Abstract not available

Bibliography: leaves 372-389 / 389 leaves : / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (M.D.)--University of Adelaide, Dept. of Community Medicine, 1984

<p>Inom akutsjukvården är en stor del patienterna 65 år och äldre, vilket innebär att en stor del av vården vid en akutmottagning omfattas av bemötande och omhändertagande av äldre patienter. <strong>Syfte: </strong>Syftet med denna studie var att belysa hur äldre personer beskriver att deras behov av omvårdnad blir tillgodosett av omvårdnadspersonal vid akutmottagning. <strong>Metod: </strong>Studien genomfördes som en litteraturstudie där 13 artiklar granskades. <strong>Resultat: </strong>Resultatet visade att många äldre hade en negativ upplevelse av sin vistelse på akutmottagningen. Många fick vänta länge och fick inte sina basala behov tillgodosedda såsom t.ex. mat och dryck. Äldre patienter kände sig oroliga, övergivna och rädda under väntetiden och önskade mer uppmärksamhet och en mer kontinuerlig uppföljning under väntetiden. Resultatet visade också att information till patienten var väldigt viktig. Fick de äldre på akutmottagningen information om vad som skulle hända, hur undersökningar skulle gå till och varför de fick vänta kände de sig nöjda och trygga. Det fanns enligt resultatet en hög respekt för sjuksköterskornas professionella kompetens och omvårdnadspersonalens uppträdande på akutmottagning värderades högre av äldre patienter än av yngre patienter.</p> / <p>In the emergency department a big part of the patients are 65 years old and older, which means that a great deal of the medical care at the emergency department consists of meeting and caring for older patients. <strong>The aim</strong>: The aim with this study was to enlighten how the older patients describe that nurses at the emergency department provide for their need of care. <strong>Method: </strong>The study was done as a study of literature where 13 articles were reviewed. <strong>Result: </strong>The result showed that several older patients had a negative experience of their stay at the emergency department. Many of them had to wait for a long time and did not get their needs provided for. Older patients felt worried, abandon and scared during their time waiting and wished for more attention and more continual checkups during waiting time. The result also showed that information to the patients where very important. If the older patients at the emergency department got information about what was going to happen, how the examinations should proceed and why they had to wait they got more satisfied and secure as patients. There was, according to the result, a high respect for the nurse’s professional competence, and the older patients valued the staff’s behaviour higher than the younger patients.</p>

Inom akutsjukvården är en stor del patienterna 65 år och äldre, vilket innebär att en stor del av vården vid en akutmottagning omfattas av bemötande och omhändertagande av äldre patienter. Syfte: Syftet med denna studie var att belysa hur äldre personer beskriver att deras behov av omvårdnad blir tillgodosett av omvårdnadspersonal vid akutmottagning. Metod: Studien genomfördes som en litteraturstudie där 13 artiklar granskades. Resultat: Resultatet visade att många äldre hade en negativ upplevelse av sin vistelse på akutmottagningen. Många fick vänta länge och fick inte sina basala behov tillgodosedda såsom t.ex. mat och dryck. Äldre patienter kände sig oroliga, övergivna och rädda under väntetiden och önskade mer uppmärksamhet och en mer kontinuerlig uppföljning under väntetiden. Resultatet visade också att information till patienten var väldigt viktig. Fick de äldre på akutmottagningen information om vad som skulle hända, hur undersökningar skulle gå till och varför de fick vänta kände de sig nöjda och trygga. Det fanns enligt resultatet en hög respekt för sjuksköterskornas professionella kompetens och omvårdnadspersonalens uppträdande på akutmottagning värderades högre av äldre patienter än av yngre patienter. / In the emergency department a big part of the patients are 65 years old and older, which means that a great deal of the medical care at the emergency department consists of meeting and caring for older patients. The aim: The aim with this study was to enlighten how the older patients describe that nurses at the emergency department provide for their need of care. Method: The study was done as a study of literature where 13 articles were reviewed. Result: The result showed that several older patients had a negative experience of their stay at the emergency department. Many of them had to wait for a long time and did not get their needs provided for. Older patients felt worried, abandon and scared during their time waiting and wished for more attention and more continual checkups during waiting time. The result also showed that information to the patients where very important. If the older patients at the emergency department got information about what was going to happen, how the examinations should proceed and why they had to wait they got more satisfied and secure as patients. There was, according to the result, a high respect for the nurse’s professional competence, and the older patients valued the staff’s behaviour higher than the younger patients.

