Level Of Patient Satisfaction Research Articles

From Awareness to Action: Clinicians and the Health Care of Deaf Patients

High levels of patient satisfaction are critical in health care and allow patients to feel more satisfied with their care and be more compliant overall. This idea is even more important in traditionally disenfranchised groups of people, such as Deaf patients, because satisfaction with medical encounters can translate into better health outcomes. This community possesses its own traditions, language, and culture, and health disparities here are apparent and often significant. Clearer communication in clinical encounters allows for more accessible health care. Barriers to effective communication are a major factor accounting for poorer health outcomes for Deaf individuals.

Optimizing Queue Management in Healthcare Settings: Enhancing Patient Satisfaction through Strategic Approaches

This study aims to investigate the interplay between queue management aspects (service quality, waiting time, waiting environment, queue discipline), and patient satisfaction within the healthcare context, while also assessing the impact of these factors on patient satisfaction levels. Employing a deductive approach, hypotheses were formulated and tested based on empirical data collected through a survey conducted in five hospitals across the Ampara district of Sri Lanka. A quantitative research design was adopted, utilizing a self-administered questionnaire distributed among 392 patients. Statistical analyses, including Pearson correlation and regression analysis, were conducted using SPSS 22nd version. The findings reveal significant correlations between queue management aspects and patient satisfaction, with service quality, waiting time, waiting environment, and queue discipline playing crucial roles. These insights contribute to a comprehensive understanding of factors influencing patient satisfaction in healthcare settings, informing targeted interventions for improving service delivery and patient experiences.

Impact of technology on orthodontic practice

This paper explores the pivotal role of Artificial Intelligence (AI) in transforming orthodontic practice, focusing on its profound impact on diagnosis, treatment planning, and patient care. AI-powered algorithms, coupled with machine learning techniques, have revolutionized orthodontic workflows, enhancing efficiency, precision, and patient outcomes. By analysing vast datasets, AI facilitates predictive modelling for treatment outcomes, aiding orthodontists in devising personalized treatment plans tailored to individual patient needs. Moreover, AI-driven image analysis techniques enable automated cephalometric analysis, intraoral scanning, and 3D imaging interpretation, significantly reducing diagnostic errors and streamlining treatment processes. Furthermore, AI-enabled virtual treatment simulations empower patients to visualize treatment outcomes and actively participate in decision-making processes. The integration of AI into orthodontic practice also extends to tele orthodontics, enabling remote monitoring and virtual consultations, thereby enhancing accessibility and convenience for patients. Despite the transformative potential of AI, challenges such as data privacy, algorithm bias, and the need for clinician training must be addressed to ensure its ethical and effective implementation. Nevertheless, the advent of AI heralds a new era in orthodontics, characterized by unprecedented levels of efficiency, accuracy, and patient satisfaction. This paper underscores the revolutionary impact of AI on orthodontic practice and highlights the opportunities and challenges associated with its integration into clinical workflows.

The Role of Human Factors in Maintaining Service Quality in Hospitals

The delivery of high-quality healthcare services is a multifaceted endeavor influenced by various factors, among which human factors play a pivotal role. This paper explores the significance of human factors in upholding service quality within hospital settings. Drawing upon interdisciplinary research from fields such as psychology, sociology, and healthcare management, it examines the intricate interplay between healthcare professionals, patients, and organizational structures. In today's healthcare landscape, where patient-centric care is increasingly emphasized, understanding the impact of human factors is paramount. One of the primary focuses is on patient satisfaction, which is not only influenced by clinical outcomes but also by the quality of interactions with healthcare providers. Effective communication between healthcare professionals and patients is essential for building trust, managing expectations, and ensuring informed decision-making. Moreover, the demeanor, empathy, and interpersonal skills of healthcare staff significantly contribute to patients' overall experience and satisfaction levels. Safety is another critical aspect of service quality in hospitals, and human factors play a central role in patient safety initiatives. Research has shown that the majority of adverse events in healthcare are attributable to human error, highlighting the importance of addressing factors such as fatigue, stress, and workload among healthcare professionals. Furthermore, teamwork and collaboration are vital for promoting a culture of safety, where healthcare providers work together cohesively to identify and mitigate risks, thereby enhancing patient outcomes and reducing preventable harm. Effective leadership within healthcare organizations is also instrumental in shaping service quality. Strong leadership sets the tone for organizational culture, values, and priorities, influencing the behavior and performance of healthcare staff. Leaders who prioritize patient-centered care, employee well-being, and continuous quality improvement foster an environment conducive to delivering high-quality services. To optimize service quality, hospitals must invest in staff training, development, and support programs. Ongoing education ensures that healthcare professionals stay abreast of the latest evidence-based practices, technological advancements, and regulatory requirements. Moreover, initiatives to promote staff well-being, such as employee assistance programs, work-life balance initiatives, and resilience training, are essential for preventing burnout and maintaining morale. In conclusion, human factors play a multifaceted role in maintaining service quality in hospitals, encompassing aspects such as communication, teamwork, leadership, and staff well-being. By recognizing the complexities of human interactions within healthcare systems and implementing targeted interventions, hospitals can enhance service delivery, improve patient outcomes, and cultivate a culture of excellence.

