Cause Of Dissatisfaction Research Articles

Does soft tissue balancing using intraoperative pressure sensors improve clinical outcomes in total knee arthroplasty? A protocol of a multicentre randomised controlled trial

IntroductionSoft tissue imbalance is considered to be a major surgical cause of dissatisfaction following total knee arthroplasty (TKA). Surgeon-determined manual assessment of ligament tension has been shown to be a...

The satisfaction with rendering medical services of orthodontic profile to children of junior school age

The article considers the results of complex medical sociological study including questionnaire survey of schoolchildren of junior age and their parents concerning issues of satisfaction with stomatological services. The data is presented concerning subjective opinions about quality and accessibility of stomatological care of orthodontic profile. The causes of dissatisfaction are established and ranged. The criteria of predominant visits to medical organizations of state and private forms of property. The study established demographic and financial characteristics of families, professional characteristics of parents, their subjective opinions about particular aspects of quality of life. The level of sanitary hygienic knowledge and medical activity, including issues of prevention of stomatological diseases and dental maxillary anomalies in children aged 6-11 years was determined. The summary social portrait of family fostering child-patient of children stomatological polyclinic was composed.

Findings from “Learning and teaching foreign languages in lower secondary school”, (BUNJO 2012): Implications for the education of teachers of English.

Findings from “Learning and teaching foreign languages in lower secondary school”, (BUNJO 2012): Implications for the education of teachers of English.This paper takes data from the first part of a longitudinal study, “Learn-ing and Teaching Foreign Languages in lower secondary school”, con-ducted by the Educational Research Institute in Warsaw. The sample is large scale and representative at the level of school, which allows us to generalise to the general population with some degree of confidence. From the data several areas appear to give cause for concern. The first is organisation of work in class, where pair and group work were found to be rare. The focus of lessons would currently appear to more often em-phasize grammar, vocabulary or receptive skills than productive skills. What is tested does not always seem to reflect what is taught, which suggests that assessment practices may not be fully informed. Motivating learners and engaging them in the lesson is also reported as a cause of dissatisfaction. Teachers were found to hold mixed views regarding the importance of independent learning, which suggests more emphasis needs to be placed on the understanding of learner autonomy. This pa-per discusses each of these areas in turn, with illustrations from the data, and makes suggestions for how teacher education could be enhanced.

Identity, Couple and Intergroup Dynamics in Intercultural Families: Implications on Life Satisfaction of Partners.

The current study analyzed how identity, couple, and intergroup dynamics are related to life satisfaction among 210 intercultural partners living in Italy. Three levels of analysis were considered: a micro level, taking into account the identity aspect of each partner in terms of self- or hetero-ethnic identification; a meso level, examining the passion, commitment, and intimacy of the couple sphere of the partners; a macro level investigating the discrimination that partners can perceive by the community as an effect of the relationship between dominant and minority groups. The results show that for both partners, foreign and Italian, the variables that have a predictive value on life satisfaction bring into play the couple and the intergroup dynamics, leaving out the identitary one. Specifically, increased perceived discrimination as a member of a mixed couple leads to decreased life satisfaction by partners. In turn, we can see that a strong intimacy between partners enhances their life satisfaction. These results introduce a reflection on the role of the differences about the ethnic identity, considered erroneously the main cause of dissatisfaction in the mixed couple. The implications of the study are described and suggestions for future research discussed.

