Levels Of Client Satisfaction Research Articles

Corporate marketing in modern hospitals and satisfaction level of corporate clients in Bangladesh

The study's abstract emphasizes the Marketing Department's dual responsibility in creating external awareness and disseminating internal information in modern hospitals. To improve service quality and management decision-making, the department keeps an eye on patient happiness and oversees communication, advertising, corporate agreements and feedback methods. Key research findings show that while corporate patients generally value the department's cutting-edge technology and the expertise of its staff, they do have reservations about the department's responsiveness and punctuality, particularly with regard to inpatient care. Patients in the Outpatient Department (OPD) expressed greater levels of satisfaction than those in the Inpatient Department (IPD), where patients expressed greater dissatisfaction with personalized care and error correction. To increase general patient happiness, recommendations include enhancing service speed, providing personnel training, and attending to particular patient requirements.

Women's satisfaction with comprehensive abortion care services and associated factors in central Gondar zone public primary hospitals, northwest Ethiopia, 2023.

Abortion complications are the leading causes of maternal death in low and middle-income countries, including Ethiopia. Providing quality and comprehensive abortion care services is crucial for improving the health of women and increased their satisfaction. Evaluating a client's satisfaction with abortion care is clinically relevant since women's satisfaction with health services is one of the key indicators of high-quality healthcare services. Therefore, this study aimed to assess women's satisfaction with comprehensive abortion care services and associated factors. An institution-based cross-sectional study was implemented among 333 women in Central Gondar Zone public primary hospitals from October 1, 2022, to April 30, 2023. Eligible participants were selected using a systematic random sampling technique. The data was collected using an interviewer-administered semi-structured, and pretested questionnaire. STATA version 17 and SPSS version 25 software were used for data entry and analysis respectively. Bivariable and multivariable logistic regression models were used to identify factors associated with clients' satisfaction with comprehensive abortion care services. A P-value of ≤0.05 with a 95% confidence interval was the cutoff point for determining statistical significance. This study revealed that the level of client satisfaction with comprehensive abortion care services was 60.4% (95% CI: 55.0%, 66.0%). The use of abortion medication (AOR = 4.41, 95% CI: 2.59, 7.48), women's age 20-24 years (AOR = 2.94, 95% CI: 1.02, 8.48), and being a student (AOR = 2.88, 95% CI: 1.10, 7.51) were significantly associated with women's satisfaction with comprehensive abortion care services. Women's satisfaction with comprehensive abortion care services was relatively low, and it was strongly correlated with the method of abortion, age, and occupation. To improve women's satisfaction requires a comprehensive understanding of women's values and perspectives, providing sexual and reproductive health education, and quality abortion care services are recommended.

A Study on General Staffing Services and Manpower Providing Services of QUESS CORP LTD. in Ahmedabad

This research paper presents a comprehensive study of general staffing services and manpower providing services offered by Quess Corp in Ahmedabad. The study aims to explore the operational frameworks, client engagement strategies, and service delivery mechanisms that make Quess Corp a significant player in the staffing industry. Through a combination of qualitative and quantitative research methods, including interviews with company executives, surveys of client companies, and analysis of industry reports, the paper delves into the challenges and opportunities faced by the company in the rapidly evolving employment landscape of Ahmedabad. Key findings indicate that Quess Corp's emphasis on technology- driven solutions, robust training programs, and strategic partnerships has significantly enhanced its service efficiency and client satisfaction levels. Additionally, the study highlights the critical role of adaptive workforce solutions in addressing the dynamic needs of businesses in Ahmedabad. The paper concludes with recommendations for leveraging technological advancements and optimizing human resource management practices to further strengthen Quess Corp's market position. Quess Corp’s general staffing services encompass temporary staffing, contract staffing, and permanent staffing solutions. The company’s comprehensive approach ensures that it can meet the diverse staffing needs of its clients, ranging from short- term project-based requirements to long-term strategic hires. The study explores how Quess Corp tailors its services to suit the specific demands of various sectors, including IT, manufacturing, retail, and healthcare. The company utilizes advanced technology platforms to manage its talent pool, ensuring quick and accurate matching of candidates to job requirements. This technological integration is a significant factor in Quess Corp’s ability to deliver high- quality staffing solutions efficiently

