scholarly journals Measuring patient satisfaction in children

1993 ◽  
Vol 17 (11) ◽  
pp. 661-662
Author(s):  
Elizabeth Walters
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Medical Care ◽  
Child Mental Health ◽  
Early Stage ◽  
Child Mental Health Services ◽  
Department Of Health ◽  
Medical Advisory Committee ◽  
Quality Of Medical Care

The report of the Standing Medical Advisory Committee to the Department of Health, The Quality of Medical Care (1990), states that outcome is the most relevant indicator of quality of medical care. In addition to providing information about the appropriateness of treatments, there are important ethical and resource implications if activities are found to be unjustified. However, measuring outcome is difficult if there is no quantifiable change in symptoms or function following treatment. In child psychiatry this is a relatively common dilemma and outcome studies, while agreed to be essential, are frequently abandoned at an early stage or fail to get off the ground because of the complexity of the problems they generate. In a review of the ways in which child mental health services attempt to measure outcome (Pound & Cottrell, 1989) the authors acknowledge these difficulties and conclude that a start should be made by “Asking the customer's opinion” about the treatment they have received. In other words, “Are they satisfied?”.

Assessment of the Quality of Medical Care Among Patients with Early Stage Prostate Cancer Undergoing Expectant Management in the United States

2012 ◽  
Vol 188 (3) ◽  
pp. 769-774 ◽  
Author(s):  
Jamie Ritchey ◽  
E. Greer Gay ◽  
Benjamin A. Spencer ◽  
David C. Miller ◽  
Lauren P. Wallner ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Medical Care ◽  
Early Stage ◽  
Expectant Management ◽  
The United States ◽  
Quality Of Medical Care

scholarly journals Patient Satisfaction Ratings of Male and Female Residents Across Subspecialties

Neurosurgery ◽  
2019 ◽  
Vol 86 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Methma Udawatta ◽  
Yasmine Alkhalid ◽  
Thien Nguyen ◽  
Vera Ong ◽  
Jos’lyn Woodard ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Medical Care ◽  
Communication Skills ◽  
Gender Inequalities ◽  
Male And Female ◽  
Medical Expertise ◽  
Significant Difference ◽  
Quality Of Medical Care

Abstract BACKGROUND Females currently comprise approximately 50% of incoming medical students yet continue to be underrepresented in certain medical subspecialties. OBJECTIVE To assess whether gender plays a role in patients’ perception of physician competency among different specialties. METHODS We administered surveys at 2 academic medical centers to patients who were stable, cognitively aware, and indicated English as their primary language. Survey questions evaluated communication, medical expertise, and quality of care. RESULTS A total of 4222 surveys were collected. Females comprised around half (n = 2133, 50.7%) of evaluated residents. First-year (n = 1647, 39%) and second-year (n = 1416, 33.5%) residents were assessed most frequently. Internal medicine conducted the most surveys (n = 1111, 23.6%), whereas head and neck surgery conducted the least (n = 137, 3.24%). There was no statistically significant difference between patients’ perception of male and female residents of the same year in overall communication skills, medical expertise, and quality of medical care. Female residents outperformed their male counterparts on specific questions evaluating the communication of treatment plans, patient education, and patient satisfaction (P < .001, P = .03, P = .04, respectively). Unsurprisingly, patients’ perceptions of residents’ overall communication skills, medical expertise, and quality of medical care significantly improved when comparing more experienced residents to newer residents. CONCLUSION There is no difference between overall communication, medical expertise, and quality of care between sexes, and across subspecialties. Though gender inequalities currently exist most starkly in practitioners in surgical subspecialties, women in surgical residencies were much better communicators than their male counterparts, but still perceived to have similar levels of medical expertise and quality of care.

scholarly journals Epileptic status: reality 2021

2021 ◽  
Vol 40 (4) ◽  
pp. 59-68
Author(s):  
Sergey N. Bazilevich ◽  
Mikhail Yu. Prokudin ◽  
Dmitriy A. Averyanov ◽  
Dmitriy E. Dyskin
Keyword(s):  
Medical Care ◽  
Antiepileptic Drugs ◽  
Early Stage ◽  
Treatment Protocol ◽  
Case Series ◽  
Medical Personnel ◽  
General Anesthetics ◽  
Quality Of Medical Care ◽  
The Russian Federation

