A Study on the Change of Medical Service Experience

Purpose - The purpose of this study is to examine whether a psychological concept enhances healthcare users’ service experience. Specifically, the study proposes and empirically examines a model of perceived control in which the user’s sense of control is postulated as exerting positive influences upon his/her motivation, self-efficacy associated with his/her role as a patient, and satisfaction with his/her medical service experience. Methodology - Data were collected by a professional research company, using an online survey method. Participants of the study included adults nineteen years or older who had visited a medical service institute at least once during the previous one-year period. For the test of the research hypotheses, structural equation modeling using AMOS was used. Findings - Findings of this study denote a unique insight into the users’ comprehension of medical service experiences and their behaviors. First, the concept of perceived control is identified as a factor that enhances the quality of individuals’ medical service experiences. A sense of control directly influences medical users’ self-efficacy to comply with doctor’s recommendations, their motivation to comply with doctor’s recommendations, and their satisfaction with the medical service experience. Second, one’s perceived self-efficacy is found to exert positive influences upon both motivation and satisfaction. Third, one’s motivation to comply with the doctor’s recommendation is found to exert a positive influence upon one’s satisfaction. Additionally, perceived control is found to exert an indirect influence upon medical service users’ satisfaction through the mediation of both self-efficacy and motivation. Research Implications - The findings of the study support the notion that perception of control among medial service users enhances their service experience as patients. The main thrust of this study suggests that it is necessary for healthcare practitioners to consider implementing service encounter strategies that purposefully enhance the sense of control among their patients. The identification of significant inter-relationships among perceived control, motivation, self-efficacy, and satisfaction among medical service customers should also serve as a meaningful seed for further research pursuits.

To construct a satisfaction evaluation indicator system based on patients' experiences of medical services. A questionnaire was designed by expert interview and literature review and 400 copies were randomly handed out to inpatients and outpatients from five 3A-public hospitals in Shanghai. The patient's evaluation of importance of various factors in medical services was analyzed and the mean and weight of indicators in terms of recognition, importance and evaluation were determined to establish a satisfaction evaluation indicator system. A total of 396 valid questionnaires were retrieved, with an effective response rate of 99%. By analyzing survey data, the patient satisfaction evaluation indicator system was constructed with 5 primary indicators (hospital environment, medical procedures, attitude, and quality of care and patient rights) and 25 secondary indicators (convenient hospital environment, auxiliary facilities, reasonable arrangement, clearly mark, convenient appointment, simple procedures, short time, the attitude of medical staff, solutions of medical dispute, medical technology, treatment, medical equipment, medical expenses, respect, patient privacy, etc.). A patient satisfaction evaluation indicator system has been established based on patients' experience of medical services in the study, which may be applicable to measure patients' satisfaction and to improve medical services in hospitals.

The purpose of this study is to investigate the structural causality between constructive concepts such as cognitive experience, affective experience, behavioral experience, service trust, service commitment, and service loyalty in Mongolian medical services setting, and then explains the causal role of affective commitment. To this end, the research hypothesis was verified using by structural equation modeling through SPSS 23.0 and AMOS 20.0 statistical packages. Result revealed that first, cognitive experience had a positive influence on service commitment, but service trust did not affect service commitment. Second, behavioral experience had a positive influence on service trust but not on service commitment. Third, affective experience had a positive effect on all relationship quality factors such as service trust and service commitment. Fourth, service trust had a positive effect on service commitment but did not affect service loyalty. Finally, service commitment has a positive effect on service loyalty. Therefore, medical service providers or marketers of Mongolian hospitals’ can increase the level of trust in medical services by providing users with emotional and behaviorally superior services and experience cognitive and emotional superior services. The relationship quality between the service provider and the consumer should be strengthened. In addition, it is necessary to plan and execute marketing strategies and tactics to increase service loyalty by motivating customers who have high confidence in medical service to be immersed in service.