Risks and Opportunities Brought by Artificial Intelligence Empowering the Financial Industry

Intelligent risk management and trade optimization play pivotal roles in the realm of investment banking. Leveraging AI's capabilities, institutions harness vast datasets and machine learning algorithms to detect potential risks and fine-tune trading strategies. This results in more accurate decision-making processes and better risk mitigation measures. Furthermore, AI enables personalized customer service and precise market forecasting, elevating client satisfaction levels and enabling the anticipation of market trends with greater precision. Tailored services foster stronger client relationships, driving long-term partnerships and loyalty. In addition to enhancing operational efficiency and client satisfaction, AI drives innovation and development within investment banking. This includes the introduction of intelligent advisory services and the implementation of digital perception systems, revolutionizing traditional banking practices. However, the integration of AI also presents challenges such as data privacy concerns, regulatory compliance issues, the need for talent cultivation, and organizational transformation. Looking ahead, the future of investment banking is expected to witness increased AI adoption, leading to higher levels of intelligence, more sophisticated learning techniques, and collaborative innovation across the industry. This trajectory promises to reshape the landscape of investment banking, creating new opportunities for growth and advancement.

A STUDY ON PORTFOLIO MANAGEMENT SERVICE – WITH SPECIAL REFERENCE TO MOTILAL OSWAL

The study investigates Portfolio Management Services (PMS) with a specific focus on Motilal Oswal, a prominent entity in the financial services domain. PMS entails the provision of tailored investment portfolios designed to align with the unique objectives and risk profiles of individual investors. The study meticulously examines various dimensions of PMS offered by Motilal Oswal, encompassing features, performance metrics, risk mitigation strategies, and client satisfaction levels. Employing a comprehensive research methodology comprising both qualitative and quantitative analyses, the research endeavors to yield insights into the efficacy and efficiency of Motilal Oswal's PMS offerings. Through the collection and analysis of data from primary and secondary sources, including investor surveys, financial reports, and industry publications, this dissertation aims to contribute significantly to the existing body of knowledge surrounding PMS. Furthermore, it aspires to furnish valuable recommendations for investors seeking optimal portfolio management solutions and for financial institutions aiming to refine their PMS frameworks. By delving into the nuances of PMS, with a special emphasis on Motilal Oswal, this study not only seeks to enhance understanding but also aims to offer practical insights that can inform decision-making processes in the realm of investment management.

Client satisfaction and contributing factors towards sexual and reproductive health services delivery system among youth at Family Guidance Association of north Ethiopia (FGAE) clinics, 2023: mixed method study

