Dimensions Of Satisfaction Research Articles

The Impact of Business Process Re-engineering on Institutional Performance of the Yemeni General Electricity Corporation, Aden

This study aims to examine the impact of business process re-engineering on the institutional performance of the Yemeni general electricity corporation in Aden Governorate. In order to achieve the objectives of the study, a self-administered survey questionnaire was distributed among the 419 managers of a general electricity corporation in Aden. Based on Structural Equation Modelling (SEM), the results of this study showed a direct positive and significant impact of business process re-engineering on institutional performance. The study recommended that the General Electricity Corporation needs to apply the process re-engineering approach for its role in improving institutional performance with its various dimensions of internal operations, consumer satisfaction, learning and growth, and the existence of a positive relationship between them.

Work Engagement, Job Satisfaction, and Teaching Performance of Elementary Teachers in the New Normal

This study determined the relationship between work engagement and job satisfaction in the teaching performance of elementary teachers in the new normal. The researcher utilized a quantitative design using the descriptive-correlational method. The study was conducted in the public elementary schools of Pamplona, Sanchez Mira, Claveria East, Sta. Praxedes - Claveria West Districts in the Division of Cagayan. Simple random sampling was used to determine the 219 respondents of the study. Based on the findings, the respondents have very satisfactory work engagement, particularly along physical, cognitive, and emotional dimensions. Moreover, they have a high level of job satisfaction with its dimensions on leadership, motivation, compensation, expectations, job organization, and work environment. Besides, they have very satisfactory teaching performance in content knowledge and pedagogy, diversity of learners, assessment and reporting, curriculum and planning, community involvement, and plus factor. Although results show that the overall work engagement, job satisfaction, and teaching performance are not significantly related to each other, it is interesting to note that the domain motivation of job satisfaction is directly related to the overall work engagement and its cognitive dimension. Also, the domain compensation of job satisfaction is directly related to the emotional dimension of work engagement. Furthermore, the physical dimension of work engagement had a significant positive relationship to community linkages and plus factors, which are domains of teaching performance. Lastly, overall job satisfaction is directly related to curriculum planning. Moreover, a few dimensions of job satisfaction, work engagement, and teaching performance have been noted to influence one another, which attests that the interplay of these constructs is vital in understanding basic education teachers’ work dynamics.

Pengaruh Kualitas Produk Makanan Terhadap Kepuasan Konsumen pada Restoran Hotel Salak The Heritage Bogor

This study aims to determine and analyze the effect of product quality on customer satisfaction at the Hotel Salak The Heritage Bogor restaurant. Dimensions of product quality measured include presentation, menu variety, healthiness, delicacy, freshness and temperature. Dimensions of customer satisfaction measured are tangibles, reliability, responsiveness, empathy. This study uses a quantitative approach method. Collecting data using primary data through non-probability sampling/insendental sampling as many as 100 respondents who are guests who visit the restaurant. Data analysis in this study used simple linear regression with SPSS application, all research data were verified through all statistical tests. The results showed that the quality of food products has a positive and significant effect on customer satisfaction at the Salak Hotel Restaurant The Heritage Bogor.

Predictive factors for patient satisfaction in public and private hospitals in Kosovo

Aim: The objective of this study was to assess predictive factors for patient satisfaction with healthcare services as a measure of the quality of hospital care in public and private hospitals in Kosovo. Methods: A cross-sectional study was conducted in Kosovo during 2015-2016 including a representative sample of 2585 patients older than 18 years [1010 (48.6%) males and 1069 (51.4%) females from public hospitals; and 240 (47.4%) males and 266 (52.6%) females from private hospitals]. Patient satisfaction dimensions such as satisfaction with medical care, nursing care, organization, and overall impression were the main variables measured. A risk-adjusted multivariate analysis was applied. Results: Multiple linear regression analysis revealed as independent significant predictors of the total satisfaction of patients from public hospitals the following factors: age, length of stay in hospital in days, education, payment for additional analyzes during hospitalization and buying medications for hospital treatment. These five independent significant predictors accounted for 7.3% of the change in the total patients’ satisfaction (stepwise method - R2 = 0.073). Conversely, there were only four predictors of the total satisfaction of patients from private hospitals: length of stay in hospital in days, number of hospitalizations in the last 12 months, paying for hospitalization, and cost of hospitalization exceeds received services. Only the variables “length of hospital stay” together with “cost of hospitalization exceeds received services” as independent predictors, explained 5.3% of the variability of total satisfaction. Conclusion: Structural and qualitative characteristics of hospitals have a significant impact on patients’ satisfaction. Age, length of stay, education, payment for additional analyzes during hospitalization and the cost of hospitalization in public hospitals and length of stay, paying for hospitalization, and cost of hospitalization in private hospitals are useful predictors for total satisfaction of patients in Kosovo.