Advancements in Aesthetic Breast Augmentation: Evaluating the Safety, Efficacy, and Naturalistic Outcomes of Ergonomix2 Implants.

This pioneering study evaluates the safety, efficacy, and Aesthetic outcomes of Ergonomix2 Motiva Ergonomic Implants in breast augmentation. It aims to assess their capability to offer more natural touch and dynamics, delineate the learning curve for surgical techniques, and examine their safety profile compared to Ergonomix1 implants. A prospective cohort study was conducted, comparing 31 patients who received Ergonomix2 implants with a control group of 51 patients with Ergonomix1 implants. Eligible patients were those seeking Aesthetic breast augmentation without prior surgeries or chronic illnesses. Detailed documentation of surgical techniques, implant characteristics, and patient demographics was performed. The study assessed surgical learning curve, implant positioning accuracy, and short-term and early complications. Aesthetic outcomes were evaluated using the BreastQ questionnaire and quantitative elastography. Patients with Ergonomix2 implants showed significant improvements in Aesthetic outcomes, including breast contour symmetry and natural feel. The learning curve demonstrated a decrease in surgical time and higher implant positioning accuracy. The safety profile was favorable, with a low complication rate and high patient satisfaction levels. Ergonomix2 implants exhibited enhanced softness and pliability, closely mimicking natural breast tissue, as confirmed by elastographic analyzes. Ergonomix2 implants represent a significant advancement in Aesthetic breast surgery, offering natural-feeling and dynamically adaptable outcomes. Despite the promising results, the need for specialized surgical techniques and further research on long-term safety and efficacy is emphasized. This study contributes foundational knowledge to the field of ergonomic breast implants and their application in modern plastic surgery. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Patient experience with bronchoscopy: topical versus monitored anesthesia

BackgroundThis study aimed to compare patient experiences during bronchoscopy procedures using either topical anesthesia (TA) or monitored anesthesia care (MA). The goal was to identify circumstances where patients could achieve similar levels of tolerance and satisfaction using only TA, especially in resource-limited settings.MethodsThis study included consecutive patients who underwent bronchoscopy with either TA or MA. Data collected included demographics, indications for bronchoscopy, procedure time, and complications during the procedure. A quality assurance survey was administered to assess patient experience and satisfaction with both procedures. A pre-specified subgroup analysis was performed based on procedure invasiveness and time.ResultsThis study enrolled 350 (TA 251; MA 99) patients, with an average age of 65 years. Main indications for bronchoscopy included tumor diagnosis (38%), esophageal cancer staging (18%), and pulmonary infection (17%). The average duration of the procedures was 20 min, with MA being associated with a significantly longer procedure time than TA (31 min vs. 16 min; P < 0.001). The overall satisfaction rating with bronchoscopy was significantly higher in the MA group (visual analogue scale, 8.9 vs. 8.2; P = 0.001). Subgroup analyses showed that when less invasive or shorter procedures were performed, TA patients reported tolerance and satisfaction levels comparable to MA patients.ConclusionsBronchoscopy with MA offered patients a better experience and greater satisfaction; however, in settings with limited resources, TA alone may provide similar levels of patient tolerance and satisfaction during less invasive or shorter procedures.