A study assessing patient satisfaction in otolaryngology OPD of a district medical college of West Bengal

Background: Patient satisfaction is perhaps is a proxy indicator to measure the success of a hospital. The aim of this study was to evaluate the level of patient satisfaction among patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district.Methods: Cross-sectional observational study among 230 patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district using a modified validated Bengali questionnaire. Analysis of results was done by percentage and proportion.Results: Overall satisfaction was above 60% for only 42.6% of patients. Major dissatisfaction was with the registration system. 50.4% were dissatisfied for waiting at the queue of registration counter to get OPD ticket. Other causes of dissatisfaction were infrastructure e.g. non-availability of adequate seating arrangement (39.6%), fans (58.7%), non-availability of drinking water (71.7%). 78.3% were dissatisfied for the available washroom facilities. However 92% were satisfied by attention paid by doctors.Conclusions: The present study was an attempt to assess the level of satisfaction of the patients. It highlights maintaining privacy during history taking examination and improving infrastructure like drinking water and washroom facilities, improving registration system to decrease waiting time can improve patient satisfaction which can be easily done with help of stakeholders.

Understanding User Practices When Drawing up Requirements-The Case of Designing Assistive Devices for Mobility.

Patients with orthopedic problems often use assistive devices, e.g., ankle-foot orthoses and therapeutic footwear, to support their mobility. However, many users are not satisfied with their devices or do not use them at all, resulting in a decrease of quality of life. It has been shown that a main cause for dissatisfaction and non-use lies in the process of drawing up requirements. It appears that orthopedic engineers have too little insight in the different areas of life of patients leading to deficient design requirements. In this article a general approach—the so-called Triple I model—is presented to understand the different areas of life of patients. This model offers, in line with and directed by the intention of the International Classification of Functioning, Disability and Health (ICF) model three perspectives or ‘pairs of lenses’ to analyze these areas of life: the identity, the interests of key stakeholders or social actors, and the underlying societal ideals. The Triple I model is elaborated for assistive devices and offers an associated methodology to orthopedic engineers to systematically map the different areas of life of patients, to understand the requirements for every area, and to explore the conditions. In case of assistive devices five different areas of life have to be investigated: daily living at home, work, transport, social and spiritual activities, sport and leisure.

The Analysis of Causes of Dissatisfaction of Patients with Medical Care Based on Appeals of Citizen and Independent Evaluation of Quality of Medical Services by Medical Organizations

The article presents the main approaches to analysis of the causes of the patients' dissatisfaction with medical care based on the appeals of citizen and independent assessment of medical care quality in medical institutions of various levels. The results of evaluation of web-sites testify good results of functioning of medical institutions. The number of sound complaints of citizen on inadequate medical care services in particular medical organizations continues to be high. The main causes of patients' dissatisfaction with medical care are analyzed.

A literature review on the satisfaction of oral health care and health care professionals in dental colleges in India

This literature review was aimed to assess the quality of oral health care provided by dental professionals and the satisfaction of dental undergraduates, graduates, and postgraduates in their profession. Most of the dental students and graduate staff members are satisfied in their profession and are interested in pursuing masters in dental surgery. A significant number of dental professionals are satisfied in their profession. Their main cause of dissatisfaction was low salary. Main causes of satisfaction on standards of oral health care were found to be willingness to listen to dental problems and cleanliness of the treatment area. The main cause of dissatisfaction was significantly slow management of dental problems.

Analyzing Dissatisfaction Factors of Weather Service Users Using Twitter and News Headlines

Social media is a massive dataset in which individuals' thoughts are freely recorded. So there have been a variety of efforts to analyze it and to understand the social phenomenon. In this study, Twitter was used to define the moments when negative perceptions of the Korean Meteorological Administration (KMA) were displayed and the reasons people were dissatisfied with the KMA. Machine learning methods were used for sentiment analysis to automatically train the implied awareness on Twitter which mentioned the KMA July-October 2011-2014. The trained models were used to validate sentiments on Twitter 2015-2016, and the frequency of negative sentiments was compared with the satisfaction of forecast users. It was found that the frequency of the negative sentiments increased before satisfaction decreased sharply. And the tweet keywords and the news headlines were qualitatively compared to analyze the cause of negative sentiments. As a result, it was revealed that the individual caused the increase in the monthly negative sentiments increase in 2016. This study represents the value of sentiment analysis that can complement user satisfaction surveys. Also, combining Twitter and news headlines provided the idea of analyzing the causes of dissatisfaction that are difficult to identify with only satisfaction surveys. The results contribute to improving user satisfaction with weather services by efficiently managing changes in satisfaction.

