oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
The Chinese community patient’s life satisfaction, assessment of community medical service, and trust in community health delivery system  [cached]
Tang Liyang
Health and Quality of Life Outcomes , 2013, DOI: 10.1186/1477-7525-11-18
Abstract: Background Although the Chinese government put a lot of effort into promoting the community patient’s life satisfaction, there still lacked the holistic and systematic approaches to promote the community patient’s life satisfaction in various regions of China. On the basis of the literature, it was found that both the community patient’s assessment of community medical service and trust in community health delivery system were important considerations when the community patient comprehensively evaluated community medical service to generate life satisfaction. So this study was set up to test whether and to what extent the community patient’s assessments of various major aspects of community medical service/various major aspects of the community patient’s trust in community health delivery system influenced life satisfaction in whole China/in various regions of China. Methods In order to explore the situation of China’s community health delivery system before 2009 and provide a reference for China’s community health delivery system reform, the data that could comprehensively and accurately reflect the community patient’s life satisfaction, assessment of community medical service, and trust in community health delivery system in various regions of China was needed, so this study collaborated with the National Bureau of Statistics of China to carry out a large-scale 2008 national community resident household survey (N = 3,306) for the first time in China. And the specified ordered probit models were established to analyze the dataset from this household survey. Results Among major aspects of community medical service, the medical cost (particularly in developed regions), the doctor-patient communication (particularly in developed regions), the medical facility and hospital environment (particularly in developed regions), and the medical treatment process (particularly in underdeveloped regions) were all key considerations (p<0.05 for t statistics) in generating the community patient’s life satisfaction. Among major aspects of the community patient’s trust in community health delivery system, trust in doctor (particularly in underdeveloped regions), trust in prescription (particularly in underdeveloped regions), and trust in recommended medical examination (particularly in underdeveloped regions) were all important considerations (p<0.10 for t statistics) in generating the community patient’s life satisfaction. Conclusion The reduction of medical cost (particularly in developed regions), the improvement of doctor-patient communication (particularly
The influences of patient's trust in medical service and attitude towards health policy on patient's overall satisfaction with medical service and sub satisfaction in China
Liyang Tang
BMC Public Health , 2011, DOI: 10.1186/1471-2458-11-472
Abstract: This study collaborated with the National Bureau of Statistics to collect a sample of 3,424 residents from 17 provinces and municipalities in a 2008 China household survey on patient's trust in medical service, patient's attitude towards health policy, patient's overall satisfaction and sub satisfaction in current medical experience.Patient's overall satisfaction with medical service and most kinds of sub satisfaction in current medical experience were significantly influenced by both patient's trust in medical service and patient's attitude towards health policy; among all kinds of sub satisfaction in current medical experience, patient's trust in medical service/patient's attitude towards health policy had the largest influence on patient's satisfaction with medical costs, the influences of patient's trust in medical service/patient's attitude towards health policy on patient's satisfaction with doctor-patient interaction and satisfaction with treatment process were at medium-level, patient's trust in medical service/patient's attitude towards health policy had the smallest influence on patient's satisfaction with medical facilities and hospital environment, while patient's satisfaction with waiting time in hospital was not influenced by patient's trust in medical service/patient's attitude towards health policy.In order to improve patient's overall satisfaction with medical service and sub satisfaction in considering patient's trust in medical service and patient's attitude towards health policy, both improving patient's interpersonal trust in medical service from individual's own medical experience/public trust in medical service and improving patient's attitude towards health policy were indirect but effective ways.Over the past few decades, patient satisfaction has taken a prominent position in the medical service research literature [1-3]. This attention has been justified since patient satisfaction (directly or indirectly) has become a key criterion for eval
Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters
Chang Ching-Sheng,Chen Su-Yueh,Lan Yi-Ting
BMC Health Services Research , 2013, DOI: 10.1186/1472-6963-13-22
Abstract: Background Interaction between service provider and customer is the primary core of service businesses of different natures, and the influence of trust on service quality and customer satisfaction could not be ignored in interpersonal-based service encounters. However, lack of existing literature on the correlation between service quality, patient trust, and satisfaction from the prospect of interpersonal-based medical service encounters has created a research gap in previous studies. Therefore, this study attempts to bridge such a gap with an evidence-based practice study. Methods We adopted a cross-sectional design using a questionnaire survey of outpatients in seven medical centers of Taiwan. Three hundred and fifty copies of questionnaire were distributed, and 285 valid copies were retrieved, with a valid response rate of 81.43%. The SPSS 14.0 and AMOS 14.0 (structural equation modeling) statistical software packages were used for analysis. Structural equation modeling clarifies the extent of relationships between variables as well as the chain of cause and effect. Restated, SEM results do not merely show empirical relationships between variables when defining the practical situation. For this reason, SEM was used to test the hypotheses. Results Perception of interpersonal-based medical service encounters positively influences service quality and patient satisfaction. Perception of service quality among patients positively influences their trust. Perception of trust among patients positively influences their satisfaction. Conclusions According to the findings, as interpersonal-based medical service encounters will positively influence service quality and patient satisfaction, and the differences for patients’ perceptions of the professional skill and communication attitude of personnel in interpersonal-based medical service encounters will influence patients’ overall satisfaction in two ways: (A) interpersonal-based medical service encounter directly affects patient satisfaction, which represents a direct effect; and (B) service quality and patient trust are used as intervening variables to affect patient satisfaction, which represents an indirect effect. Due to differences in the scale, resources and costs among medical institutions of different levels, it is a most urgent and concerning issue of how to control customers’ demands and preferences and adopt correct marketing concepts under the circumstances of intense competition in order to satisfy the public and build up a competitive edge for medical institutions.