BackgroundThe Family Guidance Association of Ethiopia (FGAE) operates as a non-governmental organization dedicated to offering family planning and reproductive health services to the Ethiopian population. The gap in the study regarding client satisfaction and contributing factors towards sexual and reproductive health services for youth at FGAE clinics highlights the need for a comprehensive investigation to fill this void. By conducting a mixed-method study, this research aims to provide a holistic understanding of the factors influencing client satisfaction in the delivery of sexual and reproductive health services to youth at FGAE clinics. The added value of this study lies in its potential to offer valuable insights and recommendations for improving service delivery systems and enhancing client satisfaction levels, ultimately contributing to the overall well-being and health outcomes of youth in North Ethiopia. Therefore study aimed to asses Client Satisfaction and Contributing Factors towards in sexual and reproductive health services delivery system among youth at Family Guidance Association of North Ethiopia (FGAE) Clinics, 2023.MethodThe study was conducted within the clinics of the Family Guidance Association of Ethiopia (FGAE), spanning Dessie, Kombolcha, and Woldia city administrations, involving a participant cohort of 416 clients. Facility-based concurrent type mixed method study design both quantitative and qualitative techniques were applied. Quantitative research employed a simple random sampling technique and conversely, the qualitative study utilized a heterogeneous type of purposive sampling strategy to recruit participants The collected data underwent a rigorous process of entry, cleaning, and coding using Epi-Data 4.6 software, followed by analysis in STATA V17. Descriptive statistics and binary logistic regression were employed to highlight the impact of independent variables on the dependent variable. A more comprehensive examination was provided through multivariable logistic regression. Crude and adjusted odds ratios, along with a 95% confidence interval, were computed, with significance set at a p-value ≤ 0.05.ResultNearly more than half of the clients 194 (47.8%) came to receive family planning services followed by maternal and child health 107 (26.4%). Sixty patients (14.8%) didn’t receive all the services they wanted or came for. Half of the participants 30 (50%) raised the unavailability of the service as a reason for not taking the service followed by not having enough time in the clinic 12 (20%). About 65.52% (60.74-70.00%) of the participants were satisfied with the Sexual and Reproductive Health services provided by the clinics of FGAE in northeast Ethiopia. Clients in the age group of 25–34 (AOR = 2.04; 95%CI: 1.11–3.72). Clients who had primary and secondary education (AOR = 2.49; 95%CI: 1.03–6.02) and (AOR = 3.05; 95%CI: 1.25–7.49) respectively. Clients who responded that physicians show respect (AOR = 5.59; 95%CI: 1.89–16.49). clients who received an explanation about the side effects of the utilized methods and follow-up dates (AOR = 4.59;95%CI:1.68–12.53) and (AOR = 2.89;95%CI:1.53–5.49) respectively.ConclusionThe proportion of client satisfaction with Client Satisfaction in the Services delivery system at Family Guidance Association of Ethiopia (FGAE) Clinics was low as compared to the previous study. Age group 25–34 years, primary and secondary education, showing respect, explaining side-effects and follow-up visits were significant associated factors of client service satisfaction. Enhancing service delivery at Family Guidance Association of Ethiopia (FGAE) Clinics by targeting specific areas identified in the study. Strategies should focus on improving communication regarding side effects, ensuring respectful interactions, and prioritizing follow-up visits, particularly for clients aged 25–34 with primary and secondary education backgrounds.

Assessment of Patient Waiting Time in Primary Health Care Settings in Rwanda: A Mixed-Method Study

BackgroundPatient waiting time as an important indicator of quality of services has been along-standing concern in health care.ObjectiveThe aim of this study was to assess patient waiting time in primary health caresettings in Rwanda.MethodsThis was a mixed-method study design. In quantitative phase, Patient Flow TimeLog was used to track the time patients spent waiting for the service. On exit,a structured questionnaire was administered. Observations were conducted tocapture information regarding the flow and processes. In qualitative part, six focusgroup discussions with patients were conducted. Semi-structured interviews withhealthcare providers were held.ResultsAmong 410 participants, the majority were females (77.1%). The overall healthcentre level waiting time was 211 minutes (3.5 hours). To receive a service, patientswaited an average of 81.5 minutes (1.4 hours). Three conceptual themes wereidentified: a) reported sections to have long wait time; b) causes of long waitingtime; and c) needs for activities to spend time on as patients wait.ConclusionMost patients experienced prolonged waiting times during their visit to the primaryhealth care settings , and the major factors were the huge number of patients, fewhealthcare providers, and lack of medical equipment. To effectively address thesechallenges, more resources and personnel must be allocated to primary healthcaresettings to help foster a higher level of client satisfaction with minimal primaryhealthcare waiting time.Rwanda J Med Health Sci 2024;7(1):6-21

Analisis Kepuasan Pelanggan dan Kualitas Layanan Pengguna Online Transportasi In Drive

his study uses linear regression analysis to see how customer satisfaction and their levels of satisfaction in In Drive Transportation services relate to each other. The results showed that there is a relationship between the customer satisfaction variable and their satisfaction rate. However, overall, a regression model can only explain a small part of the variable that affects the customer’s satisfaction level. The main results suggest that most variables included in this analysis cannot explain most variations in client satisfaction levels. This suggests that other variables, such as the overall user experience or external factors such as traffic conditions, may also have a significant but invisible influence on customer satisfaction levels in In Drive Transport. Further research is needed because of the limitations of this model to identify additional components that affect overall customer satisfying of this transport service. The next step is a more in-depth and comprehensive research to gain a better understanding of the components affecting customer satisfactions of In Drive transport.

