Level Of Patient Satisfaction Research Articles

Clients’ Satisfaction with the Services of the National Health Insurance Scheme at the Moddibo Adama University Teaching Hospital, Yola, Adamawa State

Background: Worldwide, patient satisfaction is one of the cardinal indices for evaluating the quality of healthcare service delivery and the effectiveness of a healthcare system. As consumers of healthcare services, patients have expectations that need to be met. Objective: To assess clients’ satisfaction with the quality of care rendered through the National Health Insurance Scheme in a Nigerian Specialist Medical facility. Methods: This was a descriptive, cross-sectional study of 403 respondents selected randomly from NHIS enrolees attending the Federal Medical Centre, Yola. The study assessed the enrolee's level of satisfaction at the various service points using a self-administered, semi-structured questionnaire. Results: The overall average satisfaction score was 61.0.%. The satisfaction score on the various aspects of service was as follows: hospital environment/cleanliness (87.9%), doctors’ consultation (74.2%), reception/registration (69.5%), laboratory services (64.3%), waiting time (64.2%), staff attitude (60.5%), and availability of prescribed drugs (48.2%) been the lowest. Conclusion: Overall, patients' satisfaction with the services provided was good, with the hospital environment/cleanliness rated highest and the availability of prescribed drugs the lowest. The current level of patient satisfaction needs to be improved by making drugs more available in the NHIS pharmacy and improving the attitude of staff to work and clients.

Comparing the outcomes of statins and PCSK9 inhibitors in LDL management in patients with heterozygous familial hypercholesterolemia (HeFH) and diabetes

Background: Aggressive lipid-lowering methods are required for cardiovascular risk management when heterozygous familial hypercholesterolemia (HeFH) is combined with diabetes mellitus. Though statins have been the mainstay of treatment, a viable substitute is the development of Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) inhibitors. Comparative information about their safety and effectiveness in this population is still lacking, though. Aim: This study aims to systematically compare the outcomes of statins and PCSK9 inhibitors in LDL management for patients with HeFH and diabetes. Methodology: A retrospective cohort study was conducted at Hayabad Medical Complex, encompassing 62 individuals with HeFH and diabetes mellitus. Data on demographic characteristics, treatment regimens, LDL-C reduction efficacy, cardiovascular outcomes, safety profile, and patient adherence were analyzed. Results: PCSK9 inhibitors demonstrated superior efficacy in reducing LDL-C levels compared to statins, achieving a mean reduction of 70.9% versus 55.8%, respectively. Moreover, individuals receiving PCSK9 inhibitors experienced a significantly lower incidence of cardiovascular events (2 events vs. 6 events) and reported higher levels of patient satisfaction. Both therapies exhibited a favorable safety profile. Conclusion: Our findings underscore the potential of PCSK9 inhibitors as a preferred therapeutic option over statins in patients with HeFH and diabetes, offering superior LDL-C reduction efficacy, cardiovascular risk reduction, and patient satisfaction. These results highlight the importance of personalized treatment approaches in optimizing cardiovascular risk management. Keywords: heterozygous Familial Hypercholesterolemia, diabetes mellitus, statins, PCSK9 inhibitors, LDL-C reduction, cardiovascular outcomes, patient satisfaction

Mastering the Art of Making Patients Satisfied: Introducing the Evaluation of Seven Nursing Care Dimensions Among Patients and Families Within the Directorate General of Khoula Hospital (Dgkh) - Cross Sectional Survey

