Hospital emergency management work is of great importance which not only related to the life and health of the people but also related to social stability.It is necessary to construct and improve the patient satisfact...Hospital emergency management work is of great importance which not only related to the life and health of the people but also related to social stability.It is necessary to construct and improve the patient satisfaction assessment system so that doctors and patients can interact in a timely and effective manner,and the hospital can alert or respond promptly.This study constructs a closed-loop emergency management system consisting of patient-end,data center and decision-making-end,and apply the feedback information to hospital emergency management.In the preliminary applications,the system has a significant effect on the hospital emergency management mechanism.The researchers will improve the system in the follow-up study。展开更多
For many years, there has been a growing demand for patient-centered care in inpatient settings, but a lack of clear consensus on how to exactly implement such programs. The main aim of this study was to analyze patie...For many years, there has been a growing demand for patient-centered care in inpatient settings, but a lack of clear consensus on how to exactly implement such programs. The main aim of this study was to analyze patient-centered care in the acute-care setting in a multidimensional manner from the perspectives of elderly patients, their relatives, and an independent observer. A multi-method design was used to capture the three perspectives. Passive observations and post-situational interviews with patients were integrated with semi-structured interviews with patients and their relatives. 18 elderly patients and their relatives (n = 8) were recruited on wards for internal medicine of six hospitals. The data show significant deficits in patient-centered care in the acute-care setting. Although individual patients have different needs, certain categories of deficits emerge as universally relevant, one being the patient-provider-relationship. Patients express a desire for more frequent contact with the hospital staff. Access to doctors and nurses is particularly limited at night and on weekends. The patients are aware of these limitations and often do not draw attention to their own needs to reduce the workload on the staff. The wishes and needs of patients are not always adequately addressed. However, patients, relatives and the independent observer take positive notice of some employees because of their patient-centered attitude. The results show that there is still a need for improvement of patient-centered care. Participants from all three perspectives described differences between employees within the same institutional setting. This finding suggests that patient-centered care strongly depends on the personality of the individual caregiver.展开更多
Background: High quality care is the main concern of healthcare administrators and it was found to be related to nurses’ job satisfaction and motivation. Purpose: The study aimed to compare patients’ and nurses’ pe...Background: High quality care is the main concern of healthcare administrators and it was found to be related to nurses’ job satisfaction and motivation. Purpose: The study aimed to compare patients’ and nurses’ perceptions of nurses’ job satisfaction and motivation. Method: In this cross-sectional study the participants were 315 released patients and 329 nurses from eight hospitals in northern Israel. The participants completed three questionnaires: demographics, nursing job satisfaction, and nursing job motivation. Results: Nurses perceived both job satisfaction and motivation higher than the patients. Duration of hospitalization and being accompanied by family, were positively correlated to patients’ perceptions of these variables. Conclusion/Implications for Practice: To optimize care quality, it is important to assess both patients’ and nurses’ perceptions of nurses’ job satisfaction and motivation. Such an assessment may shed light on the nursing experience and on the way that it is reflected in the patients’ experience. A system-wide process is needed to set a national standard for service quality while emphasizing strategies that promote recognition of nurses’ work, for example, compliments and acknowledgment. This could enhance nurses’ sense of work engagement, which, in turn, may increase the patients’ perception of nurses’ job satisfaction and motivation.展开更多
Hospital marketing is becoming important for the survival and the prosperity of the health service. In addition, it indirectly acts as a formal feedback channel for the customer requirements, preferences, suggestions ...Hospital marketing is becoming important for the survival and the prosperity of the health service. In addition, it indirectly acts as a formal feedback channel for the customer requirements, preferences, suggestions and complaints. In this work we have undertaken a survey based marketing study for two main objectives: The first being to better understand the patient clusters through k-means clustering and the second to understand customer perception of the different known quality perspectives through factor rotated and unrotated analysis. All of the questionnaires were designed according to international studies. Based on general descriptive statistics, items classified with higher variance but important, are: clean environment, doctors and nurses capabilities, and specialized doctors. Items that are less important with low variance are: food type, lighting and insurance. Also, items classified as more important with low variance are: recommended, no mistakes, and the cost. Using factor analysis rotated and unrotated reduced the variables into five main variables described as: medical aspects, psychological aspects, cost aspects, hospital image and ease of access and procedures. Using k-means clustering, the customers can be clustered into four main clusters with two of them described as general patient with wide variety of interest, serious cases interested in specialized doctors and food, and very serious case with high stress on equipment, no mistakes.展开更多