Philosophies Teori Konsep Keperawatan Jean Watson Caring

Background: Jean Watson nurse theorist and nursing professor known for the “Philosophy and Theory of Transpersonal Care.” She has also written many books, including Nursing: The Philosophy and Science of Caring. Watson's studies of caring have been integrated into education and patient care in nursing schools and healthcare facilities around the world. Jean Watson was born Margaret Jean Harmon and raised in Welch, West Virginia, Watson is known for seeing the unified science of caring, examining the role of the nurse through the lens of a worldview of harmony, belonging, and connection. In caring theory, values, knowledge and caring practices are integrated with the healing process from within and the patient's life experiences, thus requiring the art of healing-care and a framework called carative factors. These factors are complementary, but different from curative factors. Curative is developed by doctors, while carative is developed by nurses. Caring behavior can determine the moral values ??of nurses. In addition, caring behavior in nursing care can determine the level of client satisfaction in receiving health services. It can be said that caring is a wholehearted attitude or behavior given by a nurse to a client with a sense of care, attention and attention to the patient's emotions to create a therapeutic relationship. This causes patients to feel comfortable, safe and relieved because of the reduction in stress they feel due to suffering from an illness.

Level of client satisfaction among family planning service users in semi-pastoralist areas of Southeast Ethiopia: a mixed-methods study.

Client satisfaction with family planning services is a crucial metric for gauging healthcare providers' performance. There is a dearth of local data that explores the factors that influence clients' satisfaction with family planning services in semi-pastoral areas using a mixed-methods approach. This study aimed to assess the level of client satisfaction and its associated factors among family planning service users in six public health centers in Southeast Ethiopia. A multi-centered, concurrent, mixed-method survey using quantitative and qualitative methods was conducted in six public health centers in Southeast Ethiopia from March 15 to April 16, 2022. Four hundred nineteen systematically selected family planning method users and their respective six family planning service providers were approached using a purposive sampling technique. A multivariable binary logistic regression model was used to identify the independent factors associated with clients' satisfaction with family planning services. Four hundred fourteen study participants were finally approached, and client satisfaction with family planning services in those centers was 57.5% with a 95% CI of 52.71%-62.71%. Being in the age group of 25-34 years (AOR = 1.99; 95% CI 1.2, 3.29), married (AOR = 2.41; 95% CI 1.13, 5.15), waiting less than 30 min (AOR = 1.74; 95% CI 1.11, 2.72), and receiving the family planning method they want (AOR = 2.35; 95% CI 1.16, 4.76) were positively associated with client satisfaction. Updating the provider's skills and knowledge, keeping clients' method choices, and leaving free decisions also increased client satisfaction. In this study, client satisfaction with family planning services remains low. Users' age, marital status, waiting time, and wish to receive the method they want were positively associated with client satisfaction.

Factors Related to Client Satisfaction with Community Based Health Insurance Services During COVID-19 Pandemic in Central Uganda: A Mixed Methods Healthcare Facility Based Study.

