Hospital Services Research Articles

Park proximity and all-day and time-specific physical activity and sedentary behaviour in older adults

Abstract Background Proximity to parks has been suggested as a factor influencing physical activity in older adults. However, it remains unclear the optimal distance between residences and parks for promoting physical activity and reducing sedentary time and whether these associations vary by the time of day. We examined whether the proximity to neighbourhood parks at varying distances is associated with all-day and time-specific physical activity and sedentary behaviour in older adults. Methods Data were collected from 214 older adults receiving hospital services in Taipei, Taiwan. The number of parks within 400m, 800m, and 1,600m of participants’ residences. Physical activity and sedentary behaviour, stratified by time of day (morning, afternoon, and evening), were measured using accelerometers. Adjusted linear regression models were used to estimate associations of park proximity with activity and sedentary outcomes. Results Parks located within 400m and 800m of participants’ residences were more markedly associated with longer time in physical activity and less sedentary time compared to parks located 1,600m away. A greater number of parks within 400m and 800m was positively associated with walking steps and light-intensity physical activity while both distances were negatively associated with sedentary time. The associations between park proximity and behavioural outcomes were mainly attributable to that during the afternoon and evening. Conclusions Our findings suggest that favourable access to parks within 800m of older adults’ residences is associated with more physical activity and less sedentary time, particularly during the afternoon and evening. Future longitudinal studies are required to corroborate these associations.

EXPRESS: The Pedagogy of Hospitableness: A transformative approach for hospitality workforce development

The ability to deliver hospitable service is essential for hospitality professionals in tailoring authentic and emotionally resonant guest experiences. However, limited attention has been given to how such a Hospitable Service Mindset (HSM) can be developed in the current and future hospitality workforce. Grounded in Transformative Learning Theory (TLT) and through qualitative interviews with hospitality trainers and educators, this study proposes the "pedagogy of hospitableness," a framework encompassing conditions and practices that trigger, support, amplify, and accelerate the development of an HSM across formal and informal learning settings. The findings contribute to the expansion and advancement of TLT through the integration of social and emotional dimensions and the emphasis on connectedness as a crucial element in transformative learning. The study also demonstrates the applicability of TLT in hospitality workforce development settings, providing insights for industry trainers and educators on effectively nurturing hospitableness.

A Comparative Study of the Service Quality between the Sub-District Health Promotion Hospital Transferred to the Provincial Administrative Organization and the Sub-District Health Promotion Hospital under the Ministry of Public Health in the Tha Sala District, Nakhon Si Thammarat Province