The Relationship Between Service Quality and Individual Characteristics with Patient Satisfaction of Teledentistry Service Users at RSGM Universitas Muhamadiyah Yogyakarta

Teledentistry is the use of information and communication technology in treatment, counseling, education, to improve dental and oral health during the COVID-19 pandemic. Teledentistry services as a medium for dental and oral health consultation need to pay attention to the quality of service and individual characteristics which are the main determinants of health services. The purpose of the study was to identify the relationship between service quality and individual characteristics with patient satisfaction of teledentistry service users. Cross sectional type of research. The technique of taking subjects using simple random sampling. The number of respondents was 125 renpondents. The research instrument uses servqual with Likert scale and patient satisfaction instrument with Likert scale. Respondents filled in individual characteristic data consisting of age, gender, education level and occupation. Data analysis in this study used pearson correlation test and multiple linear regression test. The Pearson correlation test showed that there was a relationship between service quality (p = 0.001) and age with patient satisfaction (p = 0.001) and there was no relationship between sex (p = 0.076), education level (p = 0.542) and occupation (p = 0.363) with patient satisfaction using teledentistry services. The results of multiple linear regression tests showed a significant relationship between service quality (?= 0.126; p= 0.001) and age (?= -0.044; p=0.025) with patient satisfaction using teledentistry services at RSGM Universitas Muhammadiyah Yogyakarta. The better the quality of service, the higher the level of patient satisfaction, the younger the age, the higher the level of patient satisfaction. There is no influence of gender, education level and occupation on patient satisfaction of teledentistry service users at RSGM Universitas Muhammadiyah Yogyakarta.

Open clinical trial evaluating the efficacy of a novel eyelash growth enhancer with peptides and glycosaminoglycans.

Eyelashes play a crucial role in self-image and ocular protection. Enhancements to their structure are of both cosmetic and clinical interest. To assess the efficacy of a peptide and glycosaminoglycan-based eyelash enhancer serum in improving eyelash structure. This open-label clinical trial involved 30 females aged 25-65. Eyelashes were assessed at baseline (D0), 4 weeks (D28), and 12 weeks (D84) using specialized software and high-resolution imagery. Measurements included lash number, width, length, volume, arc, and angle. At 12 weeks, significant increases were observed in lash length (+8.3%), number (+5%), width (+10.1%), volume (+14.1%), arc (+13.4%), and angle (+28.3%) compared to baseline. Global Eyelash Assessment (GEA) scores significantly improved, and patient treatment satisfaction increased from 73.34% at D28 to 84.33% at D84. No adverse effects were reported. The eyelash growth enhancer serum demonstrated significant efficacy in improving eyelash structure by Week 12, with early signs of improvement evident by Week 4. The high patient satisfaction levels underscore the perceived effectiveness of the product.

Analysis of Satisfaction Levels in Completely Edentulous Patients Treated with Different Configurations of Implant Supported Rosthesis.

The aim of this study is to evaluate and compare patient satisfaction levels in edentulous patients treated with different configurations of implant supported prosthesis. Also, the effect of previous prosthesis experience before implant treatment on patient satisfaction was investigated. A study population of 142 patients was identified. Patients seperated into four treatment types. Group 1 comprised 43 patients treated with implant supported overdenture for mandible and conventional complete denture for maxilla while group 2 comprised 32 patients treated with implant supported overdentures for maxilla and mandible. Group 3 comprised 26 patients treated implant supported overdenture for mandible and fixed prosthesis for maxilla. Group 4 comprised 41 patients treated with implant supported maxillomandibular fixed restorations. A questionnaire consisting of specific issues about masticatory performance, pronunciation, comfort, social ability were used to evaluate treatment outcomes. The patients in group 4 were significantly more satisfied regarding masticatory performance than other treatment modalities. VAS scores of Group 3 and group 4 regarding comfort and social ability were similar while scores of these two groups were significantly higher than that of group 1 and 2. The patients who used conventional removable prosthesis before implant treatment were more satisfied with their implant supported prosthesis regarding social ability.(p=.03) Conclusion: It was found that treatment design of that implant supported fixed prosthesis on maxilla and implant overdenture on mandible provided comparable level of satisfaction with maxillomandibular fixed prosthesis for edentulous patients. Implant supported fixed prosthesis for maxilla and implant supported overdenture for mandible served as a practical alternative to satisfy patients especially in patients with mandibular atrophy who would demand extensive surgeries for maxillomandibular fixed prosthesis. Satisfaction level of implant supported overdenture was not superior to conventional prosthesis for maxilla. Previous removable prosthesis experience may influence social comfort of patients.

