scholarly journals Assessment of Service Satisfaction Provided in Palliative Clinic of a Tertiary Pediatric Hospital during Care Process by Patient’s Relatives

2020 ◽  
Author(s):  
Elif Güdeloğlu ◽  
Tanju Çelik ◽  
Senem Alkan Özdemir ◽  
Nilgün Harputoğlu
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Services ◽  
Care Service ◽  
Life Stage ◽  
Palliative Care Service ◽  
Care Process ◽  
Validity And Reliability ◽  
Logistic Support

INTRODUCTION: The aim of this study is showing the satisfaction levels of patient’s relatives using pediatric palliative care service, aiming to eliminate the problems of pediatric patients at the end-of-life stage and their relatives thereafter improving quality of life. METHODS: The population of the study consists of 87 relatives of patients who were hospitalized between May and November 2017 in the palliative care unit of İzmir Dr. Behçet Uz Children’s Hospital. In the study, FS-ICU 24 scale which was prepared by Dodek et al. and which was translated into Turkish and tested for validity and reliability by Erdal et al. was used to find out the satisfaction levels of 87 patients relatives. RESULTS: While scores of care and treatment of patients, interest and giving information to the patient’s relatives, perception, affect to emotion situation of patient’s relatives, decision-making process and waiting of environment and logistic support sub-dimensions were favorable. DISCUSSION AND CONCLUSION: Today, the safety and quality of health care services are important as being accessible and widespread. How to evaluate this stuation is merely carried out by the satisfaction of the patient’s relatives. Satisfaction levels of both patients and their relatives deliver us information about the quality and safety of given health care. This study provides us the importance and necessity of the palliative health care units. We believe that more studies in advance will contribute to the quality of services.

scholarly journals The Griffith Area Palliative Care Service: A Pilot Project

2003 ◽  
Vol 26 (2) ◽  
pp. 11 ◽  
Author(s):  
Ian Hatton ◽  
Keith Mcdonald ◽  
Lynette Nancarrow ◽  
Keith Fletcher
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Care Service ◽  
Palliative Care Service ◽  
Pilot Project ◽  
Service Development ◽  
Care Services ◽  
Rural And Remote Areas

In September 2000 the Commonwealth released, as part of its National Palliative Care Strategy under the AustralianHealth Care Agreements, a National Framework for Palliative Care Service Development. The new NationalFramework stressed an important set of values to guide models of palliative care delivery. It notes that the challenge isto secure the place of palliative care as an integral part of health care across Australia, routinely available within localcommunities to those people who need it. Care and support for people who are dying and their families need to bebuilt not only into health care services, but also into the fabric of communities and their support networks. While fewwould disagree with this, little is known about how best to achieve it in rural Australia. The Griffith Area PalliativeCare Service (GAPS) is a two-year pilot project delivering a palliative care service through a truly integrated approachto care for patients, their carers and families within the Griffith Local Government Area and Carrathool Shire areas.This paper describes how GAPS is successfully meeting the challenges of service provision to rural and remote areas.

scholarly journals Satisfaction of patients received in emergencies in the department of obstetrics and gynecology at the Yalgado Ouedraogo teaching hospital: comparative study before and after the introduction of free care

2019 ◽  
Vol 8 (8) ◽  
pp. 3259
Author(s):  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Paul Dantola Kain ◽  
Lydie Zounogo Ouédraogo ◽  
Blandine Bonané Thiéba
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Teaching Hospital ◽  
Health Care Services ◽  
Care Process ◽  
Important Indicator ◽  
Care Services ◽  
Before And After ◽  
Free Care

Background: The quality of care perceived by the users of health care services is an important indicator of the quality of care. The aim of this study was to assess the satisfaction of patients received in obstetric and gynecological emergencies department of Yalgado Ouedraogo Teaching Hospital before and after the introduction of free care.Methods: This was a cross-sectional investigation. Data collection was carried out from February to July 2016, covering the last three months before the start of free care and the first three months of implementation of this free policy in Burkina Faso.Results: A total of 620 patients formed the sample. The reception (p=0.0001), the waiting period (p=0.0001), respect for treatment schedules (p=0.0001), respect for intimacy (p=0.0001), communication between providers and patients (p=0.007), the comfort of the delivery room (p=0.003) and the comfort of the ward room (p=0.002) were more favorably appreciated by patients before the free treatment than during that period. Overall patient satisfaction was better before the effectiveness of free care (p=0.003).Conclusions: The realization of free care process was followed by a lower patient’s satisfaction reflecting an alteration in the quality of health care services. A situational analysis of this free health care process is necessary in order to make corrective measures. Also adequate preventive measures should be adopted before any implementation to a larger scale of this free policy.

Quality Assurance and Evaluation of Healthcare Reform Initiatives

2011 ◽  
Vol 3 (3) ◽  
pp. 42-53 ◽  
Author(s):  
Anna Beata Rosiek ◽  
Krzysztof Leksowski
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Care Quality ◽  
High Quality ◽  
Care Services

This article describes a model of health-care services that ensure the high quality of health-care service and effective brand creation for a hospital. The problems described here that are connected to improving the quality of health care in Poland indicates that high quality of health care builds a positive and strong image of a health-care unit on the medical market. The contents of this article involve basic definitions of quality in health care and also the way the quality is understood and perceived from patient’s and hospital’s point of view. The article also describes a health care quality model, to which health care units should aspire in order to create a positive picture of said units, simultaneously improving and maintaining high quality of health care services. The article investigates the quality factors of health care services, which influence the healthcare units’ brand, its functioning on the market and patient-perceived quality of services. The described management model, which ensures efficient brand-building of healthcare units through services’ quality, takes into account changes in healthcare system and does so in order to ensure the improvement in healthcare units’ functioning.