During the COVID-19 lockdowns, healthcare services were disrupted and community-based health insurance (CBHI) schemes could not operate efficiently. This study assessed the level of client satisfaction with CBHI schemes, associated factors, and service provider perspectives in central Uganda. This was an explanatory sequential mixed-methods (quantitative - qualitative) study that was conducted between March and September 2021. In the first phase, a cross-sectional study among the 365 clients of the CBHI schemes who were aged ≥18 years old. The participants were recruited consecutively as they reported to the healthcare facility. Quantitative data were collected at patient exit using a piloted semi-structured interviewer-administered questionnaire. In the second phase, qualitative data were collected through 11 key informant interviews. These data were analyzed using a deductive thematic analysis approach. Modified Poisson regression was used to assess factors associated with client satisfaction and a p-value ≤0.05 at a 95% confidence interval was considered to be statistically significant. Of the total number of participants, 38.9% (142/365) were "satisfied" with the CBHI services. Less satisfaction was associated with secondary level of education or above (adjPR = 0.55, 95% CI: 0.36-0.85, P=.007); residing beyond 16 kilometers from the healthcare facility (adjPR = 0.68, 95% CI: 0.41-0.95, P=.014); staying on the scheme for over 3 years (adjPR = 0.71, 95% CI: 0.51-0.99, P=.046); and good knowledge about the CBHI (adjPR = 0.76, 95% CI: 0.58-0.99, P=.040). Irregular availability of healthcare workers and long waiting time affected client satisfaction. Satisfaction was considerably low during the lockdown. Lockdowns due to pandemics interrupt healthcare services and subsequently affect the satisfaction of CBHI clients with scheme services. Scheme managers need to identify facilities that are closer to enrolees and invest in technologies that reduce waiting time in the healthcare facility.

EXAMINING THE ROLE OF MARKETING RESEARCH ON INCREASED PROFITABILITY IN NICON INSURANCE COMPANY KADUNA STATE NIGERIA

The objective of this study was to examine the influence of marketing research on the profitability of NICON insurance in Kaduna State, Nigeria. The study adopted survey research sampling the opinion of 14 staff of NICON Insurance, composed of senior management staff, administrative staff, and marketing staff. Their opinion was collected using a structured questionnaire. The data obtained was analyzed by tabulation and percentages, and the formulated hypotheses were tested using the Pearson Correlation Coefficient method. The findings revealed that marketing research exerts a statistically significant effect on NICON insurance profitability. More so, the study found that marketing research has a statistically significant effect on NICON insurance total premium. The study concluded that for insurance firms to maximize profit at an optimum level, they have to expand the scope of marketing research and development in order to eliminate the risk involved in today’s marketing trend. The study therefore recommended that NICON Insurance Kaduna State should fully embrace the marketing research tasks, and establish departments or units dedicated to this crucial task, staffing them with qualified and experienced personnel. They should also step up their research to deliver timely information on the development of insurance products and other aspects of their business. Furthermore, through market scenario research, they have to make a consistent effort to track the level of client satisfaction with their offerings.

Hospital-to-Home: logic model and theory of change exercise to identify outcomes arising from integrated health and social care.

Introduction: Although Canada boasts universal access to hospital-based services, bed capacity has been a challenge with long wait times for acute admissions to a hospital bed from the Emergency Department. The use of hospital beds by ‘alternate level of care’ (ALC) patients is a critical concern. These ALC patients exist because of a lack of an appropriate level of care in the community. Integrated health and social care (IHSC) can limit avoidable acute care utilization including in-patient stays in hospitals. CHATS--Community & Home Assistance to Seniors is a community-based agency that provides transportation, meals, in-home services, caregiver relief, education and support, community wellness, and 24/7 assisted living among other services, with the aim of supporting ageing in place. CHATS has partnered with several local hospitals and homecare providers to create a number of hospital-to-home programs (HTH) that provide seamless and coordinated care from hospital to home for older adults enabling safe and effective transitions. Hospital-based data has shown that ALC days and inpatient and ED hospital readmissions declined following implementation of HTH programs. Although hospital-based data is available, community-based health and social care outcome-based metrics have not been developed nor collected. Despite limited qualitative data showing high levels of client and caregiver satisfaction with its HTH services, the lack of outcome-based data makes it difficult for CHATS to articulate the benefits of the HTH programs from a community-based perspective that reflects both health and social care outcomes with the aim of informing policy and programming decisions in the future, including program scale and spread.
 Methodology: A logic model (LM) and theory of change (ToC) exercise was undertaken by a broad representation of CHATS staff at all levels of the organization to identify the theory of change for the HTH programs and critical activity-based and outcome-based metrics to support future measurement and evaluation work. The development of these models clarified the fundamental program theory behind community agency contributions to the HTH programs that enable their success.
 Results: The theory of change noted that the HTH program was able to achieve hospital to home transition success because it facilitates older adult clients to achieve greater self-determination that can support more independent living. The HTH program’s components, case management, personal support, transportation, training, counselling, and assessments ensure that the personal goals of clients and their caregivers are identified and addressed. Feelings of empowerment, improved mental health, health and social care navigation literacy, and reduced acute care readmissions are some of the outcomes perceived as being attributable to the HTH programs. These outcomes, in turn, allow for greater overall health and wellbeing, and sense of independence among older adult clients and their caregivers. Ultimately, the HTH programs contribute towards greater systems efficiency and enhanced quality of life for clients and their family/caregivers.
 Next steps: The results of the LM and ToC exercises have enabled CHATS to identify critical input, activity and outcome measures for the HTH programs that reflect the contributions of CHATS, and a towards a future summative evaluation of the HTH programs.