Epileptic status is one of the urgent conditions in neurology that requires clear and urgent measures at any stage of medical care. It ranks second among all urgent neurological conditions. The therapeutic principle time-brain is applicable not only for urgent measures in acute cerebrovascular accident, but also for the relief of epileptic status, since the worst prognosis is associated with an increase in the duration of seizure activity. According to the standards proposed in the world for the treatment of epileptic status, benzodiazepines, intravenous forms of antiepileptic drugs, and general anesthetics are used. In the Russian Federation, the use of many drugs is limited due to the lack of registration, their lack in standards, and unavailability in hospitals. Due to the lack of studies on the treatment of epileptic status that go beyond the early stage of status, most of the recommendations presented worldwide remain based on case series or expert judgment. The efficacy benefits of anti-status drugs used in the second and third stages of epileptic status therapy remain unclear. Therefore, if there is a choice of anti-status drugs, the decision of which drug, in what dose and in what sequence will be used, should be made by the senior and most trained doctor in this matter, taking into account the characteristics of each patient. Based on modern international and personal experience, the paper presents a step-by-step protocol for the treatment of generalized convulsive epileptic status, discusses the successes and problems of providing care to patients with this pathology in Russia. The quality of medical care in epileptic status can be significantly improved provided that medical personnel at all stages of the treatment protocol are required to evacuate patients with epileptic status to specialized centers of multidisciplinary hospitals with the possibility of examination and therapy, including the availability of EEG monitors, neuroimaging and laboratory capabilities, and also access to modern antiepileptic drugs (1 table, bibliography: 30 refs)

Main causes of parents dissatisfaction by the accessibility and quality of ambulatory-polyclinic care for children

2017 ◽  
Vol 8 (6) ◽  
pp. 24-29 ◽  
Author(s):  
Vadim K. Yuryev ◽  
Vera V. Sokolova
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Home Visiting ◽  
Medical Personnel ◽  
Study Patient ◽  
Sociological Research ◽  
The Social ◽  
Legitimate Interests ◽  
Quality Of Medical Care

One of the main tasks of the national healthcare is to increase the accessibility and quality of medical care to the population. One way of assessing the quality of care is to study patient satisfaction with medical care through sociological research. The degree of patient satisfaction reflects not only the social effectiveness of medical organizations, but also the work of all health systems. The bulk of medical care a child receives in the conditions of the polyclinic. Parents, being legal representatives of the child, can objectively assess the quality of medical care provided to them in the children's polyclinic, and, if necessary, protect his legitimate interests. With a view to identifying the main causes of the dissatisfaction of the child population of Saint Petersburg by the accessibility and quality of ambulatory-polyclinic care, the anonymous questionnaire of 1488 parents of children receiving the medical care in outpatient polyclinics was conducted. It found that in children's polyclinics parents often face difficulties when calling the doctor home, visiting a pediatrician and subspecialties doctor, passing medical examinations and procedures. Parents were not always satisfied with the preventive activities and sanitary and hygienic condition of the polyclinic. There are cases of inattentive and mistreatment by medical personnel. In General, over half (53.2%) parents have remained completely unsatisfied or not fully satisfied by the quality of provided ambulatory-polyclinic care.

scholarly journals The quality of computerised tomography use in two psychogeriatric services

1993 ◽  
Vol 17 (9) ◽  
pp. 536-537 ◽  
Author(s):  
Jon Spear
Keyword(s):  
Medical Care ◽  
Medical Audit ◽  
Computerised Tomography ◽  
Catchment Population ◽  
Care Department ◽  
Department Of Health ◽  
Cerebral Tumours ◽  
Quality Of Medical Care

The aim of medical audit is to improve the quality of medical care (Department of Health, 1989). There was concern that patients referred to a psychogeriatric service (Service X) did not have adequate access to computerised tomography. The nearest computerised tomography scanner was located in a neighbouring district and direct referrals were not accepted. Computerised tomography scans could be obtained indirectly by referral to neurosurgeons. Because of these difficulties “potentially treatable structural lesions” (such as cerebral tumours and subdural haematomas) may have been missed. We decided to compare the use of computerised tomography scans with a nearby service (Service Y) which had a computerised tomography scanner on site. Service X had a catchment population of 33,000 aged over 65 and Service Y a catchment population of 23,420 aged over 65.

