Level Of Patient Satisfaction Research Articles

Techniques in Nipple Areolar Reconstruction: A Retrospective Analysis of Surgical Interventions and Patient-reported Satisfaction Scores.

Nipple areolar complex (NAC) reconstruction often signifies completion of the breast reconstruction process for some patients and has been shown to improve both psychosocial and sexual well-being. Several techniques have been described; however, there currently exists little evidence in the literature describing outcomes or patient satisfaction. A retrospective analysis of NAC reconstructions over the last decade was queried for patient demographics, operative technique, and postoperative outcomes. A standardized, validated survey was also utilized to evaluate overall satisfaction, with a focus on aesthetic outcome, shape, color, and projection. Eighty-three patients were identified, with 49 (59.0%) completing the survey. The modalities used for reconstruction include the C-V flap (45.7%), the modified skate flap technique (42.2%), and free nipple grafting (FNG, 12.0%). No significant differences in age, BMI, or comorbidities were found among the three types. The most utilized donor site for skate flap reconstruction was the suprapubic area (37.1%). There were also no significant differences in complication rate (C-V 10.5%, FNG 10%, skate 5.7%, P = 0.630) or revision surgery (C-V 2.6%, FNG 0%, skate 5.7%, P = 0.732). The most common complication was nipple necrosis. Adjusting for time to follow-up using multivariate analysis, there was a significant difference in overall patient satisfaction when compared across all three techniques, with the modified skate flap having the highest mean overall satisfaction scores. NAC reconstruction can be completed safely and effectively with a variety of techniques. The modified skate flap technique was associated with high levels of patient satisfaction and a low complication rate.

Comparison between novel zipper device and conventional methods for skin closure: a systematic review and meta-analysis.

The zipper device is a wound closure device that can be directly applied over the intact skin on either side of the wound edges and does not need anchoring into the skin or subcutaneous plane. The noninvasive nature of the zipper device makes it less time-consuming and less painful, but its effectiveness and related complications need to be studied. Prospective registration of the protocol followed in this study was done. Electronic databases were searched for relevant articles, and their screening was completed, followed by data extraction and analysis. The odds ratio, mean difference, or standardised mean difference were used as an effect measure per the nature of the variables. Surgical site infection, wound dehiscence, skin closure time, scar score, and patient satisfaction were compared in this study. A total of 10 studies were identified, out of which eight compared zippers with sutures and two compared zippers with stapler devices. Compared to the suture, the zipper device took 4.9 min less to close the incision, and the scar scale outcome reported after one month was inferior, while other results were not significant. Staples showed a lower patient satisfaction level and no difference in complications. The zipper device is a less technically demanding and less time-consuming method of skin closure, with no significant difference in the complication rate compared to conventional methods. The zipper device is an effective measure to use in settings with less expertise or at health institutions after assessing the cost at the local level.

PROFILE OF CUSTOMER SATISFACTION LEVEL WITH SELF-MEDICATION SERVICES AT PADANG GUCI 2 PHARMACY, BENGKULU CITY

Self-medication (swamedication) is effort to use or obtain drug without diagnosis , doctor's advice , prescription , supervision therapy or use drug For treat self Alone without consultation with health workers . Self-medication usually done to treat complaints about minor illnesses that people often experience, such as pain, dizziness, cough, fever, etc. If self-medication is done correctly, it can help improve the patient's health. However, on the other hand, if self-medication is done incorrectly, new diseases will arise. The aim of this research is to obtain information about the level of patient satisfaction regarding self-medication services at the Padang Guci 2 pharmacy, Bengkulu City .This research is descriptive research with a quantitative approach. Data and information were collected from respondents using a questionnaire. The sample obtained was 100 respondents. Data analysis used univariate analysis. The results of the research show that the level of patient satisfaction regarding pharmaceutical services in Padang Guci 2 is that in the reliability dimension, the average score was 97% with a statement of very satisfied, in the responsiveness dimension , the average score was 97% with the statement very satisfied, in the assurance dimension , the score was obtained. an average of 95% with very satisfied information, in the empathy dimension an average score of 95% was obtained with very satisfied information and in the tangible dimension an average value of 95% was obtained with very satisfied information. The average results of the 5 dimensions are 95.8% which shows that level satisfaction customers at the Padang Guci2 Pharmacy get results very satisfied.