Background and Aim: A comparative study of the service quality of subdistrict health promotion hospitals transferred to the Provincial Administrative Organization. And subdistrict health-promoting hospitals under the Ministry of Public Health in ​​Tha Sala District Nakhon Si Thammarat Province. It occurred due to the setting and driving of the policy to transfer Subdistrict Health Promoting Hospitals (Subdistrict Health Promoting Hospitals) to the Provincial Administrative Organization. The research objectives are to (1) study and compare the quality of services of Subdistrict Health Promotion Hospitals transferred to the Provincial Administrative Organization and Subdistrict Health Promotion Hospitals under the Ministry of Public Health, (2) determine guidelines for developing service quality. Of Subdistrict Health Promoting Hospital in Tha Sala District Nakhon Si Thammarat Province Materials and Methods: This research uses a qualitative research method, using data collection tools, which are questions for in-depth interviews, to collect information from key informants. Consisting of (1) a group of officials from Subdistrict Health Promoting Hospital in Tha Sala District, four people, (2) a group of directors from Health Promoting Hospital in Tha Sala District, four people, and (3) a group of village health volunteers, which is a group receiving services from Subdistrict Health Promotion Hospital transferred to the Provincial Administrative Organization and Subdistrict Health Promotion Hospital under the Ministry of Public Health, totaling four people. Results and Conclusion: The results of the study found that (1) the concreteness of the Subdistrict Health Promotion Hospital services transferred to the Provincial Administrative Organization; There is the concreteness of service by providing services based on the standards of primary care units, 2024 edition, with clean, proportionate, and appropriate service locations. (2) Reliability of service providers. Subdistrict Health Promoting Hospitals transferred to Provincial Administrative Organizations There is a thorough check on the accuracy of dispensing medicines to patients. There is training to provide knowledge on various matters (3) in responding to the needs of Subdistrict Health Promotion Hospital service recipients transferred to the Provincial Administrative Organization. Service information is publicized through village health volunteers and Subdistrict Health Promoting Hospitals under the Ministry of Public Health. (4) in the aspect of providing confidence to Subdistrict Health Promotion Hospital service recipients who are transferred to the Provincial Administrative Organization. As for the Subdistrict Health Promotion Hospital under the Ministry of Public Health, bathrooms are designed with safety in mind. While working, staff wear uniforms and gloves and strictly follow procedures. (5) Understanding and knowing service recipients. Subdistrict Health Promoting Hospitals transferred to Provincial Administrative Organizations Staff provide services with convenience and speed and take care of patients with professional ethics. Pay attention to taking care of patients very well. As for the Subdistrict Health Promotion Hospital under the Ministry of Public Health Staff provide service with a cheerful smile, speak sweetly, and take care of patients closely.

Guest experience and unique accommodation features in Göreme, Cappadocia: An Airbnb review analysis

This study investigates the influence of unique accommodation features on guest experiences in the Göreme town of Cappadocia, focusing on Airbnb reviews. By analyzing 5,677 reviews from 122 Airbnb listings, the research identifies key features such as cave dwellings, panoramic views, and hot air balloon experiences, which significantly contribute to guest satisfaction. A mixed-method approach has been used, combining frequency analysis and sentiment analysis, to evaluate how these unique elements shape guests' perceptions and overall satisfaction. The findings highlight the critical role of both aesthetic qualities and service standards, emphasizing the need for hosts to balance unique architectural features with essential hospitality services like cleanliness and maintenance. This research provides insights for Airbnb hosts and destination marketers to enhance the appeal of Cappadocia as a premier destination for immersive, authentic tourism experiences. The study also offers strategic recommendations for improving marketing efforts and destination management by leveraging Cappadocia's cultural and natural heritage to create memorable guest experiences. As a suggestion for future research, it may be useful to extend the findings of this study to a wider geographical area and examine different tourist profiles.

ANALISIS DESKRIPTIF KUALITATIF IMPLEMENTASI WORD OF MOUTH DALAM KOMUNIKASI PEMASARAN PRODUK BROOKLAND COFFEE

This research aims to explore and describe exactly how the application of word of mouth marketing communication in Brookland Coffee's product marketing strategy. The research method uses a descriptive qualitative approach by conducting direct observations and in-depth interviews with key informants consisting of the owner, baristas, and consumers of Brookland Coffee. The results showed that Brookland Coffee consistently implements a word of mouth strategy by prioritizing aspects of trust and consumer confidence. This strategy is implemented through a family approach, networking, and community building, especially the bicycle community. The research conclusion revealed that the effectiveness of word of mouth succeeded in strengthening Brookland Coffee's marketing communications, supported by consistent product quality, good service (hospitality), and the use of Instagram social media as a supporting platform for marketing strategies. Brookland Coffee succeeded in building a strong brand identity through a combination of offline and online word of mouth communication.

A Chinese conundrum: Does higher insurance coverage for hospitalisation reduce financial protection for the patients who most need it?