Facial Sentimental Analysis in Hospitals

Abstract: In today's rapidly evolving healthcare landscape,the focus on patient satisfaction and well-being has become crucial. A positive experience plays an important role in aiding the recovery of the patient. A significant factor contributing to a positive patient experience is the quality care and the emotionalsupport they receive during their hospital stay. Traditional methods of measuring patient satisfaction often rely on surveys and feedback forms, which can be subjective, time-consuming, and potentially biased. To address these limitations, this abstract proposes a novel approach: the integration of facial sentiment analysis as a real-time tool for assessing patient emotions and satisfaction levels. This abstract introduces an approach to enhance patient satisfaction and well-being in healthcare settings. By integrating facial sentiment analysis, we propose a realtime method to objectively evaluate patient emotions and treatment satisfaction. Through advanced computer vision, this approach detects and interprets facial expressions of patients inhospitals, offering insights into care effectiveness, dedication of hospital staff, and efficiency of the treatment. The system generates a "Happiness and Satisfaction Index," aiding healthcare stakeholders in making informed improvements as well and it works as a review metric for the customers who wouldlike to visit their hospital.

Patient Satisfaction Level and Vision-Related Quality of Life: A Comparison between Trifocal and Diffractive Extended Depth of Focus (EDOF) IOLs

Patient Satisfaction Level and Vision-Related Quality of Life: A Comparison between Trifocal and Diffractive Extended Depth of Focus (EDOF) IOLs

A new nonsurgical combination approach for skin tightening and remodeling; Endoskin-A comparative study.

This article introduces a novel nonsurgical skin tightening and remodeling approach termed Endoskin, which combines internal laser therapy (1470 nm Diode laser) with injectable poly-L-lactic acid (PLLA). The internal laser targets the superficial fat layer, stimulating collagen production and cellular rejuvenation, leading to gradual skin tightening and improved elasticity. Simultaneously, PLLA promotes collagen synthesis, strengthening the skin's foundation and restoring volume. This comprehensive exploration delves into Endoskin's mechanisms, clinical applications, and its differentiation from traditional methods. The study encompassed 234 participants, categorized into two groups: Group A received internal laser treatment and Group B received the combined Endoskin treatment. Patient satisfaction, assessed using a Likert scale unveiled significantly higher levels in Group B. Dermatologists, blinded to treatment details, also expressed greater satisfaction with the combination treatment outcomes. The ensuing discussion emphasizes the synergistic effects of internal laser therapy and PLLA, presenting a multifaceted approach to skin rejuvenation. The study results underscore Endoskin's efficacy, safety, and its potential as a nonsurgical option for skin tightening and remodeling. The gradual and harmonious transformation aligns with natural aging, positioning Endoskin as an appealing choice for those seeking subtle yet impactful changes. In conclusion, Endoskin demonstrates notable efficacy, reliability, and safety in achieving skin rejuvenation. Although further research is warranted to assess its long-term effects, the current findings position Endoskin as a promising option with a significantly higher level of overall patient and dermatologist satisfaction compared to internal laser treatment alone.

Advancing laparoscopy in resource-limited settings

BackgroundAlthough laparoscopic surgery has made remarkable progress and become the standard approach for various surgical procedures worldwide over the past 30 years, its establishment in low-resource settings, particularly in public hospitals, has been challenging. The lack of equipment and trained expertise has hindered its widespread adoption in these settings. Cholecystectomy is one of the most commonly performed procedures using laparoscopy world wideAimThe aim of the study is to determine whether laparoscopic cholecystectomy is feasible in a resource challenged settingMethodsThe research focused on individuals who underwent laparoscopic or open cholecystectomies at Yekatit 12 Hospital in Addis Ababa, Ethiopia, over a one-year period. Comprehensive data collection was conducted prospectively, encompassing both intraoperative and postoperative parameters. Follow-up was carried out via phone calls. The surgical procedures employed innovative techniques, including the reuse of sterilized single-use equipment and the utilization of local resources. The evaluation involved a comparison of demographic information, intraoperative details (such as critical view determination and operative duration), and postoperative complications, including assessments of pain and wound infectionsResultsFrom August 2021 to September 2022, 119 patients were assessed. Among these patients, 65 (54.6%) underwent open cholecystectomies, while the remaining 54 (45.4%) underwent laparoscopic cholecystectomies. The average duration of the laparoscopic cholecystectomies was 90.7 min, which is 17.7 min behind the open. Patients in the laparoscopy group had significantly shorter hospital stays than the open group, and 94% were discharged by post operative day 2. The conversion rate from laparoscopic to open surgery was determined to be 3.3%ConclusionTo sum up, the safe execution of laparoscopic cholecystectomies is feasible in public hospitals and settings with limited resources, given adequate training and resource distribution. The study findings showcased superior outcomes, including reduced hospitalization duration and fewer complications, while maintaining comparable levels of operative duration and patient satisfaction in both groups