Hubungan Kualitas Pelayanan Rumah Sakit dengan Kepuasan Pasien Rawat Inap di Rumah Sakit

One aspect that needs to be considered in medical record services in the registration section in order to have good quality is the quality of service of officers in providing medical record documents. Medical record services provided in the registration section are registration services, searching and distributing medical records, the Methods used, namely literature review, can be used to understand and describe the current state of research in fields related to the topic under study. The results showed that there was a positive and significant relationship between service quality and patient satisfaction in the hospital, the Relationship between Hospital Service Quality and Patient Satisfaction in Hospitals is a concept that shows that the quality of service provided by the hospital affects the level of patient satisfaction. The results showed that there is a positive and significant relationship between service quality and patient satisfaction in the hospital. Conclusion In the research conducted, there are patients who are dissatisfied with hospital services and patients who are satisfied with hospital services. This shows that the quality of service provided by the hospital affects the level of patient satisfaction. Therefore, it is important for hospitals to improve the quality of services provided in order to increase patient satisfaction and provide better health services.

Effectiveness of a novel consultant nurse-led breast pain clinic in secondary care.

Patients with breast pain are usually seen in 'one-stop clinic' (OSC) with breast imaging. In the absence of associated red flag features, the incidence of breast cancer is extremely low. With increase in referrals the OSC capacity is over-stretched. We developed a consultant nurse-led dedicated 'breast pain clinic' in September 2021 without routine breast imaging. After meticulous history and examination, patients obtained detailed counselling and advice regarding breast pain management. If any abnormality was noted then appointment was given for OSC. To assess the effectiveness of a consultant nurse-led dedicated 'breast pain clinic'. A prospective study of all consecutive patients seen in 'breast pain clinic' from September 2021 until September 2022. Feedback was sought from all patients. Altogether 429 patients were seen. The mean age was 48.7years (range 18-86). 87.6% (n = 376) patients required no breast imaging. Only 12.4% (n = 53) patients needed referral to OSC and subsequently 2 patients (0.46%) were diagnosed with breast cancer. Ninety-eight percent of patients felt reassured and 99.2% patients were extremely likely/likely to recommend this service to family and friends. Out of 376 patients who were discharged from breast pain clinic, 12 patients were referred again over a median follow-up period of 15months, and 2 out of them were diagnosed with breast cancer. A consultant nurse-led 'breast pain clinic' provides service improvement as it eases the pressure on the OSC. Most patients were managed without breast imaging with high level of patient satisfaction and low rereferral rate.

An Overview of Office Hysteroscopy

Abstract Purpose of Review Office hysteroscopy (OH) is safe and effective for diagnosing and managing intrauterine pathology. Newer technology like smaller cameras, improved tissue removal devices, and recommendations for pain control now make OH comfortable for both the physician and patient, with OH having a very high level of patient satisfaction. Despite these benefits, OH remains significantly underutilized in the United States. This review aims to outline the current capabilities, technology, and patient and physician factors associated with successful OH. Recent Findings OH aids in the diagnosis of abnormal uterine bleeding, the most common reason for visits to the gynecologist, and can treat some causes in the same visit. Pathology most conducive to treatment with OH includes endometrial polyps, uterine septa, retained products of pregnancy, adhesions, and retained intrauterine devices (IUDs). When performing OH, equipment selection should be based on the type of procedure planned. Care should be taken to attempt to reduce pain and anxiety during OH, with recommended methods including preprocedural NSAIDs, vaginoscopy, and appropriate counseling and anxiety reduction. Summary Appropriate patient selection is essential for both patient and physician comfort when performing OH. Further research and technology improvement can continue to increase comfort and performance in the office.

10-Year Prospective Clinical and Radiological Evaluation After Matrix-Induced Autologous Chondrocyte Implantation and Comparison of Tibiofemoral and Patellofemoral Graft Outcomes