Abstract This paper evaluates the relationship between the degree of cost-sharing and the utilization of outpatient and inpatient health services in China. Using data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), we estimated the association between outpatient and inpatient service utilization and cost-sharing levels associated with outpatient and inpatient services, as well as a comparative metric that quantifies the relative cost-sharing burden between the two. We found that patients in areas with higher levels of cost-sharing for outpatient services exhibit a lower propensity to use outpatient care and a higher inclination to utilize costly hospitalisation services. Conversely, as the ratio of cost-sharing for outpatient services to that for inpatient services increases, the likelihood of patients forgoing doctor-initiated hospitalisation correspondingly increases. This suggests that when cost-sharing for outpatient care rises relative to inpatient care, observed increases in inpatient care utilization reflect an escalation in moral hazard rather than a correction for the underutilization of inpatient services. We conclude that both substitution and complementary roles exist between outpatient and inpatient services. Our findings suggest that a more effective design of cost-sharing is needed to enhance the equity and efficiency of China’s health system.

Game Evolution Research on the Choice of Training Strategies between Clinical Departments and Doctors under the Background of Hospital-Provided Training

Objective: This study aims to explore the dynamic game process of training participation strategies among hospitals, clinical departments, and newly recruited doctors, as well as the impact of hospital intervention on this process. By applying game evolution theory, a comprehensive model is constructed to analyze the decision-making logic of training participation and propose new training strategies to promote the professional growth of newly recruited doctors and improve hospital service quality. Methods: The stability of dynamic game equilibrium points was analyzed by constructing Jacobian matrices, considering nine different game scenarios with and without hospital intervention. An empirical study from a hospital was introduced to verify the theoretical model's predictions. Results: The study found that without hospital intervention, clinical departments and newly recruited doctors tend to choose not to participate in training. After hospital intervention, through the provision of resources and incentives, the participation and effectiveness of training significantly improved. Conclusion: The study reveals the crucial role of hospital intervention in promoting the participation of newly recruited doctors in training and proposes a training strategy that combines theory and practice. This strategy not only helps new doctors quickly adapt to the hospital environment but also improves the quality of medical services, providing talent support for the hospital's continuous development. It offers theory-based decision support for hospital managers and provides new ideas for the improvement of future medical education and practice.

The Motivation Factors for Chinese Female Tourists to Participate in ‘Pin’ Themed Afternoon Tea at Luxury Hotels in Macau from the Sharing Economy Perspective and Self-Determination Theory

ABSTRACT The sharing economy has changed the consumption pattern of hospitality services. This study explored a new situation under the sharing economy service – the “Pin” afternoon tea (a form of group purchases) – and determined consumers’ motivations for participation. Qualitative research was conducted in the context of the sharing economy theory and self-determination theory. The results of interviews with 11 Chinese female tourists revealed nine motivation factors in five main dimensions (financial benefits, social benefits, sustainability, enjoyment, and novelty) of “Pin” afternoon teas: cost saving, product scarcity, expanding the circle of friends, social status, environmental consciousness, enjoying the processes, enjoying the foods, enjoying the environment, and experiencing new things. This study contributes to hospitality research by indicating how a niche market (Chinese female tourists) is motivated by a new sharing economy model (the “Pin” afternoon tea). Knowing these motivations may help the hospitality industry formulate appropriate strategies to speed tourism recovery.

Commercial insurers' market power and hospital prices in Medicaid managed care

AbstractObjectiveTo examine the relationship between insurers' commercial market power and negotiated prices in Medicaid Managed Care (MMC) plans for hospital care.Data SourcesMMC prices from hospital‐disclosed price transparency data as of July 2023 compiled by Turquoise Health, insurance enrollment information from the 2021 Clarivate InterStudy enrollment data.Study DesignLog‐transformed linear regression with hospital and procedure fixed effects estimating the within‐hospital MMC price variation as a function of insurers' commercial market share quartile and MMC market share for 15 common outpatient hospital services.Data Collection/Extraction MethodsA total of 39,049 MMC price samples measured at hospital‐procedure‐MMC insurer level are merged with county‐insurer level market share data.Principal FindingsAround 25% of price variation in MMC plans are driven by within‐hospital factors. Compared with MMC insurers from the lowest commercial market share quartile (<0.8%), those from the highest commercial market share quartile (>17%) are associated with negotiating 4.6% (95% confidence interval: [2.8%–6.4%], p < 0.001) lower MMC prices for outpatient hospital care, including 3.6% (p < 0.05) for medical/surgical procedures, 3.6% (p < 0.01) for radiology, and 6.7% (p < 0.001) for emergency department visits.ConclusionsMMC insurers with substantial commercial market share negotiate lower MMC prices for multiple outpatient hospital services.

