scholarly journals Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

2021 ◽  
Vol 11 (16) ◽  
pp. 7507
Author(s):  
Fabrizio Chirico ◽  
Giuseppe Colella ◽  
Antonio Cortese ◽  
Pierfrancesco Bove ◽  
Romolo Fragola ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Hyaluronic Acid ◽  
Maxillofacial Surgery ◽  
Invasive Approach ◽  
Aesthetic Appearance ◽  
Assess Patient Satisfaction ◽  
Facial Plastic ◽  
Medical Reports ◽  
Vas Scores ◽  
High Level

The use of hyaluronic acid (HA) injectable fillers has become increasingly widespread in facial recontouring and rejuvenation. We report our experiences to emphasize the role of HA fillers as tools beyond aesthetic treatments in cases of post-surgical facial sequelae. HA fillers are generally used for aesthetic rejuvenation, but one potential new horizon could be their application in trauma, reconstructive, and craniofacial surgery. This study was conducted retrospectively, evaluating medical reports of patients treated at the Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli”, Naples, for lip incompetence, trauma, oncological, reconstructive, and craniosynostosis surgery sequelae. Visual analog scale (VAS) evaluation was performed to assess patient satisfaction. No major complications (i.e., impending necrosis or visual loss) were reported. Bruising and swelling was reported for 48 h after lip injection. At the immediate VAS evaluation, 67% of the patients were “extremely satisfied” and 33% “satisfied”. In those 33%, VAS scores changed to “extremely satisfied” at 6–9 weeks and 3–6 months of VAS evaluation (contextually to improvement in tissue flexibility, elasticity, and aesthetic appearance). Results indicate that this minimally invasive approach achieves a high level of aesthetic enhancement, improving patient satisfaction. The concept of HA filler applications could be a frontier that may be applicable to other areas of reconstructive facial plastic surgery.

scholarly journals Evaluating Patient Satisfaction of Nurse Practitioner Care in the Hospital Setting: A Qualitative Pilot Study

2020 ◽  
Vol 3 (1) ◽  
pp. 95-98
Author(s):  
Dawson N ◽  
Whitman A ◽  
Botella R ◽  
Tolaymat L ◽  
Haga C ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Point Of Care ◽  
Hospital Setting ◽  
Signs And Symptoms ◽  
Level Of Satisfaction ◽  
Assess Patient Satisfaction ◽  
Specific Discharge ◽  
High Level

Aim: The purpose of this study is to develop a tool and assess patient satisfaction with inpatient Nurse Practitioner (NP) care.Design: A 10 item questionnaire was administered to hospital inpatients cared for directly by one of two NP’s.Methods: Patients were given a point of care tablet to answer the survey questions with yes or no. The primary outcomes measured were satisfaction with the hospital NP in quality of care, effective communication, and discharge planning.Results: A total of 19 patients participated in this study. 100% of patients felt that nurse practitioners communicated the plan of care effectively, clearly communicated medication information, answered all questions effectively, and knew what to expect when they went home. Between 80-89.5% of patients understood their discharge goals, what they may need after discharge, and understood what signs and symptoms to look for after discharge. Only 36% reported that they had a primary care provider appointment upon discharge.Conclusions: Results of the questionnaire showed a high level of satisfaction with NP care and identified specific discharge barriers among these hospitalized patients. Determining patient satisfaction with NP care can help direct important performance and improvement activities for healthcare institutions.

Effectiveness of Brushing Associated with Oral Irrigation in Maintenance of Peri-Implant Tissues and Overdentures: Clinical Parameters and Patient Satisfaction.

