This study aimed to compared inpatients' intention to recommend hospitals between integrated nursing and caring service wards (INCSW) and general wards (GW), and examined between patients' experiences with nurses and recommendation intention. This study analyzed 943 inpatients (INCSW = 223, GW = 720) using the Korea Medical Service Experience Survey (2020-2022). Intention to recommend and nurse experience were measured on 5-point Likert scales and treated as approximately continuous, a common approach that supports the use of multivariable linear regression. Ward differences were assessed using t-tests, and effect sizes were summarized using Cohen's d. Patients in INCSW reported higher recommendation intention than those in GW (Mean 4.11 vs 3.98), with a small effect size (Cohen's d = 0.27). However, ward type was not independently associated with recommendation intention in the fully adjusted model. All nurse experience domains were positively associated with recommendation intention, with courtesy showing the largest coefficient (β = 0.27, 95% CI 0.17-0.37). Although recommendation intention was slightly higher among INCSW patients in unadjusted comparisons, ward type was not independently associated with willingness to recommend after adjustment. In contrast, all nurse experience domains were positively and significantly associated with patients' willingness to recommend the hospital. Strengthening nurse communication competencies, supported by ward-level monitoring and feedback-based training, may enhance patient experience and willingness to recommend.

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

Determining Satisfaction with Outpatient Medical Service Based on a “Medical Service Experience Survey”

This study aimed to analyze factors affecting satisfaction with inpatient treatment at medical institutions.The study subjects were 409 people who had experience using hospitalization services among the 2023 Medical Service Experience Survey data from July 24 to September 22, 2023.The analysis was conducted using SPSS Statistics 21.0, and the method was as follows.First, the hospitalised patients' general characteristics and descriptive statistics were analyzed.Second, the difference analysis according to the general characteristics was performed through the t-test and ANOVA analysis.Third, multiple regression analysis was performed to analyze the factors affecting the satisfaction of the hospitalized patients.The following are notable results from this study.Neither inpatients nor outpatients have private insurance, and patients living in relatively medically underserved areas were more satisfied.In addition, medical institutions previously considered the human factors of doctors and nurses to be the most important factor in improving customer satisfaction.However, the results of this study and recent previous studies have shown that the system and administrative services of medical institutions are increasingly important factors.The results of this study will serve as basic data for medical institutions entering the competitive era to provide good medical services and increase patient experience satisfaction.

Patient satisfaction is a key indicator of health care quality, yet the impact of primary diseases on outpatient satisfaction remains underexplored. This study examined whether the primary disease independently influences patient satisfaction. We retrospectively analyzed 8,259 outpatient experience records from clinics (n = 6,347), hospitals (n = 1,374), and tertiary hospitals (n = 538) using data from the 2023 Medical Service Experience Survey in Korea. The primary diseases for outpatient visit were categorized into 50 specific conditions grouped under 9 disease categories. Multivariate analyses were conducted, adjusting for demographic and health care-related factors. The primary disease was identified as an independent factor affecting satisfaction. Patients with cancer, particularly those with thyroid and breast cancer, reported the highest satisfaction, whereas patients with depression or bipolar disorder had the lowest. In addition, different diseases independently influenced satisfaction to varying degrees. Factors such as medical provider's manner (especially nurses) and facility convenience were also significantly associated with satisfaction. Although the precise mechanisms remain unclear, the primary disease should be considered an important determinant of patient satisfaction. Future research should take into account the impact of specific diseases on patient satisfaction when designing studies or interpreting results.

Identification of key factors influencing patient satisfaction for practical prioritization in healthcare settings: a nationwide survey analysis.

