Strengthening the healthcare services to prevent severe Pre-eclampsia and Eclampsia.

Preeclampsia is a hypertensive, multi-system disorder of pregnancy whose etiology remains unknown. Although management is evidence-based, preventive measures/screening tools are lacking, treatment remains symptomatic, and delivery remains the only cure. As in the past, the current role of physicians and nurses in the management of pre-eclampsia-eclampsia continues to revolve around the protection of maternal/foetal wellbeing and optimization of positive health outcomes. Given that effective preventive measures and screening tools is presently lacking, routine assessment of the signs/symptoms indicative of pre-eclampsia/eclampsia remains critical to the detection, monitoring, and effective management of pre-eclampsia/eclampsia. Patient education and the provision of a supportive environment are also essential to the optimal management of preeclampsia/ eclampsia. This article deals with the integration of health care services in preventing the complications of pre-eclampsia.

Study of Patient Dissatisfaction in Government Hospital.

The present study was conducted to know the various reasons for patient dissatisfaction at various places and explanations of service providers for patient dissatisfaction. 400 patients selected from all departments and key service providers at Government Medical College Hospital, Miraj. 364 (91%) patients had one/ more dissatisfaction/s to report. Of the 37 types of dissatisfaction reported, 10 were found to be of serious nature viz. cursory clinical examination (56%), lack of counseling (40%), inadequate privacy during clinical examination (14.28%), lack of explanation regarding drug schedule (43%), unsatisfactory emergency management (32.95%), occurrence of post-operative surgical complications (28.82%), discharged without relief (6.18%) and illegal demand of money, etc. Most of these were ‘acts of omission’ on part of service providers. In terms of legal liability, the ‘service-provider’ constitutes a ‘collective responsibility’ with respect to application of law.

An experience of health services provided by a peripheral government teaching hospital in India: Patients' perspective.

Background: Patients' satisfaction has now become the most important and measurable aspect for assessing the quality of patient care services. For improvement of performance of any health system there is a need to assess patients' satisfaction as often as possible. Objectives: 1) To assess the level of patients' satisfaction as well as dissatisfaction regarding the services provided in the outdoor and indoor of different departments of a tertiary care hospital. 2) To find out the relation of some socio-demographic variables and different departments with the level of satisfaction if any. Materials and Methods: Two predesigned pretested interview schedule (separate for outdoor and indoor) was developed covering certain domains of patients care. Overall satisfaction level was determined by using summated Likert's score. Results: For outdoor, a little excess of half of the patients were satisfied in doctor-patient communication(51.0%),consultation room(53.5%), and overall(59.9%).The unsatisfied area was waiting place and time(38.6%).In the Indoor, 58.6% patients were satisfied with admission procedure,53.2% for clinical care,57.1% for nursing care and 45.3% with food services and the areas where more patients were not satisfied were cleanliness(40.4%),comfort(20.2%) and food services.G&O patients were less satisfied both in indoor and outdoor. Satisfaction level significantly increased with increase in age (P<0.01),male patients (P<0.01),lower education(P<.05) and surgical patients(P<0.01). Conclusion: The level of patients' satisfaction showed deficiencies in different issues of hospital services, which should be given utmost importance by the hospital management authority for betterment.