijsman and Isabelle Natalina Fabbricotti
Janse et al. BMC Health Services Research 2014, 14:140 RESEARCH ARTICLE Open Access A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers
More informationRecently, the socio-economic development, from an industrial perspective
Original Article Factors Associated with Job Stress among Ambulance Nurses in Bangkok, Thailand. Jutamanee Sakkomonsri, RN 1 ;Plernpit Suwan-Ampai, PhD 2 ; Orawan Kaewboonchoo, PhD 2 Jutamanee Sakkomonsri,
More informationEffects of the Total Quality Management Implication on Patient Satisfaction in the Emergency Department of Military Hospitals
J Arch Mil Med. 2015 February; 3(1): e26952. Published online 2015 February 2. DOI: 10.581/jamm.26952 Research Article Effects of the Total Quality Management Implication on Patient Satisfaction in the
More informationEFFECT OF DEMOGRAPHIC CHARACTERISTICS ON PATIENT S SATISFACTION WITH HEALTH CARE FACILITY ABSTRACT
ORIGINAL ARTICLE EFFECT OF DEMOGRAPHIC CHARACTERISTICS ON PATIENT S SATISFACTION WITH HEALTH CARE FACILITY Muhammad Afzal 1, Farwa Rizvi 2, Abrar Hussain Azad 3, Abdul Majid Rajput 4, Ahmed Khan 5, Nadia
More informationBMC Family Practice. Open Access. Abstract. BioMed Central
BMC Family Practice BioMed Central Research article Follow-up care by patient's own general practitioner after contact with out-of-hours care. A descriptive study Caro JT van Uden* 1,2, Paul J Zwietering
More informationThe Patient-Physician Relationship, Primary Care Attributes, and Preventive Services
22 January 2004 Family Medicine The Patient-Physician Relationship, Primary Care Attributes, and Preventive Services Michael L. Parchman, MD, MPH; Sandra K. Burge, PhD Background: The importance of a sustained
More informationDetermining Like Hospitals for Benchmarking Paper #2778
Determining Like Hospitals for Benchmarking Paper #2778 Diane Storer Brown, RN, PhD, FNAHQ, FAAN Kaiser Permanente Northern California, Oakland, CA, Nancy E. Donaldson, RN, DNSc, FAAN Department of Physiological
More information2013 Workplace and Equal Opportunity Survey of Active Duty Members. Nonresponse Bias Analysis Report
2013 Workplace and Equal Opportunity Survey of Active Duty Members Nonresponse Bias Analysis Report Additional copies of this report may be obtained from: Defense Technical Information Center ATTN: DTIC-BRR
More informationNurses' Job Satisfaction in Northwest Arkansas
University of Arkansas, Fayetteville ScholarWorks@UARK The Eleanor Mann School of Nursing Undergraduate Honors Theses The Eleanor Mann School of Nursing 5-2014 Nurses' Job Satisfaction in Northwest Arkansas
More informationEducational Needs and Provision of Preventive care for Dysphagia by the caregivers in Elderly Medical Welfare Facilities
Vol.36 (Education 2013, pp.67-72 http://dx.doi.org/10.14257/astl.2013 Educational Needs and Provision of Preventive care for Dysphagia by the caregivers in Elderly Medical Welfare Facilities 1 Kim, Mi-Ran,
More informationEvaluation of a Clinical Medical Librarian Program
Evaluation of a Clinical Medical Librarian Program at the Yale Medical Library BY BETTE GREENBERG, Head Librarian, Reference SARA BATTISON, Senior Reference Librarian MADELEINE KOLISCH, Reference Librarian
More informationThe attitude of nurses towards inpatient aggression in psychiatric care Jansen, Gradus
University of Groningen The attitude of nurses towards inpatient aggression in psychiatric care Jansen, Gradus IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you
More informationEssential Skills for Evidence-based Practice: Strength of Evidence
Essential Skills for Evidence-based Practice: Strength of Evidence Jeanne Grace Corresponding Author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More informationImprovement in Adherence to Ethiopian. Hospital: A Pre-post Study
Research Article imedpub Journals https://www.imedpub.com Health Systems and Policy Research DOI: 10.21767/2254-9137.100014 Improvement in Adherence to Ethiopian Hospitals Reform Implementation Guideline
More informationTetiana Stepurko 1*, Milena Pavlova 2 and Wim Groot 2,3
Stepurko et al. BMC Health Services Research (2016) 16:342 DOI 10.1186/s12913-016-1585-1 RESEARCH ARTICLE Overall satisfaction of health care users with the quality of and access to health care services:
More informationHarriet M Babikako 1*, Duncan Neuhauser 2, Achilles Katamba 3, Ezekiel Mupere 4. Abstract
RESEARCH Open Access Patient satisfaction, feasibility and reliability of satisfaction questionnaire among patients with pulmonary tuberculosis in urban Uganda: a cross-sectional study Harriet M Babikako
More informationFACTORS AFFECTING KNOWLEDGE AND SKILLS RETAINED AMONG NURSES AFTER A NEONATE RESUSCITATION TRAINING PROGRAMME 1 2*
FACTORS AFFECTING KNOWLEDGE AND SKILLS RETAINED AMONG NURSES AFTER A NEONATE RESUSCITATION TRAINING PROGRAMME 1 * Sek Shoa Chioa & Chan Siok Gim Health Clinic Tanah Merah, Kelantan, Malaysia Open University
More informationDo patients use minor injury units appropriately?