(O-10) CLINICAL PROFILE AND SATISFACTION LEVEL OF PATIENTS UNDERGOING PENILE PROSTHESIS IMPLANTATION AT PEDRO ERNESTO UNIVERSITY HOSPITAL (HUPE/UERJ) 2018-2022

Abstract Introduction Erectile dysfunction (ED) can significantly impact couples' sexual quality of life, with penile prosthesis implants often yielding satisfaction rates of up to 90%. This treatment remains underutilized, less than 5% of refractory ED patients to undergo this therapy. This study aims to assess the satisfaction levels of patients who have undergone penile prosthesis implantation and explore associated factors. Methods We reviewed 48 medical records of patients who underwent penile prosthesis implantation between 2018-2022 and administered satisfaction questionnaires 6 months after the procedure. Results 93% expressed satisfaction post-surgery, with 66% reporting increased libido. Additionally, 83% noted ease in achieving penetration, 75% were content with the prosthesis size, and 95% stated willingness to undergo the surgery again. Common causes of sexual dysfunction were post-radical prostatectomy (45%), followed by diabetes mellitus (22%). Peyronie's disease was the etiology in 6% of cases, and priapism in 2%. The average age was 63 years (range: 27-80), with 20% being obese, 37% having diabetes mellitus, and 56% experiencing systemic arterial hypertension. Approximately 20% of procedures presented complications, surgical wound infection being the most common and prosthesis extrusion the most severe. Discussion Literature identifies predictors associated with satisfaction after penile prosthesis implantation, such as Peyronie's disease, BMI &amp;gt; 30, post-radical prostatectomy, implant type, postoperative complications, and patient age; our study revealed that only 7% expressed dissatisfaction, primarily due to postoperative complications. Conclusion Penile prosthesis implantation proves to be a safe procedure with a high success rate and satisfaction level. Dissatisfaction primarily arises from postoperative complications, emphasizing the importance of offering this therapeutic option to patients with severe ED. Financing No conflict.

The Relationship between the Dimensions of Quality of Health Services with Inpatient Patient Satisfaction at Mother and Child Hospital X Semarang City

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Patient satisfaction greatly depends on the quality of hospital services since it can guarantee that patients receive efficient, secure, and uniform care. This study's goal was to ascertain how the mother and child hospital X in Semarang City's inpatient patient satisfaction levels relate to various aspects of health care quality. This study uses a cross-sectional research design, a quantitative technique, and analytical analysis. There were 61 inpatients in this study's group. Total sampling was the method employed for sampling in this investigation. There were 61 patients in the study's sample. The four aspects of service quality availability, responsiveness, convenience, and timeliness are the independent variables in this study, and patient satisfaction is the dependent variable. Data collection using questionnaires. Bivariate data analysis was performed using the Chi-square test which was analyzed using the help of SPSS software version 26. There is no relationship between the availability dimension and patient satisfaction (p-value=0.000), there is no relationship between the responsiveness dimension and patient satisfaction (p-value=0.000), there is no relationship between the convenience dimension and patient satisfaction (p-value=0.008) and there is no relationship between the timeliness dimension (p-value=0.016) at the mother and child hospital X Semarang City. The dominant variable that affects patient satisfaction is the perception of the availability dimension (p-value=0.000; OR=20.789; 95% CI =4.083-107.031). It is hoped that hospital management in its services is expected by doctors to be able to provide a sense of empathy to respond to complaints from patients, and doctors can inform the officers on duty regarding visite hours so that patients feel better served. And the midwife or nurse should make a small information board containing information related to the schedule of the officers' work hours.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keywords: Dimensions, Quality of service, Patient satisfaction, Hospital&lt;/em&gt;&lt;/strong&gt;