Reducing Food Loss and Waste in the Hospitality and Food Service Sector: A Design Thinking Approach

Reducing Food Loss and Waste in the Hospitality and Food Service Sector: A Design Thinking Approach

THE “HUMANIZE SUS” POLICY: ANALYSIS AND REFLECTIONS FOR ITS EFFECTIVENESS

This article presents the results of a survey conducted in 2018 that analyzed the implementation of the National Policy for Humanization of Health Care and Management (PNH) in a University Hospital (HU) in Rio Grande do Sul (RS) based on its adherence to the Brazilian Company of Hospital Services (EBSERH). Having used a qualitative approach, it was possible to conclude that the National Policy for Humanization of Health Care and Management has a hybrid form, allowing an appropriation of its concepts by different societal projects and, in this case, the Neoliberal project represents one of the greatest challenges for its implementation.

Service Quality and Patient Satisfaction of Internet Hospitals in China: Cross-Sectional Evaluation With the Service Quality Questionnaire.

Internet hospitals, which refer to service platforms that integrate consultation, prescription, payment, and drug delivery based on hospital entities, have been developing at a rapid pace in China since 2014. However, assessments regarding their service quality and patient satisfaction have not been well developed. There is an urgent need to comprehensively evaluate and improve the service quality of internet hospitals. This study aims to investigate the current status of patients' use of internet hospitals, as well as familiarity and willingness to use internet hospitals, to evaluate patients' expected and perceived service qualities of internet hospitals using the Chinese version of the Service Quality Questionnaire (SERVQUAL-C) with a national representative sample, and to explore the association between service quality of internet hospitals and patients' overall satisfaction toward associated medical platforms. This cross-sectional survey was conducted through face-to-face or digital interviews from June to September 2022. A total of 1481 outpatient participants (635 men and 846 women; mean age 33.22, SD 13.22). Participants reported their use of internet hospitals, and then rated their expectations and perceptions of service quality toward internet hospitals via the SERVQUAL-C, along with their demographic information. Among the surveyed participants, 51.2% (n=758) of participants had used internet hospital service or services. Use varied across age, education level, and annual income. Although the majority of them (n=826, 55.8%) did not know internet hospital services well, 68.1% (n=1009) of participants expressed the willingness to adopt this service. Service quality evaluation revealed that the perceived service quality did not match with the expectation, especially the responsiveness dimension. Important-performance analysis results further alerted that reliable diagnosis, prompt response, clear feedback pathway, and active feedback handling were typically the services awaiting substantial improvement. More importantly, multiple linear regressions revealed that familiarity and willingness to use internet hospital services were significant predictors of satisfaction, above and over tangibles, reliability, and empathy service perspectives, and demographic characteristics such as gender, age, education level, and annual income. In the future, internet hospitals should focus more on how to narrow the gaps between the expected and perceived service quality. Promotion of internet hospitals should also be facilitated to increase patients' familiarity with and willingness to use these services.