Trust Evaluation Model based on Service Satisfaction  [cached]
Ruizhong Du,Xiaoxue Ma
Journal of Software , 2011, DOI: 10.4304/jsw.6.10.2001-2008
Abstract: In most of the current trust model, the evaluation of whether an entity is trust is different to different judger. The reason of this phenomenon is that different judger use the different standard in its opinion. So the evaluation lack of convincing, are not well describe the relationship between two parties. In response to these issues, drawing on the trust relationship between human societies, the introduction of the domain and domain trust, building the trust evaluation model based on service satisfaction. In every domain according to the service of the node itself, abstracting representative multiple service attributes from the trusted relationship of the node service, service requester comprehensive evaluates multiple service attributes provided by service provider based on personal interest, and combines with the trust value, decide whether to trade finally; after the transaction, service request calculates QoS(quality of service) difference degree according to actual QoS and service provider’ own QoS claimed to judge the credibility of service provider, then gives corresponding rewards and punishment and trust update. The simulation results show that the model can more accurate assessment of the trust entity, to some extent effective against malicious attacks, which proves the validity and accuracy of the model.
Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia
Azmeraw Tayelgn, Desalegn T Zegeye, Yigzaw Kebede
BMC Pregnancy and Childbirth , 2011, DOI: 10.1186/1471-2393-11-78
Abstract: A hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction).The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service.The overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.One of the Millennium Development Goals (MDG5) is to reduce the maternal mortality ratio by 3/4 between 1990 and 2015. Pregnancy and childbirth claim the lives of an estimated half a million of women globally each year [1]. More than half of these deaths occur in Africa [1]. Ethiopia is one of the countries that have highest maternal mortality rates (MMR) in the world which is estimated to be 673/100,000 live births [2]. Part of this mortality is attributed to poor delivery care [3].The Ethiopian government and international organizations are working for making hospital delivery services accessible and usable for all pregnant women but still the proportion of births attended by a skilled birth attendant is about 18.4% [4] in 2009 which was much lower than the average level in developing count
Tourist Satisfaction and Service Delivery at Nech Sar National Park of Ethiopia
Bililign Zafu, Molla Mekonnen Alemu
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103230
Abstract:
The tourism industry is contributing a lot for the economic development of many countries worldwide along with its contribution for the development of livelihoods. Tourist satisfaction on service delivery of Nech Sar National Park is examined in the present study. Primary data were collected from foreign and domestic tourist and different workers of the park. Accordingly, a total of 167 (52% men) participated for the data collection. Qualitative and quantitative data were collected through questionnaires, interviews, observations and document analysis. Based on the findings of the study, it was found out that landscape, environment, cost, and working hours were among the factors which satisfied visitors and the visitors were also dissatisfied by infrastructure, service offered at night time in camp sites, and deforestation.