Background: Long-term outcomes in larger cohorts after matrix-induced autologous chondrocyte implantation (MACI) are required. Furthermore, little is known about the longer-term clinical and radiological outcomes of MACI performed in the tibiofemoral versus patellofemoral knee joint. Purpose: To present the 10-year clinical and radiological outcomes in patients after MACI and compare outcomes in patients undergoing tibiofemoral versus patellofemoral MACI. Study Design: Case series; Level of evidence, 4. Methods: Between September 2002 and December 2012, 204 patients who underwent MACI were prospectively registered into a research program and assessed preoperatively and at 2, 5, and 10 years postoperatively. Of these patients, 168 were available for clinical review at 10 years, with 151 (of a total of 182) grafts also assessed via magnetic resonance imaging (MRI). Patients were evaluated using the Knee injury and Osteoarthritis Outcome Score, a visual analog scale for pain frequency and severity, satisfaction, and peak isokinetic knee extensor and flexor strength. Limb symmetry indices (LSIs) were calculated for strength measures. Grafts were scored on MRI scans via the MOCART (magnetic resonance observation of cartilage repair tissue) system, with a focus on tissue infill and an overall MRI graft composite score. Results: All patient-reported outcome measures improved (P < .0001) up to 2 years after surgery. Apart from the significant increase (P = .004) in the peak isokinetic knee extensor LSI, no other patient-reported outcome measure or clinical score had changed significantly from 2 to 10 years. At the final follow-up, 92% of patients were satisfied with MACI to provide knee pain relief, with 76% satisfied with their ability to participate in sports. From 2 to 10 years, no significant change was seen for any MRI-based MOCART variable nor the overall MRI composite score. Of the 151 grafts reviewed via MRI at 10 years, 14 (9.3%) had failed, defined by graft delamination or no graft tissue on MRI scan. Furthermore, of the 36 patients (of the prospectively recruited 204) who were not available for longer-term review, 7 had already proceeded to total knee arthroplasty, and 1 patient had undergone secondary MACI at the same medial femoral condylar site because of an earlier graft failure. Therefore, 22 patients (10.8%) essentially had graft failure over the period. At the final follow-up, patients who underwent MACI in the tibiofemoral (vs patellofemoral) joint reported significantly better Knee injury and Osteoarthritis Outcome Score subscale scores for Quality of Life (P = .010) and Sport and Recreation (P < .001), as well as a greater knee extensor strength LSI (P = .002). Even though the tibiofemoral group demonstrated better 10-year MOCART scores for tissue infill (P = .027), there were no other MRI-based differences (P > .05). Conclusion: This study reports the long-term review of a prospective series of patients undergoing MACI, demonstrating good clinical scores, high levels of patient satisfaction, and acceptable graft survivorship at 10 years. Patients undergoing tibiofemoral (vs patellofemoral) MACI reported better long-term clinical outcomes, despite largely similar MRI-based outcomes.

Comparative Analysis Of Service Quality On Patient Satisfaction Levels In Government And Private Hospitals In Medan City In 2022

This study compares service quality to patient satisfaction in government and private hospitals in Medan City in 2022. This study used a survey method using a questionnaire as a data collection instrument. The research respondents were patients who used government and private hospital services. The data collected includes service quality dimensions, such as tangibles, reliability, responsiveness, assurance, and empathy. In addition, the data also consists of the level of patient satisfaction with the services provided by the hospital. Comparative analysis of service quality and patient satisfaction levels was carried out using appropriate statistical techniques, such as testing the difference between two groups of hospitals (government vs. private) using appropriate statistical tests. The results of this analysis will provide an understanding of the differences in service quality between government and private hospitals, as well as the related level of patient satisfaction. This research is expected to contribute to the development and improvement of health services in hospitals, especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City.

Clinical outcomes of reposition flap transfer for fingertip amputation.

This study aimed to describe the reposition flap for reconstructing fingertip amputation when replantation is not possible. This study retrospectively reviewed the records of patients with reposition flap transfers and investigated postoperative clinical outcomes and patient satisfaction. Sixteen patients with fingertip amputations treated with a reposition flap from 2016 to 2020. The mean age at injury was 46years (range, 26-70years). Ten cases were treated with oblique triangular advancement flaps, 3 with retrograde-flow digital artery flaps, and 3 with thumb palmar advancement flaps. Postoperative outcomes, including wound healing period and the IP/PIP extension angle, and the presence of grafted bone absorption and patient satisfaction were evaluated as of 3years after surgery. The average reduction in passive extension angle of the IP/PIP joint was 19°. The average time for complete wound healing was 28days (range, 18-41days). The reduction in passive extension angle of the IP/PIP joint was significantly correlated with the wound healing period (r = 0.66, p = 0.01). The absorption of the grafted bone was observed in 3 cases. In these cases, the distal tip of the flap became thin due to flap retraction and an insufficient flap volume. All patients were highly or fairly satisfied with the results of surgery. Our findings show that IP/PIP flexion contracture can occur due to delayed wound healing after reposition flap transfer, but the patient satisfaction level was generally high. Therefore, reconstruction using a reposition flap gives acceptable clinical outcomes and high patient satisfaction as a result of medium to long-term.

