Assessment of Patient Satisfaction With Inpatient Services Provided at an Acute Care Facility: A Quality Improvement Project.

Hospitals across the United States use patient satisfaction surveys to assess the quality of inpatient and outpatient services provided to patients when they interact with the healthcare system. Results from this survey are used as input to identify weaknesses in the system with the intention of providing appropriate intervention. Here, we report the results of the quality improvement project completed in an acute healthcare facility. Patient satisfaction was evaluated based on indices established by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Responses from 400 patients admitted into the hospital between July 2022 and June 2023 were obtained using a pre-designed questionnaire prepared by HCAHPS on behalf of Prime Healthcare Services. Indices of assessment include doctor-patient interaction, nurse-patient interaction, hospital responsiveness to patient needs, hospital environment, communication about medicine, discharge information, transition of care, overall assessment, and willingness to recommend. The best hospital performance was seen in the dissemination of discharge information, while the worst performance was noted in the transition of care and communication about medicine. Appropriate recommendations were made to improve on these weak areas.

Quality of life and satisfaction of patients two years after endodontic and dental implant treatments performed by experienced practitioners.

OBJECTIVES: To compare oral health related quality of life (OHRQoL) and patients´ satisfaction with root canal treatment (RCT) and dental implant (DI) therapy performed by experienced practitioners. METHODS: Patients with both an RCT and a DI performed respectively by an endodontist and an oral surgeon with more than 15 years of experience two years prior to the study were included. The survival and satisfactory outcome of both treatments were verified with clinical and radiographic data. Participants completed two constructed questionnaire (one for each treatment). OHRQoL assessment included 24 items (OHIP-14 plus other relevant 10 items from the original OHIP-49 questionnaire). Satisfaction regarding duration, cost and pain (both during and after treatment) of treatment was assessed with a 0-10 scale and perceptions with true/false questions. Weighted sums for each dimension, total OHIP scores, prevalence of impact and general satisfaction of patients were then calculated for DI and RCT and compared using the Wilcoxon test for related samples. Patients´ perceptions were compared with Chi-square test. RESULTS: Total OHIP scores were low for both treatments (8.82 and 7.87, respectively for RCT and DI). No significant differences were detected in OHIP total score or any dimension, except for physical pain (significantly higher for RCT than DI (p=0.044)). All patients were satisfied with both treatments; however, patients recalled that pain during treatment was significantly worse for RCT than DI (p=0.003). CONCLUSIONS: High long-term OHRQoL and satisfaction is expected with either DI or RCT performed by experienced practitioners; however, physical pain dimension is higher for RCT. CLINICAL SIGNIFICANCE: This study demonstrated a high satisfaction and long-term quality of life of patients undergoing both DI and RCT if treatments provide a functional balance and are performed by experienced practitioners. Very importantly, all participants had received both treatment modalities and being their own control eliminates individual variability.

Switching COPD patients from the disposable to the new reusable Respimat soft mist inhaler: a real-world study from Switzerland.

OBJECTIVE: The aims of the survey were to assess first experiences of Swiss COPD patients switching from the disposable to the new reusable Respimat inhaler, and to evaluate physicians´ and patients´ views of the new training material. METHODS: Patients with a confirmed diagnosis of COPD using a disposable Respimat inhaler for at least three months were included. Patients´ demographics, COPD stage, current treatment, and comorbidities relevant for the handling of the device were assessed. Further, patients were trained on the reusable Respimat by placebo inhaler, patient brochure, video cards/demo films and SMS reminder service. After at least one cartridge change, patients gave comprehensive feedback on their satisfaction with the reusable Respimat and physicians evaluated the need for re-training. RESULTS: 235 patients participated in the survey. Of these, 37% suffered from comorbidities restricting the handling of the Respimat. 216 (92%) patients had a better overall satisfaction with the reusable than with the disposable Respimat. Dose counter (86%), monthly preparation (81%) and daily handling (77%) were also assessed as better by most of the patients. In 80% of cases, the user ability was stated as better than for the disposable Respimat. Less than 15% of the patients required further training. Placebo inhaler was the mostly preferred training material by both, physicians (in 86% of the patients) and patients (75%). In patients with comorbidities affecting inhaler handling, overall satisfaction was also better in 86% of the patients. CONCLUSION: The majority of patients were satisfied with the new reusable Respimat device and proper handling could be attained using the provided training material, even in patients with restricting comorbidities.