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

Medical volunteer activities of the college of Korean medicine (KM) are stipulated in Article 19 of the enforcement regulations of the medical law (medical practice of medical students, etc.). At D University, 31.8% of students are participating in medical volunteer activities during the summer vacation. Through students belonging to the three clubs, we would like to investigate and analyze the experience and form of medical service, participation motivation, satisfaction, mental growth, progress of prior education, and needs for improvement. Out of 289 students at D University, 92 students participated in summer medical volunteer activities through three clubs during July 2024. An online survey was conducted from July 30 to August 7, 2024, with 55 students responding (response rate 59.8%). The questions in the survey consisted of a total of 22 questions based on previous studies. The main purpose of participation in medical service by KM university students was to gain new knowledge or experience. 90.9% of students were satisfied with the medical volunteer activities. Pre-education for medical volunteer activities was conducted to all students, and only 11.5% of students took formal pre-education at the school level. 67.3% of students answered that there was a need for improvement in regular school classes in acquiring prior knowledge, and in particular, there were many responses from 1st∙2nd graders of KM course. This study identifies the strengths and weaknesses of medical volunteer activities among KM students. While satisfaction is high (90.9%), the reliance on informal preparation indicates a need for formal support and training in the curriculum. With 70.9% interested in lifelong volunteering, improving structured programs could enhance educational outcomes and community healthcare engagement.

Aim: Each year, more than 100,000 Americans die from an overdose. Most of these deaths are attributed to high-potency opioids, including fentanyl. People who use drugs face multiple barriers to treatment including access, knowledge of options, and adverse medical experiences. In 2022, Worcester County, Massachusetts saw a sharp increase in overdose deaths. In response, our team, based in Central Massachusetts developed and implemented an Opioid Response Specialist (ORS) Program, under the auspices of a mobile addiction service which has been operating in our area since 2021. Methods: The Mobile Addiction Service is composed of physicians and advanced practice providers to facilitate low-barrier access to medications for opioid use disorder (MOUD) and harm reduction resources and the ORS service includes two care givers with emergency medical services (EMS) experience, currently also working as paramedics in the area. A model curriculum for the ORS role was developed and then the pilot testing of this role within the existing mobile addiction service was performed. These specialists were trained to the paramedic level and added extensive experience with overdose reversal, phlebotomy, wound care, and additional touch points with high-risk patients to the mobile service. Results: As a result, we saw increases in naloxone and clean syringe distribution, and hepatitis C and human immunodeficiency virus screening. The integration of these personnel within the mobile addiction service also facilitated the uptake of opioid use disorder treatment interventions by our city’s EMS which resulted in further improvements to city-wide naloxone distribution and the use of buprenorphine/naloxone after overdose reversal. Conclusions: Based on our initial work, the concept of an ORS, especially when embedded with a mobile addiction service, has the potential to improve access to harm reduction as well as form the basis of a training program to extend the skills and scope of personnel with a background in EMS practice.

Background: This study retrospectively evaluated the user experience and safety outcomes of medical chatbot service providing medicine use information to pregnant and lactating women.

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

BackgroundMigrant workers in Korea are contributing to economic development by resolving labour shortages due to the increase in the ageing population, and they have become necessary and important in the Korean economy. However, long working hours, poor working conditions, and cultural differences can cause migrant workers to experience disadvantages in using health and medical services. Therefore, this study aimed to understand and analyse the health and medical service experience of migrant workers in Korea by reviewing previous studies in order to improve their health and access to medical services.MethodThe qualitative meta-synthesis method suggested by Thomas and Harden was used. The key question for searching the literature is ‘What is the status of the use of health and medical service by migrant workers in Korea and the attributes that affect them?' Five electronic databases (RISS, KCI, KISS, Science ON, and KMbase) were searched for Korean literature published in academic journals until 6 November 2022 using a combination of “migrant worker or foreign worker or foreign labourer or migrant” and “medical or health” in Korean.ResultsA total of nine studies out of 1,006 were included in the review after methodological quality assessment using the Critical Appraisal Skills Program (CASP). The results of studies were synthesised into three themes and ten sub-themes: ‘Personal factors’ of personal health beliefs and the financial burden of healthcare costs; ‘Cultural factors’ of cultural differences in the lifestyle, cultural differences in the healthcare environment, and traditional medicine in the country; and ‘Socio-institutional factors’ of poor and difficult working environment, insufficient information about medical institutions, policies with a lack of practical applicability, systems of healthcare institutions, and healthcare services usage.ConclusionsThis study identified the experiences of migrant workers in using health and medical care services. The results of this study can be used as a basis for improving the health of migrant workers and access to healthcare services. Based on the results of this study, it is necessary to improve the health management ability of migrant workers by developing a health management platform that can support Korean medical information and provide professional and accurate self-health management information.

