scholarly journals Managing Multimorbidity: How Can the Patient Experience be Improved?

2016 ◽  
Vol 6 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Stanimir Hasardzhiev ◽  
Luís Mendão ◽  
Wolfram Nolte ◽  
Bert Aben ◽  
Karin Kadenbach
Keyword(s):  
Patient Experience ◽  
Healthcare Services ◽  
Preliminary Evidence ◽  
Care Quality ◽  
Quality Healthcare ◽  
Care Services ◽  
Health And Social Care ◽  
Patient’S Experience ◽  
Physical Health Problems ◽  
Mental And Physical Health

The patient's experience of their own healthcare is an important aspect of care quality that has been shown to improve clinical and other outcomes. Very little is currently known about patient experience in the management of multimorbidity, although preliminary evidence suggests that it may be poor. Individuals with multimorbidity report better experiences of care when they are knowledgeable and involved in the decision-making, when their care is well coordinated, and communication is good. A greater focus on disease prevention, stronger collaboration between health and social care services, and the provision of more integrated care for people with mental and physical health problems would also help to improve the patient experience. Advocacy groups can amplify the patient voice and improve access to care, as well as provide information and support to patients and their families. Patients have an important role in preventing multimorbidity and improving its management, and should be involved in the development of health policies and the delivery of healthcare services. Inequalities in access to quality healthcare must also be addressed.

scholarly journals The patient advisor, an organizational resource as a lever for an enhanced oncology patient experience (PAROLE-onco): a longitudinal multiple case study protocol

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. P. Pomey ◽  
M. de Guise ◽  
M. Desforges ◽  
K. Bouchard ◽  
C. Vialaron ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Clinical Oncology ◽  
Patient Experience ◽  
Emotional Support ◽  
Social Care ◽  
Legal Issues ◽  
Care Services ◽  
Health And Social Care ◽  
Ethical And Legal Issues ◽  
The Impact

Abstract Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient advisors (PAs) can be included as full-fledged members of the healthcare team, given that PA can rely on their knowledge with experiencing the disease and from using health and social care services to accompany cancer patients, they could help to round out the health and social care services offer in oncology. However, the feasibility of integrating PAs in clinical oncology teams has not been studied. In this multisite study, we will explore how to integrate PAs in clinical oncology teams and, under what conditions this can be successfully done. We aim to better understand effects of this PA intervention on patients, on the PAs themselves, the health and social care team, the administrators, and on the organization of services and to identify associated ethical and legal issues. Methods/design We will conduct six mixed methods longitudinal case studies. Qualitative data will be used to study the integration of the PAs into clinical oncology teams and to identify the factors that are facilitators and inhibitors of the process, the associated ethical and legal issues, and the challenges that the PAs experience. Quantitative data will be used to assess effects on patients, PAs and team members, if any, of the PA intervention. The results will be used to support oncology programs in the integration of PAs into their healthcare teams and to design a future randomized pragmatic trial to evaluate the impact of PAs as full-fledged members of clinical oncology teams on cancer patients’ experience of emotional support throughout their care trajectory. Discussion This study will be the first to integrate PAs as full-fledged members of the clinical oncology team and to assess possible clinical and organizational level effects. Given the unique role of PAs, this study will complement the body of research on peer support and patient navigation. An additional innovative aspect of this study will be consideration of the ethical and legal issues at stake and how to address them in the health care organizations.

Developing a Conceptual Framework for Innovative Behaviour in Healthcare Organization

2018 ◽  
Vol 7 (4.34) ◽  
pp. 11
Author(s):  
Lina Iziana Ghazali ◽  
Aziz Amin
Keyword(s):  
Transformational Leadership ◽  
Structural Equation ◽  
Healthcare Services ◽  
Care Quality ◽  
Quality Healthcare ◽  
Innovative Behaviour ◽  
Patient Care Quality ◽  
Nursing Professionals ◽  
The Impact

In recent years, healthcare face challenges to be more responsive to the increased demands of public for better quality of care. In order to ensure public received with good healthcare services, the most important employees are nursing professionals who are responsible to emphasise on delivering quality and efficient. Based on literature, innovation can become a good solution to increase patient care quality. Healthcare depend on their nurses to continuous innovate their ways of working that actually improve nursing practice. Previous study found that leadership is important antecedent of innovative behaviour. This study is an attempt to examine transformational leadership on innovative behaviour among nurses. The structural equation modelling has been proposed and will be used to test the impact of transformational leadership towards innovative behaviour.    