SAMMANFATTNING Syfte: Syftet med denna studie var att på ett sjukhus i Mellansverige undersöka hur tillfredställda patienterna var med information om läkemedelsbiverkningar Syftet var även att undersöka grad av oro över eventuella biverkningar och jämföra om det fanns någon könskillnad gällande detta. Metod: Studiens design var en kvantitativ tvärsnittsstudie med deskriptiv och jämförande statistik. Data samlades in genom en Studiespecifik enkät. Antalet svarande var 29 inneliggande patienter under 10 veckor som uppfyllde inklusionskriterierna. Resultat: Resultatet visade att hälften av deltagarna inte hade fått information om läkemedelsbiverkningar och att 78 % uppgav sig vilja ha mer information. Nio av tio deltagare instämde till att vara oroliga över eventuella biverkningar och 64 % uppgav att de var osäkra eller inte visste vart de skulle vända sig vid frågor om biverkningar. Trots detta var drygt hälften av deltagarna delvis eller helt nöjda med den information de fått. Ingen statistik signifikant könsskillnad kunde påvisas i grad av oro. Slutsats: Resultatet visar att mer och tydligare information bör ges till patienterna om eventuella läkemedelsbiverkningar. Vidare forskning är nödvändigt då mätningen av tillfredställelse ger ett motsägelsefullt resultat. / ABSTRACT Aim: The aim of this study was to investigate how satisfied patients where with information about medical side effects in a hospital in central Sweden. The aim was also to investigate the level of worry for any side effects and compare the level of worry between genders. Method: The design of the study was quantitative, cross-sectional. Data were collected through a study specific questionnaire. Respondents were 29 hospitalized patients who met the inclusion criteria during a 10 week period. Findings: The results showed that half of the participants had not received information about medical side effects and that 78% claimed they wanted more information. Nine out of ten participants agreed with being concerned about possible medical side effects and 64% said they were unsure or did not know where to turn with questions about side effects. Despite this, over half of the participants were partially or completely satisfied with the information they had received. No difference was detected in the level of worry between genders. Conclusion: The results show that more information and more distinct information should be given to patients about possible medical side effects. Further research is necessary since the measuring of satisfaction gives a contradictory result

The establishment of medical institutions in Kaohsiung municipal is mainly to cooperate with the Kaohsiung City government in promoting health policy, equally allocating medical resources, enhancing the health of the citizens, looking after mid- or low-income citizens, and taking charge of the medical care services of special patients. However, many institutions encounter various internal constraints and environmental challenges, such as bureaucratic personnel management, inflexible accounting system, faulty implementation of national healthy insurance and competition between hospitals, the Taiwanese medical system has become ¡§high competition, low profitability¡¨. More institutions follow the trend to modify their medical care operation. Outsourcing is one of the methods to strength their medical services. The medical industry currently is highly competitive. By increasing awareness of health concern, patients are more cautious in searching for appropriate and reliable medical care. Therefore, the hospital management regards patient satisfaction, confidence, and loyalty as the core values to improve its medical care services. In this research paper, we discuss the relationship between the quality of medical care services in Kaoshiung municipal hospitals and their operating performance. We also compare the operating differences between public hospitals and outsourcing hospitals to provide authoritative reference. In our research, we selected samples of patients from the Kaoshiung Municipal Minsheng Hospital, United Hospital (Kaohsiung Museum of Fine Art Branch), Hsiaokang Hospital, and Cijin Hospital. We sent out 310 surveys and collected 287 responses by Apr 15 2010. Data analysis and hypothesis testing was based on SPSS for Windows12.0. Based on this research, we concluded that: 1.There is a significant correlation between quality of medical care services and hospital operating performance. Also, process of medical care services was highly correlated with operating performance. In addition, hospital operating performance could be effectively evaluated by quality of medical care services. 2.With regards to the evaluation of medical care services and operating performance for the four municipal hospitals, United Hospital received the highest scores, followed by Minsheng Hospital, Hsiaokang Hospital, and Cijin Hospital. However, the performance of these hospitals is average, indicating that their medical care services need improvement. 3.Finally, outsourcing hospitals have a competitive advantage, which could help the improvement of medical care services. Due to the different operating systems for each hospital, the regulatory authority should be cautious in supervising the performance of the hospital.