This study aims to investigate the factors influencing residents' healthcare utilization behavior and provide a scientific basis for enhancing the overall efficiency of healthcare utilization. A comprehensive analysis was conducted using data from the China General Social Survey (CGSS) project. Exploratory Factor Analysis (EFA) and Structural Equation Modeling (SEM) were utilized to examine the influences and interrelationships of the three core factors of the Andersen Healthcare Utilization Model (Predisposing Factors, Enabling Resources, and Need), as well as the two extended factors (health behaviors and Medical-service Experience), on residents' decisions regarding the utilization of healthcare services. A total of 2,230 participants were enrolled in this study. Most were male (55.74%), were married (85.38%), and had junior- and senior-high school educations (45.29%). Mean age was 52.39 years, and 56.32% of participants reported an annual income of <30,000 RMB. EFA distilled influencing factors into four domains: Predisposing and Enabling, Need, Health Behaviors, and Medical-service Experience. The results of the revised SEM indicated that the influence coefficients of Predisposing and Enabling, Need, and Medical-service Experience on Decision to Utilize Health Services (DUHS) were 0.095, -0.104, and 0.093 respectively. Mediation effect test results demonstrated that the indirect effects of Predisposing and Enabling, Need, and Health Behaviors on DUHS were -0.098, 0.024, and -0.017, respectively, all of which were statistically significant. Finally, the fit indices of the modified model indicated an acceptable model fit. This study showed that unmarried individuals with lower income and job instability exhibit reduced healthcare utilization due to economic barriers and lack of social support. Furthermore, medical service experience is another crucial factor affecting health service utilization. Notably, our findings suggest the need for targeted interventions, including enhanced insurance coverage, improving the quality of medical services and health education campaigns to mitigate disparities in access to health services.

The objective of this study was to explore women's personal experiences of living with vaginal agenesis to gain insight in to psychological, social and emotional consequences of diagnosis and treatment. It employed interpretative phenomenological analysis for an in-depth exploratory study of a small sample of women with vaginal agenesis. The verbatim transcripts of semi-structured interviews with seven women diagnosed with vaginal agenesis were used as data for an interpretative phenomenological analysis. Four themes emerged which are described under the following headings: dealing with loss, the experience of medical services, sharing with others, and the role of time. Participants struggled to understand the meaning of their diagnosis and to incorporate it in to a new sense of self. Contact with medical services generally enhanced feelings of uncertainty and isolation. Emotional distress was managed through cognitive strategies and choices about disclosure to others. Participants described how the experience of their loss recurred over time in different ways depending on the salience of their sexual and reproductive identities. Some implications for health care professionals are discussed.

Results: With respect to the carers’ relationship with the donor, seven carers who participated in the interview were spouses (30.4%), six were parents (26.0%), three were offspring (13.0%), and seven were siblings (30.4%). Ten of the decision makers (43.4%) were not legal priority holders. Twenty-two interviewees (95.6%) experienced no regret for their decision to go through with the donation. Fifteen participants (65.1%) were willing to donate their own organs in case of brain death, and the favorability towards organ donation was significantly related to the satisfaction with their experience of medical services during the process of organ donation. Conclusions: Organ donation after brain death is still viewed favorably by carers even after the bereavement period. Positive attitude and favorability toward organ donation were significantly related to the satisfaction with the medical service. We suggest interventions to improve the quality of medical services in order to promote organ donation.

Prenatal examination behavior of Southeast Asian pregnant women in Taiwan: A questionnaire survey

BackgroundIn rebuilding devastated health services, the government of Afghanistan has provided access to basic services mainly by contracting with non-government organisations (NGOs), and more recently the Strengthening Mechanism (SM) of contracting with Provincial Health Offices. Community-based information about the public's views and experience of health services is scarce.MethodsField teams visited households in a stratified random sample of 30 communities in two districts in Kabul province, with health services mainly provided either by an NGO or through the SM and administered a questionnaire about household views, use, and experience of health services, including payments for services and corruption. They later discussed the findings with separate community focus groups of men and women. We calculated weighted frequencies of views and experience of services and multivariate analysis examined the related factors.ResultsThe survey covered 3283 households including 2845 recent health service users. Some 42% of households in the SM district and 57% in the NGO district rated available health services as good. Some 63% of households in the SM district (adjacent to Kabul) and 93% in the NGO district ordinarily used government health facilities. Service users rated private facilities more positively than government facilities. Government service users were more satisfied in urban facilities, if the household head was not educated, if they had enough food in the last week, and if they waited less than 30 minutes. Many households were unwilling to comment on corruption in health services; 15% in the SM district and 26% in the NGO district reported having been asked for an unofficial payment. Despite a policy of free services, one in seven users paid for treatment in government facilities, and three in four paid for medicine outside the facilities. Focus groups confirmed people knew payments were unofficial; they were afraid to talk about corruption.ConclusionsHouseholds used government health services but preferred private services. The experience of service users was similar in the SM and NGO districts. People made unofficial payments in government facilities, whether SM or NGO run. Tackling corruption in health services is an important part of anti-corruption measures in Afghanistan.