Proportional Trends in Pediatric Opioid Prescribing Between 2005 and 2016 by Age Group, Sex, Ethnicity, Race, Language, and Payer Status from a Large Children’s Hospital in the Southwest United States

Background/Objectives: Prescription opioid use before adulthood is typically effective for acute pain control and is also associated with adverse short- and long-term consequences. Methods: This study examined pediatric opioid prescribing trends over time across different age groups (early childhood, school age, adolescence, young adult) and sociodemographic subgroups (sex, ethnicity, race, language, payer type) from 2005 to 2016. Results: Utilizing 42,020 first outpatient opioid prescriptions for youth aged 0–21 years from a large US children’s hospital, this research found notable trends and disparities. Prescription rates increased by 35% from 2005–2007 to 2008–2010, then decreased by 14% from 2008–2010 to 2011–2013, and decreased again by 22% from 2011–2013 to 2014–2016. Chi-squared tests indicated significant changes in prescription rates across all sociodemographic subgroups, though only age group, ethnicity, and payer type (i.e., the party responsible for payment for hospital services) had changes with non-negligible effect sizes (Cramer’s V). Specifically, age group showed small to medium effects (V = 0.16), while ethnicity and payer demonstrated small effects (V = 0.10 each). This study highlights variations in opioid prescribing trends, particularly among different age groups, ethnicities, and payer statuses up to 2016. Conclusions: These findings reveal differing trends in pediatric opioid prescribing during the peak of the opioid epidemic, highlighting the importance of considering age and sociodemographic variables for understanding prescribing patterns fully and raising potential concerns about inequities in pain management. Future studies should explore similar trends from 2016 onward.

In-Depth Examination of the Functionality and Performance of the Internet Hospital Information Platform: Development and Usability Study.

Internet hospitals (IHs) have rapidly developed as a promising strategy to address supply-demand imbalances in China's medical industry, with their capabilities directly dependent on information platform functionality. Furthermore, a novel theory of "Trinity" smart hospital has provided advanced guidelines on IH constructions. This study aimed to explore the construction experience, construction models, and development prospects based on operational data from IHs. Based on existing information systems and internet service functionalities, our hospital has built a "Smart Hospital Internet Information Platform (SHIIP)" for IH operations, actively to expand online services, digitalize traditional health care, and explore health care services modes throughout the entire process and lifecycle. This article encompasses the platform architecture design, technological applications, patient service content and processes, health care professional support features, administrative management tools, and associated operational data. Our platform has presented a set of data, including 82,279,669 visits, 420,120 online medical consultations, 124,422 electronic prescriptions, 92,285 medication deliveries, 6,965,566 prediagnosis triages, 4,995,824 offline outpatient appointments, 2025 medical education articles with a total of 15,148,310 views, and so on. These data demonstrate the significant role of IH as an indispensable component of our physical hospital services, with deep integration between online and offline health care systems. The upward trends in various data metrics indicate that our IH has gained significant recognition and usage among both the public and healthcare workers, and may have promising development prospects. Additionally, the platform construction approach, which prioritizes comprehensive service digitization and the 'Trinity' of the public, healthcare workers, and managers, serves as an effective means of promoting the development of Internet Hospitals. Such insights may prove invaluable in guiding the development of IH and facilitating the continued evolution of the Internet healthcare sector.

Validation and Reliability Study of The Turkish Version of The Health Services Access Scale

Background/aim: The aim of this study is to establish the Turkish validity and reliability of the Healthcare Access Scale and to determine whether perceptions of healthcare access vary according to demographic variables. Materials and methods: Data for the research were collected through surveys of 468 participants across Turkey. Exploratory factor analysis and confirmatory factor analysis were conducted in the process of adapting the Healthcare Access Scale. In addition, t-tests and ANOVA tests were used to determine variations in access to healthcare according to demographic variables. The factors obtained from the exploratory factor analysis were confirmed by confirmatory factor analysis. The fit index values of the five-dimension health care access scale were found to be in the good fit range. Results: As a result of the difference analyses carried out, no significant differences were found in the perceptions of access to healthcare according to gender, age and educational level. However, various differences were observed between the groups in terms of the type of hospital services received, income level and frequency of hospital visits in the past year. In conclusion, this study makes a significant contribution to the literature by testing the appropriateness, validity and reliability of the Healthcare Access Scale. Conclusion: This study makes a significant contribution to the literature by testing the appropriateness, validity and reliability of the Healthcare Access Scale. Key words: Health Services, Health System, Validity and Reliability, Access to Health Services, Turkish Validity, Health

