Health Service Hospitals Research Articles

The Relationship Between the Implementation of Room Head Management and the Work Motivation of Implementing Nurses in the Inpatient Ward of A. Makkasau Parepare Regional Hospital

Motivation is all things verbal, physical, or psychological that make someone do something in response. The provision of maximum health services in hospitals can be achieved if the work motivation of nurses is high. The purpose of this study was to determine the relationship between discipline, effective communication and assertiveness training with the work motivation of implementing nurses in the inpatient ward of A. Makksau Parepare Hospital in 2022. The type of research used is a descriptive approach method using a Cross Sectional Study design. The population in this study were nurses in the inpatient room of A. Makkasau Parepare Hospital who had been registered as civil servants as many as 115 people. The sample in this study was 53 respondents with a sampling technique of purposive random sampling . Data collection was carried out using a questionnaire. The results of the study showed that there was a relationship between discipline (p=0.013) and the work motivation of implementing nurses, there was a relationship between effective communication (p=0.020) and the work motivation of implementing nurses, there was a relationship between assertive training (p=0.014) and the work motivation of implementing nurses. The conclusion and suggestion in this study is that there is a relationship between discipline, effective communication, assertive training with the work motivation of implementing nurses, and it is suggested for the head of the room to further improve the work motivation of implementing nurses and for further researchers to be able to conduct further research on the relationship between discipline, effective communication, assertive training with the work motivation of implementing nurses.

The interactive effect of the application of accreditation standards (JCIs) and the practice of administrative control in improving the quality of health services: a study on Yemeni hospitals

BackgroundThis study aimed to examine the interactive effect of applying JCI accreditation standards and administrative control in improving the quality of health services in Yemeni hospitals. By examining the synergistic relationship between these two components, this study sought to shed light on how hospitals can improve their performance and achieve sustainable advancements in healthcare quality.MethodsThis study utilized a quantitative research design and collected data from Yemeni hospitals. The sample size was determined via the Krejcie and Morgan table, which provides a recommended sample size on the basis of the population. A total of 310 healthcare professionals were selected through a random sampling technique. Hypotheses were formulated to examine the impact of JCI accreditation standards and administrative control on healthcare quality. Statistical analyses were also conducted to test these hypotheses and determine the interaction effect between the two variables.ResultsThe results confirmed that applying JCI accreditation standards has a statistically significant positive effect on improving the quality of health services in hospitals. Additionally, the practice of administrative control had a statistically significant effect on healthcare quality. Furthermore, there was an interactive effect between the application of JCI accreditation standards and administrative control, indicating that their combined implementation led to even greater improvements in healthcare quality.ConclusionThe significance of this study lies in its potential to inform healthcare policymakers, administrators, and practitioners about the importance of integrating accreditation standards with robust administrative control measures. The findings emphasize the need for hospitals to prioritize both the implementation of accreditation standards and the establishment of effective administrative control systems to ensure the delivery of high-quality healthcare services. This study contributes to the literature by highlighting the interactive impact of these factors and providing insights into their synergistic relationship.

Distance Health Services Organization in University Hospitals: The Case of a Public University Hospital

In today's globalized healthcare market, it has become a necessity for healthcare organizations to strive to provide the healthcare services needed by their target audience with modern medical technology and software, regardless of physical space, country and/or geography. In fact, although distance health services and tele-medicine applications are not new applications, they have been increasingly used by healthcare organizations due to the physical transmission feature of the New Coronavirus Disease (Covid-19) or corona pandemic. The aim of this study is to analyze the legal dimension of Distance Health Services (DHS) in a public university hospital, the path to be followed to obtain a “Distance Health Service Activity Permit Certificate”, the characteristics, quantity and qualifications of the human resources to provide health services, the physical structure of the areas to be served and the information technologies, information systems to be used, the ministry audit criteria related to the pricing, invoicing and refund methods of health service fees, and to contribute to the structuring stages of distance health services of similar health institutions.