Satisfaction Level of Multi-Drug Resistant Tuberculosis Patient: A Hospital Based Study in Bangladesh

Background: Realizing the patients’ need and improving the quality of services, a satisfaction survey can effectively help management and the patient. The aim of this study was to investigate satisfaction level of multi-drug resistant tuberculosis (MDRTB) patients at tertiary level hospital in Bangladesh. Methods: A cross-sectional study conducted at Chest Disease Hospital (CDH), Rajshahi among 199 MDR-TB patients using random sampling technique. A semi-structured questionnaire was used to collect basic, socio-demographic, behavioral and satisfaction specific data with ensuring no any risk for providing right information. Five point “Likert Scale” was used to measure patients’ satisfaction level. The relevant data were carefully coded and recoded for statistical analysis, and independent samples t-test and multinomial logistic regression analysis were used to see the difference and association of influencing factors on satisfaction. Results: In this study, we observed that the mean age of MDR-TB patient admitted at CDH was 39.8 years with range from 16 to 62 years. About 90% patients were satisfied with behavior of care providers, and 50% and 29% patients were satisfied in hospital environment and supplied food respectively. We also found that old age group, male, less educated, smoker, diabetic, married, high income and less expenditure group, business or service holder and Muslim were more satisfied than their counterparts. The multinomial logistic regression analysis showed that young age group (≤40 years) was five times more dissatisfied than old age group (≥40 years) (OR=5.345; 95% CI: 1.123-25.448; p&lt;0.05). Receiving monthly money from the program positively impacted on satisfaction. Similarly, drug toxicity, length of stay and loneliness was negatively impacted on satisfaction. Conclusion: Considering the mentioned influencing factors can strengthen the national control program effort at CDH in Rajshahi division, Bangladesh. Similar study in other chest disease hospitals located mostly in different divisions in the country can also help comparing the factors for nationwide improvement.

Patient Satisfaction with the Implementation of Telehealth in Ambulatory Care during the COVID-19 Pandemic: A Single Institution Experience.

COVID-19 has reduced the capacity for delivering essential health services due to lockdown restrictions. Telehealth is an effective alternative option to improve healthcare access. However, there remain implementation challenges to patient adoption in resource-limited settings such as Ethiopia. Therefore, the purpose of this study was to assess patient satisfaction following the implementation of telehealth in ambulatory settings during the COVID-19 pandemic. A cross-sectional study was conducted at Ayder Comprehensive Specialized Hospital in the Tigray region of Northern Ethiopia. Patients who used the telehealth service were invited to participate in a patient satisfaction survey. All statistical analyses were performed using STATA Version 14.1. A total of 149 patients have participated in the survey. Out of the total participants, 129 (86.6%) found that telehealth is easy to understand and overall satisfaction for telehealth was 87.9%. About two-thirds of the patients (97, 65.1%) reported that the telehealth visit is just as good as a traditional visit. The vast majority of participants (148, 98.6%) stated that they would definitely or probably use telehealth again and would recommend it to others. The majority of respondents (137, 91.9%) followed the recommendations provided. Patients have a high level of satisfaction with the use of telehealth during the COVID-19 pandemic. About two-thirds of patients said the telehealth visit was just as good as a traditional visit. The majority of patients followed the recommendations given to them by the healthcare providers and stated that they would definitely or probably use telehealth in the future and would recommend it to others. This high level of patient satisfaction with telehealth implementation suggests that the service could be considered in low-income countries as well.

Factors Influencing Patient Satisfaction with Total Joint Replacement Surgery.