Adaptación de la escala de calidad de vida y satisfacción del paciente al contexto ecuatoriano / Adaptation to the Ecuadorian context of the patient´s life quality and satisfaction scale

Introducción: El logro de las funciones esenciales de la salud pública requiere del desarrollo de acciones sanitarias acordes a las características del contexto sociocultural donde se ejecutan. Las dimensiones calidad de vida y satisfacción del paciente adquieren una especial importancia en la reducción de la carga pública y familiar por afecciones crónicas. Objetivo: Validar la adaptación de la escala de calidad de vida y satisfacción del paciente al contexto del Distrito de Salud Chambo-Riobamba, perteneciente a la provincia de Chimborazo, Ecuador. Métodos: Revisión bibliográfica, técnica de lluvia de ideas y el método Delfi modificado por Campistrous y Rizo. Conclusiones: La escala de calidad de vida y satisfacción del paciente que se presenta, tras el proceso de validación para su adaptación al contexto ecuatoriano de estudio, constituye un instrumento de evaluación objetivo que explora la percepción individual del enfermo con relación a su estado de salud. El análisis de los resultados obtenidos, a partir de su aplicación, aporta información para el diseño e implementación de intervenciones individualizadas(AU)

Introduction: The achievement of essential public health functions requires the development of health actions according to the characteristics of the sociocultural context where they are implemented. The life quality and patient satisfaction´s dimensions attain a special importance in reducing the public and family burden due to chronic conditions. Objective: To validate the adaptation of the life quality and patient satisfaction´s scale to the context of Chambo-Riobamba Health District belonging to Chimborazo province, Ecuador. Methods: Literature review, brainstorming technique and the Delphi method modified by Campistrous y Rizo. Conclusions: The life quality and patient satisfaction´s scale presented after the process of validation for its adaptation to the Ecuadorian context of study, constitutes an objective assessment tool that explores the individual perception of the patient in relation to his/her health state. The analysis of the results obtained from its application provides information for the design and implementation of individualized interventions(AU)

La calidad de la atención médica ambulatoria en el Hospital Pediátrico del Niño Jesús, de la ciudad de Córdoba / The quality of ambulatory care inthe Pediatric Hospital Niño Jesús, Cordoba City

En el presente estudio se evalúa la atención médica en un hospital público pediátrico, desde la perspectiva de la satisfacción de los acompañantes adultos de los pacientes. Se estudiaron 381 casos; las características mejor evaluadas por los padres y que más influyeron en la satisfacción son la capacitación del médico, la confianza que éste inspira, y su trato. Las variables peor valoradas y que afectan negativamente la satisfacción fueron la limpieza de los sanitarios, la señalización dentro del hospital y su estado de aseo. Se destaca la importancia del estudio de la satisfacción del paciente como indicador válido de la calidad de atención del hospital. Desde la perspectiva de los acompañantes del paciente, las variables relacionadas con el médico son las que mayor incidencia tienen en su satisfacción.

In this present report, the medical assistance in a pediatric publichospital is evaluated from the perspective of satisfaction of patient´scompanions. Three hundred an eighty one cases have been studied;the best evaluated characteristics chosen by parents and the onesthat fulfilled their expectations are the doctors qualifications; the trusthe inspires and the way he deals with his patients. The worst valed variables which affect their satisfaction in a negative way are the cleanliness of toilets, singning inside the hospital and the general clearing conditions. The importance of the study of patientssatisfaction is highlighted as a valid indicador of the hospital qualityassistance. From the perspective of the patient´s companions, the variables related to the doctor are the ones with highest incidence in their satisfaction.