Pengembangan Pemasaran Dental Tourism Sebagai Peluang Bisnis Kesehatan Pariwisata di Bali

The Minister of Tourism and Creative Economy (Menparekraf) Sandiaga Uno launched Bali as a health-based tourism destination (medical tourism), this was done to create jobs and restore the glory of the Island of the Gods tourism sector. Dental Tourism is a business opportunity to invite tourists besides enjoying the beauty of nature, dental care packages are included, moreover there are lots of non-emergency dental treatments. Phase 1 research aims to find out what is the motivation, and the level of satisfaction with dental tourism services in Bali in 2022. The method used is the Delphi method, and quantitative data collection is carried out using a questionnaire. Descriptive statistical analysis tests are calculated using SPSS Version 20. Reliability of the dimensions of motivation and satisfaction is analyzed using Cronbach's Alpha. The reliability of the motivation and satisfaction dimensions were analyzed using Cronbach's Alpha. The results obtained from 342 respondents, 51.8% more women than men, with the origin of the respondents from abroad, the most from Australia (60.5%), and related to dental care as many as (21.7%) willing to do dental work. filling and as many as (17%) want to do scaling when doing dental treatment in Bali. In terms of motivation, most (75.7%) of respondents have good driving motivation and most (76.9%) have good pull motivation to do dental treatment in Bali. The chi-square test showed that push motivation and pull motivation had a relationship with the satisfaction received by respondents after doing dental treatment in Bali (p <0.05). Where if someone has a better push and pull motivation, then there is a greater chance of getting satisfaction after doing dental treatment in Bali. The results of multivariate analysis show that a good driving motivation has a 1.5 times greater chance of obtaining satisfaction after doing dental treatment in Bali. Meanwhile, someone who has a good pulling motivation has a 2.8 times greater chance of getting satisfaction after doing dental treatment in Bali.

Exploring links between resident satisfaction and participation in an urban tree planting initiative

Street-facing trees have been cited as providing a vast range of environmental benefits and also a contributing factor to community livability and quality of life. One measure of well-being that speaks directly to the livability of a city is residential satisfaction, which is represented by the social and physical environments of the particular places in which people live. Resident satisfaction can also demonstrate the degree of “fit” between one's ideal vision of a neighborhood and the actual, existing circumstances. Dimensions of resident satisfaction are less commonly studied as a variable to predict behavioral intentions or actions, and this study begins to fill that research gap by assessing resident willingness to participate in environmental restoration programs based on the streets where they live. Given the increased reliance on local residents as key actors to urban tree planting and management, this study was designed to understand the role of street-facing trees to different dimensions of resident satisfaction. We also assess the degree to which objective and subjective attributes of street trees influence resident satisfaction and explore the extent to which resident satisfaction can predict interest in a local urban tree planting initiative. Results indicate the unique role of urban trees to satisfaction and that subjectively held attitudes toward trees are important considerations when administering tree planting programs. This study also reinforces that urban tree planning and planting is a negotiation of priorities and visions between different stakeholder groups.