Beyond resource efficiencies,green buildings aim to create healthy indoor environments for building occupants.In terms of improving occupant well-being,a unique case emerges for healthcare facilities,whose patients ma...Beyond resource efficiencies,green buildings aim to create healthy indoor environments for building occupants.In terms of improving occupant well-being,a unique case emerges for healthcare facilities,whose patients may be at a vulnerable state.In the U.S.,the Leadership in Energy and Environmental Design(LEED)rating system has become the most widely recognized certification system for green buildings,including green healthcare facilities and buildings.Hospitals with high total scores in the LEED rating system are green buildings but may not necessarily be the optimal green healthcare environment from a patient’s wellbeing perspective.Certified healthcare facilities were analyzed in terms of their credit valuation to assess whether healthcare facilities prioritize specific criteria that influence patient wellbeing and recovery time.Analysis of results indicate hospitals may be valuing the level of certification more than those credits that were deemed relevant for patient wellbeing and rate of recovery,either due to lack of information or due to economic constraints.To consolidate the previous results and to compare the performance of LEED certified green hospitals to the national average,the Hospital Consumer Assessment of Healthcare Providers and Systems(HCAHPS)survey was analyzed for patients’perspectives on the healthcare facility.Results indicate higher satisfaction in green hospitals’overall patient care performance as well as a greater tendency to recommend green hospitals to others compared to the national average.No statistical significance was found for hospital cleanliness and quietness between green hospitals and the national average.展开更多
Background Patient characteristics may be an internal factor influencing patient complaints, but in China patient characterization is restricted to patient satisfaction surveys, and few studies have considered the rel...Background Patient characteristics may be an internal factor influencing patient complaints, but in China patient characterization is restricted to patient satisfaction surveys, and few studies have considered the relationship between patient characteristics and patient complaints. The aim of this research was to determine the reasons for complaints. Methods In this study, we analyzed the characteristics of hospitalized patients and explored their relationship with medical complaints. Results The significant factors were age （P=0.045）, hospital cost （P=0.003）, household nature （P 〈0,001）, and education （P 〈0.001）. The complaint rate decreased when the patients＇ age increased （regression coefficient, -0.606; OR, 0.545, and 95%C/, 0.301-0.987）. The complaint rate increased with an increase in hospital cost （regression coefficient, 0.818; OR, 2.266; and 95%C/, 1.320-3.889）. Patients from non-agricultural households had a higher complaint rate （regression coefficient, 1.051; OR, 2.861; and 95%C/, 1.611-5.082）. Patients with higher education levels had lower complaint rates （regression coefficient, -0.944; OR, 0.389; and 95%C/, 0.234-0.647）. Conclusion The survey confirms that older patients and patients with higher education levels had lower complaint rates, while non-agricultural population and patients with higher hospital expenses had higher complaint rates.展开更多
基金National Social Science fund Major Projects(Grand 18ZDA088)National Social Science Foundation Project(Grand 18BGL242).
文摘Hospital emergency management work is of great importance which not only related to the life and health of the people but also related to social stability.It is necessary to construct and improve the patient satisfaction assessment system so that doctors and patients can interact in a timely and effective manner,and the hospital can alert or respond promptly.This study constructs a closed-loop emergency management system consisting of patient-end,data center and decision-making-end,and apply the feedback information to hospital emergency management.In the preliminary applications,the system has a significant effect on the hospital emergency management mechanism.The researchers will improve the system in the follow-up study。
文摘For many years, there has been a growing demand for patient-centered care in inpatient settings, but a lack of clear consensus on how to exactly implement such programs. The main aim of this study was to analyze patient-centered care in the acute-care setting in a multidimensional manner from the perspectives of elderly patients, their relatives, and an independent observer. A multi-method design was used to capture the three perspectives. Passive observations and post-situational interviews with patients were integrated with semi-structured interviews with patients and their relatives. 18 elderly patients and their relatives (n = 8) were recruited on wards for internal medicine of six hospitals. The data show significant deficits in patient-centered care in the acute-care setting. Although individual patients have different needs, certain categories of deficits emerge as universally relevant, one being the patient-provider-relationship. Patients express a desire for more frequent contact with the hospital staff. Access to doctors and nurses is particularly limited at night and on weekends. The patients are aware of these limitations and often do not draw attention to their own needs to reduce the workload on the staff. The wishes and needs of patients are not always adequately addressed. However, patients, relatives and the independent observer take positive notice of some employees because of their patient-centered attitude. The results show that there is still a need for improvement of patient-centered care. Participants from all three perspectives described differences between employees within the same institutional setting. This finding suggests that patient-centered care strongly depends on the personality of the individual caregiver.
