RESUMO
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.
Assuntos
Serviços de Saúde/economia , Serviços de Saúde/legislação & jurisprudência , Serviços de Saúde/métodos , Relações Hospital-Paciente , Hospitais Públicos/economia , Hospitais Públicos/legislação & jurisprudência , Hospitais Públicos/métodos , Humanos , Índia , Satisfação do PacienteAssuntos
Humanos , Hospitais Públicos/legislação & jurisprudência , Hospitais Públicos/métodos , Hospitais Públicos/organização & administração , Hospitais Públicos/tendências , Hospitais Públicos , Política de Saúde , Sistema Único de Saúde/legislação & jurisprudência , Sistema Único de Saúde/organização & administração , Sistema Único de Saúde/tendências , Sistema Único de Saúde , Modernização do Setor PúblicoRESUMO
ISO9000 quality management system (ISO9000QMS) emphasize on the customer-oriented, managers' leadership and all staff's joining, adopt the process method and system management, spread the taking facts as a basis to make decision and improve consistently, and establish win-win relation with the suppliers. So, the digital hospital can adopt the ISO9000QMS. In order to establish the ISO9000QMS, the digital hospital should: (1) Design integrally, including analyzing the operation procedure, clarifying the job duties, setting up the spreading team and setting the quality policy and objectives: (2) Learning the ISO9000 quality standards; (3) Drawing up the documents, including the quality manual, program files and operation guiding files; (4) Training according the documents; (5) Executing the quality standard, including the service quality auditing, quality record auditing and quality system auditing; (6) Improving continually. With the establishment of ISO900QMS, the digital hospital can appraise more accurately, analyze quality matters statistically and avoid the interference of artificial factors.