Assuntos
Sistemas de Informação Hospitalar , Armazenamento e Recuperação da Informação , Sistemas Computadorizados de Registros Médicos , Dispositivos de Armazenamento Óptico , Inteligência Artificial , Coleta de Dados , Sistemas de Apoio a Decisões Administrativas , Prestação Integrada de Cuidados de Saúde , Documentação , Eficiência Organizacional , Prioridades em Saúde , Formulário de Reclamação de Seguro , Serviço Hospitalar de Registros Médicos , Sistemas de Informação em Radiologia , Integração de Sistemas , Estados Unidos , Carga de TrabalhoRESUMO
The authors employ a modified SERVQUAL approach to understanding the relationships among patients' perceptions of inpatient, outpatient, and emergency room services and their overall perceptions of service quality, satisfaction with their care, and willingness to recommend the hospital's services to others. Three models of these perceptions and related behavioral variables are developed. Dominating these models is a dimension labeled "patient confidence," which has a significant impact on nearly all measures of patient satisfaction.
Assuntos
Comportamento do Consumidor/estatística & dados numéricos , Relações Hospital-Paciente , Qualidade da Assistência à Saúde/estatística & dados numéricos , Coleta de Dados , Análise Fatorial , Marketing de Serviços de Saúde/métodos , Mississippi , Modelos PsicológicosRESUMO
It is not always possible to culture feces immediately, and appropriate methods for transport of human specimens, unlike those from animals, have not been fully evaluated. Therefore, we took serial subcultures in two phases from six transport media inoculated with human diarrheal stools known to be positive for Campylobacter jejuni. In phase 1, Cary-Blair medium and buffered glycerol saline did not preserve C. jejuni as well as did alkaline peptone-water (APW), modified Cary-Blair medium, thioglycolate broth (Thio), and Campy-Thio. The four best media (APW, Cary-Blair medium, Thio, and Campy-Thio) preserved 20 fecal samples with C. jejuni better at 4 degrees C (90% survival for 5 to 8 days) than at 25 degrees C (90% survival for 1.7 to 2 days). In phase 2, APW and Thio, along with four modifications of the best media in phase 1, were tested with 23 positive strains. The ranges of survival times with modified media at 25 degrees C were 1.3 to 2.2 days (90%) and 4.7 to 6.8 days (50%). APW with reducing agents preserved C. jejuni better than did APW alone, Thio plus ox bile, or Campy-Thio plus ox bile (P less than 0.05). Thio at pH 8.5 was better at preserving C. jejuni than was APW or Thio plus ox bile (P less than 0.05). If human fecal specimens cannot be refrigerated during transport or storage, we recommend the use of Thio at pH 8.5 or APW with reducing agents for preservation of C. jejuni at 25 degrees C.