2020 ◽  
Author(s):  
Marcela Moreira Salles ◽  
Viviane de Cássia Oliveira ◽  
Ana Paula Macedo ◽  
Claudia Helena Silva-Lovato ◽  
Helena de Freitas Oliveira Paranhos
Keyword(s):  
Patient Satisfaction ◽  
Analogue Scale ◽  
Ring System ◽  
Complete Dentures ◽  
Gingival Index ◽  
Prosthetic Rehabilitation ◽  
Mean Values ◽  
Probing Depth ◽  
Significant Difference ◽  
High Level

Implant-supported prostheses hygiene and peri-implant tissues health are considered to be predictive factors for successful prosthetic rehabilitation. Therefore, the purpose of this study was to evaluate the effectiveness of brushing associated with oral irrigation measured as biofilm-removing capacity, maintenance of healthy oral tissues, and patient satisfaction. A randomized, crossover clinical trial was conducted with 38 patients who wore conventional maxillary complete dentures and mandibular overdentures retained by the O-ring system. The patients were instructed to use the following hygiene methods for 14 days: mechanical brushing [MB (brush and dentifrice - Control)]; and MB with oral irrigation [WP (Waterpik - Experimental)]. Biofilm-removing capacity and maintenance of healthy oral tissues were evaluated by the Modified Plaque Index (PI), Gingival Index (GI), Probing Depth (PD), and Bleeding on Probing Index (BP) recorded at baseline and after each method. In parallel, patients answered a specific questionnaire using a Visual Analogue Scale after each hygiene method. Data were analyzed by Friedman and Wilcoxon tests (α=0.05). The results showed significantly lower PI, GI, PD, and BP indices after application of the hygiene methods (P<0.001) than those observed at baseline. However, no significant difference was found between MB and WP. The satisfaction questionnaire responses to both methods showed high mean values for all questions, with no statistically significant difference found between the answers given after the use of MB and WP (P>0.05). The findings suggest that WP was effective in reducing PI, GI, PD, and BP indices and provided a high level of patient satisfaction.

PENGARUH CITRA PERUSAHAAN DAN KEPERCAYAAN TERHADAP KEPUASAN PASIEN PADA RUMAH SAKIT MITRA MEDIKA NAROM KABUPATEN BEKASI

2020 ◽  
Vol 7 (1) ◽  
pp. 41-49
Author(s):  
Ajat Sudrajat
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Corporate Image ◽  
Ordinal Scale ◽  
Survey Method ◽  
Microsoft Excel ◽  
Analysis Techniques ◽  
Level Of Satisfaction ◽  
Verification Methods ◽  
High Level

Patient satisfaction at the hospital is a benchmark that is a benchmark for patients in getting health care. Each hospital must run a variety of strategies so that patients feel satisfied with health services, one of the strategies is through a good corporate image and trust, where a good corporate image can increase trust. So that affecting patient satisfaction Mitra Medika Narom Hospital Kabupaten Bekasi.             This research was conducted with descriptive and verification methods, namely knowing, analyzing, explaining and testing hypotheses, and making conclusions and suggestions. The sample in this study amounted to 240 respondents using the Eksplanary Survey method. Data analysis techniques used are ordinal scale techniques and path analysis using the Method of Successive Interval (MSI) tool, Microsoft Excel 2016 computer programs and SPSS 16.             The results of this study reveal that the company's image at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has built and made a good company image so that it is better known to all people. Furthermore, trust in Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has succeeded in building a good and optimal Trust so that patients trust Mitra Medika Narom Hospital to obtain health services. Then the patient satisfaction at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that the patients as respondents feel a high level of satisfaction after completing treatment at the Mitra Medika Narom Hospital. There is a positive, strong and two-way correlation between company image and trust variables of 0.646. There is a partial influence of company image on patient satisfaction at Mitra Medika Narom Hospital significantly by 11.98%. There is a partial influence of trust on patient satisfaction at Mitra Medika Narom Hospital significantly by 25.08%. Then there is a simultan influence of corporate image and trust on patient satisfaction at Mitra Medika Narom Hospital positively and significantly by 37.06% while the remaining 62.94% is contributed by other variables not examined

scholarly journals Association of shared decision making with inpatient satisfaction: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China. Methods A cross-sectional survey of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models. Results The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals). Conclusions Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

