scholarly journals QUALITY EVALUATION OF HEALTHCARE SERVICES IN SCHOOLS

2017 ◽  
Vol 72 (3) ◽  
pp. 180-194 ◽  
Author(s):  
A. A. Baranov ◽  
V. R. Kuchma ◽  
E. V. Anufrieva ◽  
S. B. Sokolova ◽  
N. A. Skoblina ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Equipment ◽  
Health Care Quality ◽  
School Health ◽  
Healthy Lifestyle ◽  
Healthcare Services ◽  
Care Quality ◽  
Medical Professionals ◽  
General Strategy

Background: School healthcare service standards and quality are the crucial factors for a development of a healthy lifestyle health of younger generation of the country. The goal of the study is an evaluation of the health care quality in schools.Methods: The paper discusses the evaluation of the quality of health care which is provided for school children in different parts of Russia. Assessment of the school health services is performed using the unified WHO recommendations in 21 schools.Results: The study revealed the similar pattern of problems concerning health services in schools located in different regions of the country, specifically: the absence of modern federal rules; shortage of medical professionals and their low sallary; insufficient medical equipment; inadequate list of medical services.Conclusions: This study gives the evidence for the necessity to develop a general strategy of measures to be implemented to solve the problems. The measures should include the regular trainings of medical professionals, determination of the list of basic services to be provided in schools, improvement of the medical equipment.

scholarly journals In patient satisfaction survey- how does it help our health care delivery system (the patient, the health care giver and the organization)?

2017 ◽  
Vol 4 (10) ◽  
pp. 3280
Author(s):  
Priti Prasad Shah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Delivery ◽  
Health Care Quality ◽  
Care Delivery ◽  
Healthcare Services ◽  
Care Quality ◽  
Survey Study ◽  
Satisfaction Survey ◽  
Patient Satisfaction Survey

Background: Patient satisfaction is a mean of measuring the effectiveness of health care delivery.    It can suggest proportion to the problem areas and a reference point to take management decisions. It can serve as a mean of holding physician accountable. Patient satisfaction data can be used to document health care quality for accrediting organizations and consumer groups. They can also measure specific initiative or changes in service delivery.  They can increase loyalty of patients by demonstrating you care their perceptions and looking for ways to improve. The purpose of our study is to carry out evaluation of hospital services by getting a patient satisfaction survey. Main aim is to identify potential problems in the services.Methods: A hospital based inpatient satisfaction survey study done on 200 patients. A Predesigned structured questionnaire was based on relevance of questions to healthcare services on various aspects of inpatient care.  The interviewer based questionnaires were filled after obtaining verbal informed consent from all subjects. 200 valid responses were analyzed using MS office excel. Data analysis of study is done using the SPSS (Statistical Package for the Social Science) Version 17 for window.Results: Results of our study is very positive and suggest that patients were satisfied with the attitude of doctors, nurses and paramedical staff and it was appreciated. As in D Y Patil Medical College and Hospital most facilities are free for the patients, so we got better feedback for the facilities and satisfaction for this study. Satisfied patients are more likely to continue using the health care services and maintain their relationship with specific health care providers.Conclusions: Patient satisfaction survey can be a driving force for changes in health care delivery with institutions and individuals. These initiatives can promote improvement in practice and also respond to patient expressed needs.

How Do We Align Health Services Research and Quality Improvement?

2020 ◽  
pp. 282-291
Author(s):  
Devika Das ◽  
Lalan Wilfong ◽  
Katherine Enright ◽  
Gabrielle Rocque
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Quality ◽  
Care Delivery ◽  
Care Quality ◽  
Health Care Use ◽  
Semistructured Interview ◽  
Services Research

Quality improvement (QI) initiatives and health services research (HSR) are commonly used to target health care quality. These disciplines are increasingly important because of the movement toward value-based health care as alternative payment and care delivery models drive institutions and investigators to focus on reducing unnecessary health care use and improving care coordination. QI efforts frequently target medical error and/or efficiency of care through the Plan-Do-Study-Act methodology. Within the QI framework, strategies for data display (e.g., Pareto charts, run charts, histograms, scatter plots) are leveraged to identify opportunities for intervention and improvement. HSR is a multidisciplinary field of study that seeks to identify the most effective way to organize, deliver, and finance health care to maximize the quality and value of care at both the individual and population levels. HSR uses a diverse set of quantitative and qualitative methodologies, such as case-control studies, cohort studies, randomized control trials, and semistructured interview/focus group evaluations. This manuscript provides examples of methodologic approaches for QI and HSR, discusses potential challenges associated with concurrent quality efforts, and identifies strategies to successfully leverage the strengths of each discipline in care delivery.

scholarly journals A qualitative study of old patients’ experiences of the quality of the health services in hospital and 30 days after hospitalization

2019 ◽  
Author(s):  
Ingvild Lilleheie ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Astrid Bergland
Keyword(s):  
Health Care ◽  
Health Services ◽  
Older People ◽  
Everyday Life ◽  
Health Care Quality ◽  
Care Quality ◽  
World Health ◽  
Old Patients ◽  
The Impact