Introduction and Background: The most important predictor of nursing care is patient’s perceptions and expectation toward that care. Nurses are involved in almost every aspect of patient’s care in hospital. For this, highlighting on the roles and responsibilities of bedside nurses on achievening the best level of PS is important. Problem Statement: A study to assess patient satisfaction level with quality of nursing care within DGKH. Methodology: Cross sectional descriptive study approach was used by means of distribution of barcode surveys in all in patients wards, ICU, NICU and ED. The questions of the surveys explain the following nursing dimensions: Admission Process, Patient’s Needs & Comfort, Pain Management, Communication Aspects, Nurse Attitudes, Nurses Skills and Competency and Patient and Family involvement. Conduction and Sampling: A pilot study (phase one) of patient satisfaction valuation was started for one month- September 2021. Total of 279 participants were involved. During the pilot, a new rating scale is also examined. Phase two started with the effect from 02nd of March 2022 to 30th of May 2022, in which a total of 462 forms were collected. After that, 329 forms were collected with the effect from 1st of June to 30th of October 2022. The implementation continued in which a total of 2376 surveys were collected from the period of 01st January 2023 till 31st December 2023. Results: Out of 2376 surveys being collected, the majority of patients and their relatives have a high satisfaction rate with the provided nursing care with 93%. The highest complements raised in taff attittudes. Among 11308 respondents, 86% stated that nurses were excellent and treated them with respect and kindness. Majority of responds, 83%, rated the patient’s accurate identification as excellent. Maintaining of hand washing and other infection control measures, taking of consent before any procedure and maintaining of patient’s privacy, are also rated as excellent by the majority with 82% for each. Nursing monitoring to safety measures and implementing of pain management strategies, were rated as excellent with 81.9%. There was also a total of 1678 complements & only 162 complains being raised. 256 statements raised about “the nurse treats me with respect and kindness” and 107 statements of “the nurse monitors my condition frequently”. On the other hand, majority of complains were about “The nurse not providing me with clean, warm & quite environment” with 51 complain and about “The nurse not ensuring proper and good food” with 34 complains. Conclusion and Implications: The new updated tool was able to assess and monitor different outcomes in nursing care. Through this, nurses can understand their strength and weakness and other alternatives that effectively can change the level of care. This includes also increasing of nurses’ knowledge of patient feelings and expectations. Planning and conducting of education programs that enhance this knowledge is one of the proposed interventions. In addition, the role of nursing administration should be also prioterized to bring about any changes in nursing practice, like staffing needs and motivation strategies.

An Observational Study on TAT for Initial Assessment of Patients by Emergency Department at Multi-speciality Hospital, Dehradun

Now a days hospitals are facing one of the biggest problem related with first/initial encounter with patients. Due to increased patients flow it is not easy for hospitals to provide first/ initial assessment on time specially when it comes for emergency department. Patients coming to emergency department are most important patients for a hospital as they are more critical or need immediate treatment as compared to general OPD patients. Maximum of them required admission, surgical treatment so their initial assessment should be as soon as possible. If TAT for ED will increase than there will be longer stay of patient in emergency department which in turn will decrease patient satisfaction level. This project shows the root causes and remedies for delayed TAT for initial assessment of patients in ED.

A branch-and-price-and-cut algorithm for the home health care routing and scheduling problem with multiple prioritized time windows

This paper addresses a variant of home health care routing and scheduling problem with endogenous time window options for patients. The objective is to minimize the total operational cost while ensuring a specified level of service satisfaction regarding patients’ prioritized time windows. We formulate the problem as a set-covering model and propose a branch-and-price-and-cut (BPC) algorithm to tackle it. Specifically, we devise a column generation procedure to obtain the lower bounds in the branch-and-bound framework, in which we employ a labeling algorithm with a multiple time windows processing mechanism to deal with the pricing sub-problems. Additionally, the lower bound is strengthened by incorporating 2-path inequalities and subset-row inequalities. The effectiveness of the BPC algorithm is demonstrated through numerical experiments conducted on the modified Solomon benchmark instances. Furthermore, we analyze the problem and derive the following managerial insights: i) Incorporating the assignment decisions of time windows for patients into the problem can significantly reduce nurse costs and travel costs, even when accounting for patients’ preferences for time windows. ii) There is a negative correlation between cost savings and the overall satisfaction levels of patients’ preferred time windows, with marginal cost savings decreasing as the overall satisfaction level declines. iii) Besides the total satisfaction level, the operational cost is also influenced by factors such as the distribution of patient locations, the width of time windows, and the proportion of patients with multiple time windows.

Assessment of Factors and Level of Patient Satisfaction in Out-patient Department of a Private Hospital

Background: Measurement of patient satisfaction in the outpatient department (OPD) of a hospital can be used to evaluate and redesign the process of caregiving and to improve the quality of services. Sometimes study findings depend on the setting.Objectives: a) To identify the factors associated with the patient's experience, and satisfaction about health care services of Out-patient department(OPD) of Khwaja Yunus Ali Medical College Hospital receives multidisciplinary health services. b) To measure the satisfaction level regarding doctors, health assistance, and other auxiliary staff working in OPD to help patients.Materials and Methods: A cross-sectional study was conducted among 914 patients of age ranging from 1 to 80 years selected randomly from OPD between January 2021 and May 2021. A self-designed semi-structured questionnaire was developed to assess patients' satisfaction with health care services. Statistical analysis was done by online computer software.Results: Overall 92.23 % of the patients were satisfied with the behaviour of the doctors and 75.93 % were satisfied with the services of other staff, and the remaining 7.77% were unsatisfied with doctors' behaviour and 24 % with other staff services respectively.Conclusions: The percentages of unsatisfied patients were deficient. Various deficiencies should always be covered by the hospital administration that will turn into a good result of improvement in the hospital services for more satisfaction of the patients. KYAMC Journal Volume: 14, No: 04, January 2024: 234-239.