Managing the Challenge of E-service in the Nigerian Banking Industry

This study examines the many issues encountered in managing e-service platforms within the Nigerian banking sector, as well as the techniques used to address these challenges. This research seeks to provide valuable insights about the deployment of e-service within the distinct setting of the Nigerian banking industry. This study employs a quantitative methodology to investigate the distinct obstacles encountered by banks and puts forward recommendations for efficient management. The research results shed light on the obstacles faced by the Nigerian banking sector in the implementation of e-service platforms. These hurdles include technical difficulties, system downtime, the intricacy of e-service platforms, and apprehensions about trust and security. The aforementioned problems provide obstacles to the efficient provision of electronic services and have a direct influence on the level of client satisfaction. In order to tackle these difficulties, the report proposes several ways. These strategies include increasing the technological infrastructure, streamlining the user interface, resolving concerns related to trust and security, and boosting customer support procedures.

КЛІЄНТСЬКИЙ СЕРВІС ЯК КОНКУРЕНТНА ПЕРЕВАГА ПРИ НАДАННІ НОТАРІАЛЬНИХ ПОСЛУГ

In the modern business world, customer service stands as a decisive factor of differentiation across various industries, including the realm of notarial services. The relevance of this topic is underscored by the increasing awareness that quality customer service can significantly enhance their satisfaction, loyalty, and competitive positioning. The aim of this work is to explore how customer service can be leveraged as a competitive advantage in the notarial sector, identifying key principles and optimal practices conducive to enhancing both customer service quality and operational excellence. The research analyzes the current state of customer service in the notarial services sector, shedding light on common challenges and areas in need of improvement. Through the use of an array of analytical methods, the study identifies critical factors conducive to quality customer service, such as responsiveness, professionalism, transparency, and personalized approach. The results indicate that notaries who prioritize customer-centric practices not only elevate client satisfaction levels but also achieve higher client retention rates and positive recommendations from both clients and fellow notaries. The conclusions drawn from this research highlight the transformative impact of customer service quality on the competitive dynamics of the notarial services industry. Notaries distinguished by high levels of customer service possess greater opportunities for differentiation in a crowded market, client acquisition and retention, and fostering long-term business growth. This study contributes to the advancement of scientific discourse by offering a thorough analysis of the mechanisms through which customer service confers competitive advantages in the realm of professional services. The scientific novelty of this research lies in its focus on the notarial services sector, a domain often overlooked in studies dedicated to customer service. The research elucidates specific practices and outcomes in this niche, providing valuable insights for both scholarly research and practical application. The practical significance of the study lies in offering actionable recommendations for notaries seeking to enhance the quality of their services. These recommendations include the implementation of customer relationship management (CRM) systems, the execution of regular training programs for staff, and the development of transparent communication channels to ensure prompt responsiveness to client needs.