Replacement arthroplasty surgery is a surgical procedure that is needed to restore the activity of a joint. Patient satisfaction regarding arthroplasty surgery is influenced by post-operative complication rate, ability to afford care, and quality of interaction. In this study, we assessed patients' postoperative complications, mobility, and pain management as proxies for their overall satisfaction with total joint replacement (TJR). An anonymous web-based survey was conducted for patients who had undergone any total joint replacement surgery in the US. Respondents were adults living in the United States. 180 individuals met the inclusion criteria and responded to the survey. Age, education, gender, and race were fitted against the patient satisfaction level with the surgeon. While education [P=0.4720], gender [P=0.5097 ], and race [P=0.8183] were not significant, age in years [P=0.02340] was predictive of overall satisfaction levels [R2=0.0213]. When controlling for BMI, infection [P=0.0164], nerve damage [P=0.0250], delayed healing [P=0.0024], hematoma [P=0.0497], were more likely to occur in participants who have had a knee replacement, as compared to shoulder and hip replacement surgery. When controlling for mobility before surgery vs.mobility after surgery [P=0.0114], patients who selected the highest level of mobility before surgery were likely to select the highest level of mobility after surgery. Medicaid, Medicare, private insurance, employer-based insurance, and no insurance were fitted against the patient's self-reported difficulty in paying for their treatment/care. Although employer-based insurance [P=0.0790] was not significant in predicting difficulty in paying for the surgery, patients with Medicaid [P=0.0280], Medicare [P=0.0200], or private insurance [P=0.0343] did. In this cohort, older patients were associated with having improved satisfaction with the surgeon who performed their joint replacement. Complications were higher in patients who underwent a knee arthroplasty compared to a shoulder or hip arthroplasty.

Determinants of Patient Satisfaction in Healthcare Industry in Delhi using PLS-SEM

The healthcare industry in India has advanced significantly in recent years. As a result of corporatisation, hospitals’ classes and quality have significantly changed in modern times. The intangible nature of healthcare services imposes a great challenge to healthcare service providers to measure the quality of service hence satisfaction of patients. The present study highlights the role of corporatisation in the assessment of patient satisfaction (PS). The aim of this article is to evaluate how doctors’ services, nurse services, administrative services, pathological services (PHS) and pricing affect the level of PS in corporate hospitals of Delhi. An exploratory research technique was used. A sample of 342 patients was analysed using a questionnaire. Using partial least squares to a structural equation model, a cross-sectional study was applied. The results revealed that doctor services, nurse services, administrative services and PHS have positive impact on PS and pricing of hospitals negatively influences satisfaction of patients. It indicates that corporatisation of healthcare services has mainly leaded to improvement of satisfaction level. At the same time, research will direct healthcare providers in the right direction towards the rectification and reconsideration of pricing policies making them more pocket-friendly.

Analysis of Outpatient Satisfaction with Health Personnel Services at the Haji General Hospital Medan

&lt;p&gt;&lt;em&gt;Low quality healthcare services result in an increase in the number of deaths each year, with an estimated 5.7 to 8.4 million people dying in low and middle-income countries. This figure represents about 15% of total deaths in those countries. The impacts of inadequate services encompass a decrease in societal productivity and potential economic losses for the country of approximately 1.4 to 1.6 trillion annually.The aim of this research is to identify the relationship between the quality of services provided by healthcare professionals and the level of patient satisfaction among outpatient care recipients at Haji Medan General Hospital. The studied population includes all outpatient care patients currently receiving treatment, with a sample size of 120 individuals, selected using the Accidental Sampling method. The research method employed is a quantitative approach with a Cross-Sectional design.Research findings reveal that out of the 120 respondents, there is a relationship between independent variables such as reliability (x1), responsiveness (x2), assurance (x3), empathy (x4), as well as physical evidence (x5), and the dependent variable, which is the level of patient satisfaction (y) among those receiving outpatient care at Haji Medan General Hospital, with a p-value less than 0.05.In analyzing patient satisfaction levels, around 66% of the total 120 respondents expressed dissatisfaction with the healthcare services at Haji Medan General Hospital. Independent variables that exhibit a strong correlation with the dependent variable include reliability, responsiveness, assurance, patient satisfaction level, physical evidence, and empathy. Based on these findings, it can be concluded that there is a relationship between the quality of services provided by healthcare professionals and the level of patient satisfaction at the hospital.&lt;/em&gt;&lt;/p&gt;

Satisfaction Level of Inpatient Food Services for Patients at RSUD Meuraxa Hospital in Banda Aceh