The aim of this study was to identify factors related to a sense of security with regard to medical and long-term care services among middle-aged and older adults. These are for consideration of strategies for the establishment of a community-based integrated care system. A cross-sectional survey was conducted in 2400 men and women aged ≥40 years in two cities. Survey items included a scale for sense of security for medical and long-term care, experience of medical and long-term care services, and social and demographic factors. Data were analyzed using univariate and multiple regression analyses. In total, 945 respondents were included in the analysis. In multiple regression analysis, sense of security was significantly higher with ability to consult with medical professionals on medical and long-term care, availability of emotional and instrumental support, norm of reciprocity in the community, community attachment, economic comfort, higher age and male gender, and significantly lower with experience of bereavement at a hospital and depression. These findings stress the importance of facilitating consultation with medical professionals, support for caregivers of terminally ill patients, and mutual support in the community in a community-based integrated care system. Geriatr Gerontol Int 2022; 22: 568-574.

With the implementation of the Nation Health Insurance in 1995, all levels of medical institutes were influenced by the constraint of government budget that resulted in a high degree market orientation. Also, medical cosmetology had grown up very fast during these years. Because medical cosmetology is mostly consumer's initiative, the importance of medical service experience must be particularly emphasized. The purposes of this research include: (1) to discuss the relationships among consumer experiences, experiential value and experiential behavior; (2) to build Medical Service Experience Model (MSEM) for medical cosmetology. We used purposed sampling to interview 1040 samples with medical cosmetology experience and used structural equation modeling to analyze data. The results showed that Medical Service Experience Model (MSEM) could explain the relationships among consumer experiences, experiential value and experiential behavior more completely. In practice, this study can help medical institutions with medical cosmetology services understanding consumers' whole feels and use appropriate marketing tools to enhance consumer experiences.

The standardization of medicines, taking into account the considerable experience of the military medical service, is a promising direction for improving the medical supply of the health facilities of the Ministry of Defense of Ukraine and provides medical provision in accordance with established norms in order to fully and timely meet the needs of the medical service in the Ministry of Health for the provision of quality and effective medical care and treatment of wounded and sick.&#x0D; The purpose of the study was the rationale of the method of valuation and a comparative analysis of the proposed norms for supplying medicines to a military hospital and a military mobile hospital offered in the treatment of surgical personnel.&#x0D; A comprehensive analysis of the medical treatment of soldiers in the surgical section of the military hospital and the military mobile hospital was conducted (345 and 202 persons, respectively), the normative method of the proposed nomenclature and the number of drugs for the provision of qualified surgical care in the conditions of the military hospital and the military mobile hospital.&#x0D; The nomenclature of medicines under the international non-proprietary names included in the proposed list of norms for the supply of medicinal products and is intended for servicemen of a surgical profile for the needs of military hospitals and military mobile hospitals is 147 and 130 titles of medicines, respectively. In the conditions of the military hospital in the species diversity, the most represented groups are medicinal products that affect the blood system and hemopoiesis (19%), drugs that affect the nervous system (16%), antimicrobials for systemic use (15%); in the conditions of a military mobile hospital ‒ medicines affecting the blood system and hemopoiesis (23 titles), in the second place drugs affecting the nervous system (21 titles), the third means affecting the digestive system and path (19 titles).&#x0D; Thus, a comparative analysis of the proposed fragment of the delivery of medicines for the needs of the military hospital and the military mobile hospital with approved Temporary Settlement of Medical Assets for the provision of medical care and treatment of wounded and patients for a special period demonstrated the conformity of the nomenclature of drugs to 41% (68 INN medicines for provision of qualified surgical assistance from 167 INN medicines for providing qualified medical aid).