Satisfaction levels and associated influencing factors among inpatients and outpatients with breast cancer at a tertiary health facility in Ghana

Objectives: To uncover variables linked to breast cancer patient satisfaction in order to improve policy choices and actions for breast cancer care in Ghana.Design: We employed a cross-sectional design using a quantitative approachSetting: The Radiotherapy, Oncology and Surgery Departments of the Korle Bu Teaching Hospital, AccraParticipants: Inpatient and outpatient breast cancer patients.Main outcome measures: The level of inpatient and outpatient satisfaction was measured using descriptive and inferential statistical analyses. The Shapiro-Wilk test was employed to assess normality, while the Heckman selection model assessed significance with outcomes of interest.Results: A total of 636 participants, with a mean age of 52.64±14.07 years, were recruited. The measured inpatient and outpatient levels of satisfaction out of 100 were 74.06±7.41 and 49.99±1.00 respectively, while the self-reported satisfaction levels out of 5 were 4.22±0.63 and 4.11±0.85 respectively. The level of inpatient satisfaction was significantly influenced by age, marital status, income level, and number of previous facilities visited (p&lt;0.05). Outpatient satisfaction level was significantly associated with place of residence and income level (p&lt;0.05).Conclusions: The study offers insight into the satisfaction levels of breast cancer patients receiving inpatient and outpatient services at the largest tertiary referral centre and teaching hospital in Ghana, as well as the factors influencing attendance and satisfaction levels. Understanding and improving breast cancer patients' levels of satisfaction is a way that providers can safeguard their emotional well-being. Improvement in patient satisfaction at our institution among outpatients is an area for future growth.

Influence of medical and social factors on patients’ satisfaction at the center for reproduction and family planning with medical care

BACKGROUND: The constant increase in the number of commercial medical organisations providing medical care using assisted reproductive technology (ART) and compulsory medical insurance funds necessitates the need to control the quality of medical services in this area. An important tool for this control is conducting sociological surveys of women undergoing infertility treatment using in vitro fertilisation (IVF) both in paid and free forms.&#x0D; MATERIALS AND METHODS: Using a random sampling method, an anonymous survey was conducted on 398 patients of the Center for Reproduction and Family Planning in St. Petersburg, which provided medical care for infertility treatment using ART both at the expense of compulsory medical insurance and in paid form. The significance of differences in indicators was assessed using Student’s t-test for quantitative indicators. The significance of differences between qualitative characteristics was checked using contingency tables and Pearson’s chi-square test (χ2). Differences were considered significant at р 0.05.&#x0D; RESULTS: Despite the high level of patient satisfaction with the provision of medical care using ART, 9.0% of women were partially or completely dissatisfied. Compulsory medical insurance funds were paid for infertility treatment using IVF for 12.1% of patients. The majority of patients paid for medical care themselves (87.9%), of which 13.1% of women believed that the cost of medical services in the center was excessive (χ2=29.08; р=0.000), and 10.9% thought that the cost does not correspond to the level of medical services provided (χ2=25.74; р=0.000). There was no significant influence of age (χ2=4.78; р=0.311), place of residence (χ2=1.79; р=0.409), presence of children (χ2=2.21; р=0.331), employment (χ2=2.91; р=0.233) and forms of payment for treatment (χ2=4.69; р=0.096) on the distribution of patients according to the degree of satisfaction with medical care. At the same time, it was determined that marital status (χ2=6.88; р=0.032) and income level (χ2=60.01; р=0.000) are factors that influence the degree of satisfaction of women with infertility treatment using ART.&#x0D; CONCLUSION: Many medical and social factors have been identified to significantly affect satisfaction with medical care, such as the patient’s marital status and income level. Simultaneously, the economic form of payment for treatment did not have a significant effect on the degree of satisfaction.