Medicine cures and kills people. In some advanced nations, prescription transparency is achieved through the separation of prescribing and dispensing, which further leads to public examination of prescriptions. Such an operation results in a restriction mechanism to prevent misuse and abuse of drugs and to guarantee the safety of consumers. Taiwan initiated the separation of prescribing and dispensing on March 1, 1997; however, most people do not recognize the significance of the system and conclude the issue to be an interest dispute between doctors and pharmacists. In the separation of prescribing and dispensing, disputes over the right of dispensation between doctors and pharmacists are commonly seen, but literatures are rarely found to review from consumers' position. This study plans to investigate consumers' viewpoints in respect of prescription transparency and understand its effect on satisfaction. Consequently, this study would be the benchmark for the government and health care sectors in promoting the separation of prescribing and dispensing. The study found the followings: 1. The discrepancy between satisfaction and attention to drug information is 0.88. Most people are used to nontransparent prescriptions, so such non-transparency does not cause significant dissatisfaction. 2. Among the people interviewed, the prescription transparency service they receive is 100% in academic medical centers, 66% in hospitals, and 23% in clinics. 3. 52.3% of the interviewees pays strong attention to drug information, 31.8% pays attention, 11.4% pays little attention, 2.8% pays very little attention and 1.7% do not pay attention at all. 4. The results show the diversity of demand to prescription transparency. Public displays different recognition to the importance of the list of medications: 82.5% thinks listing medication titles for easy reference. 81.9% considers the list represents a sense of responsibility from doctors and their prescriptions. 65.0% keeps the list for later use or for resolving medical disputes. 35.6% uses the list to enrich knowledge in medication. And 1.1% considers the list insignificant in all aspects. 5. Under the condition of non-transparent prescriptions, the educational level will influence the newly-developed factor in satisfaction. In other words, highly educated people tend to care more about prescription transparency

As health care services get more competitive, the health care practitioners and academic researchers are increasingly interested in exploring how patients perceive their care quality and value, form their satisfaction levels and generate their behavioral intentions. Outpatient services provide an alternate setting for patients to have initial contact with health care providers. Besides, two-thirds of Taiwan¡¦s total NHI expenditure is spent on outpatient services. Thus, it is of great significance to note outpatients¡¦ perceptions of health care services. Drawing from marketing literature, perceived value can be viewed as the consequence of service quality and as the antecedent role of satisfaction and behavioral intentions. This study conducted empirical test an integrative model of customers¡¦ perceptions of outpatient services based on the established relationships among four key constructs (service quality, perceived value, satisfaction and behavioral intentions). First, this study conducted focus group discussion to identify the factors of quality of outpatient services as follows: (1) the personal interaction between medical staff and patients, (2) the assurance from medical staff, (3) the speed of timely access to a service, and (4) tangible aspect. Later, structural equation model was used to examine the research model which addresses the hypothesized relationships among the four constructs of interest in the health care industry. The main findings are summarized as follows: (1) perceive value had a greater direct influence on behavioral intentions than did service quality and patient satisfaction; (2) service quality had both an indirect effect (through perceived value and satisfaction) and a direct influence on behavioral intentions; and (3) both service quality and value are antecedents of patient satisfaction; the most important determinant of patient satisfaction is quality of health care. Finally, this dissertation ends with a discussion of the results and implications for the managerial practices, followed by suggestions for future research.

Health care quality become an important issue of hospital¡¦s management while the change of external environment such as the National Health Insurance program implementation and continuously reformed. The medical market turned into the highly-competitive, and patients are more concern their right and the quality of health care. By health quality improvement, hospitals can reduce medical malpractice and decrease the costs of medical administration. Health service quality is also an important factor of patient satisfaction. Increasing health service quality not only can improve patient satisfaction but also increase patient loyalty. And patient can get better medical care through the improvement of health service quality. It will increase their satisfaction and loyalty of hospital. The long-term relationship between hospitals and patients will help hospitals built their better image and reputation. This study applies PZB model and health quality factors to survey gaps of health service, the difference of service quality, patient satisfaction and patient loyalty. The result shows that service quality and satisfaction have positive effect of loyalty. At last, according to critical study findings, this thesis proposes certain suggestion. Wish medical managers can use these results to explore the key problem of health service. Through improvement of health service quality, it may raise patient satisfaction and increase patient loyalty to the hospitals.

Due to the growth of the national income and the increases of the medical knowledge of the general population, personal health was much more valued. The medical service market has reached an era of overall competition. One of the most important strategies for improving competitiveness is providing a better service quality. It relies on the realization of the medical demands of the patients. This study examined the major factors affecting patients¡¦ perception of cumulative satisfaction for rehabilitation services. The results show that patients usually get rehabilitation services from local hospitals and clinics. In addition, quality of interaction and quality of processes have significantly positive effect on both patients¡¦ satisfaction and loyalty. Quality infrastructure has significantly negative effect on patients¡¦ loyalty. Quality of object does not affect patients¡¦ satisfaction and behavior intention. The result can be used by the hospitals to reengineer and redesign creatively their quality management processes and the future direction of their more effective health-care quality strategies. Keywords: Service quality, Patient satisfaction, Patient behavior intention, Rehabilitation services