Measuring the impact of CSR practices on customer satisfaction during pandemic: a quantitative study in the Philippines

PurposeThis study aims to analyze how consumers perceive the corporate social responsibility (CSR) practices carried out by a local water district in Angeles City, Philippines. The main objective of the study is to investigate how CSR practices influence customer satisfaction. To achieve this, several pieces of literature were mentioned to prove that CSR has an important role to its stakeholders.Design/methodology/approachThe study used a descriptive and quantitative approach to test the hypotheses. The participants of the study were the residents of the top three barangays in Angeles City, Philippines, in terms of the most consumed water supply, namely: Cut-cut, Pampang and Anunas. Using the Raosoft sample size calculator, the computed sample size was 382 respondents and distributed using stratified sampling. Methodologically, the study used statistical treatment to test all the variables and validated the instrument.FindingsThe result of the study shows that CSR practices significantly impact customer satisfaction. In the test of the degree of relationship between the dimensions of CSR and customer satisfaction, it was found that there is a significant relationship between the two variables.Research limitations/implicationsThe future study may explore the relationship between CSR and the resource-based view theory of the firm. The resource-based perspectives are useful to understand why firms engage in CSR activities and disclosure. From a resource-based perspective, CSR is seen as providing internal or external benefits, or both.Practical implicationsThe water district must promote social welfare and behave as good corporate citizens; they must spend the resources allocated to CSR initiatives in ways that yield optimum benefits to society as well as to the stakeholders of the company.Social implicationsThe paper points out that the water supply industry is one of the most regulated sectors, as the operation requirements are tighter than any other activity. The authors emphasize that water companies must assume special responsibility because their activities are directly related to the use of natural resources, environmental pollution, and public health.Originality/valueThis study used a descriptive-explanatory strategy to determine the significant variables using PLS-SEM. This paper addressed how consumers perceive the CSR practices carried out by the local water district in Angeles City, Philippines.

A Cross Sectional Study to Investigate Work Satisfaction among Nurses: The Impact of Occupational Features

The aim of the present study was to investigate work satisfaction among nurses as well as the impact of occupational features. A hundred and fifty two nurses (28 men and 124 women) participated in the survey. To collect the data, Job Satisfaction Survey (JSS) was used. There were statistically significant differences between the positions regarding satisfaction (total score) (p<0.05) with those nurses who had a position of responsibility (supervisors) showing the greatest satisfaction (p<0.05). Also, there were statistically significant differences between hours regarding satisfaction (dimensions) (p<0.05) with those nurses who had morning work showing the highest satisfaction (p<0.05) in the salary dimension. An effect on the level of satisfaction of the nursing staff is observed from the factors of years of service, position of responsibility, working hours and monthly salaries.

Evaluation of Subjective Satisfaction with Orthokeratology

Background: This study evaluates subjective satisfaction levels among Singapore-based OK lens wearersand investigates what motivated them to go for OK.Methods: A customised survey form was administered. Participants’ perceptions were assessed along thedimensions of vision, facial appearance, satisfaction, activity, and symptoms. The participants also had toindicate what motivated them to go for OK. The remaining questions focussed on the participants’demographics and OK related routines since the survey was designed to be a stand-alone questionnairethat is suitable for a specialised optometry setting.Results: OK participants (n=100) demonstrated an overall positive experience across vision, facialappearance, satisfaction, and activity dimensions. Most participants either did not experience or onlyoccasionally experienced the surveyed symptoms. Seeing clear throughout the day (71%), myopia control(70%), and convenience for school/occupation (65%) and sports (59%) were the most popular reasonswhy participants were on OK. Better appearance (36%), and discomfort with spectacles (34%) and contactlenses (11%) were the other motivating factors.Conclusion: Orthokeratology is associated with high levels of satisfaction rate. Seeing clear throughout theday, myopia control and convenience for day-to-day activities are the key reasons why participants are onOK treatment. Optometrists, while ensuring rigorous compliance to lens care regimen and good adherenceto routine follow-ups, may positively recommend orthokeratology not just for children for the purpose ofmyopia control but to potentially anyone, who wants to be free of day-time myopic refractive correction.

A review on clinical use of CAD/CAM and 3D printed dentures.