Descriptive study of possible relation between cardio-ankle vascular index and lipids in hypertension subjects

Aim: The cardio-ankle vascular index (CAVI) is a new evaluation indicator for arteriosclerosis. This study investigated the relationship between the CAVI and lipid levels in patients with hypertension in a real clinical environment. Methods: This descriptive study enrolled 2,656 patients (male/female: 1,016/1,640) from the Outpatient Department of Vascular Medicine of Peking University Shougang Hospital and Jinding Street Community Health Service Center. CAVI was measured using a VaseraVS-1000 vascular screening system (Fukuda Denshi, Tokyo, Japan). Results: Age, body mass index (BMI), waist circumference, hip circumference, CAVI, systolic blood pressure (SBP), diastolic blood pressure (DBP), creatinine, fasting plasma glucose (FPG), uric acid (UA), hypersensitive C-reactive protein (hs-CRP), homocysteine, HbA1c, and triglyceride (TG) were significantly higher in the hypertension group than in the non-hypertension group. The levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were significantly lower in the hypertension group than in the non-hypertension group. The CAVI value was significantly higher in patients with hypertriglyceridemia and normal LDL-C than in those with normal TG and hyper-LDL-C. Age, waist circumference, UA, FPG, HDL-C, hs-CRP, HbA1c, BMI, SBP, and DBP were independently associated with CAVI in all patients. Beta blockers were negatively correlated with CAVI (β = –0.411, P = 0.011). Sex (male) and history of hypertension and diabetes mellitus were positively correlated with CAVI (β = 0.419, P < 0.001; β = 0.247, P = 0.011; β = 0.638, P < 0.001; respectively). Conclusions: The CAVI was significantly higher in patients with hypertension and exhibited differences based on sex. Although we did not find a significant correlation between CAVI and TG, it remains crucial to maintain blood pressure to prevent the development of arteriosclerosis.

COVID-19 Lockdown and Access to Health Services Among People with Mental Health Problems in Nigeria

ABSTRACT This study assessed the roles of COVID-19 lockdown on access to mental health services in Nigeria. 172 patients who visited the hospital before and during the lockdown were recruited. The methods of data analyses were descriptive, correlations and binary logistic regression. The logistic regression confirmed that socioeconomics of participants predicted their likelihood to access mental health services in hospital during the COVID-19 lockdown. Participants accessed treatments in traditional healing homes, home treatment centers, and place of religious worship. Policymakers need to expand the existing programs for accessible and affordable mental health services and standardized alternatives during health emergencies.

Efficacy of Qingying decoction and Wuling powder in the treatment of renal hematuria: A traditional Chinese medicine approach

Purpose: To investigate the efficacy of combining Qingying decoction with Wuling powder in the treatment of renal hematuria. Method: Seventy-six patients diagnosed with renal hematuria in the Emergency General Hospital and Nanmofang Community Health Service Center in Chaoyang District of Beijing, China were randomized equally into study and control groups. Control group received standard Western treatment in addition to Shenyan Rehabilitation tablets while study group received a combination of Qingying decoction and a modified Wuling powder alongside standard treatment for eight weeks. Treatment effectiveness was evaluated using urinary red blood cell count (URBC), urinary albumin-to-creatinine ratio (UACR), urinary β 2-microglobulin (β2-MG) and α 1-microglobulin (α1-MG) levels, serum levels of complement components 3 (C3) and 4 (C4), immunoglobulin A (IgA), and Traditional Chinese Medicine (TCM) syndrome scores. Results: There was a significant difference in total therapeutic effectiveness between study and control groups (p < 0.01). Study group showed significantly improved hematuria and total syndrome scores (p < 0.01). The study group showed significantly lower URBC, UACR, β 2-MG, α 1-MG, IgA, and C3 levels compared to the control group (p < 0.05). Conclusion: Treatment with Qingying decoction and Wuling powder demonstrates efficacy in managing renal hematuria, regulates urinary red blood cell counts, reduces symptoms, and lowers early renal impairment. Future studies in multiple centers using larger number of patients to determine the mechanisms of these drug actions and interactions and other related factors would be required.