Determinants of client satisfaction to skilled antenatal care services at Southwest of Ethiopia: a cross-sectional facility based survey

BackgroundPatient satisfaction to Antenatal care services has traditionally been linked to the quality of services given and the extent to which specific needs are met. Even though data in this area was limited in Ethiopia, improving quality of care was one of the strategies in health sector development program IV. This study, therefore, attempted to assess client satisfaction to skilled antenatal care services in the study area.Methods and materialsA cross-sectional facility based survey was conducted among women who were attending antenatal care clinic, using quantitative method triangulated with qualitative data collection. Participants were selected using systematic sampling method according to the flow pregnant women to the antenatal care clinics. The study was carried out in all functional public health centers in the district. During the survey, 405 women were interviewed. A logistic regression model was applied to control for confounders.ResultsOut of the total respondents, overall satisfied to skilled antenatal care services were about 277(68%). The most common specific component of antenatal care that had good-satisfaction by the respondents was “Privacy” at examination (81.7%). Most satisfied health education session was “Diet and nutrition” session (82.2%). Absence of sonar test, no doctor and long waiting time were commonest causes of dissatisfaction. Respondents who have > 2 previous antenatal care visit were 3 times more likely (AOR = 2.93; 95% CI, 1.21, 7.12) to have satisfaction to antenatal care services as compared to those with < 1 visit. Women whose current visit fourth were 9 times more likely (AOR = 9.02, 95% CI; 1.76, 46.1) to be satisfied for antenatal services than those who were in the first visit. Women with family monthly income of $US 25–100 per month were 60% (AOR = 0.4, 95% CI; 0.2, 0.8) less likely to have satisfaction by skilled antenatal care services than those who had monthly household income below $US 25.Conclusion and recommendationWomen who reported good-satisfaction to overall skilled antenatal care services were highest as compared to previous Ethiopian study findings. Demographic, economic, obstetric and distance factors were independent predictors of satisfaction to skilled antenatal care services. Non natives must be encouraged to seek satisfying services.

Online communities as a new source of exploring patient dissatisfaction

PurposeThe purpose of this paper is to analyse whether internet forums are an appropriate source for identification of causes of dissatisfaction of patients with non-medical aspects of healthcare services.Design/methodology/approachBased on the guidelines of netnography qualitative research the authors identify relevant posts or comments on selected online forums in which web users show their dissatisfaction with healthcare services. Five popular Slovenian forums representing different interest communities have been chosen and 42 forums’ topics have been reviewed.FindingsOnline communities have an important role in exploring patient dissatisfaction. Through content analysis comments were coded into meaningful categories and subcategories.Research limitations/implicationsSome comments were more explicit, while others have provided general and looser reasons for dissatisfaction, and in such cases coding and content analysis of comments was more difficult.Practical implicationsContents expressed within online communities are helpful in designing improvement activities since they enable determination of concrete relevant measures aiming at eliminating and preventing the established causes of discontent, such as instituting new policies, introducing training programs, determining desired changes in culture.Originality/valueUsefulness of the netnography as a qualitative method of research is confirmed through confirmation that causes of dissatisfaction of Slovenian patients, which have been identified in the authors research are similar to those identified in previous research in the field of patient satisfaction conducted in Slovenia. Results constitute a new form of researching patient dissatisfaction and expose the specific causes of patient dissatisfaction with healthcare services in Slovenia.