Aim The aim of this article was to review the current clinical application of computer-aided design/computer-aided manufacturing (CAD/CAM) and three-dimensional (3D) printed dentures in dental clinics.Methods A systematic approach for searching PubMed, Embase, Scopus, and Web of Science databases. The search was performed using a variety of keywords including clinical use AND 3D printed removable dentures OR clinical use AND CAD/CAM removable dentures OR clinical use AND digital removable dentures. Selection criteria included articles written in English and reporting information on clinical applications of digital dentures between 2010 to January 2022.Results The findings outlined the main clinical advantages of digital dentures such as saving working time, satisfying clinical results and securing patients' records, and also requirement of additional visits to secure aesthetic patient satisfaction, good retention and ideal vertical dimension. Many studies recommended performing clinical try-in with regards to providing better results. It was also established that 3D printers are less expensive than milling centres and therefore can be afforded by individual dental professionals.Conclusion Digital dentures are a promising option in treating edentulous patients, especially in remote areas where skilful technicians are rare. However, there are some limitations in their applications.

Web design and trust as moderators in the relationship between e-service quality, customer satisfaction and customer loyalty

PurposeThis research aims to investigate the effects of e-service quality on customer satisfaction and customer loyalty. The moderating effects of web design and trust in the relationship between e-service quality and customer satisfaction are also explored.Design/methodology/approachA conceptual model involving various dimensions of e-service quality, customer satisfaction, loyalty, price perception and web design is developed, and hypothesized relationships are tested using Hayes’s PROCESS macros. A survey instrument and data from 650 respondents who are regular e-buyers from the southern part of India are used.FindingsThe results indicate that e-service quality positively relates to customer satisfaction and loyalty. The findings also suggest that price perception and trust are vital in enhancing customer satisfaction. Further, the indirect effect of e-service quality on customer loyalty through customer satisfaction is supported. Finally, web design (first moderator) and trust (second moderator) significantly influence the relationship between e-service quality and customer satisfaction.Research limitations/implicationsThis research underscores the importance of e-service quality, web design, and trust in influencing customer satisfaction. Based on the findings from this study, e-retailers are suggested to discover the methods of building and improving customer trust and create a web design that is appealing to the customer to enhance satisfaction and loyalty. Some of the limitations of this study include common method bias and social desirability bias. However, the authors have taken adequate care to minimize these biases.Originality/valueThis paper used the e-service quality model and investigated the consequences of e-service quality during the post-pandemic new normal period in a developing country (India). The double moderation of web design and trust is a novel idea that previous researchers have not explored to the best of the authors' knowledge and makes a significant contribution to service marketing. In addition to providing resounding evidence of direct relationships, the three-way interaction investigated in this study makes this study unique and pivotal.

Work-related need satisfaction and job crafting: Mediation of psychological empowerment in a Nigerian setting

We examined the association between work need satisfaction (WNS) and job crafting (JC) dimensions (seeking challenges [SC], seeking resources [SR], and reducing demands [RD]), as well as the role of psychological empowerment (PE) in that relationship. Data on PE, WNS, SC, SR, and RD were collected from 275 Nigerian oil and gas workers (male = 86.2%; age range = 28 to 54 years; mean age = 38.72 years; SD = 4.68 years). Hayes’ macro mediation analysis results indicated that increased WNS was associated with reduced SC and SR, and higher RD. Additionally, the results showed that high PE scores were positively associated with high SC and SR, and low RD. PE negatively mediated the association between WNS and RD. These findings point to the need for inclusion of PE strategies, to boost creativity and productivity in the oil and gas sector.

Does authentic leadership promote higher job satisfaction in public versus private organizations? Exploring the role of vigor and engagement