Journal of Public Health Medicine Vol. 18, No. 2, pp. 152-156 Printed in Great Britain Do patients use minor injury units appropriately? Jeremy Dale and Brian Dolan Abstract Background This study aimed
More informationPatient Satisfaction with Medical Student Participation in the Private OB/Gyn Ambulatory Setting
Patient Satisfaction with Medical Student Participation in the Private OB/Gyn Ambulatory Setting Katie G. Mellington, MD Faculty Mentor: Benjie B. Mills, MD Disclosure The authors have no meaningful conflicts
More informationType of intervention Secondary prevention of heart failure (HF)-related events in patients at risk of HF.
Emergency department observation of heart failure: preliminary analysis of safety and cost Storrow A B, Collins S P, Lyons M S, Wagoner L E, Gibler W B, Lindsell C J Record Status This is a critical abstract
More informationEvaluation of an independent, radiographer-led community diagnostic ultrasound service provided to general practitioners
Journal of Public Health VoI. 27, No. 2, pp. 176 181 doi:10.1093/pubmed/fdi006 Advance Access Publication 7 March 2005 Evaluation of an independent, radiographer-led community diagnostic ultrasound provided
More informationAn analysis of service quality at a student health center
at a student health center Cem Canel Associate Professor of Operations Management, Department of Information Systems and Operations Management, Cameron School of Business, The University of North Carolina
More informationThe Perception of Emotional Intelligence Self-Assessment Among Nursing Students
American Journal of Nursing Science 2018; 7(5): 173-177 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20180705.13 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) The Perception of
More informationMedical Malpractice Risk Factors: An Economic Perspective of Closed Claims Experience
Research Article imedpub Journals http://www.imedpub.com/ Journal of Health & Medical Economics DOI: 10.21767/2471-9927.100012 Medical Malpractice Risk Factors: An Economic Perspective of Closed Claims
More informationResearch Brief IUPUI Staff Survey. June 2000 Indiana University-Purdue University Indianapolis Vol. 7, No. 1
Research Brief 1999 IUPUI Staff Survey June 2000 Indiana University-Purdue University Indianapolis Vol. 7, No. 1 Introduction This edition of Research Brief summarizes the results of the second IUPUI Staff
More informationType D Personality, Self-Resilience, and Health- Promoting Behaviors in Nursing Students
, pp.184-188 http://dx.doi.org/10.14257/astl.2015.116.37 Type D Personality, Self-Resilience, and Health- Promoting Behaviors in Nursing Students Eun Ju Lim RN PhD 1, Jun Hee Noh RN PhD 2, Yong Sun Jeong
More informationUse of Hospital Appointment Registration Systems in China: A Survey Study
Global Journal of Health Science; Vol. 5, No. 5; 2013 ISSN 1916-9736 E-ISSN 1916-9744 Published by Canadian Center of Science and Education Use of Hospital Appointment Registration Systems in China: A
More informationFACTORS RESPONSIBLE FOR STRESS AMONG THE PRE-OPERATIVE CLIENTS
FACTORS RESPONSIBLE FOR STRESS AMONG THE PRE-OPERATIVE CLIENTS Mr. Eknath M. Gawade Lecturer, PIMS (DU), CON, Loni Ms. Bharti Weljale Lecturer, PIMS (DU), CON, Loni Abstract Statement A study to assess
More information1 Introduction. Eun Young Kim RN PhD 1, Eun Ju Lim RN PhD 2, Jun Hee Noh RN PhD 3
Vol.128 (Healthcare and Nursing 2016), pp.42-46 http://dx.doi.org/10.14257/astl.2016. The Relationships among Academic Stress, Major Satisfaction, and Academic Achievement according to Type of Achievement
More informationORIGINAL STUDIES. Participants: 100 medical directors (50% response rate).
ORIGINAL STUDIES Profile of Physicians in the Nursing Home: Time Perception and Barriers to Optimal Medical Practice Thomas V. Caprio, MD, Jurgis Karuza, PhD, and Paul R. Katz, MD Objectives: To describe
More informationinternational journal of nursing sciences 2 (2015) 93e98 Available online at ScienceDirect
international journal of nursing sciences 2 (2015) 93e98 HOSTED BY Available online at www.sciencedirect.com ScienceDirect journal homepage: http://www.elsevier.com/journals/internationaljournal-of-nursing-sciences/2352-0132
More informationMerced College Registered Nursing 34: Advanced Medical/Surgical Nursing and Pediatric Nursing
Merced College Registered Nursing 34: Advanced Medical/Surgical Nursing and Pediatric Nursing Course Description, Student Learning Outcomes and Competencies, Clinical Evaluation Tool, and Clinical Activities
More informationCase-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System
Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System Designed Specifically for International Quality and Performance Use A white paper by: Marc Berlinguet, MD, MPH
More informationUniversity of Massachusetts-Dartmouth College of Nursing. Final Project Report, July 31, 2015
University of Massachusetts-Dartmouth College of Nursing Final Project Report, July 31, 2015 Project Title: Establishing preliminary psychometric analysis of a new instrument: Nurse Competency Assessment
More informationQuality Perception of Nurses in the Hospitals Receiving Quality Certificate
Research Article imedpub Journals www.imedpub.com Health Science Journal DOI: 10.21767/1791-809X.1000578 Quality Perception of Nurses in the Hospitals Receiving Quality Certificate Nukhet Bayer 1* and
More information