The effect of an enhanced fetal growth ultrasound protocol on pregnancy outcomes: A retrospective service evaluation within a single UK National Health Service centre between 2014 and 2022

Aim: Growth Assessment Protocol is a fetal growth initiative designed to improve antenatal detection of babies who are small-for-gestational-age and reduce stillbirths. However, its direct impact on pregnancy outcome and stillbirth rates is questioned. This service evaluation aimed to assess Growth Assessment Protocol’s influence on pregnancy outcomes at a National Health Service hospital. Method: Anonymous, maternity and ultrasound data, routinely acquired between 2014 and 2022 were extracted from clinical databases (Viewpoint, Euroking). Trends in maternity data and ultrasound scan volume were explored with descriptive statistics. Variables of stillbirth, antenatal small-for-gestational-age detection and scan volume were compared before and after Growth Assessment Protocol implementation. Associations between these variables were evaluated using Spearman’s rho. Results: The percentage of babies born small-for-gestational-age reduced by 0.3% across the evaluation period. Antenatal small-for-gestational-age diagnosis rose from 4.1% to 14.3%. However, the number of false-positive cases of antenatally diagnosed small-for-gestational-age increased fivefold from 2.2% to 11.5%. Although stillbirth rates remained consistent post-Growth Assessment Protocol, complex scan volume (e.g. number of growth scans using Doppler) increased annually. The peak incline coincided with the Growth Assessment Protocol implementation period (2016–2018). Complex scan volume was significantly associated with overall small-for-gestational-age detection (rho = 0.8, p =< 0.001), but not with stillbirth frequency (rho = −0.1, p = 0.4). Conclusion: Small-for-gestational-age detection increased following Growth Assessment Protocol implementation, although this was associated with a high false-positive rate and no reduction in stillbirths. The potential implications associated with clinical management, parent experiences and departmental workflow, alongside the benefits for stillbirth reduction, should be fully considered prior to the introduction of a new fetal growth initiative to the antenatal care pathway.

From Function to Relation: Exploring the Dual Influences of Warmth and Competence on Generative Artificial Intelligence Services in the Hospitality Industry

Generative artificial intelligence (GenAI) has emerged as a transformative force in the rapidly-evolving hospitality industry. This study examined the correlation of acceptance of GenAI services with perceived warmth and competence, and the consequent correlations with customer outcomes in the hospitality industry. Employing a Hospitality Service Dialogue System prototype, this study collected responses from 1,306 hotel guests. Perceptions of warmth and competence correlated with increased customer intention to use GenAI services and satisfaction. Satisfaction correlated significantly with customer–brand identification and attachment. The Technology Readiness Index moderated the relationships of warmth and competence with the acceptance of GenAI services. This investigation extends the stereotype content model and the behaviors from intergroup affect and stereotypes map framework by integrating them with the technology acceptance literature, unveiling service innovations enabled by technology in the hospitality industry. This study provides hotel managers, technology developers, and marketers with strategic directions for implementing GenAI.