Амбулаторнодополняющие технологии в условиях формирования «Новой модели медицинской организации, оказывающей первичную медико-санитарную помощь».

Purpose: propose new terminology “outpatient complementary technologies” in the provision of primary health care and justify their use. Materials and methods. Guidance documents, reports, open literary sources, orders, directives of the Russian Ministry of Health were analyzed. Results. The primary link of domestic health care is currently becoming more and more actively developed. The reason for this is the implementation of the tasks of national projects in order to achieve their most important key indicators. The successful implementation of lean manufacturing technologies into the practice of medical organizations providing primary health care within the framework of the “New Model of a Medical Organization Providing Primary Health Care” has shown its effectiveness. Undoubtedly, all this is facilitated by the significant economic growth of our country, accompanied by an annual increase in healthcare funding. In primary care medical organizations, special attention is paid to the organization and quality of preventive measures, as well as the successful conduct of dispensary work. This direction contains such factors as the formation of a healthy lifestyle, assessment of the existing risks of diseases, the presence of which requires timely treatment and observation. The ongoing therapeutic and preventive measures are, of course, aimed at increasing the life expectancy of the population of our country. The modernization of primary healthcare, which began in 2020, is one of the priorities for healthcare development in the coming years. This allows us to improve the accessibility of medical care and smoothly move to a completely new level of quality of medical care, achieving the maximum level of patient satisfaction. Conclusion. The modern development of healthcare in the Russian Federation lies in the most intensive use of all modern, latest medical technologies, in particular, in the provision of primary health care. As part of its development, significant changes are taking place in professional terminology. A thorough study of the possibility of introducing and widespread use of modern, cutting-edge medical technologies in medical organizations providing primary health care allowed us to propose a new, not previously encountered, concept of “outpatient complementary technologies” and justify its existence. A definition of the new terminology with the prerequisites for its emergence is given and prospects for further development are proposed. As part of the project “New model of a medical organization providing primary health care,” the introduction of the use of the concept of “outpatient complementary technologies” is aimed at improving the efficiency of activities and improving the system for organizing the provision of primary health care.

Interprofessional care for temporomandibular joint disorders: the patient’s perspective

The Indiana University School of Dentistry TMJ Institute is a multidisciplinary clinic designed to support the management of patients with challenging temporomandibular disorders. Professionals across dentistry, medicine, physical therapy, and social work collaborate to create a customised, interprofessional consensus to patient care. Compared with traditional, siloed healthcare models, are patients diagnosed with TMJ dysfunction satisfied with the quality of care received from an interprofessional approach? The objective of this study is to determine the level of patient satisfaction at the Institute using a 5-Point Likert scale patient questionnaire. A total of 93 questionnaires were distributed and 84 were collected. A total of 43% of patients travelled over 50 miles to be seen at the Institute. ‘Strongly agree’ was the most selected response for each prompt. The exception was whether patients preferred to meet with each clinician individually, to which ‘strongly disagree’ or ‘disagree’ was the most popular response, indicating that an interprofessional approach was preferred. The results and comments provided by patients revealed that most patients diagnosed with TMJ dysfunction were highly satisfied with the interprofessional approach used at the TMJ Institute. Our study suggests that positive patient satisfaction is an important factor in assessing the quality and efficacy of interprofessional, patient-centred clinic models.

Hypoglossal Nerve Stimulation Therapy in a Belgian Cohort of Obstructive Sleep Apnea Patients.