BackgroundSeveral studies have suggested that leaders showing high levels of authentic leadership increase workers' overall job satisfaction, which is composed of different aspects with some distinctions among them. Furthermore, the implication of affective and motivational variables, such as vigor and engagement at work, respectively, have not been jointly considered for analysing the differences and similarities between public and private organizations. Thus, this study aims to analyze whether vigor at work and engagement at work play a mediating role between authentic leadership and different aspects of job satisfaction, considering both public and private organizations, to propose a trans-organizational model. MethodIn this cross-sectional and cross-sectoral study, 1029 workers in private (n = 619) and public (n = 410) organizations from Spain participated completing a questionnaire. ResultsStructural equation modelling was used to perform a multigroup mediation analysis (public versus private organizations) in which the invariance between groups was previously explored. The model showed a good fit to the data in which authentic leadership affected the dimensions of job satisfaction both directly and indirectly (through vigor at work and engagement). However, authentic leadership had a greater positive effect on vigor at work for private organizations; whereas work engagement was not significantly related to the job satisfaction dimension related to legal aspects for public organizations. ConclusionThe vigor at work and work engagement were important variables to explain the authentic leadership-job satisfaction relationship in both private and public organizations. Nevertheless, the relationship between work engagement and the dimensions of job satisfaction was different for both organizations.

Service quality dimensions associated with user satisfaction in health laboratory center in Makassar, Indonesia

Objective: To assess overall satisfaction and identify the service quality dimensions most associated with user satisfaction in health laboratory center (Balai Besar Laboratorium Kesehatan/BBLK) Makassar, Indonesia. Methodology: This cross-sectional analytical study was conducted in June-August 2022 among 250 participants who were selected using a purposive sampling technique. Those 17 year and above adults visiting the laboratory were included and those who coult read and write were excluded from the study. We used a validated questionnaire. Statistical analyses using univariate, bivariate, and multivariate regression analyses were performed. Results: Most participants (61.2%) had a generally positive appreciation of the provider with a feeling of satisfaction with BBLK Makassar service. Reliability dimension was the higher (80%) than with other service quality dimensions. Multivariate model showed a relationship between service quality dimensions and user satisfaction (61.0%). Conclusion: The service quality of BBLK Makassar as a healthcare provider was good. Improving services other than the satisfaction dimensions is necessary to increase user satisfaction.

THE EFFECT OF LEATHER TIME SUPPORT FROM WORKPLACESON JOB SATISFACTION

Introduction: In this study, it was tried to examine the effects of perceived leisure time support in the workplaces on job satisfaction and to reveal the relationship and interaction between them statistically. Purpose: It has been tried to examine the effects of the perceived leisure time support in the workplaces on job satisfaction and to reveal the relationship and interaction between them statistically. The study is a pilot study since the scales used are up-to-date. Method: For the research, a questionnaire was applied to a total of 364 (white collar) people, 125 women and 239 men, residing and working in Eskişehir in March-June 2023. In the research, the "job satisfaction scale" developed by Judge others (1998) and adapted into Turkish by Keser and Bilir in 2019, and the "perceived organizational leisure support at workplaces" developed by Lien and Cheng (2022) and adapted into Turkish in 2023 by Erkan and Koçak. scale” was used. The analysis of the obtained data was made in SPSS 26.0 program. Frequency analysis, correlation and ANOVA analyzes were performed. Significance level was taken as p<0.05. Findings: As a result of the analyzes made, it is seen that the dimensions of recreational support in the workplace are in a positive significance in almost all studies. On the other hand, there was a weak relationship, or no relationship was found in the results of the analyzes made in the dimension of job satisfaction of the employees (p>0.05). Conclusion: As a result of the research, the level of leisure support of the employees in the workplace has a significant relationship with demographic information in most dimensions. comes out. These results also show us that employees have a positive perspective on supporting recreational activities. In addition, when the job satisfaction levels of the employees are examined, it is seen that there is a positive significance only between the education levels of the employees (p>0.05).

The association between different sleep health dimensions and sex, age, education, circadian preference, and chronic insomnia: a representative population-based study

