ABSTRACT
Los pacientes, como seres humanos determinados en su estructura que son, no pueden distinguir en la experiencia entre ilusión y percepción, por tanto viven los distintos dominios de existencia como distintos dominios de realidad que configuran distintos dominios explicativos, que surgen de explicar su experiencia con elementos de su experiencia. Para ellos, la percepción de la calidad de servicio es vivida como un dominio de realidad personal, realidad que es una construcción personal, existiendo tantas realidades como pacientes que perciben su experiencia con elementos de su experiencia, y cuyas distinciones que la validan no son necesariamente consensuadas. La gestión sanitaria debe abandonar la idea de que es posible construir una calidad de servicio objetiva, para poder avanzar en construir estrategias efectivas de comunicación y consenso de criterios comunes de distinción de calidad de servicio, para lograr efectiva satisfacción y lealtad de los pacientes(AU)
Patients as human beings determined by their structure cannot, while having an experience, distinguish between an illusion and reality, therefore they experience the different domains of existence and the different domains of reality. For them, the perception of service quality is experienced as a personal domain of reality, and this reality is a personal construction, generating as many realities as patients perceiving their experience with elements of their experience, whose distinctions that validate it are not necessarily shared or agreed. Health management must abandon the idea in that it is possible to build an objective quality service, to be able to make progress in building effective communication strategies and common consenus criteria for a quality service of distinction, in order to achieve effective satisfaction and patient loyalty(AU)
Subject(s)
Humans , Male , Female , Quality of Health Care/organization & administration , Quality of Health Care/standards , Perception , Patient Satisfaction/legislation & jurisprudence , Patient Satisfaction/statistics & numerical data , Leadership , Knowledge , Quality of Health Care/trends , Quality of Health CareABSTRACT
Patients as human beings determined by their structure cannot, while having an experience, distinguish between an illusion and reality, therefore they experience the different domains of existence and the different domains of reality. For them, the perception of service quality is experienced as a personal domain of reality, and this reality is a personal construction, generating as many realities as patients perceiving their experience with elements of their experience, whose distinctions that validate it are not necessarily shared or agreed. Health management must abandon the idea in that it is possible to build an objective quality service, to be able to make progress in building effective communication strategies and common consensus criteria for a quality service of distinction, in order to achieve effective satisfaction and patient loyalty.
Subject(s)
Patient-Centered Care , Patients/psychology , Perception , Quality of Health Care , Humans , Illusions , Individuality , Knowledge , Patient Satisfaction , Quality Improvement , Reality Testing , Total Quality ManagementABSTRACT
The safety, effectiveness and duration of a percutaneous ilioinguinal-iliohypogastric nerve block with 10 ml 0.5% bupivacaine, as a method for postoperative analgesia, were studied prospectively in adult patients undergoing unilateral inguinal herniorrhaphy under spinal anesthesia. Group I (n = 20) blocked patients were compared with Group II (n = 25), non-blocked control patients. A blinded observer assessed pain scores and analgesic requirements after surgery. Group I patients had less pain at 3, 6, 24 and 48 hours after surgery and also required less analgesics during the first two postoperative days. This technique appears to be a simple and safe method for providing effective and long-lasting postoperative analgesia following inguinal hernia repair in adults.