Hospitals are one of the crucial healthcare facilities that play a vital role in supporting healthcare efforts. Patient satisfaction or dissatisfaction is significantly influenced by the expected quality of services, particularly in hospitals. One of the success indicators in nutritional services is the satisfaction level of patients with the food they receive, as it positively contributes to the patients' healing process. These efforts also play a crucial role in supporting the recovery of patients. This research aims to assess the level of satisfaction with food services in terms of taste, presentation, and serving among inpatients at RSUD Meuraxa in Banda Aceh. The research method employed is descriptive quantitative research, aiming to provide an overview of patient satisfaction with food services at RSUD Meuraxa. Data were collected from 50 randomly selected respondents using an instrument that utilized a Likert scale with four options. The results of this study indicate that the majority of respondents are highly satisfied with the food services. A total of 90.0% of respondents stated that the food served at the hospital is delicious. Additionally, 70.0% of respondents found the food presentation to be appealing, and 96% of respondents considered the food serving to be excellent for inpatients at RSUD Meuraxa. Of all the satisfaction aspects measured, 86.0% of respondents expressed their satisfaction with the food services provided to inpatients at the hospital.

(388) Arab Patient and Partner Satisfaction Following Malleable Penile Prosthesis Implantation in the Middle East and North Africa

Abstract Introduction Due to the sensitivity of the topic of penile implants for the treatment of refractory erectile dysfunction (ED) in the Middle East and North Africa region, a scarce body of related research is available. Objective We aimed at investigating the levels of patient and partner satisfaction after malleable penile prosthesis implantation among the Arab population and its dynamics during and after the first 6 months of surgery. Methods This was a prospective 6-month follow-up study of 120 patients undergoing malleable penile prosthesis implantation at our unit by a single surgeon. Three telephone encounters were conducted for each couple at 1 month, 3 months, and 6 months postoperative (PO). We utilized our validated Arabic version of the Modified Erectile Dysfunction Inventory of Treatment Satisfaction (AM-EDITS). During the 1st first encounter, we inquired about the general patient perioperative experience, starting from preoperative counseling till the first month after surgery. The 2nd and 3rd encounters focused on patient and partner satisfaction after implant utilization. Results The average ages of the men and their partners were 54.7±8.4 and 32.9±4.6 years, respectively. Levels of anxiety decreased in over 82% of the men in our study upon receiving proper preoperative counseling. Almost all of the patients were happy (96%) with their early PO days with over 50% of them exceeding their expectations. After 3 months, 82.5% of the men were satisfied, describing their erections to be 80% close to natural. Of the 92.5% satisfied partners at 3 months, nearly 80% were highly satisfied. Over 93% of them reported feeling sexually desirable by their husbands. As opposed to the significant rise in men’s overall satisfaction and AM-EDITS index by 11.6% and 5.2 ± 0.8% (P &amp;lt; 0.001), respectively after 6 months PO, partners demonstrated a 12.4% and 5.9 ± 0.8 decline (P &amp;lt; 0.001), respectively, compared to the 3 months follow up. Conclusions Malleable penile implants still represent a good quality of life treatment option for middle to low-income countries. Time has a positive effect on Arab men’s PO satisfaction as opposed to their partners’. The explanation behind these findings should be investigated in further studies. A proper understanding of the dynamics of patient and partner satisfaction over time may be useful for proper perioperative counseling of both parties to ensure their sustainable satisfaction. Disclosure No.

Analysis of Patient Satisfaction in the Registration Section at the Regional General Hospital in Mandau District, Bengkalis Regency in 2023

This study was conducted at the Mandau District General Hospital in Bengkalis Regency with the goal of determining patient satisfaction at the registration section in 2023 by looking at the level of satisfaction based on five quality dimensions, namely Reliability, Responsiveness, Assurance, Empathy, and Tangibles. A quantitative research design with a cross-sectional design was used in this investigation. This study's sample size was 300 persons. The Mann Whitney test was used to analyze data using univariate and bivariate analysis. According to the findings of the investigation, the overall level of patient satisfaction with the registration part was high for the majority of 184 people (61.3%). JKN patients have a modest level of satisfaction in the majority of quality characteristics. JKN patients reported moderate satisfaction on the reliability dimension, 52% on the responsiveness dimension, and 58.7% on the assurance dimension. Meanwhile, patients had high levels of satisfaction on the areas of empathy and tangibles, with 57.2% and 74.7%, respectively. Non-JKN patients had a high degree of satisfaction in all quality dimensions. 55.3% of Non-JKN patients reported high satisfaction on the reliability dimension, followed by 69.3% on the responsiveness dimension, 66.7% on the assurance dimension, 78% on the empathy dimension, and 80% on the tangibles component. There is a significant difference between the satisfaction of JKN and Non-JKN patients with the registration services at the Mandau District Hospital, Bengkalis Regency in 2023.