Satisfaction with Home Healthcare Provider Service in Adults with Type 1 Diabetes Using a Hybrid Closed Loop System: The SATURN Study

Introduction: Hybrid closed loop (HCL) systems have the potential to improve glycaemic control in people with Type 1 diabetes (T1D). In France, patient technical education and assistance for HCL users is provided by trained nurses from home healthcare providers (HHP). The objective of this study was to evaluate satisfaction of people with T1D with HHP services. Methods: In total, 35 participants with T1D and a prescription for an HCL system were studied during 3 months after HCL initiation in two French hospitals. A series of questionnaires were completed by participants. The number of planned (per protocol) and unplanned HHP interactions was monitored. Glycaemic control at inclusion and Day 90 was compared; formal statistical testing was carried out post-hoc. Results: Client Satisfaction Questionnaire (CSQ-8) with HHP service was high both at Day 30 (mean CSQ-8 score: 28.9; 95% confidence interval [CI]: 28.0; 29.9) and at Day 90 (29.0; 95% CI: 27.9; 30.0). Hypoglycemia Fear Survey-II (HFS-II) score (standard deviation) decreased from 31.2 (±15.7) at inclusion to 23.1 (±16.8) at Day 90. Participants had a median number of four home visits and two phone calls, but important differences were observed between participants: total interactions with HHP nurses ranged between five and 12 contacts, and 45.7% of participants requested unplanned interactions. Glycaemic control improved significantly: mean time in range increased from 57.0% (±13.3) at inclusion to 71.4% (±9.4) at Day 90 (p<0.001). Conclusion: HHP services for early phase HCL implementation were met with high client satisfaction levels. Study results emphasise the need for a personalised HHP approach.

Client satisfaction and associated factors towards the health service provided to members of a community-based health insurance scheme in Southern Ethiopia.

Globally, 1.3 billion poor people have no access to health services due to their inability to afford payment when they need services. According to a report published by the WHO in 2014, globally 150 million people are pushed into poverty as a result of direct payment for health services. This study aims to assess the satisfaction level of clients and associated factors toward health services provided to members of a community-based health insurance (CBHI) scheme. An institutional-based cross-sectional study design was employed. A total sample size of 393 people was estimated using a single population formula, and three health facilities (HFs) were selected using a simple random sampling method, whereas study participants were selected by using a systematic sampling method. All patients who visited the HFs were included, whereas women who visited the HFs for maternity service were excluded from the study. A reliability test (Cronbach's alpha) was performed to determine the internal consistency for these items to measure the satisfaction level of the clients. Epi Info software version 7 was used to calculate the sample size and to enter data, whereas further data cleaning and analysis were conducted using SPSS software version 20. A total of 367 clients enrolled in the community-based health insurance scheme were interviewed, showing a response rate of 93%. The reliability test (Cronbach's alpha) value for the items used to measure level of client satisfaction was 0.817. The overall level of the clients' mean satisfaction toward health service provision was 63.1% (3.95 + 0.47 SD). This study found that age with AOR = 0.11 [95% CI (0.01-0.79)], residence with AOR = 1.80 [95% CI (1.79-3.66)], number of family with AOR = 2.27 [95% CI (1.46-11.22)], frequency of visits to HFs with AOR = 13.62 [95% CI (2.09-88.58)], and clients' level of knowledge with AOR = 3.33 [95% CI (1.06-10.42) had a statistical significant association with client satisfaction toward health service provision. Our study found that the perceived level of client satisfaction is higher than previous studies. Residence, frequency of visits, level of knowledge, payment during referral time, number of family members, and frequency of visits were identified as predictors of client satisfaction on the health service provision.