Can single disease payment impact hospitalization expenses and quality in district hospital? A case study in Fujian, China

BackgroundChina is exploring payment reform methods for patients to address the escalating issue of increasing medical costs. While most district hospitals were still in the stage of Single Disease Payment (SDP) due to conditions, there is a scarcity of research on comprehensive assessment of SDP. This study aims to evaluate the implementation of SDP in a district hospital, and provided data support and scientific reference for improving SDP method and accelerating medical insurance payment reform at district hospitals.MethodsData was collected from 2337 inpatient medical records at a district hospital in Fuzhou, China from 2016 to 2021. These diagnoses principally included type 2 diabetes, planned cesarean sections, and lacunar infarction. Structural variation analysis was conducted to examine changes in the internal cost structure and dynamic shifts in medical expenses for both the insured (treatment group) and uninsured (control group) patients, pre- and post-implementation of the SDP policy on August 1, 2018. The difference-in-differences (DID) method was employed to assess changes in hospitalization expenses and quality indicators pre- and post-implementation. Furthermore, subjective evaluation of medical quality was enhanced through questionnaire surveys with 181 patients and 138 medical staff members.ResultsThe implementation of SDP decreased the medical expenses decreased significantly (P < 0.05), which can also optimize the cost structure. The drug cost ratio descended significantly, and the proportion of laboratory fee rose slightly. The changes in infection rate, cure rate, and length of stay indicated enhanced medical quality (P < 0.05). The satisfaction of inpatients with SDP was high (89.2%). Medical staff expressed an upper middle level of satisfaction (77.2%) but identified difficulties with the implementation such as “insufficient coverage of disease types”.ConclusionAfter the implementation of SDP in district hospitals, considerable progress has been achieved in restraining medical expenses, coupled with notable enhancements in both medical quality and patient satisfaction levels. However, challenges persist regarding cost structure optimization and underutilization of medical resources. This study suggests that district hospitals can expedite insurance payment reform by optimizing drug procurement policies, sharing examination information, and strengthening the management of medical records.

Factors Affecting Waiting Time for Outpatient Prescription Services in BPJS Patients at the Pharmacy Installation of the M Natsir Solok Regional General Hospital Year 2022

Modern hospital services are currently associated with one of the hospital quality indicators, namely waiting time, this waiting time is closely related to the level of patient satisfaction. The purpose of this study was to see what factors influence waiting time at the outpatient pharmacy installation at RSUD M Natsir Solok. Methods The research was conducted using a cross-sectional study design approach. The factors that influence the waiting time examined in this study are the type of prescription, the number of prescription items, the completeness of the amount of drug administration, the price of the BPJS prescriber, facilities, infrastructure and manpower. The results showed that there were more types of prescription types of officinalis (87.5%) than magistralis prescriptions (12.5%), the number of prescription items was more that did not comply with WHO standards (&gt; 2 items) namely (77.2%), the completeness of the number of drug administration was obtained more many medicines were given in full (86.6%), BPJS prescription prices were obtained according to standards (90.4%), facilities, infrastructure, and staff were found to be incompatible with PMK and technical instructions. The conclusion in this study is that the most related factor is the type of recipe. Efforts that can be made by the hospital are to make improvements in efforts to increase waiting time to standard by maximizing power and increasing the power of the hospital. Keywords: factors that affect waiting time: BJPS prescription

Classification of Patient Satisfaction Level on Health Services Using the C4.5 Algorithm

Quality health services are related to patient satisfaction. Patient satisfaction can be used as a benchmark for improving the quality of health services. Problems often occur when implementing health techniques, such as service problems at the Restu Clinic. Patients and their families indicated that although the Restu Clinic was established with adequate facilities, it had not yet reached the maximum level of service. These indications include long waiting times for examinations, a lack of thoroughness by medical personnel, and services that are not timely. Service quality cannot be separated from the dimensions that are the core of quality services, which are expected to meet patient needs. Patient satisfaction is considered an important indicator of good quality. This research will only discuss four aspects of service quality, which are reliability, responsiveness, assurance, and empathy, from health workers at the Restu Clinic. The C4.5 algorithm is known to be superior in producing decision trees that efficiently solve discrete and numerical variables and provide satisfactory accuracy. Therefore, the author conducted a study to assess service quality using the C4.5 algorithm. This research aims to determine the factors that influence the quality of health services and to know patient satisfaction with health services at the Restu Clinic. Knowing the intensity of patient satisfaction with services at the Restu Clinic can improve the quality of optimal services and gain patients' trust in government agencies.