Abstract Background The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions (multimorbidity). The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that health care systems must prepare for a change in the focus of clinical care for older people. The WHO defines health care quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which health care quality can be defined as acceptable is determined by services’ ability to meet the needs of users and adapt to patients’ expectations and perceptions. This study explores experiences of the quality of the health services in hospital and the first 30 days at home after discharge by patients over 80 years of age. Method We took a phenomenological perspective to explore older patients’ subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically. Results The patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants. Conclusion According to the WHO, to deliver quality health care, services must include all six of the dimensions listed above. Our findings show that they do not. Health care focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.

scholarly journals Quality and accreditation in health care services

2021 ◽  
Vol 12 (2) ◽  
pp. 539-543
Author(s):  
Christos Iliadis ◽  
Aikaterini Frantzana ◽  
Kiriaki Tachtsoglou ◽  
Maria Lera ◽  
Petros Ouzounakis
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Quality ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Management ◽  
Policy Makers ◽  
Care Services

Introduction: The quality of health care services is one of the most frequently mentioned terms and concepts regarding principles of health policy and it is currently high on the agenda of National, European and International policy makers. Purpose: The purpose of this descriptive review is to investigate the correlation between quality in health services and the promotion of health care quality provided by health services. Methodology: The study material consisted of recent articles on the subject mainly found in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL-Link). Results: The clinical quality of services is often difficult to be assessed by "clients" even after the service has been provided. This is due to the fact that customers experience illness, pain, uncertainty, fear and perceived lack of control. Thus, clients may be reluctant to "co-produce" because healthcare is a service they need while they may not want it and because the risk to harm their health is prominent. In the field of healthcare management, patients' perception refers to perceived quality, as opposed to the actual or absolute quality that requires critical management. This is why health care managers face constant pressure to provide qualitative health services. Conclusions: Continuous monitoring of health care services for quality assessment is essential, hence, the evaluation of patients' perceptions of quality of healthcare, has received considerable attention in recent years.

scholarly journals Consideration factors of older adults seeking medical treatment at outpatient services in Taiwan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chen-I Shih ◽  
Cheng-Chie Weng ◽  
Wei Chen ◽  
Hui-Fei Yang ◽  
Sheng-Yu Fan
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Medical Treatment ◽  
Health Care Quality ◽  
Outpatient Service ◽  
Care Quality ◽  
Medical Professionals ◽  
Outpatient Services ◽  
Structured Interviews ◽  
Selection Factors

Abstract Background Taiwan will become a super-aged society by 2025, leading to the more frequent use of outpatient services by older adults for medical treatment compared with other age groups. Understanding the outpatient service consideration factors of older adults seeking medical treatment can improve health care quality. This study explored the selection factors and crucial considerations of older adults for outpatient services. Methods Qualitative study was conducted. Purposive sampling was used to recruit 16 older adults over 65 years of age with chronic disease who were patients of an internal medicine department and regularly returned for checkups. Data including reasons for receiving medical treatment, factors affecting their choice of hospitals, and health care and environmental considerations were collected through structured interviews. Results The older adults identified four factors. (1) The care of doctors: The doctors possessed professional skill, allocate sufficient consultation time, and undertake effective communication. (2) The care of other medical professionals: Other medical professionals provided services in a cordial manner. (3) The accessibility and convenience of outpatient services: Convenient transportation and registration as well as short consultation wait time. (4) Environment and equipment: The hospital had the novel facilities and satisfactory barrier-free equipment. Conclusions The older adults cared most about the adequacy of diagnosis and treatment by doctors and other medical professionals. In addition, they reported having higher satisfaction with hospitals that provide comprehensive medical facilities, fast and convenient medical procedures, and short wait times.

Musculoskeletal healthcare at a Swiss university hospital chiropractic medicine outpatient clinic in 2019: a health services research study

2021 ◽  
Author(s):  
Léonie Hofstetter ◽  
Melanie Häusler ◽  
Malin Mühlemann ◽  
Luana Nyirö ◽  
Daniel Mühlemann ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Quality ◽  
Research Study ◽  
Clinical Care ◽  
Care Quality ◽  
University Hospital ◽  
Services Research