Agreement in component size between preoperative measurement, navigation and final implant in total knee replacement

SummaryBackgroundOne of the possible causes of dissatisfaction reported by many patients after total knee replacement (TKR) is the lack of agreement between component size and bone structure. To avoid this complication and facilitate the procedure, preoperative planning with digitized templates is recommended. Surgical navigation indicates the best position and the most adequate size of arthroplasty and may therefore replace preoperative radiographic measurement. The objective of the study was to check agreement between the sizes of TKR components measured before surgery with digitized templates, the size recommended by the navigation and sizes actually implanted.MethodsIn 103 patients scheduled for TKR, preoperative full-limb radiography was performed to measure the mechanical and anatomical axes of the limb, femur and tibia. The most adequate size of the femoral and tibial components was planned by superimposing digitized templates. The size recommended in navigation and the size of the finally implanted components were also recorded.ResultsA high level of agreement was found between the sizes of femoral and tibial components measured by X-rays and in navigation (0.750 and 0.772, respectively) (intraclass correlation and Cronbach's alpha). Agreement between the sizes recommended by X-rays and navigation and those finally implanted was 0.886 for the femur and 0.891 for the tibia. Agreement levels were not different in cases with prior deformities of limb axis.ConclusionsThe high level of agreement found in component sizes between radiographic measurement with digitized templates and navigation suggests that preoperative X-ray measurement is not needed when navigation is used for placement of implants during TKR.The translational potential of this articleComputer-assisted surgery may avoid preoperative measurement with templates in TKR.

Experience and expectations of transition to higher education: a qualitative exploration

Transition to higher education is challenging, and may be more difficult for some groups than others. The transition from level 3 foundation year into level 4 offers the opportunity to explore student perspectives. Qualitative survey and focus group data were collected from current and previous Level 3 students, to ascertain student perceptions about induction, level of belonging, confidence about Level 4 and to identify useful support sources. Over a third of eligible Level 3 students (n=102) participated, but numbers of eligible participants from Levels 4, 5 and 6 were limited. Despite the heterogeneous nature of Level 3 students the majority of students recognised the value of the foundation year. Data suggested that Level 3 students did not identify with the university. Those who did highlighted the importance of social outlets such as clubs and societies. A major cause of dissatisfaction was perceived lack of clarity about the foundation year, including the programme, subjects and physical location of the course. This was apparent across all ethnicities, age groups and both genders. Among previous Level 3 students, personal sources of support were uniformly valued although the precise source varied by year of study. Support from academic staff, via office hours and as personal tutors, was rated as most important. Enabling academic staff to offer support to students throughout their study, and clear consistent information available throughout an ongoing transition, may help to minimise these issues.

The Organization of Specialized and High-Tech Cardiologic Care in the Republic of Kazakhstan

The article presents the results of analysis of indices of morbidity and mortality of diseases of blood circulation system of population of the Southern Kazakhstan oblast in 2004-2015. The analysis was applied to annual activities reports of the Regional cardiologic Center in 2013-2016. Thus, in 2016 the Center accepted 4237 patients and 80.7% out of them in emergence order. In overall, treatment in the Regional cardiologic Center was applied to 59.4% of respondents. All respondents were residents of municipal center an only 25.4% resided in rural area that is related to lower accessibility of cardiologic and cardio-surgery care for them. During analyzed period, increasing of rate of renunciation of hospitalization up to 15.8% was established. In 2016, the leading causes of renunciation were absence of indications for emergency hospitalization and common hospitalization, non-profile patients and self-repudiation. The article presents the results of sociological survey of 784 patients with diseases of blood circulation system addressing medical organizations of the Southern Kazakhstan oblast. It is established that main causes of dissatisfaction with medical care in the Regional cardiologic Center are long-term waiting for one's turn, inconsiderate attitude of personnel, low accessibility of planned hospital treatment, inadequate effectiveness of treatment, and poor free medications support.