Immediate Symmetrization of the Contralateral Breast in Breast Reconstruction-Revision, Complications, and Satisfaction: A Systematic Review.

It is desirable to achieve breast symmetry after unilateral surgery for breast tumors. Thus, contralateral balancing is often required, but it is still debated whether symmetrization surgery should be performed alongside reconstruction or as a delayed procedure. Therefore, we aimed to compare revision rates, complication rates, and satisfaction levels between those who underwent immediate versus delayed symmetrization. A systematic review was designed to summarize the revision surgery rates, complication rates, and satisfaction levels of patients who underwent contralateral breast symmetrization at the same time as breast reconstruction. We included articles published between 2010 and 2022 in databases such as PubMed, MEDLINE, and Embase. Most studies showed no difference or lower revision rates for immediate symmetrization, except for one study where immediate symmetrization had a revision rate twice that of delayed symmetrization. There were no significant differences in complication rates between the two groups. Regarding satisfaction levels, most studies showed that the immediate group had higher scores regardless of statistical significance; however, breast-related satisfaction was significantly higher in the immediate group than in the delayed group. This systematic review demonstrates that immediate symmetrization surgery does not increase revision surgery and complication rates or decrease satisfaction levels.

Assessment of Polyetheretherketone Crown in Patients: An Original Research

ABSTRACT Introduction: Polyetheretherketone (PEEK) has a long history of usage in implant abutments, but it has not seen much applications in tooth-supported prosthetics. The purpose of this research was to examine the clinical performance of PEEK crowns as well as the level of patient satisfaction with them. The pilot study was designed as an in vivo longitudinal examination. Material and Methods: Twenty patients each received a PEEK crown during the procedure. In total, 22 implants were inserted, with 11 going into the maxilla and 9 into the mandible. One operator was responsible for carrying out each phase of the procedure. The resin cement was used to lute the crowns that were produced. Baseline, 3 months, 6 months, and 1 year after the crowns were placed, they were evaluated for various parameters using Modified Ryge’s Criteria. These evaluations were performed at intervals of 3 months, 6 months, and 1 year. In addition, a questionnaire was used at the same time to assess the level of satisfaction felt by patients. Fisher’s exact test was utilized in the process of analyzing the data that were gathered. Results: According to the findings, 92.5% of the crowns met the modified version of Ryge’s criterion for a satisfactory rating. Three crowns had a fracture recorded. There was some chipping off observed in five of the crowns. There was not any significant difference in the other factors that were examined. The periodontal health of these three patients showed a slight degree of variance (P = 0.02). Conclusion: The capacity of PEEK crowns to create high-quality prostheses that were deemed satisfactory with a reasonably low rate of fracture during the relative mean duration of 1 year was established by the application of Modified Ryge’s Criteria. The PEEK crowns demonstrated their ability to produce quality prostheses.

An Examination of Patient Satisfaction with Spinal Anesthesia Interventions at DIK PUSDIKKES Hospital in East Jakarta

Background: Anesthesiology and intensive therapy services in hospitals are one part of the fast-growing health services. High patient satisfaction is one of the hospital's goals. The hospital as a full health care institution must be able to provide excellent service. Purpose: The study aims to determine the level of patient satisfaction with spinal anesthesia at the East Jakarta Pusdikkes Hospital. Methods: The design of this study is descriptive cross sectional, determining the number of samples using the Total Sampling method for as many as 30 respondents. The research instrument used the Evan Lr questionnaire. Findings: The results of the study, as many as 17 (53.1) respondents in post-spinal patients stated that they were satisfied, in patient satisfaction based on age most were aged 26-35 years with a fairly satisfied satisfaction level of 9 respondents (30.0%), at the level of patient satisfaction based on gender in this study most were female with a fairly satisfied satisfaction level of 13 respondents (43.3%), based on the level of education in this study most were high school with a fairly satisfied satisfaction level of 10 respondents (33.3%). Conclusion: From the results of the study, it was concluded that the description of the level of satisfaction with spinal anesthesia at the East Jakarta Pusdikkes Hospital was mostly satisfied.