Hypoglossal nerve stimulation (HGNS) has emerged as a widespread and innovative treatment option for selected moderate-to-severe obstructive sleep apnea (OSA) patients who cannot be treated effectively with traditional treatment modalities. In this observational cohort study, the objective and subjective outcomes of Belgian OSA patients treated with HGNS therapy were analyzed at 6 and 12 months post-implantation. Thirty-nine patients implanted with a respiration-synchronized HGNS device at the Antwerp University Hospital w ere included in this study. Patients underwent baseline in-laboratory polysomnography and a follow-up sleep study 6 and 12 months post-implantation. Questionnaires on patient experience and daytime sleepiness were filled out and data on objective therapy usage were collected. All 39 patients completed the 6-month follow-up and 21 patients (54%) completed the 12-month follow-up. Median AHI decreased from 33.8 [26.1;45.0] to 10.2 [4.8;16.4] at the 6-month follow-up, and to 9.6 [4.1;16.4] at the 12-month follow-up (p < 0.001). The surgical success rate, according to the Sher20 criteria, was 80% and 76% at the 6- and 12-month follow-ups, respectively. Median ESS improved from 12.0 [7.0;18.0] at baseline to 6.0 [2.5;11.0] at 6 months (p < 0.001) and to 6.5 [2.8;11.5] at 12 months (p = 0.012). Objective therapy usage was 7.4 [6.6;8.0] and 7.0 [5.9:8.2] h/night at the 6- and 12-month follow-ups, respectively. A high overall clinical effectiveness of HGNS therapy, as shown by a mean disease alleviation of 58%, was demonstrated at 12 months post-implantation. Overall, HGNS therapy using respiration-synchronized neurostimulation of the XII cranial nerve resulted in a significant improvement in both objective and subjective OSA outcomes, with a high level of patient satisfaction and high treatment adherence.

Determinants of HIV/AIDS treatment and care service quality in Woliso Town, Oromia, Ethiopia: in the case of HIV prevention and control project

ABSTRACT In Ethiopia, even though there is an effort to increase ART services, different challenges remain in the provision of HIV/AIDS treatment and care services, and little has been done to evaluate patient satisfaction levels. The purpose of this study is to assess the determinants of HIV/AIDS treatment and care service quality. A facility-based cross-sectional study was conducted during from October 2023 to November 2023 in Woliso Town. The total sample size was generated using a systematic random sampling method from the source population. The results of the study showed that client satisfaction with HIV/AIDS treatment and care service quality was 272 (81.4%) with 95% CI: 76.9–85.3%. Government employees were 67% less likely to be satisfied with HIV/AIDS treatment and care service quality (AOR = 0.33 95% CI: 0.11, 0.99) when compared to unemployed clients. The odds of client satisfaction were 6.72 times higher among study participants who do not have health insurance membership cards (AOR = 6.72 95% CI: 3.42, 13.91) compared to those who have health insurance membership cards. The odds of client satisfaction were 2.77 times higher among study participants who reported the availability of community referral for any social support (AOR = 2.77 95% CI: 1.12, 6.84) when compared to those who did not report. Those study participants for whom privacy was kept during the examination were 8.67 times higher to be satisfied (AOR = 8.67 95% CI: 2.53, 29.68) compared to those for whom privacy was not kept during the examination. In conclusion, the client satisfaction on HIV/AIDS treatment and care service quality was relatively high in the study area. Occupational status, health insurance membership cards, availability of community referral for any social support and keeping privacy during examination have significant associations with HIV/AIDS treatment and care service quality in terms of client satisfaction.

Comparison of Patient Satisfaction and Quality of Life to Buteyko Versus Diaphragmatic Breathing Technique in Patients with Asthma

Introduction: Asthma is a worldwide disease that can spread anywhere. Mechanism involves a stimulus that triggers bronchioles of lungs causing bronchospasm and evidently making difficult to breath. Tightness in chest, wheezing or whistling sound, pain, recurrent coughing and shortness of breath are some serious symptoms of asthma. Objective: To compare the patient satisfaction and QOL to Buteyko breathing technique versus diaphragmatic breathing technique for the treatment of asthma. Methodology: it is a cross-sectional study a type of observational study, of patient satisfaction and QOL from the two different breathing techniques, i.e, Buteyko Breathing Technique and Diaphragmatic Breathing Technique. The sample size was 363, from that there were 182-paients of BBT and 181-patients of DBT the patients have already their respective breathing techniques in the hospitals. By the help of Asthma Quality of Life Questionnaire and patient survey questionnaire the satisfaction and Quality of Life of patients was observed. Results: Significant difference was observed in the patient’s satisfaction. According to this, patients were more satisfied from BBT rather than DBT (P-value=&lt;0.05) There was no statistical significance was observed in QOL of patients with asthma having both breathing techniques. But there was remarkable significance was observed in patients with asthma have to avoid situation or environment having cigarette smoke (P-value .017) and patients feel frustrated due to asthma (P-value=&lt;0.05). Conclusion: On the basis of above statistical analysis Buteyko breathing technique proved to be more satisfaction level in patients than the diaphragmatic breathing. There was no significance difference found in the QOL of patients with asthma with BBT and DBT. Both breathing techniques have nearly same effects on the quality of life of asthmatic patients.