Patient experience and satisfaction with telemedicine during COVID-19: a multi-institution experience (Preprint)

2021 ◽  
Author(s):  
Adrian Rodrigues ◽  
Jonathan S. Yu ◽  
Hriday Bhambhvani ◽  
Tyler Uppstrom ◽  
William Ricci ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cell Phone ◽  
Cell Phones ◽  
Multivariable Model ◽  
Assess Patient Satisfaction ◽  
High Satisfaction ◽  
Special Surgery ◽  
A Cell ◽  
Specific Factors ◽  
Hospital For Special Surgery

BACKGROUND The coronavirus disease 2019 (COVID-19) heralded an unprecedented increase in telemedicine utilization. OBJECTIVE Assess patient satisfaction with telemedicine during COVID-19 METHODS Telemedicine visit data were gathered from two separate institutions (Stanford Health Care (Stanford) and the Hospital for Special Surgery (HSS)). Patient satisfaction data from HSS were captured from a Press-Ganey questionnaire between April 19, 2020 and December 12, 2020, while the Stanford data was taken from a novel survey instrument that was distributed to all patients between June 22, 2020 and November 1, 2020. There were 60,550 telemedicine visits across 93 services at Stanford, each linked with a post-visit survey. At HSS, there were 66,349 total telemedicine visits with 7,348 randomly linked with a post-visit survey. The percentage of respondents who reported the highest possible likelihood to recommend score (“LTR top box percentage”) and mean overall visit scores were recorded. RESULTS Over 19 weeks, the LTR top box percentage at Stanford increased from 69.6% to 74.0% (p=.0002), and HSS showed no significant change across 35 weeks (p=.7100). LTR trend stability at Stanford was observed across 11 medical, four surgical, and five oncological services (p >.05). In the multivariable model, the use of a cell phone (aOR: 1.18; 95% CI: 1.12–1.23) and tablet (aOR: 1.15; 95% CI: 1.07–1.23) were associated with higher overall scores, while visits with interrupted connections (aOR: 0.49; 95% CI: 0.42–0.57) or help required to connect (aOR: 0.49; 95% CI: 0.42–0.56) predicted lower patient satisfaction. CONCLUSIONS We present the largest published description of patient satisfaction with telemedicine. We found high satisfaction with telemedicine encounters across multiple measures, and we identified a number of important telemedicine-specific factors that predict increased overall visit score. These include the use of cell phones or tablets, phone reminders, and connecting before the visit was scheduled to begin. Visits with poor connectivity, extended wait times, or difficulty being seen, examined, or understood by the provider were linked with reduced odds of high scores. Our results suggest that attention to connectivity and audio/visual definition will help optimize patient satisfaction with telemedicine encounters in the future. CLINICALTRIAL n/a

scholarly journals Patient satisfaction with community clinic care: facility and household based survey in a sub-district in Bangladesh

Mediscope ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Mst Jannatul Ferdousi
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Care ◽  
Care Facility ◽  
Community Health Care ◽  
Patient Satisfaction Score ◽  
Community Clinic ◽  
Policy And Strategy ◽  
High Level

Bangladesh government has initiated a project with the title of "Revitalization of Community Health Care Initiatives in Bangladesh (RCHCIB)" to further develop the Community Clinics (CCs) and strengthen their operations in delivering primary health care. Measuring patient satisfaction with CC service users can play an important role in developing quality care. The objectives of this study were to measure patient satisfaction with CC through facility (CC) based survey and to measure overall patient satisfaction with CC through household based survey. The overall mean patient satisfaction score was 3.7 ± 1.0 and 2.4 ± 1.1 for facility based survey and household based survey, respectively. Policy and strategy should be done to increase quality of care resulting high level of patient satisfaction to service provided at CCs. DOI: http://dx.doi.org/10.3329/mediscope.v1i1.21633 Mediscope Vol. 1, No. 1: 2014, Pages 23-28

scholarly journals First Metatarsophalangeal Joint Arthrodesis

2018 ◽  
Vol 3 (3) ◽  
pp. 247301141775267 ◽  
Author(s):  
Paola Filomeno ◽  
Julio López
Keyword(s):  
Patient Satisfaction ◽  
Plate Fixation ◽  
Metatarsophalangeal Joint ◽  
Functional Improvement ◽  
Dorsal Plate ◽  
Level Of Evidence ◽  
First Metatarsophalangeal Joint ◽  
Joint Fusion ◽  
Vas Scores ◽  
Satisfaction Rates