E-Presence Application Increases the Level of Health Personnel Discipline to Improve the Quality of Health Services in Hospitals (Systematic Review Paper)

ABSTRACT In the era of increasingly advanced digital technology development, the government in Indonesia uses the E-presence digital attendance application to make attendance easier for its health workers. The use of e-presence is a form of progress in information technology in government. It is necessary to research changes in the level of discipline of health workers in implementing E-presence so that it can improve the quality of service or even reduce the quality of service. Find out how the use of E-presence among health workers can improve work discipline and improve service quality. The research design in this article uses descriptive qualitative research with data originating from the results of systematic reviews from various relevant national journal sources. Articles were obtained from Google Scholar and PubMed with identification in 2023 via Google Scholar n=205 and PubMed n=80. National and International Articles. With the keywords "Digital E-Presence", "Discipline Level", "Service Quality", "Attendance", "Android", "QR Code", and "Discipline". Penelusuran artikel penelitian di tahun 2023 menggunakan kata kunci pada database (n=285). Dilakukan skrining berdasarkan kriteria inklusi dan ekslusi, dan menghasilkan 9 artikel penelitian yang layak sesuai dengan kriteria. This research has changed the motivation of health workers where the level of discipline of health workers has increased and their orientation towards achievement has also improved. The use of e-presence has the impact of increasing the quality of service in hospitals because health workers are present to serve patients on time. Keywords: Health Personnel, The Quality Of Health, Services In Hospitals

Adjusting the risk-adjustment: Accounting for variation between organisations in the responsiveness of their expenditure to need

There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the ‘responsiveness of expenditure to need’ and estimate it using national person-level data on use of acute hospital and secondary mental health services in England. We find large variation in responsiveness in both services and show that higher expenditure responsiveness in mental health is associated with fewer suicides. We then re-estimate the national risk-adjustment model removing the data from the organisations with the lowest expenditure responsiveness to need. As expected, higher need individuals are estimated to have higher expenditure needs when less responsive organisations are removed from the estimation of the risk-adjustment. Removal of organisations with below-average responsiveness results in the neediest deciles of individuals having an extra £163 (7%) annual need for acute hospital care and an additional £79 (27%) annual need for mental health services. The application of this approach to risk adjustment would result in more resources being directed towards organisations serving higher-need populations.

Analysis of The Level of Patient Satisfaction with Pharmaceutical Services In Xyz Regional Hospital Bandung Indonesia

Abstract Hospitals are health facilities that provide various services, one of which is pharmaceutical services. Pharmaceutical services are an activity organized to maintain and improve the health of patients. Patient satisfaction is an important indicator in achieving conformity with expectations in health services in hospitals. The level of patient satisfaction can be seen from good service. The purpose of this study is to determine and evaluate the level of patient satisfaction with pharmaceutical services at the XYZ regional hospital in Bandung, West Java. In this study, the application used in SPSS to process data with the methods used, namely the Importance Performance Analysis (IPA) method and the Customer Satisfaction Index (CSI). This method is used to identify the level of importance of each service attribute and the priority of improvements that must be made by a hospital to determine the level of patient satisfaction. IPA analysis shows that the point included in quadrant I (high importance and low satisfaction) is R6, namely complete available drugs but in reality, the drugs are not available so this statement is considered important by patients because it has facts that are not yet appropriate and need to further improve their performance so that the service is more satisfying. Meanwhile, based on the results of the CSI analysis, it is known that the overall value of the respondent's satisfaction level for all attributes is 83.9%. So based on the satisfaction index patients are satisfied with pharmaceutical services at the XYZ Bandung Regional Hospital. Keyword: Patient Satisfaction, IPA, CSI, Hospital

How Iran’s Hospital Accreditation Program Meets the International Society for Quality in Health Care (ISQua)