Patient satisfaction with pharmacy services among users and non users of community based health insurance scheme at public health facilities in Gamo Zone, South Ethiopia: a comparative cross sectional study

BackgroundPatient satisfaction is a crucial humanistic outcome metric in pharmacy services. There was a lack of evidence on patients’ satisfaction with pharmacy services in Gamo zone among users and nonusers of the CBHI scheme. Therefore, the aim this study is to compare the level of patient satisfaction with pharmacy services among users and nonusers of community based health insurance scheme at public health facilities in Gamo zone, South Ethiopia.MethodA facility based comparative cross sectional study design with mixed approach was conducted from June 1 to 30, 2023. A total of 522 study participants and 16 key informants were included as the sample size for quantitative and qualitative study, respectively. The quantitative data was gathered from the study participants who visited the outpatient pharmacy department during the study period by using a simple random sampling technique, while the purposive sampling technique was used to select clients and key informants for the qualitative study. The adjusted odds ratio (AOR) was used to measure the association between independent variables and patient satisfaction toward outpatient pharmacy services at the P values < 0.05 and 95% confidence interval (CI).ResultsFrom the total of study participants, 195 (73.9%) of insured and 175 (67.8%) of noninsured clients were satisfied with pharmacy services offered at public health facilities. The gender of insured (95% CI = 2.00-12.36, (p 0.01)), and noninsured (95% CI = 0.658–2.881, (p 0.02)), waiting time of insured (95% CI = 0.057–0.766, (p 0.0027)), and noninsured (95% CI = 0.084–0.925, (p 0. 0021)) and premium affordability of insured (95% CI = 0.0605-4.860, (p 0.00)) were significantly associated factors with client satisfaction at p < 0.05 and 95% CI. Based on qualitative finding, as member of the CBHI scheme, the members had a greater opportunity to receive a good pharmacy services, because they were more familiar with the physicians and the institutions.ConclusionThe clients with insurance perceived high level of satisfaction with pharmacy services in public health facilities than noninsured. The gender and waiting times at outpatient pharmacy department for both groups of study participants and the premium affordability for the insured groups of clients were factors affecting client satisfactions with pharmacy services.

FIVE-YEAR FOLLOW-UP OF THIRD-GENERATION PERCUTANEOUS CHEVRON AND AKIN OSTEOTOMIES (PECA) FOR HALLUX VALGUS

BackgroundRecent large studies of third-generation minimally invasive hallux valgus surgery (MIS) have demonstrated significant improvement in clinical and radiological outcomes. It remains unknown whether these clinical and radiological outcomes are maintained in the medium to long-term. The aim of this study was to investigate the five-year clinical and radiological outcomes following third-generation MIS hallux valgus surgery.MethodsA retrospective observational single surgeon case series of consecutive patients undergoing primary isolated third-generation percutaneous Chevron and Akin osteotomies (PECA) for hallux valgus with a minimum 60 month clinical and radiographic follow up. Primary outcome was radiographic assessment of the hallux valgus angle (HVA) and intermetatarsal angle (IMA) pre-operatively, 6 months and ≥60 months following PECA. Secondary outcomes included the Manchester-Oxford Foot Questionnaire, patient satisfaction, Euroqol-5D Visual Analogue Scale and Visual Analogue Scale for Pain.ResultsBetween 2012 and 2014, 126 consecutive feet underwent isolated third-generation PECA. The mean follow up was 68.8±7.3 (range 60–88) months. There was a significant improvement in radiographic deformity correction; IMA improved from 13.0±3.0 to 6.0±2.6, (p &lt; 0.001) and HVA improved from 27.5±7.6 to 7.8±5.1. There was a statistically significant but not clinically relevant increase of 1.2±2.6° in the HVA between 6 month and ≥60 month radiographs. There was an increase in IMA of 0.1±1.6º between 6 month and ≥60 month radiographs which was not statistically or clinically significant. MOXFQ Index score at ≥follow up was 10.1±17.0. The radiographic recurrence rate was 2.6% at final follow up. The screw removal rate was 4.0%.ConclusionRadiological deformity correction following third-generation PECA is maintained at a mean follow up of 68.8 months with a radiographic recurrence rate of 2.6%. Clinical PROMs and patient satisfaction levels are high and comparable to other third-generation studies with shorter duration of follow up.

