scholarly journals Assessment patient satisfaction towards emergency medical care and its determinants at Ayder comprehensive specialized hospital, Mekelle, Northern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0243764
Author(s):  
Goitom Molalign Takele ◽  
Negash Abreha Weldesenbet ◽  
Nahom Girmay ◽  
Habtamu Degefe ◽  
Rigbe Kinfe

Background As the healthcare industry shifts toward patient-centered models, providers will need to fully understand patient satisfaction and how they affect their practices. This study aimed to assess patient satisfaction towards the emergency medical care and factors associated with at Ayder specialized comprehensive hospital, Emergency room, Mekelle, Ethiopia. Methods An institution-based cross-sectional study was conducted from March 1–30, 2019. A systematic random sampling method was used to enroll 299 study participants. Data were collected using a standard Brief Emergency Department Patient Satisfaction Scale questionnaire by trained data collectors. Data was entered into EpiData 3.1 then exported and analyzed by SPSS version 22. Binary and multiple logistic regression were used to assess the factors associated with patient satisfaction. Where the p-value of <0.05 was considered significant. Results A total of 299 participants were enrolled in the study with a response rate of 99.3%. On overall patient satisfaction score majority (81.9%) of them were satisfied with the emergency medical care provided. The satisfaction rate towards emergency staff courtesy, emergency room environment, physician care satisfaction, general patient satisfaction, and patient family satisfaction was 80.3%, 37.5%, 75.9%, 70.9%, and 49.8% respectively. Those who arrived during the morning time of the day tend to be satisfied more with the emergency services (AOR = 4.8, 95% CI: 2.08, 11.4), while having low educational status (able to read and write) (AOR = 0.12, 95% CI: 0.03, 0.50) and waiting time till seen by a doctor (AOR = 1.3, 95% CI: 1.003, 1.4) was found to affect patient satisfaction negatively. Conclusions The total patient satisfaction score towards emergency medical care was found to be good. The hospital management and emergency room staff should act on the identified factors especially on minimizing the patients waiting time to improve the quality of care in the emergency department.

2020 ◽  
Author(s):  
Goitom Molalign Takele ◽  
Negash Abreha Weldesenbet ◽  
Birhan Gebresillassie Gebregiorgis

Abstract Background: As assessing client’s experience are important guide towards services improvement, providers will need to fully understand patient satisfaction level and their determinants. This study was aimed to assess the level of satisfaction towards the emergency medical care and associated factors at emergency department of Ayder specialized comprehensive hospital, Mekelle, Ethiopia.Methods: A cross-sectional study was conducted from March 1–30, 2019. Systematic random sampling method was used to enroll study participants. Data was collected using a standard Brief Emergency Department Patient Satisfaction Scale questionnaire by trained data collectors. Data was entered into EpiData 3.1 then exported and analyzed by SPSS version 22. Binary and multiple logistic regression was used to assess the predictor’s patient satisfaction.Results: A total of 299 participants were enrolled in the study with a response rate of 99.3%. The overall client’s satisfaction was 81.9%. The lowest satisfaction rate was reported towards emergency room environment, and patient family satisfaction 37.5%, and 49.8% respectively. Educational status those who were able to read and write (AOR = 3.9, 95% CI: 1.4, 10, P = 0.008), those who arrived during the morning shift of the day (AOR = 3.6, 95% CI: 1.6, 8.7, p = 0.002), those who waited < 15 minutes to be seen by a doctor (AOR = 1.3, 95% CI: 1.003, 1.4), having felt discriminated (AOR = 1.5, 95% CI: 1.003, 1.4) were significantly associated determinants of client satisfaction.Conclusions: The overall client’s satisfaction in this study was found to be good. There is a low satisfaction towards emergency room environment and patient’s family courtesy. It is important to readjust emergency room services to improve client’s courtesy, avoid feeling of discrimination by clients and overall to improve the quality of care in the emergency department.


2021 ◽  
Vol 22 (2) ◽  
pp. 17-24
Author(s):  
L. T. Mirvarisova ◽  
Kh. E. Anvarov

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.