India has become a trusted destination for patients around the world seeking affordable, high-quality healthcare. Yet even the best medical treatments can fall short if the overall patient experience doesn’t meet expectations, especially for international visitors who are far from home and navigating a new culture. This study explores the gap between excellent clinical care and the real-life experiences of international patients at Pushpawati Singhania Research Institute (PSRI), New Delhi.Objectives: The aim was to understand what international patients truly feel about their hospital journey from the moment they arrive in India to the time they leave. Specifically, the study looked to: (a)Measure their satisfaction with hospital services, (b)Identify any pain points during their stay, (c)Explore how they found out about PSRI, (d)Offer practical suggestions to make their experience betterMethodology: Over one month, feedback was collected from 100 international patients using a detailed questionnaire built on the SERVQUAL model. Patients rated aspects like staff behavior, communication, hospital cleanliness, food quality, and how well they felt cared for—both medically and personally.Results: Out of 100 international patients surveyed at PSRI Hospital, the majority hailed from Afghanistan and other SAARC nations, with 67% being repeat visitors to India. Most patients (56%) came to know about the hospital through friends or family, followed by 29% through healthcare facilitators. The primary reason for visiting was outpatient consultations (60%), while others sought daycare procedures (20%), preventive checkups (10%), surgical interventions (6%), or kidney transplants (4%). Patient feedback across five SERVQUAL dimensions revealed generally positive experiences.Conclusion: At its core, this study shows that great medicine needs to be paired with great hospitality. While PSRI is already doing a commendable job in terms of clinical care, small changes—like adding culturally familiar meals or offering better communication support—could turn a good experience into a truly outstanding one. After all, healing isn’t just about treatment—it’s also about comfort, dignity, and feeling understood.

Background Emergency Medical Services (EMS) is a challenging profession. Little is known if there are gender differences in the experiences among EMS clinicians. Therefore, our aim was to understand and characterize the occupational experiences of female EMS clinicians. Methods A mixed methodological study was conducted among currently licensed female EMS clinicians via focus group and self-report survey data. Three focus groups (n = 5, 4, 13, respectively) were conducted with participants purposively recruited from primarily Northeastern EMS agencies. Through ongoing collaborations, a recruitment advertisement was provided to EMS leadership at respective agencies for distribution among their female staff. Sessions were recorded and transcribed for thematic analysis. A six-phase inductive analytical approach was utilized to evaluate focus group data. Qualitative findings were utilized to inform a cross-sectional, self-report survey consisting of occupational specific experiences, such as harassment and pregnancy, and validated measures of mental wellbeing. Descriptive statistics were used to describe the study sample and female EMS clinician occupational and personal experiences. Results A total of 22 female EMS clinicians participated across the three focus group sessions. Four major themes were identified: 1) the female EMS experience; 2) impact on personal wellbeing; 3) impact on occupational wellbeing; and 4) coping mechanisms. Each theme had multiple subthemes. There were 161 participants that attempted the 72-item survey, 13 partial and 148 competed surveys. Median age was 32 years (IQR: 25-42), and the majority were EMT-Bs (55.1%). Approximately 70.0% met the criteria for probable anxiety, 53.9% probable depression and 40.9% elevated symptoms of burnout. Almost 73.0% reported workplace harassment, with most experiences being perpetrated by patients and coworkers. Over 61.0% reported reconsideration of their career in EMS. Overall, survey data indicated interactions with peers and leadership, and social support were positive. Conclusions Findings highlight the need to improve the occupational experiences of female EMS clinicians to preserve and encourage the continuation of their participation in this workforce. Specifically tailored interventions aimed at protecting and improving their overall wellbeing are critical, particularly considering the increased occupational burden resulting from the pandemic. Future research should aim to understand specific predictors of adverse mental health outcomes among this population.