The authors examined the impact of the October 7, 2023, attack on Israel on individuals receiving community-based psychiatric rehabilitation services, a population highly vulnerable to disruptions in structured mental health support. Data were obtained from the Israeli Psychiatric Rehabilitation Patient-Reported Outcome Measurement program. A total of 19,461 rehabilitation service recipients completed self-report questionnaires between January 2023 and September 2024. Respondents were categorized by geographic risk based on evacuation status and proximity to conflict zones. The outcome domains assessed included goal setting, community involvement, general medical health, service experience, and quality of life. Analyses were conducted across four periods and three levels of exposure. Significant temporal and regional differences in the studied variables were observed. In high-risk southern areas, goal setting significantly (p=0.011) declined immediately after the attack but rebounded within months. In contrast, service recipients in high-risk northern areas had a significant increase in goal setting (from 91% to 96%, p=0.011). Community involvement tended to decrease in the southern region (from 32.1% to 27.1%) but significantly improved in the north (reaching a score of 3.12, p=0.014). Scores on service experience and quality of life fluctuated significantly in high-risk areas, with signs of recovery and improvement over time. These findings indicate both vulnerability and resilience among recipients of psychiatric rehabilitation services during wartime. The results underscore the importance of adaptable, community-based mental health rehabilitation systems and support the development of policies focused on service continuity, preparedness, and psychosocial recovery in conflict-exposed regions.

Objective To explore the effects of nursing process optimization on reducing accidental risks of Emergency Department infusion in children. Methods By convenient sampling, totally 220 children admitted in Beijing Tiantan Hospital, Capital Medical University between June and September 2018 were selected into the control group by convenient sampling, who received routine nursing process, while another 220 children admitted from October 2018 to January 2019 were selected into the observation group, who received optimized nursing process. The success rate of one-time puncture of intravenous infusion, the incidence of risk events during the infusion, waiting time for infusion, consultation time, puncture time, needle extraction time, the rate of nursing satisfaction and the cases of nursing complaints and incidents of nurse-patient disputes between the two groups were compared. Results The one-time success rate of puncture among the children in the observation group was higher than that in the control group; the incidence of risk events during infusion was significantly lower than that in the control group, and the differences were statistically significant (P<0.05) . The waiting time, admission time, puncture time, and needle extraction time in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05) . The rate of nursing satisfaction and the parents of the children in the observation group was higher than that in the control group; the cases of medical tangles and complaints about nursing work were lower than those in the control group, and the differences were statistically significant (P<0.05) . Conclusions Optimizing the nursing process can effectively reduce the accidental risks of emergency infusion in children, improve the one-time success rate of puncture, reduce the pain of children, improve the experience of seeking medical service, ensure the safety of children, and increase parents' satisfaction with the medical service industry, thus creating a positive image of the hospital. Key words: Child; Emergency service, hospital; Nursing process; Infusion; Accident

The development of information technology has become an important need in all fields. This also applies to companies operating in the health sector. Technological developments in the world of health services have had a huge impact, because in the health sector it is now mandatory to use information systems to streamline operational processes. The health information system is an integrated system that is capable of managing public data and information (government, community and private) at all levels of government to support effective health development systematically. The need for accurate data/information is increasing, but it seems that the current information system is still unable to provide accurate, complete and timely data. The research methodology used at this research stage begins with analysis to find the main problems and solutions that will be implemented, the system design will be created using Data Flow Diagram (DFD) and Entity Relationship Diagram (ERD) data. can improve the performance and experience of medical services at Clinic XYZ.

Purpose: This study evaluates the relationship between previous experience in emergency medicine services (EMS), as an emergency medicine technician (EMT) or paramedic, and initial physician assistant (PA) employment in emergency medicine and surgery. Method: Using a cohort of students from four masters degree programs, data were extracted retrospectively from the student’s admission files and alumni records. Results: There were 283 subjects reviewed for the study. Fifty-six (19.7%) graduates had emergency medical services (EMS) experience while 227 (80.3%) had no EMS experience. There was no difference between the two groups in the rates of employment in surgery (p=0.4) and when emergency medicine and surgery were combined. (p=0.7). There was a statistically significant difference between the two groups in their rates of initial employment in emergency medicine (p=0.01). Conclusion: While not predictive, there is a statistically significant relationship between prior EMS experience and initial PA practice in emergency medicine.