La calidad de la atención médica ambulatoria en el Hospital Pediátrico del Niño Jesús, de la ciudad de Córdoba / The quality of ambulatory care inthe Pediatric Hospital Niño Jesús, Cordoba City

En el presente estudio se evalúa la atención médica en un hospital público pediátrico, desde la perspectiva de la satisfacción de los acompañantes adultos de los pacientes. Se estudiaron 381 casos; las características mejor evaluadas por los padres y que más influyeron en la satisfacción son la capacitación del médico, la confianza que éste inspira, y su trato. Las variables peor valoradas y que afectan negativamente la satisfacción fueron la limpieza de los sanitarios, la señalización dentro del hospital y su estado de aseo. Se destaca la importancia del estudio de la satisfacción del paciente como indicador válido de la calidad de atención del hospital. Desde la perspectiva de los acompañantes del paciente, las variables relacionadas con el médico son las que mayor incidencia tienen en su satisfacción.(AU)

In this present report, the medical assistance in a pediatric publichospital is evaluated from the perspective of satisfaction of patient´scompanions. Three hundred an eighty one cases have been studied;the best evaluated characteristics chosen by parents and the onesthat fulfilled their expectations are the doctors qualifications; the trusthe inspires and the way he deals with his patients. The worst valed variables which affect their satisfaction in a negative way are the cleanliness of toilets, singning inside the hospital and the general clearing conditions. The importance of the study of patientssatisfaction is highlighted as a valid indicador of the hospital qualityassistance. From the perspective of the patient´s companions, the variables related to the doctor are the ones with highest incidence in their satisfaction.(AU)

Preliminary study on a satisfaction rating scale of outpatients in general hospitals / 中华行为医学与脑科学杂志

Objective To draw up a satisfaction rating scale utilized by outpatients in general hospitals,for the quality evaluation of the out-patient service.Methods Outpatients at four municipal general hospitals in Hangzhou City were as the subjects.The validity and reliability of the rating scale were estimated.Results The response rate to items was 98.82% ,and valid rate reached 96.8% ,the internal consistency coefficient was in the range of 0.76 to 0.87.The composition of the scale conforms well to the management practice,the relativity inside the factor was stronger than the relativity among the factors,which supported the contents validity.Factor analysis results demonstrated that both the factor loads and structures were consistent with the structures of the rating scale,which supported the structure validity.Conclusion All of validity indexes of the rating scale meet the requirements of psychometrics.This scale is practicable to estimate the satisfaction of outpatients to the service they received,and provides valuable evidence to estimate the quality of hospital therapeutic services.

Razões que influenciam o paciente a buscar atendimento odontológico na clínica integrada / Reasons that influence patients to seek dental treatment in the Integrated clinic

Objetivo: Verificar as razões que influenciam o paciente a buscar atendimento odontológico na Clínica Integrada da Faculdade de Odontologia de Araçatuba (CI-FOA) - UNESP, as fontes de divulgação desse serviço e a periodicidade das visitas.Método: Trata-se de uma pesquisa que procurou focar os sentimentos do paciente e não a avaliação dele em relação aos procedimentos clínicos. Pela metodologia quali-quantitativa do Discurso do Sujeito Coletivo (DSC), técnica criada para fazer uma coletividade falar como se fosse um só indivíduo, foram ouvidos em entrevistas abertas, gravadas e transcritas, todos os pacientes (n=105) que freqüentavam as salas de espera daquela Clínica Integrada, no período de janeiro a junho de 2005.Resultados: O DSC foi construído de acordo com as idéias centrais extraídas das respostas: recebimento de informação por familiares, por pessoas sem vínculo com a FOA, por pessoas ligadas à FOA, necessidade de atendimento emergencial, encaminhamento por instituições de outras cidades ou paciente que só procura pelo atendimento quando necessário, isto é, paciente com queixa de dor de dente, necessidade: protética, cirúrgica, tratamento restaurador, periodontal ou endodôntico.Conclusão: Os pacientes procuram a FOA/UNESP, por motivos que vão desde emergência a procedimentos de média complexidade, reabilitação ou serviços de especialidades. Apenas alguns pacientes reconhecem a importância da saúde bucal. Excluindo-se a vinda por emergência, a grande informação dos serviços odontológicos chega aos pacientes da CI-FOA, por outros pacientes, confirmando a credibilidade que a instituição inspira.