文摘Background: High quality care is the main concern of healthcare administrators and it was found to be related to nurses’ job satisfaction and motivation. Purpose: The study aimed to compare patients’ and nurses’ perceptions of nurses’ job satisfaction and motivation. Method: In this cross-sectional study the participants were 315 released patients and 329 nurses from eight hospitals in northern Israel. The participants completed three questionnaires: demographics, nursing job satisfaction, and nursing job motivation. Results: Nurses perceived both job satisfaction and motivation higher than the patients. Duration of hospitalization and being accompanied by family, were positively correlated to patients’ perceptions of these variables. Conclusion/Implications for Practice: To optimize care quality, it is important to assess both patients’ and nurses’ perceptions of nurses’ job satisfaction and motivation. Such an assessment may shed light on the nursing experience and on the way that it is reflected in the patients’ experience. A system-wide process is needed to set a national standard for service quality while emphasizing strategies that promote recognition of nurses’ work, for example, compliments and acknowledgment. This could enhance nurses’ sense of work engagement, which, in turn, may increase the patients’ perception of nurses’ job satisfaction and motivation.
文摘Hospital marketing is becoming important for the survival and the prosperity of the health service. In addition, it indirectly acts as a formal feedback channel for the customer requirements, preferences, suggestions and complaints. In this work we have undertaken a survey based marketing study for two main objectives: The first being to better understand the patient clusters through k-means clustering and the second to understand customer perception of the different known quality perspectives through factor rotated and unrotated analysis. All of the questionnaires were designed according to international studies. Based on general descriptive statistics, items classified with higher variance but important, are: clean environment, doctors and nurses capabilities, and specialized doctors. Items that are less important with low variance are: food type, lighting and insurance. Also, items classified as more important with low variance are: recommended, no mistakes, and the cost. Using factor analysis rotated and unrotated reduced the variables into five main variables described as: medical aspects, psychological aspects, cost aspects, hospital image and ease of access and procedures. Using k-means clustering, the customers can be clustered into four main clusters with two of them described as general patient with wide variety of interest, serious cases interested in specialized doctors and food, and very serious case with high stress on equipment, no mistakes.
文摘Beyond resource efficiencies,green buildings aim to create healthy indoor environments for building occupants.In terms of improving occupant well-being,a unique case emerges for healthcare facilities,whose patients may be at a vulnerable state.In the U.S.,the Leadership in Energy and Environmental Design(LEED)rating system has become the most widely recognized certification system for green buildings,including green healthcare facilities and buildings.Hospitals with high total scores in the LEED rating system are green buildings but may not necessarily be the optimal green healthcare environment from a patient’s wellbeing perspective.Certified healthcare facilities were analyzed in terms of their credit valuation to assess whether healthcare facilities prioritize specific criteria that influence patient wellbeing and recovery time.Analysis of results indicate hospitals may be valuing the level of certification more than those credits that were deemed relevant for patient wellbeing and rate of recovery,either due to lack of information or due to economic constraints.To consolidate the previous results and to compare the performance of LEED certified green hospitals to the national average,the Hospital Consumer Assessment of Healthcare Providers and Systems(HCAHPS)survey was analyzed for patients’perspectives on the healthcare facility.Results indicate higher satisfaction in green hospitals’overall patient care performance as well as a greater tendency to recommend green hospitals to others compared to the national average.No statistical significance was found for hospital cleanliness and quietness between green hospitals and the national average.
文摘Background Patient characteristics may be an internal factor influencing patient complaints, but in China patient characterization is restricted to patient satisfaction surveys, and few studies have considered the relationship between patient characteristics and patient complaints. The aim of this research was to determine the reasons for complaints. Methods In this study, we analyzed the characteristics of hospitalized patients and explored their relationship with medical complaints. Results The significant factors were age （P=0.045）, hospital cost （P=0.003）, household nature （P 〈0,001）, and education （P 〈0.001）. The complaint rate decreased when the patients＇ age increased （regression coefficient, -0.606; OR, 0.545, and 95%C/, 0.301-0.987）. The complaint rate increased with an increase in hospital cost （regression coefficient, 0.818; OR, 2.266; and 95%C/, 1.320-3.889）. Patients from non-agricultural households had a higher complaint rate （regression coefficient, 1.051; OR, 2.861; and 95%C/, 1.611-5.082）. Patients with higher education levels had lower complaint rates （regression coefficient, -0.944; OR, 0.389; and 95%C/, 0.234-0.647）. Conclusion The survey confirms that older patients and patients with higher education levels had lower complaint rates, while non-agricultural population and patients with higher hospital expenses had higher complaint rates.