The impact of funding models on the integration of Ontario midwives: a qualitative study

BackgroundNearly 30 years post legalisation and introduction, midwifery is still not optimally integrated within the health system of Canada’s largest province, Ontario. Funding models have been identified as one of the main barriers.MethodsUsing a constructivist perspective, we conducted a qualitative descriptive study to examine how antepartum, intrapartum, and postpartum funding arrangements in Ontario impact midwifery integration. We conceptualized optimal ‘integration’ as circumstances in which midwives’ knowledge, skills, and model of care are broadly respected and fully utilized, interprofessional collaboration and referral support the best possible care for patients, and midwives feel a sense of belonging within hospitals and the greater health system. We collected data through semi-structured telephone interviews with midwives, obstetricians, family physicians, and nurses. The data was examined using thematic analysis.ResultsWe interviewed 20 participants, including 5 obstetricians, 5 family physicians, 5 midwives, 4 nurses, and 1 policy expert. We found that while course-of-care-based midwifery funding is perceived to support high levels of midwifery client satisfaction and excellent clinical outcomes, it lacks flexibility. This limits opportunities for interprofessional collaboration and for midwives to use their knowledge and skills to respond to health system gaps. The physician fee-for-service funding model creates competition for births, has unintended consequences that limit midwives’ scope and access to hospital privileges, and fails to appropriately compensate physician consultants, particularly as midwifery volumes grow. Siloing of midwifery funding from hospital funding further restricts innovative contributions from midwives to respond to community healthcare needs.ConclusionsSignificant policy changes, such as adequate remuneration for consultants, possibly including salary-based physician funding; flexibility to compensate midwives for care beyond the existing course of care model; and a clearly articulated health human resource plan for sexual and reproductive care are needed to improve midwifery integration.

DECISION TREE PADA PENILAIAN PERFORMA LAYANAN DRIVER GOJEK DENGAN ALGORITMA C4.5

Transportation is an important means to support daily activities and operations, be it private transportation or public transportation. This study will analyze the level of customer satisfaction as a public vehicle user, in this case the author utilizes data on customers who use and utilize the gojek application as a means of transportation, using a questionnaire data collection technique, the writer will determine client satisfaction levels using the variables Tangible, Reliability, Responsiveness, Assurance, Empathy. The analytical Data mining with the is a technique employed in this investigation. concept of the Algorithm C4.5 classification which can show the results of the highest Entrophy and gain values modeled as a decision tree with the aim that the results obtained can be a guide for gojek partners to service and increase customers. Considering the outcomes of the classicization It is demonstrated by the C4.5 algorithm that the accuracy achieves 75.33% where the factors that become the assessment of satisfaction are Tangible, Reliability.

Long COVID coping and recovery (LCCR): Developing a novel recovery-oriented treatment for veterans with long COVID

BackgroundLong COVID has affected 13.5% of Veterans Affairs (VA) Healthcare System users during the first pandemic year. With 700,000+ United States Veterans diagnosed with COVID-19, addressing the impact of Long COVID on this population is crucial. Since empirically-based mental health interventions for Long COVID are lacking, a vital need exists for a tailored recovery-oriented intervention for this population. This study intends to assess the feasibility and acceptability of a novel recovery-oriented intervention, Long COVID Coping and Recovery (LCCR), for Veterans with Long COVID, aiming to support symptom management and quality of life. LCCR is an adaptation of Continuous Identity Cognitive Therapy (CI-CT), a suicide recovery-oriented treatment for Veterans. MethodsIn a two-year open-label pilot, three single-arm treatment trials will be conducted with 18 Veterans suffering from Long COVID. Each trial includes 16 weekly 60-min sessions delivered via VA Video Connect (VVC) and/or VA WebEx. Primary objectives include optimizing LCCR for Veterans with Long COVID and assessing the acceptability and feasibility of the intervention, using attendance and retention rates, drop-out statistics, and client satisfaction levels. Additionally, potential benefits of LCCR will be explored by evaluating alterations in quality of life, resilience, mental health status (anxiety, depression, suicide risk/behavior), and personal identity. The protocol has been tailored based on Veterans' needs assessment interviews and stakeholder feedback. ConclusionIf the LCCR intervention proves feasible and acceptable, a manualized version will be created and a randomized controlled trial planned to examine its efficacy in the broader Veteran population.