Patient Satisfaction and Associated Factors Among Adult Outpatient Ophthalmic Service Users’ at University of Gondar Comprehensive Specialized Hospital Tertiary Eye Care and Training Center, Northwest Ethiopia, 2020: An Institution-Based Cross-Sectional Study

Background: Patient satisfaction is explained as “the extent to which patients are happy with their health care, both inside and outside of the doctor’s office”. Observed complain and limited evidence on patient satisfaction specific to ophthalmic services. So, aimed to assess the overall patient satisfaction and associated factors among adult outpatient ophthalmic service users at University of Gondar Comprehensive Specialized Hospital, Tertiary Eye Care and Training Center, Northwest Ethiopia, 2020.Methods and materials: An institution-based cross-sectional study was conducted from June 26 to August 5 with a sample size of 414. A systematic random sampling technique was used to select participants. An interviewer administered questionnaire was employed to collect the data. The data was analyzed by SPSS 20. Descriptive statistics such as frequency cross tabulation test was carried out to translate data into information. P-value less than 0.05 was considered as statistically significant. Result: A total of 403 participants with 97.34% response rate were included in this study. Their mean age was 46.67±16.21 years. The majorities were males (59.8%). The overall patient satisfaction was 57.1% at 95% CI :( 52.1%-61.5%). The top three sub-domains with greater score of satisfaction were general outlook (67.5%), communication with providers (64.5%), and interpersonal manner (61.5%). The least satisfaction score was to waiting time (45.9%) sub domain. Being unmarried (AOR = 2.51, 95% CI 1.21-5.23) and earning a monthly income of Ethiopian Birr ≥2500 (AOR = 5.90; 95% CI: 2.11-16.5) were associated with the patient satisfaction.Conclusion: The result infers that nearly sixty percent of the study participants were satisfied. While improving each sub-domain of patient satisfaction, waiting time and financial aspect sub-domains need greater emphasis by the hospital manager to improve patient satisfaction. The hospital manager, policymakers and other stakeholders need to set a quality improvement plan to solve the issue.

Factors Influencing Hospital Resilience

ABSTRACT This study aims at investigating the influencing factors on hospital resilience. For this purpose, a systematic review of the literature was conducted. Six databases, including Web of Science, Scopus, SAGE, EBSCO, Google Scholar, and PubMed were searched for articles published between 2000 and 2018. Sixteen studies were selected based on inclusion/exclusion criteria. Content analysis revealed 22 influencing factors were included in a framework with 2 dimensions: (1) phases of the hospital resilience process (preparation, response, and recovery/growth) and (2) the key components of the hospital (staff, infrastructure, management, and logistics). Considering the factors that emerged from this research, suggestions were made to improve hospital resilience. The results of this research will enable a hospital manager to develop better plans for hospital preparedness, as well as perform more effectively before, during, and after disasters.

Who Can Evaluate the Safety of a Hospital Building Just After a Great Earthquake?

Introduction:The earthquake-resistant standard of the buildings of Japan is maintained by several levels. After the Great Hanshin-Awaji Earthquake(1995) the Ministry of Land, Infrastructure, Transport, and Tourism in Japan classified the earthquake-resistant performance for the base facilities into 3 levels. The hospital manager often selects the middle level of earthquake-resistance. However, 10 hospitals were closed down for the destruction of facilities by the Kumamoto earthquake. Who may evaluate the safety of a hospital after a great earthquake? The purpose of this study is to consider the methods to evaluate the safety of hospital buildings just after a great earthquake.Methods:The damage to hospitals and the measures based on Japanese Law are arranged. Then it is considered who can declare the safety of hospital buildings after a great earthquake.Results:Hospital buildings collapsed in the Hanshin-Awaji Great Earthquake and many hospitals lost a function by a tsunami in the Great East Japan Earthquake. In addition, the glass and the ceilings of the hospital were damaged in the Kumamoto Earthquake. The damage occurred although these many hospitals had an earthquake-resistant standard established in the Building Standard Act of Japan. It is necessary for the experts to judge the safety of the hospital building just after a great earthquake.Discussion:The safety of hospital buildings is the responsibility of the hospital manager. However, there isn’t an expert of building structure employed as staff at a hospital. Thus, the hospital personnel must allow the expert of the building structure to advise a manager. In the future, it is important that the evaluation methods that can judge the damage of a hospital are developed, and the practical training for the hospital personnel are repeated.

A case of recurring Amaurosis Fugax

WW a 43 year old Caucasian Hospital Manager, first presented in July 08 complaining of transient mono-ocular visual loss in the right eye. She described sudden onset loss of vision – ‘like a curtain coming across the vision’. She then proceeded to have similar symptoms in the left eye. There was no history of a subsequent headache. The episode would between 30 seconds and 10 minutes and could occur up to 10 times a day. At times, the attack was also associated with some left arm numbness. She was initially reviewed by Dr Vu [ Stroke Consultant] who diagnosed Amaurosis Fugax and started her on standard anti-platelet therapy [combination of Aspirin and Dypyridamole]. She had very little in terms of vascular risk factors [nil hypertensive, minimal alcohol and a life-long non-smoker with a fasting cholesterol 3.12]. Her PMH history consisted of Gilberts’ Syndrome and endometriosis. She also suffered a DVT following a hysterectomy. Her initial investigations of a CT head and carotid duplex were normal.

Managerial Issues and Challenges of Manager in Muhammadiyah Health Center (AUMAKES), Yogyakarta, Indonesia

The aim of this study is to investigate the managerial issues and challenges of managers in Muhammadiyah Heath Center, Yogyakarta Indonesia. Questionnaires and interview based method was used for collecting data and focus group disscussion (FGD) was applied for explore valuable information. 29 participants from Mother and child Hospital of (RSIA) ‘Aisyiyah Klaten and 40 participants from Hospital of (RS) PKU Muhammadiyah Bantul were involved. They are top managers and employees from various fields of expertise. The results showed that the leadership and management skills (finance, human resources (HR), quality, medicine information systems and equipment) of top manager is (likert scale ≥ 3) while the middle and lower managers considered not sufficiently competent (likert scale ≥ 2). The Lack of competency and leadership skills of managers will affect to management of the organization, effectiveness of the organizational structure, planning, and monitoring at every stage of management. It can be conclude that hospital manager competencies are still basic and need to be upgraded in some aspects.