Relationship between Job satisfactions with Job burnout among Faculty members of Kurdistan University of Medical Sciences

Background and Purpose: Job satisfaction is a positive or positive state, which is the result of an individual job experience assessment. This study was designed to investigate the relationship between job satisfaction and burnout in faculty members of Kurdistan University of Medical Sciences.&#x0D; Materials and Methods: This cross-sectional study was conducted on 122 faculty members working in Kurdistan University of Medical Sciences in 2010. In order to collect job satisfaction information, a questionnaire with reliability and reliability (Cronbach's alpha, 95%) and a standardized multivariate questionnaire were used to collect the burnout information from Maslach Burnout Inventory (MBI) to assess the degree of burnout in four The domain of emotional exhaustion, personal performance, personality deprivation and conflict were used.&#x0D; Findings: The majority of the faculty members were male (70.5%), in the medical school (73.8%), with a seniority of 10-6 (35%), and ranked associate professors (54.1%). The frequency of burnout was estimated at 73.8% and 61.5%, respectively. Only 20.5% of faculty members had job dissatisfaction. There was no statistically significant relationship between age and sex variables, years of service, academic rank, educational groups and salary with job satisfaction and burnout (p ≥ 0.05).&#x0D; Conclusion: In general, it can be said that the faculty members of the university have a good job satisfaction, and their job burnout is also acceptable. By examining the causes of dissatisfaction and the factors that contribute to the burnout of the faculty members, Promoted.&#x0D;

Análise e proposta de melhorias para a satisfação dos discentes em relação aos momentos verdade em uma universidade pública

O setor de prestação de serviços está fortemente presente no dia a dia dos usuários, tendo uma significativa participação na economia do país. As universidades possuem papel fundamental para o desenvolvimento socioeconômico, já que são responsáveis pela formação de novos profissionais e, por isso, necessitam ter qualidade em relação aos serviços prestados pelos envolvidos (docentes, técnicos e gestores), e entender a percepção da qualidade dos serviços por parte dos clientes (discentes). Dessa forma, o trabalho objetivou avaliar a qualidade dos serviços prestados pelo campus de uma universidade pública, a partir do nível de satisfação dos clientes, em relação aos momentos verdade identificados. O estudo apresentado tem uma abordagem qualitativa, utilizando como método de pesquisa o estudo de caso. Após a análise dos resultados, identificou-se que a maioria das insatisfações dos alunos está relacionada aos bens facilitadores de serviços, como disponibilidade de livros e internet. A pesquisa proporcionou conhecimento sobre as causas das insatisfações dos alunos e oportunidades de melhoria, para garantir a qualidade dos serviços prestados. Também contribuiu para preencher uma lacuna da literatura sobre o uso dos momentos verdade na avaliação da qualidade dos serviços em universidades.

Kajian Kepuasan Pengguna Rumah Bantuan Cinta Kasih Panteriek Banda Aceh

Post-disaster earthquake and tsunami December 26, 2004 Aceh region suffered a devastation in the field of infrastructure is quite wide, especially housing that amounted to ± 123,000 units. The construction of relief housing for disaster victims by relocating one of them is located in the village of Panteriek Lueng Bata district of Banda Aceh under the name of Cinta Kasih Housing built by Tzu Chi volunteers (Yayasan Budha Tzu Chi Indonesia) of 716 houses. This study aims to determine the level of satisfaction of the people who use Rumah Cinta Kasih Panteriek assistance and analyze the dominant factors of satisfaction level from the location, building design, product quality, facilities and infrastructure. Determination of this research sample using slovin formula obtained 83 house units as a sample of 486 housing units that have not changed shape. Methods used mix methods between qualitative and quantitative where in the primary data collection using cluster sampling technique, then the data is analyzed by index frequency. This research begins with a pre-survey process where tested the questionnaire to determine the level of validity and reliability on each item question tested to 10 respondents. Pre-survey results show that the validity value of 0,31 – 0,70greater than 0.3 while the reliability value 0,86 greater than 0,6 with the sense that the questionnaire is feasible used in this study. The results showed that as many as 16% of respondents answered very satisfied and 28% answered satisfied; 21% answered quite satisfied; 15% answered not satisfied; and 20% of respondents answered very dissatisfied with the Cinta Kasih Panteriek. The dominant factor causing dissatisfaction of the householder is clean water (PDAM or drilled well) with value FI = 0,28; (FI = 0,36), land area (FI = 0,38), and house size (FI = 0,38). While the most dominant factor of the satisfaction of home users is access to the highway with the value of FI = 0,80. From the results of this study it can be concluded that the main cause of dissatisfaction of people in Cinta Kasih Panteriek caused by inadequate network of water supply as basic human needs in carrying out its activities.

