228 research outputs found

    DESIGN CORRELATES OF PATIENTS' TRAVEL EXPERIENCE AND SATISFACTION IN THE HOSPITALS OF BANGLADESH

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    Understanding patients' experience is important for designing patient centered healthcare environments. Patients get their first impressions of the healthcare experience from the environment, which may affect their healthcare expectations even before receiving any services. Studies on patients' satisfaction have shown that the physical environment of hospitals can directly or indirectly affect patients' experience and the perceived quality of care. Very few of these studies, however, show how environmental variables affect patients' experience and satisfaction in wayfinding situations in hospitals. Even fewer studies look at this issue in the hospitals of developing countries, where the quality of care is a big concern. Therefore, this study focuses on patients' experience in wayfinding situations in the hospitals of Bangladesh. The study uses data collected from 349 male and female patients in the outpatient departments of six regional hospitals of Bangladesh. The data include 180 hours of field observation of wayfinding behaviors over a period of six weeks, patients' interviews using a pre-coded questionnaire, and the floor layout analysis that included the measurement of actual route distance, travel distance, and spatial network distances. The findings of the study suggest that patients' travel experiences may depend on patients' interpretations of a situation based on psychological processes, social factors and the environmental variables of the settings. Among the environmental variables that seem to have affected patients' experience and satisfaction more in the outpatient departments of Bangladeshi hospitals are included the identification and directional signage elements, the location of information desks, and the proximity of necessary functions. These findings should help hospital designers and administrators make hospitals more patient-friendly in Bangladesh and elsewhere

    The Cuban Mother-Child Attention Program aiming at fulfil the ambition of the Comprehensive Concept of Health : a study through the practice of the community policlinic "Héroes de Girón" in Havana City

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    The present thesis is a study about the development experience at the community level of the Cuban national program addressed to the attention to mothers and children: The Mother Child Attention Program. This program is a very over- holding because it is responsible for the whole process of women's reproductive health, from their teenage to adulthood, and for the care-taking of the health of the children until they are 14 years old, but pregnancy and babies care taking stands out as one of the most important and jealousy cared concem. A qualitative methodology, based on interviews and observation, was used to accomplish the objective of give an accurate description about the Mother- Child Attention Program at a policlinic leve1 and to correlate the outcome of the program with its educational actions, aiming at the improvement of a comprehensive health. it is shown throughout the thesis that a lot of conditions are given to the health system and consequently to the policlinic so as to make their work more successful. Because of the good relationship existing between doctors and patients, the positive atmosphere during the consultation and because of the possibility doctors and nurses have been provided with to visit the patients and their families home settings, that allows the health professionals to assess the environment and the emotional atmosphere pregnant women live in, paving way to further interactions with other institutions and organizations within the community which may help and cooperate as full participants in health care decision making. Another important element is the role of the Mass Medias. In Cuba, these institutions are education-oriented. And it is als0 indispensable to emphasize the role of sorne social institutions as the Cuban family; which has traditionally played a predominant role towards our cultural insights, like collectivism as the model of life-style. In the policlinic studied here the conditions for the different specialists to coordinate and share their work and assistance as a team are favourable, so that they can be abIe to assess the cases from a multidisciplinary perspective. But actually, the fact is that the multi or interdisciplinary perspective is confused with that of an integral and comprehensivc perspcctivc and the educational function is almost always identificd as an informativt function. The procedurc being used is really far from being comprehensive or family oriented. In fact, their aim is to achieve the hcalth indicators as the main goal; it is not properly realized that it is necessary to attend many other aspects in a relational way for these indicators to be accomplished

    Patients’ Experiences and Self-Reported Factors Identified as Important for Their Satisfaction of Home Oxygen Services

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    Patient satisfaction is crucial to the evaluation of the overall quality of care and is associated with better healthcare service outcomes. Understanding the forces driving patient satisfaction and healthcare-related experiences can lead to improvements in overall quality of healthcare services. Despite this, no study has been performed to explore patients’ experiences and self-reported factors identified as important for their satisfaction of home oxygen services. The purpose of this study was supported by three research questions focusing on how patients with recurring long-term oxygen therapy (LTOT) prescriptions describe their experiences with home oxygen services; factors identified by patients with LTOT as important to their satisfaction of home oxygen services; and how the five dimensions of the SERVQUAL model is used in patients’ with LTOT, descriptions of factors necessary for their satisfaction of home oxygen services. Participants were purposefully selected from home oxygen-based Facebook groups and asked to perform in-depth email interviews. Data derived from the analysis of responses corresponding to the first two research questions were analyzed using Colaizzi’s seven-step approach while directed qualitative content analysis was used for the analysis of responses corresponding to the third research questions. The SERVQUAL model dimensions were used in patients\u27 descriptions and factors identified as important for their satisfaction of home oxygen service. The major implications of this study include improvement of service quality for home oxygen services at the organizational level leading to improvements in the health and well-being as well as the social conditions of home oxygen patients resulting in positive social change for that population