Background: Hospital health service quality is a fundamental component of the health system. Hospital accreditation is a key approach to enhancing this quality, necessitating the correct implementation of processes. Objectives: This study aims to investigate the compliance of the executive processes of Iran’s hospital accreditation program with the requirements of the International Society for Quality in Health Care and to provide corrective solutions. Methods: This qualitative study uses an inductive content analysis technique. A checklist with seven axes was established by extracting and interpreting the requirements of the executive processes from the International Society for Quality in Health Care. By examining existing documents at the Ministry of Health’s Accreditation Office and conducting interviews with managers and experts in the field, challenges in the domain of the executive processes of Iran’s hospital accreditation program were identified using the relevant checklist. Corrective solutions were then gathered through semi-structured interviews with 19 experts, managers, and accreditation field specialists, categorized inductively, and presented using MAXQDA software. Results: Challenges in seven areas were identified, including governance; strategic, operational and financial management; risk management; human resources management; information management; survey and client management; and the granting of accreditation approval. Subsequently, solutions were categorized into five groups encompassing 26 concepts, focusing on reforming macro policies, addressing implementation challenges, fostering appropriate interactions, improving human resource management, and promoting evidence-based decision-making. Conclusions: The Iran hospital accreditation program’s adherence to International Society for Quality in Health Care standards is inadequate. Establishing a semi-autonomous, non-profit accreditation body that operates under government control and ensuring the independence of the accreditation office is essential for achieving higher compliance and receiving certification from International Society for Quality in Health Care.

Measuring health services quality: Nurses’ perceptions and the SERVPERF scale

This study aimed to assess service quality in the health-care sector by employing the SERVPERF scale, with a particular focus on the perceptions of nursing staff, which have a significant impact on patient care. Utilizing the SERVPERF scale, this research investigates the perceived quality of health services in hospitals and examines the predictors of service quality based on the scale’s dimensions and items. The five dimensions under consideration include tangibility, reliability, responsiveness, empathy, and assurance. The data were collected from a sample of 214 nurses who completed the research survey to determine their perception of service quality. The questionnaire demonstrated high reliability, with an overall Cronbach’s alpha value of 0.72. The study was conducted in private hospitals situated in Yemen’s largest city. The findings revealed that the dimensions of health-care service quality were highly rated, with the safety dimension scoring the highest and the reliability dimension scoring the lowest. These results have significant implications for measuring health-care service quality. Although the study is limited by the use of a sample from five hospitals in nursing departments, the findings offer valuable insights for health-care sector leaders to assess service quality in hospitals.

ANALYSIS OF EFFECTIVENESS OF HEALTH FACILITIES SERVICES IN MAGELANG REGENCY, INDONESIA

One of the priorities for health development in Magelang Regency is improving the quality of health services. In fact, it was found that the health facilities in Magelang Regency are adequate. However, it is imperative to figure out if they function well. Therefore, the purpose of this study was to assess the level of effectiveness of existing health facilities in this regency. The data used in this study are the number and coordinate points of the hospital and community health centres. The data analysis uses multi-ring buffer analysis. The results show that the level of effectiveness of hospital health services in the category of very high effectiveness, 0.94% of the total area. The effectiveness of the distribution of hospitals is in the low category can serve 12.16% of the total area. The effectiveness of the distribution of community health centres facilities is in the very high category,0.43% of the district area, and the very low category covers 36.48% of the area of Magelang Regency.

Analysis of Efficient Drug Supply Control at Muhammadiyah Siti Aminah Bumiayu Hospital Using the MMSL Method (Minimum-Maximum Stock Level) Period March – May 2023

Medicine supplies that are too large or small will make hospitals sick loss. These losses can be in the form of drug supply costs enlarges and becomes disturbed smooth running of health services in hospitals. Objective study This For know influence method MMSL to supply drug in a way efficient in Installation Pharmacy RSU Muhammadiyah Siti Aminah Bumiayu. This research design uses quasi-experimental without control, by applying the method studied, namely minimum-maximum stock levels. Sampling using technique which can be obtained from Retrospective data for October 2022 – December 2022 and method application prospectively, namely March 2023 - May 2023 and carry out strategies repair use method Hanlon. All data drug results analysis A B C became the sample for this research. Analysis of inventory value data was carried out, stock value out, dea d stock and ITOR before and after application of the method using test statistics Wilcoxon Signed Rank Test. The inventory value before applying the MMSL method was IDR 289,756,421, and after applying control using the MMSL method it was IDR 184,725,126 , with a value of p=0.002<0.05. The implementation of drug control using the MMSL method shows that there is an influence on the value of drug supplies in the pharmaceutical installation of RSU Muhammadiyah Siti Aminah Bumiayu.