Assessment of Perinatal Care Satisfaction Amongst Mothers Attending Postnatal Care in Ibadan, Nigeria.

Introduction:Patient satisfaction has been identified as a major index in the assessment of quality of healthcare globally. Mothers judge the quality of perinatal care received based on their satisfaction with the services provided, thus influencing their utilization of the available health facilities. There is currently a dearth of literature on users’ satisfaction of services rendered at the primary level of care, which is the first port of call to the health system aimed at serving majority of the populace.Objectives:The study was set out to investigate maternal satisfaction with perinatal care received in selected primary health centres in Ibadan.Methods:The study was a cross-sectional survey involving 66 women receiving postpartum care from five randomly selected primary health centres in Ibadan north-west local government using a 72-itemed questionnaire with p ≤ 0.05.Findings:The majority of the respondents (98.5%) perceived the perinatal care they received as high quality, and 94% and 98% were satisfied with services and facilities used for their care, respectively. Identified causes of dissatisfaction included dirty hospital environment, inadequate water supply and hospital facilities, distance of hospital location, cost of materials, time wasting, inadequate staffing and poor attitude, and verbal and physical abuse. An association exists between maternal satisfaction with quality of care and future intention for subsequent utilization (χ2 = 13.306; p = 0.0001).Conclusion:The overall maternal satisfaction on the perinatal care provided was perceived as very good. However, few domains of dissatisfaction were identified that would need to be addressed by healthcare professionals and policymakers to sustain and improve utilization of orthodox health care services amongst mothers, thereby contributing to achieving the third Sustainable Development Goal.

Physicians' Dissatisfaction

The review deals with “physicians' dissatisfaction (PD) due to working conditions.” The definition of PD is not standardized, and therefore, published papers report different data. It is, however, undeniable that the position of the physicians within the society has altered dramatically and that these changes are distressing. Every human deserves the right to be happy and fulfilled in his/her vocation. Too many physicians dislike their work after some years in practice. Of note, the financial aspect is not the first relevant cause of their dissatisfaction. The most important causes of dissatisfaction are the loss of autonomy, political mismanagement, and many bureaucratic hurdles. The increasing dissatisfaction among many physicians cannot simply be dismissed as inconvenient. The causes of their dissatisfaction are real because they interfere with a good medical care of patients. Dissatisfied physicians can negatively influence the workplace. Physicians should enjoy good working conditions and communities to which they can connect. This will allow them to devote time and energy building ties in their communities. There is an urgent need for all stakeholders to reconsider how to create a working environment that would reduce PD.

Abordagem da Dor em Dermatologia (Parte I)

A dor é um sintoma universal em Medicina e, na Dermatovenereologia, é transversal ao domínio médico e cirúrgico da especialidade. O controlo da dor aguda peri-operatória é um indicador de qualidade dos cuidados de saúde, sendo um fator determinante de morbilidade e de satisfação do doente. O tratamento pouco eficaz da dor crónica tem repercussões significativas na qualidade de vida e a nível socioeconómico. Esta revisão contempla os princípios gerais do tratamento da dor aguda peri-operatória e da dor crónica em Dermatovenereologia. Pretende-se sensibilizar para a importância da dor e contribuir para a redução da dor não controlada e a humanização dos cuidados prestados ao doente dermatológico. Nesta primeira parte da revisão, são abordados os aspetos epidemiológicos, a definição e o modelo conceptual atual para a compreensão da dor, bem como os fundamentos do tratamento da dor aguda peri-operatória.