    HEALING HEALTHCARE DESIGN FOR ADOLESCENT PATIENTS: PROMOTING HOLISTIC QUALITY OF LIFE

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    This study examined environmental preferences for adolescent patients in hospital patient rooms and activity rooms to determine age-appropriate healing design elements. The health-related quality of life (HRQOL) concept was adapted to this study as a theoretical framework. In order to develop an age-appropriate healing design, a comprehensive understanding of adolescents‘ cognitive developmental stages and their expectations in hospital settings needs to be recognized. Thirty-two adolescent outpatients aged 15 to 18 participated in the survey. Data collection consisted of three different instruments: Emotional state survey with demographics, Photo analysis with semantic differentials, and environmental preference value survey. Comfort, sadness and stress affected adolescent patients‘ preference responses. Adolescent patients preferred having a home-like environment for their patient rooms due to their needs for comfort and control of privacy. They also preferred having enjoyable and controllable activity rooms that supported peer connection, self-identity, and stress reduction. Environmental values that are important to adolescents were control of privacy, a quiet place to go, a place for activity, and having a controllable outside view

    Digest of the Philadelphia College of Osteopathic Medicine (Winter 2003)

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    The Winter 2003 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles: Opening Remarks PCOM Updates Student Research Prominent on PCOM Campus The Man who Launched a Thousand Careers The Next Generation of PCOM Leadership Emerges Alumni Association Revitalization Cover Story: Reaching Out Class Notes 56th Annual Alumni /Survivors Dinner Dance Awards In Memoriam My Turn PCOM Alumni Weekend 2003 PCOM Eventshttps://digitalcommons.pcom.edu/digest/1185/thumbnail.jp

    South Carolina Broadband Equity, Access, and Deployment Program (BEAD) five-year action plan

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    The development of this Five-Year Action Plan involved extensive stakeholder outreach and feedback from residents, businesses, and organizations across the State. Key digital equity-related observations are included in this plan, with further insights and details to be shared in the Digital Equity Plan. The State has set a variety of ambitious goals, most notably that South Carolinians have access to reliable, resilient, high-speed broadband infrastructure at 25/3 Mbps by 2026 and 100/20 Mbps by 2028. Other key goals center on expanding digital opportunities, providing device support, and continuing training to communities and internet providers to facilitate a smooth expansion of broadband internet in light of some of the barriers identified

    Aderenze alle terapie evidence-based per la prevenzione secondaria dell'infarto miocardico acuto e impatto su mortalita' e insorgenza di eventi avversi cardiovascolari

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    Background: Clinical trials have demonstrated that selected secondary prevention medications for patients after acute myocardial infarction (AMI) reduce mortality. Yet, these medications are generally underprescribed in daily practice, and older people are often absent from drug trials. Objectives: To examine the relationship between adherence to evidence-based (EB) drugs and post-AMI mortality, focusing on the effects of single therapy and polytherapy in very old patients (≥80 years) compared with elderly and adults (<80 years). Methods: Patients hospitalised for AMI between 01/01/2008 and 30/06/2011 and resident in the Local Health Authority of Bologna were followed up until 31/12/2011. Medication adherence was calculated as the proportion of days covered for filled prescriptions of angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs), β-blockers, antiplatelet drugs, and statins. We adopted a risk set sampling method, and the adjusted relationship between medication adherence (PDC≥75%) and mortality was investigated using conditional multiple logistic regression. Results: The study population comprised 4861 patients. During a median follow-up of 2.8 years, 1116 deaths (23.0%) were observed. Adherence to the 4 EB drugs was 7.1%, while nonadherence to any of the drugs was 19.7%. For both patients aged ≥80 years and those aged <80 years, rate ratios of death linearly decreased as the number of EB drugs taken increased. There was a significant inverse relationship between adherence to each of 4 medications and mortality, although its magnitude was higher for ACEIs/ARBs (adj. rate ratio=0.60, 95%CI=0.52–0.69) and statins (0.60, 0.50–0.72), and lower for β-blockers (0.75, 0.61–0.92) and antiplatelet drugs (0.73, 0.63–0.84). Conclusions: The beneficial effect of EB polytherapy on long-term mortality following AMI is evident also in nontrial older populations. Given that adherence to combination therapies is largely suboptimal, the implementation of strategies and initiatives to increase the use of post-AMI secondary preventive medications in old patients is crucial
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