scholarly journals Exploring the Patient’s Experience of Receiving Clinical Care Which Incorporates the Use of Mobile Technology at the Bedside

2021 ◽  
Author(s):  
J Warrilow ◽  
L Pho ◽  
C Murley ◽  
A Jones ◽  
G Fairbrother
Keyword(s):  
Patient Experience ◽  
Mobile Technology ◽  
Digital Health ◽  
Clinical Care ◽  
Hospital Setting ◽  
Care Quality ◽  
Patient’S Experience ◽  
Post Test ◽  
One Year ◽  
Views And Perceptions

Objective: Research-based insight into patient’s experiences of mobile technology at the bedside in the hospital setting remains limited. This research project aims to explore patient’s experience. Methods: This mixed method pre and post study aimed to explore the patient experience in relation to this and also test whether introducing further bedside technology (beyond the workstation on wheels) had an effect on the patient experience. Questionnaires and interviews were conducted among inpatient samples prior to and one year post introduction of a suite of new bedside technologies. Results: Pre and post patient survey results (pre: n=82; post: n=98) suggested that mixed views and perceptions existed and that some of these were associated with primary demographics such as age. At post-test, attitudes about bedside technology were found to be more positive, and feedback about care quality was found to be unchanged, Baseline patient interview findings (n=15) highlight the social ubiquity of technology as a driver of positive attitude in the digital health context. Conclusion: The addition of new bedside technology is very well received by patients and was not perceived to impact on care quality.

scholarly journals Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in Tertiary hospitals in Southeast Nigeria.

2020 ◽  
Author(s):  
Henry Egi Aloh ◽  
Obinna E. Onwujekwe ◽  
Obianuju G. Aloh ◽  
Ijeoma L. Okoronkwo ◽  
Chijioke Joel Nweke
Keyword(s):  
Socioeconomic Status ◽  
Quality Of Care ◽  
Patient Experience ◽  
Waiting Time ◽  
Employment Status ◽  
Healthcare Services ◽  
Patient Experiences ◽  
Care Quality ◽  
Tertiary Hospitals

Abstract Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria. Methods: The study is of a cross-sectional design and exit poll was used to collect its data. A pre-tested structured questionnaire was administered to clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor’s care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed. Results: The mean rating of patient experience for quality of care for ambulatory healthcare services (outpatients’ care) was 74.31 ± 0.32%. Moderate differences were observed between the hospitals assessed for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient’s education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors). Conclusion: The study showed that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, while full consideration is given to the patients’ socioeconomic status.

Closed cultures in health and social care services

2021 ◽  
Vol 23 (10) ◽  
pp. 1-5
Author(s):  
Amanda Halliwell
Keyword(s):  
Learning Disabilities ◽  
Care Setting ◽  
Social Care ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Health And Social Care

Closed cultures can occur in any health or social care setting and have been shown to harm service users. In practice, risks are higher in services for people with learning disabilities and autism. Amanda Halliwell rounds up the Care Quality Commission's latest reporting in this area.

A primary care practitioner’s experience of the Care Quality Commission’s registration process

2011 ◽  
Vol 2 (2) ◽  
pp. 62-65
Author(s):  
James Wise
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Social Care ◽  
Healthcare Services ◽  
Care Quality ◽  
Registration Process ◽  
Health And Social Care ◽  
Dental Practices ◽  
First Time ◽  
The Way

The Health and Social Care Act of 2008 has changed the way that health care is to be provided and regulated in England so that all users of healthcare services can expect a similar standard whatever service they use. For the first time private dental practices will be included. This article sets out the challenges faced by a single-handed practitioner when trying to register for this latest layer of bureaucracy.

scholarly journals Understanding the Patient Experience: A Conceptual Framework

2020 ◽  
Vol 7 (6) ◽  
pp. 906-910
Author(s):  
Patrick Oben
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Health Care Services ◽  
Health Care Quality ◽  
Human Experience ◽  
Care Quality ◽  
Clear Understanding ◽  
Policy Makers ◽  
Care Services ◽  
Definition Of

The patient experience is now globally recognized as an independent dimension of health-care quality. However, although patients, providers, health-care managers, and policy-makers agree on its importance, there is no standardized definition of the patient experience. A clear understanding of the basic concepts that make up the foundation of the patient experience is more important than a statement defining the patient experience. The fundamental nature of health care involves people taking care of other people in unique times of distress. Thus, the human experience is at the very core of understanding what the patient experience is. This article reviews a framework of the basic human experience of patients as they progress from being unique, healthy individuals to a state of experiencing both disease and health-care services. This novel framework naturally leads to a basic understanding of the patient experience as a human experience of health-care services.