Rate of Correct Inhaler Usage and Related Factors in Elderly Patients With Chronic Obstructive Pulmonary Disease

Poor disease control in patients with chronic obstructive pulmonary disease (COPD) is associated with suboptimal inhaler use. This study was designed to explore the accuracy of inhaler use and related factors in elderly patients with COPD. A cross-sectional survey design was used to recruit patients with COPD from a medical centre in southern Taiwan who were over 65 years old and used inhalers regularly. All of the data as well as information on inhaler use accuracy were collected using a self-designed questionnaire and inhaler operation checklist. Multivariable logistic regression was used to analyse significant correlates of correct inhaler operation. The average age of the 150 participants was 75.0 years (SD = 7.5) years. Most used one type of inhaler only (86.0%). The rate of accurate inhaler operation was 40.7% (n = 61) for the sample, with dry powder inhalers associated with the highest accuracy (64%) and pressurized metered-dose inhalers associated with the lowest accuracy (1.6%). Multivariate logistic regression analysis showed that using a soft mist inhaler (adjusted odds ratio, AOR = 23.29; 95% confidence interval, 95% CI [2.84, 191.07]), using a dry powder inhaler (AOR =15.60, 95% CI [1.99, 122.26]), and higher satisfaction with the inhaler were positively and independently associated with accurate inhaler use (AOR = 1.94, 95% CI [1.09, 3.44]). Important factors related to inhaler use accuracy include inhaler type and level of patient satisfaction with their inhaler. Healthcare professionals should regularly confirm that older patients are able to use their inhalers correctly and are satisfied with their inhalers.

Evaluating the efficacy and suggesting technical optimizations for endoscopic lumbar interbody fusion across different lumbar spondylolisthesis types

PurposeTo evaluate the efficacy of the endoscopic lumbar interbody fusion technique across different types of lumbar spondylolisthesis, specifically Grade I and Grade II, and suggest technical optimizations based on therapeutic outcomes, complications, and patient satisfaction for both grades. MethodsWe analyzed data from 57 L4 to 5 spondylolisthesis patients, all categorized as either Grade I or Grade II, comprising 31 males and 26 females. Of these, 36 were diagnosed with Grade I and 21 with Grade II. All subjects underwent the endoscopic lumbar interbody fusion procedure. Primary evaluation metrics included pre and post-operative Vasual Analogue Scale（VAS） pain scores, Osewewtry Disability Index（ODI） functional scores, surgical duration, intraoperative blood loss, degree of spondylolisthesis correction, complications, and patient satisfaction levels. ResultsAt a minimum of 6 months post-operation, the VAS score for the Grade I cohort reduced from an initial 7.30 ± 0.69 to 2.97 ± 0.47, while the Grade II cohort saw a decrease from 7.53 ± 0.56 to 3.37 ± 0.62 (P = 0.0194). The ODI score in the Grade I group declined from 66.88 ± 5.15 % pre-operation to 29.88 ± 6.36 % post-operation, and in the Grade II group, it decreased from 69.33 ± 5.27 % to 34.66 ± 6.01 % (P = 0.0092). The average surgical duration for the Grade I group stood at 155.72 ± 17.75 min, compared to 180.38 ± 14.72 min for the Grade II group (P < 0.001). The mean intraoperative blood loss for the Grade I group was 144.58 ± 28.61 ml, whereas the Grade II group registered 188.23 ± 9.41 ml (P < 0.001). Post-surgery, 83 % of the Grade I patients achieved a correction degree exceeding 80 %, and 61 % of the Grade II patients surpassed 50 % (P = 0.0055). Complication rates were recorded at 8 % for Grade I and 16 % for Grade II. Patient satisfaction reached 94 % in the Grade I cohort and 90 % in the Grade II cohort. ConclusionEndoscopic lumbar interbody fusion showcases promising therapeutic outcomes for both Grade I and Grade II lumbar spondylolisthesis. However, surgeries for Grade II spondylolisthesis tend to be lengthier, more challenging, involve greater blood loss, and have a heightened complication risk. Tailored technical adjustments and enhancements are essential for addressing the distinct spondylolisthesis types.