Background: First metatarsophalangeal (MTP) joint arthrodesis can be fixed using either a dorsal plate or crossed screws. However, there is considerable difference in the cost of these implants, and it is not known if there is sufficient difference in outcome that might justify this cost difference. Our aim was to compare the functional results and patient satisfaction rates after first MTP joint arthrodesis in a group of patients using the same surgical technique except for the fixation devices. Methods: A prospective cohort of 27 patients who underwent first MTP joint fusion by the same surgeon using 2 crossed screws or a single screw with a dorsal plate was recruited over a 3-year period. Demographic information, patient satisfaction rates, complications, and union rates were evaluated. American Orthopaedic Foot & Ankle Society (AOFAS) and visual analog scale (VAS) scoring systems were used pre- and postoperatively to compare the functional outcomes. Thirty consecutive procedures (screws, n = 15; plate, n = 15) were performed. Age (55.8 ± 11.1 vs 63.3 ± 12.4 years for screws and plate respectively; P = .091) and female gender percentages (80% and 73%, P = .666) were similar between groups. Results: The overall union rate was 93% with no differences between groups. AOFAS and VAS scores improved significantly postoperatively for each technique, and no differences were found between the two in the improvement in AOFAS (42.4 ± 8.0 vs 44.3 ± 8.2, screws and plate respectively; P = .520) and VAS scores (66.0 ± 5.4 vs 69.0 ± 6.9; P = .195). The implant cost for screws was $40 and for dorsal plate, $328. Conclusions: First MTP joint fusion using either screws or plate fixation results in an improvement in AOFAS and VAS scores. Functional improvement and patient satisfaction did not differ between the 2 techniques, despite a considerable difference in cost between the two methods of fixation. Level of Evidence: Level III, prospective comparative study.

scholarly journals Ear Reconstruction Simulation: From Handcrafting to 3D Printing

2019 ◽  
Vol 6 (1) ◽  
pp. 14 ◽  
Author(s):  
Elisa Mussi ◽  
Rocco Furferi ◽  
Yary Volpe ◽  
Flavio Facchini ◽  
Kathleen S. McGreevy ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Surgical Reconstruction ◽  
Ear Reconstruction ◽  
Autologous Tissue ◽  
Aesthetic Appearance ◽  
History Of ◽  
Common Clinical Practice ◽  
The Aesthetic ◽  
Manufacturing Technologies ◽  
High Level

Microtia is a congenital malformation affecting one in 5000 individuals and is characterized by physical deformity or absence of the outer ear. Nowadays, surgical reconstruction with autologous tissue is the most common clinical practice. The procedure requires a high level of manual and artistic techniques of a surgeon in carving and sculpting of harvested costal cartilage of the patient to recreate an auricular framework to insert within a skin pocket obtained at the malformed ear region. The aesthetic outcomes of the surgery are highly dependent on the experience of the surgeon performing the surgery. For this reason, surgeons need simulators to acquire adequate technical skills out of the surgery room without compromising the aesthetic appearance of the patient. The current paper aims to describe and analyze the different materials and methods adopted during the history of autologous ear reconstruction (AER) simulation to train surgeons by practice on geometrically and mechanically accurate physical replicas. Recent advances in 3D modelling software and manufacturing technologies to increase the effectiveness of AER simulators are particularly described to provide more recent outcomes.

Sign in / Sign up

Export Citation Format

Share Document