2019 ◽  
Vol 27 ◽  
pp. 23-31
Author(s):  
Addis Adera Gebru ◽  
Ali Mohammad Mosadeghrad ◽  
Ali Akbari Sari ◽  
Tadesse Bekele Tafesse ◽  
Woldegebriel Gebreegziabher Kahsay

2013 ◽  
Vol 28 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Janet Y. Lin ◽  
Saroosh Ahmed ◽  
Caroline Brander

AbstractIntroductionEmergency medical care in Pakistan has not been a priority of medical education and training because of the country's need to address its lack of primary care. Resources and trained personnel are scarce. Despite these challenges, the value of emergency medical care is gaining attention. The objective of this study was to explore the breadth of Emergency Medicine training in Pakistan through an analysis of an Emergency Medicine residency in a teaching hospital. The Aga Khan University Hospital in Karachi is a teaching institution with the only Emergency Medicine residency program in the region. It was started in 2000, led by US-trained physicians, and it laid the foundation for Emergency Medicine in the country.MethodsThe study was conducted over a four-week period in January of 2009. Data collection consisted of three components: (1) a survey of the Emergency Department and hospital services; (2) a survey of the Emergency Medicine training curriculum; and (3) a retrospective chart review of every tenth patient seen in the Aga Khan Emergency Department from December 1-14, 2008.ResultsThe training program is similar to that of the US models. Of the 153 patients selected for the chart review, the majority presented with GI complaints. Of these, 51 (33%) were admitted to the hospital; 20% (n = 15) left against medical advice; the remaining 57% (n = 87) were discharged.Discussion/ConclusionThe hospital admitted patients with complaints that were expected in the region. Although Aga Khan University Hospital is a pioneer in establishing Emergency Medicine as an official medical discipline in the region, the hospital's obstetrics and gynecology, trauma, toxicology and prehospital services training do not meet current curriculum standards set forth by the Society of Academic Emergency Medicine and the Council of Emergency Medicine Residency Directors. Nevertheless, the review provides a snapshot of the development of Emergency Medical Services in a developing nation. This information may assist other nations that are interested in developing such programs.LinJY, AhmedS, BranderC. Breadth of emergency medical training in Pakistan. Prehosp Disaster Med. 2013;28(2):1-5.


2019 ◽  
Vol 20 (4) ◽  
pp. 58-62
Author(s):  
V. M. Shaytor ◽  
A. I. Safronova ◽  
O. A. Klitsenko ◽  
D. I. Shaytor ◽  
A. I. Belyaev ◽  
...  

The publication presents the results of a comparative study of the use of diagnostic streptotest in the provision of emergency medical care and in the hospital. The possibility of differentiation of diagnoses in diseases of the upper respiratory tract and the development of early tactical and therapeutic measures at the stage of emergency and emergency medical care and in the emergency Department.  


2020 ◽  
Vol 7 (6) ◽  
Author(s):  
Michael S Pulia ◽  
Steven Hesse ◽  
Rebecca J Schwei ◽  
Lucas T Schulz ◽  
Ajay Sethi ◽  
...  

Abstract Background The literature has mixed results regarding the relationship between antibiotic prescribing and patient satisfaction in the emergency department (ED) for antibiotic-inappropriate respiratory diagnoses. The objective of the study was to determine if ED patients who receive nonindicated antibiotic prescriptions for respiratory tract conditions have increased Press Ganey patient satisfaction scores compared with those who do not receive antibiotics. Methods This was a retrospective observational study. Using an administrative electronic health record data set from 2 EDs in the Midwest, we identified 619 ED encounters resulting in discharge for antibiotic-inappropriate respiratory diagnoses with a corresponding Press Ganey patient satisfaction survey. We compared sociodemographics, encounter variables, and overall Press Ganey patient satisfaction scores between those who did and did not receive antibiotics. We analyzed Press Ganey scores by categorical score distribution and as a dichotomized scale of top box (5) vs other scores. A logistic regression estimated the odds of a top box Press Ganey patient satisfaction score based on antibiotic prescribing while controlling for other covariates. Results In the final sample, 158 (26%) encounters involving antibiotic-inappropriate respiratory diagnoses involved an antibiotic prescription. There were no differences in sociodemographic, encounter or categorical, or top box Press Ganey overall patient satisfaction scores between the groups that did and did not receive inappropriate antibiotics. In the fully adjusted regression model, antibiotic prescriptions were not associated with increased odds of top box Press Ganey patient satisfaction score (odds ratio, 0.78; 95% CI, 0.53–1.14). Conclusions Our findings suggest that nonindicated antibiotic prescribing for respiratory tract conditions is not a primary driver of overall Press Ganey scores in the ED.


2015 ◽  
Vol 66 (4) ◽  
pp. S96
Author(s):  
S. Baliga ◽  
H. Klausner ◽  
R. Thompson ◽  
M. Oddo

2020 ◽  
pp. 71-75
Author(s):  
Marina Dmitryeva

The article describes the measures taken by medical professionals of emergency medical care to observe infectious safety of patients in the provision of pre-medical care in case of burns.


1994 ◽  
Vol 161 (11) ◽  
pp. 693-694 ◽  
Author(s):  
Mark W Salib ◽  
Joseph R Brimacombe

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