scholarly journals Psychiatric audit

1991 ◽  
Vol 15 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Paul Hatton ◽  
Edward B. Renvoize
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Patient Department

Medical audit has been defined “as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient” (Department of Health, 1989).

scholarly journals Psychological aspects of quality of medical service: modern problems and prospects of research

2019 ◽  
Vol 2 (8) ◽  
pp. 90-96
Author(s):  
N.G. Pilipenko
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Research Methods ◽  
Medical Staff ◽  
Medical Service ◽  
Effective Communication ◽  
Psychological Aspects ◽  
Medical Institution ◽  
Quality Of Medical Care

Purpose. To analyze and summarize scientific research on the problem of the psychological aspects of the quality of medical care. Research methods: library semantic, comparative and systemic approach. Results. Psychological quality assurance of medical care includes: the selection and use of relevant psychological research methods (interviewing patients and visitors of medical institutions, questioning medical professionals, interviewing experts, monitoring the process of medical care or a medical procedure, statistical analysis of complaints and suggestions); monitoring (conducting a survey) of patient satisfaction with the quality of medical care; assessment of the level of corporate culture, commitment and loyalty of medical workers to the medical institution; the introduction of training courses for medical staff in effective communication with patients; medical workers undergoing thematic improvement courses on the psychology of the treatment process and the psychological foundations of medical practice, doctor-patient communication trainings, educational seminars for nursing staff on enhancing psychological competence in interacting with patients. Conclusion. Despite the increasing attention of scientists to the problem of psychological aspects of ensuring the quality of medical services in recent years, its development in Ukraine has not yet been adequately developed. Analysis of the literature on the problem showed the absence of clear psychological criteria and methods for assessing the quality of medical care in health care facilities. The psychological aspects of the quality of medical care, such as the criteria for patient satisfaction with the level of medical care, the results of treatment, the attitude of the medical staff, the level of organization and coordination of medical care, awareness of rights and responsibilities, are almost uncharted in the national science. It requires the development of general conceptual principles for building consumer-oriented relations in the system «representative of a medical service - a consumer of a medical service», namely criteria and principles of effective communication with patients, which is one of the key conditions for the formation of their loyalty to a medical institution. 

scholarly journals Patient Satisfaction With Medical Services Provided at Unani Medicine Hospital, Bengaluru: A Cross-Sectional Study

2020 ◽  
Vol 7 (6) ◽  
pp. 1432-1437
Author(s):  
Ejaz Ahmad ◽  
Malik Itrat
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Treatment Effectiveness ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Sectional Study ◽  
Cross Sectional ◽  
Unani Medicine ◽  
Quality Of Medical Care

In medical care, patient satisfaction is a key indicator of the quality of care. Many studies have agreed on the fact that measuring patient satisfaction is a useful tool for determining the effectiveness of health care delivery and the quality of medical care provided. Hence, present study was aimed to determine the level of patient’s satisfaction with the quality of medical care services rendered in a teaching hospital of Unani medicine. A hospital-based cross-sectional study was conducted at the National Institute of Unani Medicine Hospital, Bengaluru, from April 2019 to October 2019 on 500 patients sampled from various service delivery points of the health facility. Data were gathered through exit interviews of patients after obtaining their written informed consent. A predesigned and pretested questionnaire on patient satisfaction patient satisfaction questionnaire (PSQ-18) was used as a study tool. The overall mean patient satisfaction score was 4.82 ± 0.23. Mean satisfaction was highest in the interpersonal manner (4.94) and communication (4.94), followed by time spent with the doctor (4.91), technical quality (4.87), financial aspect (4.87), accessibility and convenience (4.65), and least in general satisfaction (4.54). No sociodemographic variables were found to correlate significantly with satisfaction score ( P > .05). In clinical variables, treatment effectiveness was found to be significantly associated with the satisfaction score ( P = .002). The study found that overall patients were highly satisfied with the medical services provided by the health facility. Furthermore, the study finds that treatment effectiveness has a more significant effect on patients’ satisfaction compared with other factors.

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