scholarly journals The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

2020 ◽  
Vol 7 (6) ◽  
pp. 1678-1684
Author(s):  
Jaya Aysola ◽  
Chang Xu ◽  
Hairong Huo ◽  
Rachel M Werner
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Patient Experience ◽  
Smoking Status ◽  
Care Quality ◽  
Cross Sectional ◽  
Process Measures ◽  
Care Services ◽  
Patient Reported

We lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered patient-reported experience measures and both (1) quality of care measures and (2) number of missed primary care appointment (no shows). Our independent variables included both overall patient experience and its subdomains. Our outcomes included the following measures: smoking cessation discussion, diabetes eye examination referral, mammography, colonoscopy screening, current smoking status (nonsmoker vs smoker), diabetes control Hemoglobin A1c (HbA1c [<8]), blood pressure control, cholesterol control Low Density Lipoprotein (LDL) among patients with diabetes (LDL < 100), and visit no shows 2 and 5 years after the index visit that triggered the completed patient-experience survey. We found that patient experience, while an important stand-alone metric of care quality, may not relate to clinical outcomes or process measures in the outpatient setting. However, patient-reported experiences with their primary care provider appear to influence their future visit attendance.

scholarly journals Investigating International Health Markets: Methodological Problems and Challenges

2005 ◽  
Vol 4 (4) ◽  
pp. 427-435 ◽  
Author(s):  
Chris Holden
Keyword(s):  
National Level ◽  
International Health ◽  
Healthcare Services ◽  
World Market ◽  
Levels Of Analysis ◽  
Care Services ◽  
Health And Social Care ◽  
Comprehensive Picture ◽  
Methodological Problems ◽  
Different Levels

Processes of privatisation and liberalisation around the world would lead us to expect a growth in the private provision of health and social care services, which in turn we would expect to lead to a growth in the international trading of such services. However, the available data are not adequate to allow us to develop a clear and comprehensive picture of the scope and nature of this emerging world market. What data do exist may take a variety of forms and be pitched at different levels of analysis. Such data may be focused at the level of firms providing such services, at the national level; at the level of regional organisations and agreements; or at the level of international organisations and agreements. This article discusses the methodological problems and challenges of attempting to integrate such diverse forms of data and levels of analysis. It is concluded that a comprehensive analysis must not only include all of these levels, but take account of the ways in which processes at different levels may interact to reinforce the tendency towards trade in healthcare services.

scholarly journals Assessing Service Quality in the Ghanaian Private Healthcare Sector: The Case of Comboni Hospital.

2020 ◽  
Vol 8 (02) ◽  
pp. 616-627
Author(s):  
Fortune Afi Agbi ◽  
Eric Owusu Asamoah ◽  
Gilbert Atteh Joshua Sewu
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Healthcare Services ◽  
Quality Of Services ◽  
Private Hospitals ◽  
Quality Healthcare ◽  
Care Services ◽  
The Government

The healthcare industry has become a paramount concern for most people in Ghana and the quality of services rendered to the patients in the private hospitals cannot be overemphasized. Patients need quality of services most and are willing to seek better services. The government has been the main provider of health care services in Ghana but recently, some Non-Governmental Organization’s (NGO’s), private individuals and stakeholders also provide health care services which has surged the competitiveness in creating more healthcare facilities in Ghana. This study seeks to explore patients' choice of selecting quality healthcare services and the factors that affect patient satisfaction in private hospitals using the Comboni Hospital in Sogakope, Ghana.   The study therefore used the quantitative research method to collect the data and SPSS version 22 was used to analyze the data on high-quality healthcare. Also, the SERVQUAL model was used as the measurement scale. Multiple regression analysis was used to reveal the effect of the independent variables (reliability, responsiveness, empathy, assurance, and tangibility) on the dependent variable (patient satisfaction).  A detailed description in the analysis and the data processing identified the main factors affecting the general perceptions and patient preferences about their healthcare in the private hospital. The study revealed that there exist a positive result and perception for quality healthcare services without a negative expectation of the patient healthcare being compromised. In this case, the study recommends that both the government and the private agencies should consider the important aspects of hospital’s healthcare management and also the policy and decision makers should have an efficient and effective standard that impact the quality of healthcare assessment in Ghana.  

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