Influence of multidisciplinary teams (MDT) on breast satisfaction and sexual well-being in the immediate postoperative phase following breast-conserving surgery (BCS).

e13788 Background: Despite the recognized significance of multidisciplinary team (MDT) on patient satisfaction post-operatively, limited data exists on its overall impact. This study assessed the impact of MDT, including the surgeon, medical oncologist, and office staff, on patient breast satisfaction and sexual well-being among early-stage breast cancer patients. We examine three early time points after breast-conserving surgery (BCS): 2 weeks, 4 weeks, and 3 months. In addition, demographic and socioeconomic factors affecting patient satisfaction were also analyzed. Methods: A survey using BREAST-Q modules was conducted via telephone interviews among early-stage breast cancer patients who had BCS at a university-affiliated community hospital from October 2022 to September 2023. BREAST-Q responses were translated to Rasch scores (0=lowest, 100=highest). Patient-reported concerns were collected with open-ended questions. The correlation between variables was measured using Pearson’s correlation. A comparison of Rasch scores over time was done with repeated measures of ANOVA. SPSS 28.0 was used for statistical analysis, with a p-value&lt;0.05 considered statistically significant. Results: Of 200 patients assessed, 61 met the study criteria, and 30 participated (mean age 66.3 years±9.9). Most were White (90%), married (55%), with stage 1 cancer (63%) and comorbidities (60%). At 2 weeks, the mean breast satisfaction score was 66.8, which increased to 71.0 at 4 weeks and 88.1 at 3 months (p&lt;0.05), while sexual well-being remained stable (69.0 at 2 weeks, 73.1 at 4 weeks, and 68.3 at 3 months, p&gt;0.05). Pain at the surgical site was the most cited concern at 2 and 4 weeks (30% and 41%, respectively), while dry skin (25%) was the top concern at 3 months. High patient satisfaction scores with the surgeon (mean 95.5), medical team (mean 98.3), and office staff (mean 99.3) were noted throughout the three time periods (p&gt;0.05). Satisfaction with the surgeon was associated with better breast satisfaction and higher sexual well-being scores at two weeks after BCS (p&lt;0.05). No other significant correlations were found between the influence of MDT on patient satisfaction at 4 weeks and 3 months. In a univariate analysis, widows reported the highest breast satisfaction at 2 weeks (94.0, p&lt;0.05). White patients had a higher sexual well-being score than Black patients (72.4 vs. 51.5, p&lt;0.05), while alcohol use had lower sexual well-being scores at 2 weeks (62.5 vs. 89.8, p&lt;0.05). In a multivariable analysis, only marital status and alcohol use remained significant at 2 weeks post-BCS (p&lt;0.05). Conclusions: The study highlights the surgeon’s critical role in achieving high level of patient satisfaction with their breasts and sexual well-being after BCS. Additionally, it reveals the significant influence of sociodemographic factors on patient outcomes.

Contraceptive Method Usage Pattern and Percentage of New Pregnancies Among Adolescent and Young Adult Family Planning Patients: A Mixed-Methods Retrospective Study

ObjectivesDespite increased access to contraceptive methods (CM), the US still has the highest rate of adolescent pregnancy among industrialized nations, and adolescents from historically marginalized groups are disproportionately affected. In this study, we sought to (1) understand if differences in CM usage were associated with differential percentages of new pregnancies among adolescents and young adult patients attending a family planning (FP) clinic at an urban community practice and (2) identify areas of improvement in our FP counseling. MethodsMixed-methods study design consisting of (1) a 12-month retrospective chart review and (2) a self-answered cross-sectional survey of FP patients. Chi-square, Fisher's exact tests, and risk ratio were performed to analyze the percentage of new pregnancies according to CM usage. ResultsThe percentage of new pregnancies was 11 among our FP patients (N=555) during this study period. As anticipated, pregnancy was associated with no CM use, CM discontinuation, and, interestingly, multiple CM changes (p<0.001). The probability of no-pregnancy significantly decreased among patients on no method, who discontinued their CM or made multiple CM changes compared to those with continuous CM use. There was no association between the percentage of new pregnancies and any particular CM type. ConclusionDespite adequate access to FP patient services and high patient satisfaction levels, our findings indicate a need to adopt a more patient-centered approach in our FP counseling that addresses patient's reproductive life plans, preferences, and method side effects to increase CM uptake and satisfaction and decrease frequency of CM changes which is associated with increased risk of mistimed pregnancy during method switching.