Effects of COVID-19 pandemic on psychiatric and psychological consultation-liaison contacts in a general hospital in North-East of Italy: a retrospective study

BackgroundThe COVID-19 pandemic has prompted significant changes in healthcare, particularly affecting psychiatric and psychological Consultation-Liaison (CL) services in general hospital settings.AimTo assess the effects of COVID-19-related restrictions on utilization of psychiatric and psychological CL services in Northeast Italy during 2020, and to compare it to the use of services in the previous year (2019).MethodsThe study collected data on psychiatric and psychological consultations in 2019 and 2020 from a hospital database. It categorizes consultations by type of patient (inpatient or outpatient) and referral source (hospital wards, general practitioners, other specialists). Pandemic-related restrictions were classified as “lockdown,” “intermediate restrictions,” and “no or reduced restrictions” based on the Covid Stringency Index (CSI). Poisson regression models were employed to analyze the data.ResultsThe findings reveal a significant 28% increase in the number of psychiatric and psychological consultations in 2020. Consultations for outpatients increased by 51%, while those for inpatients decreased by 11%. However, the lockdown and intermediate restriction phases were deemed responsible of a decrease of 42.9% and 19.5% in consultations respectively.DiscussionThis study highlights the persistent psychological burden during the COVID-19 pandemic, alongside reduced CL services due to lockdown measures. Integrating telemedicine into these types of services becomes imperative for meeting patient needs during restrictions. These findings can inform policies and practices to improve effective mental health care delivery during and beyond pandemics. Future research should explore the impact of pandemic-related restrictions on mental healthcare across settings and clinical factors affecting service accessibility.

Cautionary lessons from the COVID-19 pandemic: Healthcare systems grappled with the dual responsibility of delivering COVID-19 and non-COVID-19 care.

During the COVID-19 pandemic, hospitals were challenged to provide both COVID-19 and non-COVID treatment. A survey questionnaire was designed and distributed via email to hospitals empanelled under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana(AB-PMJAY), the world's largest National Health Insurance Scheme. Telephonic follow-ups were used to ensure participation in places with inadequate internet. We applied support vector regression to quantify the hospital variables that affected the use vs. non-use of hospital services (Model-1), and factors impacting COVID-19 revenue and staffing levels (Model-2).We quantified the statistical significance of important input variables using Fisher's exact test. The survey, conducted early in the pandemic, included 461 hospitals across 20 states and union territories. Only 55.5% of hospitals were delivering emergency care, 26.7% were doing elective surgery and 36.7% providing obstetric services. Hospitals with adequate supplies of PPE, including N95 masks, and separate facilities designated for COVID-19 patients were more likely to continue providing emergency surgeries and services effectively. Data analysis revealed that large hospitals (> 250 beds) with adequate PPE and dedicated COVID-19 facilities continued both emergency and elective surgeries. Public hospitals were key in pandemic management, large private hospital systems were more likely to conduct non-COVID-19 surgeries, with not-for-profit hospitals performing slightly better. Public and large private not-for-profit hospitals faced fewer staff shortages and revenue declines. In contrast, smaller hospitals (< 50 beds) experienced significant staff attrition due to anxiety, stress and revenue losses. They requested government support for PPE supplies, staff training, testing kits, and special allowances for healthcare workers. The inclusion of COVID-19 coverage under AB-PMJAY improved access to healthcare for critical cases. Maintaining non-COVID-19 care during the pandemic indicates healthcare system resiliency. A state-wide data-driven system for ventilators, beds, and funding support for smaller hospitals, would improve patient care access and collaboration.

Patient Satisfaction at Aisyiyah RSU Klaten

Patient satisfaction in hospital services can also be achieved from the service system provided by the hospital. Hospitals as health service institutions are required to provide fast, quality and affordable services to provide satisfaction for patients. The purpose of this study is to determine the influence of waiting time, service quality, officer attitude and information technology on patient satisfaction at Aisyiyah Klaten Hospital. The method of this research is quantitative descriptive. The number of research respondents was 120, which was determined by accidental sampling technique. The results of the study showed that waiting time (p value 0.000), officer attitude (p value 0.008) and information technology (p value 0.015) had a positive and significant effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten.The quality of service (p value 0.775) had no effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten. The suggestion of this research is that information technology should be better and easily accessible so that patient satisfaction increases so that the quality of hospital services is even better. Keywords: satisfaction, service quality, officer attitude, information technology, waiting time