Objectives: This study was to analyze whether the factors affecting the awareness of the health care system appear differently. Methods: This study used the 2020 Medical Service Experience Survey, and 12,133 people were selected as the study subjects. Demographic characteristics, chronic disease treatment experience, and type of medical institution were designed as independent variables that affect health care system awareness, and education level, age, perceived health status, income quintile, chronic disease type, and medical service use experience were composed as sub-factors. Results: As a result of analyzing the multiple regression model, it was found that education level, income quintile, age, occupation, perceived health status, and private health insurance subscription were important factors influencing the awareness of the health care system. This showed a positive effect in the higher the education, the higher the income quintile, the higher the age from under 60, the better the perceived health status, the occupation is ‘paid work’, and the private health insurance subscription. Conclusions: It is meaningful that it was found that the awareness of the health care system was low in the low-educational and low-income groups, and that it empirically analyzed and proposed the need for a policy to improve awareness.

Research in health care using secondary data is steadily increasing worldwide. In this study, secondary healthcare data was reviewed, so that the information can potentially be used for Korean medicine research. The characteristics of the data, including the variables related to Korean medicine and the method of obtaining data, were summarized. The Korean medicine variables were extracted from the Korean Medicine Utilization Survey, Korea Health Panel, Korea National Health and Nutrition Examination Survey, Medical Service Experience Survey, and the health insurance claims data. Except for health insurance claims data, the data was obtained through relatively simple procedures. There were differences in the characteristics of each secondary data and the extent to which it was used in Korean medicine research. Many Korean medicine studies using secondary data will be conducted in the future and researchers must understand the characteristics of the data and analyze it appropriately.

ObjectiveThis study examined the factors that influence the 'Overall Satisfaction' and 'Intention to Recommend' of medical institutions used using the Korea Medical Service Experience Survey (2019–2021).Data sourcesThis study used the data of Medical Service Experience Survey in Korea. The data collected for data analysis were from 2019 to 2021 (Medical service period: 2018.07.01. ~ 2021.06.30).Study designThe 2019 Medical Service Experience Survey was conducted from July 8 to September 20, 2019, and a total of 12,507 people (Medical service period: 2018.07.01. ~ 2019.06.30) were collected. The 2020 survey was conducted from July 13 to October 9, 2020, and a total of 12,133 people (Medical service period: 2019.07.01 ~ 2020.06.30.) were collected. The 2021 survey was conducted from July 19 to September 17, 2021), and a total of 13,547 people were collected (Medical service period: 2020.07.01. ~ 2021.06.30). Overall satisfaction and recommendation intentions for medical institutions consist of a Likert 5-point scale. At this time, the Top-box rating model used in the United States was applied.Data collections/extraction methodsIn this study, only those who used inpatient services (15 years of age or older) were included because they spent a long time in a medical institution and had an intensive experience, and a total of 1,105 subjects were included in the analysis.Principal findingsSelf-rated health and the type of bed influenced overall satisfaction with medical institutions. In addition, the type of economic activity, living area, self-rated health, the type of bed, and the type of nursing service affected the intention to recommend. And it was confirmed that overall satisfaction with medical institutions and intention to recommend them were higher in the 2021 survey than in 2019.ConclusionsThese results suggest that government policy on resources and systems is important. Through the case of Korea, it was found that the policy of reducing multi-person beds and expansion of integrated nursing service had a significant impact on patients' experience of using medical institutions and improving the quality of care.

Purpose – The purpose of this study is to identify the predictive factors of medical tourism in Vietnam by analyzing the variables that lead to the annual visitor number. Design/methodology/approach – This study collected data from Vietnamese with experience in domestic and international medical tourism, and focused on Hanoi, Vietnam. In this study, the variable of medical tourism preferences was applied independently. Factors that impacted the number of annual visitors were estimated by the truncated Poisson model. Findings – The results of the TP model analysis of demand for medical tourism are as follows. Among the variables related to socio-economic characteristics, age, marital status, and occupation had a significantly positive effect on the number of annual medical visits. These results imply that it is important to understand socio-economic characteristics to expand demand for medical tourism in Vietnam, which shows high growth potential. The top three variables that gave a significant positive effect on the number of annual medical visitors are the level of medical technology, waiting time, and price, as well as medical service experience. Research implications – The results indicate the need to develop medical tourism products tailored to consumer tastes by subdividing medical technology levels, waiting for time and price, medical experience services, and so on. Thus, the results presented by this study create a starting point for the development of demand forecasting models for the domestic, international, and Vietnamese medical tourism markets in the future.

Risk reduction strategies for transgender people regarding sexually transmitted diseases and health promotion: a systematic review of activist literature

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