Abstract Background The Balgrist University Hospital in Zurich, Switzerland, is an academic hospital focused on musculoskeletal (MSK) disorders. An integrated chiropractic medicine clinic provides chiropractic care to a broad patient population. Our health services research study aims to advance understanding of chiropractic health care service for quality assurance and health care quality improvement. Methods An observational clinical cohort study at the Balgrist chiropractic medicine clinic in 2019 was performed. The records of all patients with initial visits or returning initial visits (> 3 months since last visit) and their subsequent visits from January 1, 2019 to December 31, 2019, were used to create the study dataset. Data collected included demographic characteristics, diagnoses, imaging data, conservative treatments, surgeries, and other clinical care data. Descriptive statistics were used to summarize data. Results 1844 distinct patients (52% female, mean age 48 ± 17 years) were eligible and included in the study. 1742 patients had a single initial visit, 101 had 2 initial visits, and 1 patient had 3 initial visits during the study period. The most common main diagnoses were: low back pain (41%; 95% CI, 39–43%), neck pain (21%; 19–23%), and thoracic pain (8%; 7–9%). 29% had an acute (< 4 weeks) symptom duration, 10% subacute (4 to 12 weeks), and 52% chronic (> 12 weeks). Patients had a median number of 5 chiropractic visits during their episode of care, with a median care episode duration of 28 days. Only 49% (95% CI, 47–52%) of patient records had a clinical outcome that was extractable from routine clinical practice documentation retrievable from the hospital system. Conclusion Our health services research study provides an initial understanding of the patient characteristics and MSK clinical care delivered in a Swiss outpatient hospital setting and areas for clinical data quality assurance. Deeper insights into health care services and outcomes will help to facilitate a health quality improvement initiative by identifying clinical data and health care quality gaps, and establishing overall aims and targets for improvement.

scholarly journals Quality of Patient Care in Hospital Administration: A Review

2021 ◽  
pp. 1-7
Author(s):  
Hamed Salem S. Albalwei ◽  
Nazim Faisal Hamed Ahmed
Keyword(s):  
Health Care ◽  
Health Services ◽  
Patient Care ◽  
Health Care Quality ◽  
Hospital Management ◽  
Care Quality ◽  
Current Evidence ◽  
Quality Of Patient Care ◽  
Quality Of Health Services

Patients in need of healthcare expect high quality personalized care, which is also the primary goal of service providers. The main objective of our study was to synthesize the current evidence on the quality of patient care in hospital management. Methods: MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA were searched from 2000 to April 2021, and reference lists of included studies were searched. The included studies describe the current evidence for the quality of patient care in hospital management. No software was used to analyze the data. The data are extracted on the basis of a specific form containing (Name of the author, year of publication, country, method and results). Results and Conclusions: Communicating a better understanding of health care quality is an important preliminary step towards health care quality research and initiatives. Without clear meaning, quality improvement can be sporadic or ineffective. Competent authorities should consider shaping the curriculum to provide training for future professionals to increase patient satisfaction. Improving the quality of health services requires strong leadership from national governments, targeted local support and action at the health facility level. At all levels, there is a need to engage and empower the communities served by the health system. Improving the quality of health services requires special attention to the creation and learning of knowledge. Lessons on the delivery of quality care should be systematically documented, documented and shared within and across countries. 

Implementation Considerations for Blockchain in Healthcare Institutions (Preprint)

2019 ◽  
Author(s):  
Ketan Paranjape ◽  
Josip Car ◽  
Mitchell Parker ◽  
David Houlding
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Financial Burden ◽  
Healthcare Services ◽  
Developed Countries ◽  
Healthcare Systems ◽  
Health Data ◽  
Care Quality ◽  
Security And Privacy ◽  
Blockchain Technology

BACKGROUND Healthcare is undergoing a transformation worldwide1. In many developed countries, mature but antiqued national healthcare services are being burdened with a growing aging population, changes in payment reforms, worker shortage and rising costs2. Combined with a surge in innovative technologies like Artificial Intelligence (AI)3 and blockchain4 which can help with automating medical record mining to provide a more accurate diagnosis5 or reduce errors in medical practice6 by providing accurate and tailored treatment while reducing the financial burden, today’s healthcare systems are ready for change. After success in industries like financial services7 and retail8, if blockchain can be scaled and moved into the mainstream in healthcare, it can help alleviate the many concerns with security and privacy of health data and help stitch together a longitudinal history of health data that is fragmented and locked away in multiple silos today. Sophisticated use of blockchain technology will contribute to improving health outcomes, improved health care quality, and lower health care costs – the three overarching aims that the U.S. is striving to achieve (also known as the “Triple aim”)9. OBJECTIVE This paper aims to provide a primer on blockchain technology, and implementation considerations for blockchain at healthcare institutions. METHODS Systematic literature survey, conversation with experts. RESULTS After extensive research and interviews, we developed a primer and high level implementation guide for healthcare systems exploring the use of blockchain technology. CONCLUSIONS The use of blockchain technology in healthcare is at a promising stage in development but Blockchain-based applications are yet to be demonstrated as a viable platform for exchanging and reviewing information. Healthcare systems should be cautiously optimistic regarding the potential of blockchain and do a thorough business and technical diligence that is driven by targeted use cases (s) to be successful.

Challenge to Child Health Services Research: Report From the Committee on Pediatric Health and Health Care Quality Measures

2011 ◽  
Vol 11 (4) ◽  
pp. 257-259 ◽  
Author(s):  
Marie C. McCormick ◽  
Glenn Flores ◽  
Gary L. Freed ◽  
Charles J. Homer ◽  
Kevin B. Johnson ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Quality ◽  
Quality Measures ◽  
Care Quality ◽  
Child Health Services ◽  
Research Report ◽  
Services Research
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