Respon Time Pelayanan IGD Berhubungan dengan Tingkat Kepuasan Pasien di IGD Rumah Sakit Muhammadiyah Gresik

Hospitals as health service providers, when patients feel satisfaction with the health services provided, this has a positive impact on the patient's recovery process. In serving patients, the concept of Response Time refers to the length of time staff are able to treat patients upon arrival at the health service unit, with a time of ≤ 5 minutes. Efficient service provision, namely characterized by fast response times, can contribute to overall patient satisfaction in the emergency department. The aim of this research is to determine the relationship between Response Time of services in the ER and the level of patient satisfaction at the Muhammadiyah Gresik Hospital. This research uses an analytical survey design with a cross-sectional approach. Researchers used an accidental sampling strategy, a population of 317 respondents. The research sample consisted of 176 individuals who sought treatment at the Muhammadiyah Gresik Hospital Emergency Room. The tools used in this research consisted of a Response Time observation sheet and a patient satisfaction level questionnaire sheet. Almost all service response times in the emergency room at Muhammadiyah Gresik Hospital are in the fast category, as much as 80%. Half the level of patient satisfaction in the satisfied category is 41%. From the chi-square statistical test carried out to analyze the relationship between response time and the level of patient satisfaction in the Muhammadiyah Gresik emergency room, it produces a P-value of 0.000 with α = 0.05. There is a relationship between response time and patient satisfaction level in the emergency room at Muhammadiyah Gresik Hospital. Patient satisfaction shows the nurse's ability to meet patient expectations for high quality services

Evaluation Of Patient’s Satisfaction Towards Pharmaceutical Services At Outpatient Installation In Putra Wasada Hospital Tulungagung

Pharmaceutical service is a direct and responsible service to patients related to pharmaceutical preparations with the aim of improving the quality of life of patients. Patient satisfaction is the first indicator of a hospital's standards and is a measure of service quality. The purpose of this study was to determine the level of satisfaction based on 5 dimensions of pharmaceutical services in the Outpatient pharmacy installation of Putra Waspada Hospital Tulungagung using the ServQual method. This research was a descriptive research using random sampling design. This research was conducted prospectively with quantitative method using data collection method, namely the ServQual method and the Chi-square test method carried out using questionnaires. There were 225 of samples of patient respondents, to determine the characteristics of respondents and the influences between respondent characteristics and the level of patient satisfaction on 5 dimensions of pharmaceutical services at the Outpatient Pharmacy Installation of Putra Waspada Hospital Tulungagung using the Chi-square test. Based on the result of the percentage of the patient satisfaction level at the performance level stated that 56 respondents (56%) stated "very satisfied" with pharmaceutical services, while 41 respondents (41%) stated "satisfied", at the expectation level 55 respondents (55%) stated "very satisfied", 42 respondents (42%) stated "satisfied". Based on ServQual's analysis, patient satisfaction scores on 5 dimensions of pharmaceutical services have a "fair" interpretation with a satisfaction level of "satisfied" and have a high interpretation with a satisfaction level of "very satisfied". In outpatients with each dimension of 0.90 (reliability), 0.96 (responsiveness), 0.98 (asssurance), 0.92 (empathy), 0.93 (physical infrastructure).

Effectiveness of NEPIL (Pain, Elimination, Position, Infusion and Environment) Nursing Rounding Implementation on Patient Satisfaction Level: Literature Review

Introduction: This study is conducted to determine the effectiveness of Nursing Rounding Implementation on the level of patient satisfaction. Nursing Rounding can also reduce the incidence of falls, plebitis rates and bell ringing if done correctly. Objective: Nursing Rounding has an impact on patient satisfaction. Nursing Rounding can also reduce the incidence of falls, plebhitis rates and bell ringing if done properly. Method: literature review uses journals identified from Pubmed, EBSCO, crossref, Pro Quest and Google Scholar. Result: The results of the 17 journals taken from 2018-2023 state that Nursing Rounding can increase patient satisfaction rates, improve patient safety quality, reduce the incidence of plebhitis, reduce the number of bell calls and reduce the incidence of falls. Conclusion: Nursing Rounding is a systematic process used by professional health care providers to anticipate and address the fundamental needs of patients, especially in the treatment room. Nursing Rounding uses NEPIL systematics, namely pain, elimination, position, infusion, Possesion, and patient environment to improve patient satisfaction.