Patient Satisfaction with Physiotherapi Services In Hospital

Hospitals are one of the various facilities owned by each country which are used to provide health services to the entire community, therefore every hospital is obliged to provide quality health services so that they can satisfy every patient who is undergoing treatment. To realize the stated goals of every hospital in terms of building health services in hospitals, especially in Physiotherapy services, every hospital must have services that are at a good level. Such as in terms of therapist competency, knowledge that is always upgraded by each health worker, professionalism of health workers, and good communication between health workers and patients. This research aims to analyze patient satisfaction with physiotherapy services using a literature review method based on data from Google Scholar or Google Scholar. We use the literature of 4 journals. The results and conclusions of this research obtained from 4 previous journals stated that patients were satisfied with the physiotherapy services provided at the hospital with a p-value < 0.05.

The Influence of Compensation and Workload on the Quality of Health Services in Hospitals with the Effectiveness of Electronic Medical Records as a Mediating Variable

The aim of this research is to analyze the influence of compensation and workload on the quality of health services in hospitals with the effectiveness of electronic medical records as a mediating variable. This research method is quantitative. The population in this study were General Practitioners, Nurses, and Midwives at AN-NISA Tangerang Hospital. The sampling technique in this research uses a saturated sample technique. The number of respondents in this study was 302 respondents. This research uses primary data in its preparation. The data collection method used in this research was by distributing questionnaires. The data analysis technique in this research uses Partial Least Square (PLS) with the help of SMARTPLS Software. The results of this research are that compensation does not have a significant influence on service quality. Workload has a positive and significant influence on Service Quality. Compensation has a positive and significant influence on the effectiveness of electronic medical records. Workload has a positive and significant influence on the effectiveness of electronic medical records. The effectiveness of Electronic Medical Records has a positive and significant influence on Service Quality. The calculation results show that the effectiveness of electronic medical records can mediate the influence of compensation on service quality. The calculation results show that the effectiveness of electronic medical records can mediate the influence of workload on service quality.

Using Fuzzy Tsukamoto Method In Forecasting The Amount Medication Requrementsat In The Hospital

The pharmaceutical installation as one of the hospital service locations is an inseparable part of the hospital health service system which is oriented towards patient service, including pharmaceutical services needed by patients such as consumable medical equipment that is affordable for all levels of society and the provision of quality medicines. The problem that arises is the uncertain number of patients and the medicines needed by each patient are different and often the supply of medicines that are currently needed by the community is empty, while medicines that are less needed are in abundant stock. Mistakes in ordering medicines can cause shortages or excesses of medicine stock. They tend to only use estimates of the amount of remaining stock without any special methods being used. Even hospital pharmacies tend to buy too many medicines because of uncertain demand and fear of shortages. A method that can help in predicting the amount needed for medicines is by applying the fuzzy Tsukamoto method. The prediction process begins with testing drug data in 2022 to predict the amount needed for medicines in 2023 before finally the drug data for 2023 is used to predict the amount needed in 2024.The prediction process will use drug sales data in the form of the amount of inventory, the amount needed and remaining stock to build a prediction model that projects the amount of drug need in the year 2023. This approach will involve analyzing historical data and applying the Tsukamoto method to produce predictions of the amount needed for all drugs in the following year.

Factors that Influence the Satisfaction of Health Service Recipients in Hospitals: Systematic Literature Review

One of the challenges in hospital health services is patient dissatisfaction. Patient satisfaction relates to their feelings about the health services received compared to their expectations. Improving the quality of hospital services is crucial for enhancing patient satisfaction.This study aims to find out the factors that can influence the satisfaction of health service recipients in hospitals. The literature review method was used for journals related to client satisfaction factors and health services in hospitals limited to the years 2019-2024. This research method includes 7 international journals, 4 international journals indexed by Scopus, and 5 national journals, 4 journals certified by Sinta (S3:1 S4: 3). Based on the results of the review, it was found that satisfaction with health services in hospitals was influenced by the following factors: physical evidence (2 journals), reliability (2 journals), responsiveness (2 journals), health insurance (2 journals), empathy (2 journals), religion (1 journal), respondent satisfaction (1 journal), assessment of health services (1 journal), health services (1 journal), limiting the number of patients (1 journal), and standard prevention (1 journal). In conclusion, factors that influence the satisfaction of health service recipients in hospitals include physicality, reliability, responsiveness, health insurance, and empathy.