scholarly journals Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

2015 ◽  
Vol 1 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Kenneth Cornetta ◽  
Susan Kipsang ◽  
Gregory Gramelspacher ◽  
Eunyoung Choi ◽  
Colleen Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Care Service ◽  
Palliative Care Service ◽  
Referral Hospital ◽  
Western Kenya ◽  
Care Services ◽  
Palliative Care Services

Purpose The prognosis for the majority of patients with cancer in Kenya is poor, with most patients presenting with advanced disease. In addition, many patients are unable to afford the optimal therapies required. Therefore, palliative care is an essential part of comprehensive cancer care. This study reviews the implementation of a palliative care service based at the Moi Teaching and Referral Hospital in Eldoret, Kenya, and describes the current scope and challenges of providing palliative care services in an East African tertiary public referral hospital. Methods This is a review of the palliative care clinical services at the only tertiary public referral hospital in western Kenya from January 2012 through September 2014. Palliative care team members documented each patient's encounter on standardized palliative care assessment forms; data were then entered into the Academic Model Providing Access to Health Care (AMPATH)-Oncology database. Interviews were also conducted to identify current challenges and opportunities for program improvement. Results This study documents the implementation of a palliative care service line in Eldoret, Kenya. Barriers to providing optimal palliative cancer care include distance to pharmacies that stock opioids, limited selection of opioid preparations, education of health care workers in palliative care, access to palliative chemoradiation, and limited availability of outpatient and inpatient hospice services. Conclusion Palliative care services in Eldoret, Kenya, have become a key component of its comprehensive cancer treatment program.

A Formal Palliative Care Service Improves the Quality of Care in Patients with Stage IV Cancer and Bowel Obstruction

2016 ◽  
Vol 34 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Emmanuel Gabriel ◽  
Moshim Kukar ◽  
Adrienne Groman ◽  
Amy Alvarez-Perez ◽  
Jaclyn Schneider ◽  
...  
Keyword(s):  
Palliative Care ◽  
Quality Of Care ◽  
Bowel Obstruction ◽  
Care Service ◽  
Palliative Care Service ◽  
Stage Iv ◽  
Management Problem ◽  
Do Not Resuscitate ◽  
Stage Iv Cancer

Background: Patients with stage IV cancer and bowel obstruction present a complicated management problem. The aim of this study was to evaluate the role of the palliative care service (PC) in the management of this complex disease process. Methods: A retrospective analysis was conducted of all patients admitted to Roswell Park Cancer Institute with stage IV cancer and bowel obstruction from 2009 to 2012 after the institution of a formal PC. This cohort was matched to similar patients from 2005 to 2008 (no palliative care service or NPC). Patient characteristics and outcomes included baseline demographics, comorbid conditions, do-not-resuscitate (DNR) status, laboratory parameters, medical and surgical management, length of stay, symptom relief, and disposition status. Results: A total of 19 patients were identified in the PC group. Based on the PC group baseline characteristics, 19 patients were identified for the NPC group using matched values. Regarding outcomes, there were significant differences in the medication regimens (narcotics, octreotide, and Decadron) between the 2 groups. In the PC group, 14 of 19 patients showed improvement compared to 9 of 19 in the NPC group. Nearly 60% of patients in the PC group had a formal DNR order versus 10.5% in NPC ( P = .002). A significantly higher percentage of patients were discharged to hospice in the PC group (47.4% vs 0.0%, P = .006). Conclusion: Palliative care consultation improves the quality of care for patients with stage IV cancer and bowel obstruction, with particular benefits in symptom management, end-of-life discussion, and disposition to hospice.

Learning to Accept Uncertainty as a Quality of Care Dimension

2013 ◽  
pp. 1-12
Author(s):  
Vahé A. Kazandjian
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information Technology ◽  
Health Care Services ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Care Process ◽  
Care Services

Uncertainty in clinical decision-making is integral to the pathways chosen while applying available knowledge to a patient’s care process. This chapter explores the ways in which uncertainty can be incorporated into the understanding of better performance approaches, and is thus proposed as an enabling dimension of performance. Tracing the keystone definitions of uncertainty from Hippocrates to Osler, the discussion addresses the dimensions of decision - making appropriateness, its timeliness, the expected and actual value of the care services, and the role of systematic communication between providers of care as well as with patients. The crucial role of Health Information Technology is emphasized, and a unifying model is proposed where the inclusion of uncertainty as a dimension of performance promotes an encompassing evaluation of the quality of health care services.

An extensive review of patient health-care service satisfaction in Bangladesh

2020 ◽  
Vol 2 ◽  
pp. 5-16
Author(s):  
Abdul Kader Mohiuddin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Service Providers ◽  
Care Service ◽  
Waiting Times ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

Patient satisfaction is a useful measure for providing quality indicators in health-care services. Concern over the quality of health-care services in Bangladesh has resulted in a loss of faith in health-care providers, low use of public health facilities, and increased outflows of patients from Bangladesh to hospitals abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and occasionally, disregard for the suffering that patients endure without being able to voice their concerns. All of these service failures are frequently reported in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with health-care service providers and health-care itself.

Quality-of-life trajectory of clients and carers referred to a community palliative care service

2011 ◽  
Vol 17 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Tanya Connell ◽  
Rhonda Griffiths ◽  
Ritin S Fernandez ◽  
Rhonda Griffiths ◽  
Duong Tran ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Care Service ◽  
Palliative Care Service ◽  
Life Trajectory
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