Abstract Objectives The aims were to explore multidimensional sleep health and the different dimensions of sleep health in the adult Norwegian population in relation to sex, age, education, circadian preference, and chronic insomnia. Methods A representative sample of 1028 Norwegians, aged 18 + years completed a cross-sectional web-based survey. Sleep health was measured with the multidimensional RU_SATED scale, which assesses the dimensions of regularity, satisfaction, alertness, timing, efficiency, and duration. Insomnia was assessed with the Bergen Insomnia Scale. Data were analyzed with chi-square tests, t-tests, one-way ANOVAs, and regression analyses, as appropriate. Response rate was 33.5%. Results Sleep health was better in males, with increasing age, and with higher educational level, and was poorer in participants with evening preference and chronic insomnia, compared to their respective counterparts. When investigating the different sleep health dimensions, males scored better than females on satisfaction (adjusted odds ratio [aOR] = 0.69, 95% CI = 0.51 to 0.93), timing (aOR = 0.66, 95% CI = 0.49 to 0.88), and efficiency (aOR = 0.68, 95% CI = 0.52 to 0.89). Older age was associated with better scores on regularity and satisfaction, whereas young age was associated with better scores on alertness and duration. High educational level was associated with better scores on alertness, timing, and duration. Evening types scored worse than morning types on regularity (aOR = 0.27, 95% CI = 0.18 to 0.41), satisfaction (aOR = 0.37, 95% CI = 0.26 to 0.53), and timing (aOR = 0.36, 95% CI = 0.26 to 0.51). Participants with chronic insomnia scored worse than participants without insomnia on all six sleep health dimensions. Conclusions Sleep health differed significantly in relation to sex, age, education, circadian preference, and chronic insomnia. However, specific group differences were not equally evident in all sleep health dimensions.

Relationships Between Lifestyle, Quality of Life, Organizational Culture and Job Satisfaction Among Nurses Related to Health Promoting Hospital (HPH) Standards.

Providing quality healthcare services through health promotion activities to patients, hospital-based professionals and the wider community is the goal of the health promoting hospital (HPH). There is, however, no formal structured pathway for "universally" providing health promotion services in hospitals. Accordingly, this study was conducted with the aim of presenting a model designed to promote and increase health-related satisfaction of hospital-professionals in health-promoting hospitals (HPHs) in Iran-as a potential tool to guide international HPH standards. Lifestyle, quality of life, organizational culture, and job satisfaction were measured using standardized questionnaires in specialized hospitals in Hamadan, Iran. A structural equation model (SEM) using partial least squares (PLS) software (version 2) was used to determine the validity and fit of the conceptual framework/model. The study revealed that several factors were identified as strong predictors of job satisfaction and wellbeing, including various dimensions of lifestyle such as spiritual health, physical activity, stress management, and interpersonal communication, dimensions of quality of life including physical and mental aspects, and organizational culture. The values of predictive relevance (Q2) for physical and psychological dimension of life quality, organizational culture, and job satisfaction were estimated to be 0.101, 0.250, and 0.040 and 0.251, respectively. Conclusively, the study found a goodness of fit (GOF) value of 0.415, indicating that the model had a high predictive power and fit well. Based on these results, it is suggested that implementing HPH interventions that focus on the outcomes of this model could lead to increased job satisfaction and wellbeing in hospitals. Additionally, the model could serve as a useful indicator of HPHs.

Exploring the influential factors of job satisfaction of academic professionals: A study on science and technology universities of Bangladesh

This study seeks to explore the factors influencing the job satisfaction of academic professionals at science and technology universities in Bangladesh. Among the different categories of public universities, three science and technology universities were randomly selected from three different administrative regions in Bangladesh for this study. The study's data came from a semi-structured survey questionnaire. This study used descriptive statistics and regression analysis to analyze and explore the different factors of job satisfaction associated with Assistant Professors through the application of IBM SPSS-26. This study identified six different factors of job satisfaction of academic professionals in the science and technology universities in Bangladesh, such as job in general, remuneration, work environment, social relationships with colleagues, payoffs, and work stress-related factors. The findings of the study revealed that RS, PS, and SR had a statistically significant impact on job satisfaction, but GJ, WE, and WS had a direct positive but insignificant influence on the job satisfaction of academic professionals. The findings also revealed that academic professionals' job satisfaction and dissatisfaction largely depend on these aforementioned factors. A variety of respondent perceptions were employed to describe the job satisfaction dimensions of academic professionals. There was some overlap in picking the university category. This study, for example, excludes all categories of universities except the science and technology universities in Bangladesh. The research's conclusions enlighten academic professionals about what really matters in terms of job satisfaction. The results also provide a useful framework for the relevant authorities, human resources departments, university administration, and policymakers by diving deep into the most important aspects of different factors of job satisfaction associated with academic professionals. This research uses theoretical assumptions and empirical evidence to build a complete model of the relationships between various factors in the job satisfaction of academic professionals. The findings of this study have real-world implications since they look into important aspects of current dimensions of job satisfaction among academic professionals that have the potential to affect their jobs.