Improving the Quality of Hospital Services Through the Integration of Servqual, Kano, and Two Iterations of Quality Function Deployment (QFD)

Purpose – This research focuses on the problem of decreasing the number of private hospital visits, one of the causes of which is patient dissatisfaction with the healthcare services provided. This research aims to design recommendations for improving the quality of a hospital's health services based on the perceived needs of patients so that it is hoped that patient satisfaction can be achieved well. Methodology/approach – The literature review defines service quality and patient requirements in this research. Servqual and Kano questionnaires are used in this research, with 150 patients as respondents. After the quantitative data has been obtained and analyzed, the next step is to collect qualitative data by conducting interviews with health service management experts. By using QFD analysis, the relations between patient requirements and service characteristics are obtained. Targeted health service criteria will be chosen to be used as recommendations to improve hospital services. Findings – Some patient requirements are not optimally fulfilled by the hospital. Service characteristics and service critical parts are prioritized for the recommendation in improving the hospital health services. Novelty/value – The research combines scientific disciplines marketing, namely Service Quality (Servqual) and scientific disciplines operations management, namely Kano and Quality Function Deployment (QFD) first iteration (House of Quality) and second iteration (Part Deployment), with the hospital’s health service as the research object. The integration can be used in other service companies, especially in health services.

The Role of Empathy, Communication, and Emotional Intelligence in Nursing Service Quality at RSIA Bunda Denpasar

Introduction: Nursing services are an integral part of hospital health services, and they have a very strategic position in efforts to improve the quality of consumer services coming to the hospital. The delivery of quality health services highlights the need for multi-stakeholder action at all health system levels. The hospital can maintain patient loyalty and gain public trust by providing efficient and quality services by providing good service. This study examined the effect of empathy, communication, and emotional intelligence on the quality of nursing services at RSIA Bunda Denpasar.Methods: The design of this study was cross-sectional, using a multivariate test and convenience sampling technique. The independent variables in this study were empathy, communication, and emotional intelligence. Meanwhile, the dependent variable in this study is the quality of nursing services at RSIA Bunda Denpasar. The timing of this study is in May 2024. This study used a sampling of 38 respondents. The instruments in this study used empathy, communication, caring, and nursing service quality questionnaires. A validity test value of 0.650-1,000, 0.790-1,000, 0.500-1,000, and 0.545-1,000, and a reliability test value of 0.877, 0.756, 0.765, and 0.867. Results: the results of the multivariate test showed the significance value of each variable has a significance value of <0.005, so the influence of empathy, communication, and emotional intelligence on the quality of nursing services at RSIA Bunda DenpasarConclusion: It is recommended that health service managers improve the quality of human resources by providing nursing services well.

The Role Of Information Technology In Improving The Quality Of Health Services In Hospitals

This study aims to identify, analyze, and provide recommendations for the effective implementation of information technology to improve the quality of health services in hospitals as well as to find out how the IT process has become an integral component in various sectors, including business, education, government, and health. The methodology used in this study is a literature study and secondary data analysis as well as interviews with health practitioners and information technology experts with a review of scientific articles, research reports, and other publications, data from the Ministry of Health, and relevant national surveys. This will help in identifying current trends, challenges, and opportunities in the application of information technology in hospitals. Information technology has a positive impact on the quality of health services through operational efficiency, accuracy and security of patient data, increased patient satisfaction, and improved accessibility of services. There are challenges and barriers in the implementation of information technology such as implementation costs, training and human resources, data security and privacy, and resistance to change. The implementation of information technology in hospitals has great potential to improve the quality of healthcare services. However, challenges and barriers such as implementation costs, training needs, data security, and resistance to change must be overcome to achieve success.