From Customer Satisfaction to Citizen Satisfaction: Rethinking Local Government Service Delivery in Malaysia  [cached]
Hazman Shah Abdullah,Maniam Kalianan
Asian Social Science , 2009, DOI: 10.5539/ass.v4n11p87
Abstract: The Producer-Customer Paradigm within which much of the service improvement efforts have been undertaken is a highly circumscribed and problematic paradigm for local government services. It views citizens as customers of local government services and seeks to be more efficient in its delivery through process improvements. While the Producer-Customer Paradigm has spotlighted the service delivery side of the local government, it leaves the policy making and political side of local government, so central to the nature and role of government largely beyond its scope. This artificial but politically convenient truncation or limitation has been soundly criticized in the west for distorting the role of the local citizen and the local government. Citizen satisfaction and not merely customer satisfaction is the key indicator of local government quality. An expanded service quality paradigm i.e. Government-Citizen Model is needed to place service quality within a framework of political and social values. The ultimate test of local government quality is a population which is satisfied as a user (personal satisfaction) and citizen (social satisfaction).
Exploring the Relationships among Service Quality, Satisfaction, Trust and Store Loyalty among Retail Customers  [PDF]
?erri Shp?tim
Journal of Competitiveness , 2012,
Abstract: The purpose of the study is to investigate the relationships among service quality, satisfaction, trust, and store loyalty in a retailing context. All these variables have considerable importance on store performance, measured by financial indicators or market ones. The data were collected from a sample of 258 students at two universities in Albania, during the first quarter of 2012. The items included in the survey measured the variables of the study as well as demographic characteristics of the sample. Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to evaluate the hypotheses regarding relationships among model constructs. All the hypotheses developed in the study were positively confirmed, reinforcing the theory and previous research on this field. The study also reveals interesting implications in service quality, satisfaction, trust, and store loyalty, useful to both academics and practitioners. Managers will find this research helpful in better understanding these variables and their roles on their companies’ performance.
The Effect of Quality Circles on Nurses Job Satisfaction Working Emergency Medical Service  [cached]
Arezo Karampurian,Reza Hossein abadi,Behzad Imani
Pajouhan Scientific Journal , 2012,
Abstract: Introduction: Quality circle are considered an important approach to improving behavior, increasing motivation, and reducing stress. The aim of this study was to determining the effect of training and applying quality control circles on the nurses’ level of occupation satisfaction.Material and Methods: This research is a two-group quasi-experimental study that after selection of two EMS stations, by simple randomization method 25 nurses worked in central station of Hamden emergency medical service were chosen as the quality circle group and 16 nurses of central station of Malayer emergency medical service formed the control group. The tools was used in this research was the occupation satisfaction questionnaire that was made on Herzburg Two factor theory. After training and performing of quality circle in trial group the occupation satisfaction test was carried out on both groups to get the change taken place in their level of job satisfactions. Then statistical analysis was performed using SPSS.Results: The analysis of data showed that before and after intervention there was significant differences in scores of health (P<0.001) and motivation factors (P<0.001) and also in global scores of occupation satisfaction in quality circle group (P<0.001), but there was no significant differences before and after intervention in scores of health (P=0.069) and motivation factors (P=0.094) and also in global scores of occupation satisfaction in control group (P=0.495). After intervention, the analysis of data showed significant differences in scores motivation factors (P=0.001) and global scores of occupation satisfaction (P=0.003) whereas there was no significant differences in scores of health factors between two groups (P=0.089).Conclusion: This study confirmed the effectiveness of training and applying quality circle in improving EMS nurses job satisfaction and offered as management method for use by EMS managers.
Harnessing potentials of medical biotechnology in delivery of quality health service in Nigeria
Olumide Adedokun Odeyemi
International Journal of Students' Research , 2011, DOI: 10.5549/ijsr.1.4.105-107
Abstract: Biotechnology is the manipulation and application of the whole or a part of a living biological system such as microorganisms, plants and animals for the production of goods and services for the benefits of mankind and society at large. Various aspect of biotechnology has been identified based on their applications in medicine, industry and agriculture. Medical biotechnology involves medical application of biotechnology for disease diagnosis, prevention and treatment. One of the major factors to be considered in delivery of quality health services in developing countries like Nigeria is the rapid diagnosis of diseases and infections. This will in turn help in subsequent rapid treatment and prevention. Molecular diagnostic techniques are vital tools required for detection of diseases and infections. Harnessing inherent potentials of medical biotechnology will help in early detection of diseases such as Acquired Immunodeficiency Syndrome (AIDS), Sexually Transmitted Infections (STI), communicable and infectious diseases in developing countries. It will also help in reducing the work load of diagnostic laboratories. This paper therefore highlights significance of harnessing medical biotechnology in enhancing delivery of quality health service in Nigeria. Keywords: Health care system, molecular diagnosis, biotechnology education, biotechnology awareness
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.