The impact of healthcare service quality dimensions on patient satisfaction: a case study of Ganta United Methodist Hospital, Liberia

Patient satisfaction is an important measure of healthcare service quality and influences the overall effectiveness of healthcare systems. This study aims to evaluate the relationship between various dimensions of healthcare service quality and patient satisfaction. The dimensions include Tangibility, Reliability, Responsiveness, Assurance, and Empathy. A convenient sampling technique was employed. Data were collected via questionnaire distribution to people who have received services at the Ganta United Methodist Hospital. A total of 384 questionnaires were distributed. However, due to missing information, 381 valid responses were employed for analysis using the Statistical Program for Social Sciences (SPSS) software. Factor analysis was conducted for testing validity and reliability was carried out on the valid items to generate Cronbach’s alpha values. Correlation and regression analysis were conducted on the constructs of interest. The findings revealed a satisfaction level below average among respondents. A positive association and a significant impact of the service quality dimensions on patient satisfaction were also revealed. It is recommended that the hospital management implement strategies to enhance these dimensions and patient overall satisfaction, which include providing training for all members of staff on communication skills, providing an environment that is easily assessable, and paying keen attention to patient feedback to create room for continuous improvement.

Assessment of soft- and hard-tissue changes following combined anterior segmental bi-jaw orthognathic surgery.

Anterior segmental Bi-jaw orthognathic surgery is indicated primarily for the correction of dentoalveolar protrusion. They are also indicated for correcting apertognathia, closing interproximal spaces between segments and can be incorporated with other osteotomies to obtain better results. The aim of this study was to analyze and compare the soft- and hard-tissue changes in patients who underwent combined anterior segmental bi-jaw orthognathic surgery. To compare and evaluate soft- and hard-tissue changes before and after combined anterior segmental bi-jaw orthognathic surgery by assessing (a) parameters in vertical dimension and (b) parameters in horizontal dimension and patient satisfaction was also assessed following surgery at 6 months' time interval. It is a prospective, single center and analytical study with sample size of 20 patients. It required routine setup for orthognathic surgery and manual tracing of lateral cephalograms. The surgical outcomes were assessed by hard tissue (Sella Nasion Point A (SNA) angle, Sella Nasion Point B (SNB) angle, Point A Nasion Point B (ANB) angle, NAPg, U1-NF, L1-MP angles; NA, NB, B-Pg, Nasion-Anterior nasal spine (N-ANS) distance, Anterior nasal spine-Gnathion (ANS-Gn) distance, and overjet and overbite) and soft tissue (facial convexity, NL, LM angles; LM fold, UL and LL protrusions, Upper lip length (ULL), Lower lip length (LLL), Sn-A, Si-B, Pg-Pg*, Ls-U1, Li-L1 distances, interlabial gap, and U1 exposure) variables pre and postsurgery. Descriptive statistics involved the mean and standard deviation, and recorded data were subjected to the statistical analysis using IBM SPSS 20 statistical package. The paired t-test, Pearson correlation coefficient were used. The level of significance P < 0.05 was taken as statistically significant and P < 0.01 as very significant. Overall improvement after surgery in both hard- and soft-tissue parameters was observed and significant changes were seen in every variable, except Si-B (P > 0.05). Correlations between soft- and hard-tissue changes were significant in both sagittal and vertical planes. Patients' satisfaction score showed that all patients had the high overall rate of satisfaction. Our study concludes that combined anterior segmental bimaxillary orthognathic surgery is a simple technique with minimal postoperative complications and limited relapse. The changes in facial esthetics and occlusion following orthognathic surgery depend highly on the stability achieved during the postoperative period.