Hospital TopicsPub Date : 2024-09-18DOI: 10.1080/00185868.2024.2402791
P Arathi, Anup Naha, Siva Kumar, Usha Rani
{"title":"A Study on Quality Assurance and Utilization of Equipment in the Radiology Department of a Tertiary Care Teaching Hospital.","authors":"P Arathi, Anup Naha, Siva Kumar, Usha Rani","doi":"10.1080/00185868.2024.2402791","DOIUrl":"https://doi.org/10.1080/00185868.2024.2402791","url":null,"abstract":"<p><p>Utilizing resources to reduce costs and increase income while ensuring patient safety necessitates rigorous planning. The study aims to assess ergonomics, equipment utilization, outpatient satisfaction, and quality assurance in the Radiology Department. Four hundred outpatients, 39 radiographers, and 40 postgraduate students participated in a cross-sectional mixed-methods study that included surveys and interviews. The results were obtained using descriptive statistics, a utilization rate, and a Chi-square test with a 95% confidence interval. Three hundred eighty-two patients, or 95.5%, were satisfied with the overall service quality. Quality and explanation of the process by a radiographer 76.8%, patient knowledge of procedures 76.8%, privacy level 79%, and affordability of treatment 91.8% leading to 95.5% patient satisfaction and 87% were willing to recommend the facility to family and friends. Although there was a high percentage correlation with clinical diagnosis (81%), re-doing 43 (1%), reporting a mistake 30 (23.4%), or both might affect patient safety standards. Quality control, patient safety, and equipment utilization are all inextricably linked. Even minor changes in quality can influence utilization rates and patient safety.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-18DOI: 10.1080/00185868.2024.2404694
Deniz Tugay Arslan, Gözde Yeşilaydın
{"title":"Performance Assessment of Public Hospitals with the Entropy-Weighted TOPSIS Method: The Case of Turkey.","authors":"Deniz Tugay Arslan, Gözde Yeşilaydın","doi":"10.1080/00185868.2024.2404694","DOIUrl":"https://doi.org/10.1080/00185868.2024.2404694","url":null,"abstract":"<p><p><b>Background:</b> Hospitals make up the main cost factor of health systems and also face increasing pressure to improve efficiency. Improving the performance of hospitals, which are vital for public health, is very important for developing countries such as Turkey. <b>Aims</b>: We conducted this study to assess the performance of 544 secondary-level public hospitals in Turkey by geographical region. <b>Methods:</b> In the study, we used the entropy weighting method to obtain the objective weights of indicators with the evaluation criteria, and then we utilized the TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method to rank the performance of hospitals by geographical region. <b>Results:</b> The comparison of hospital performances by geographical region indicated that the highest and the lowest mean scores belonged to the Mediterranean Region and the Eastern Anatolia Region, respectively. <b>Conclusions:</b> The socio-economic differences between geographical regions in Turkey were in parallel with the findings of the study. Although there is a need for professional management in resource allocation and use to improve the performance of public hospitals, it is necessary to focus on the origin of the problems first.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-18DOI: 10.1080/00185868.2024.2404700
Michael Howley, Prashant Srivastava
{"title":"Hospitals and Superutilization.","authors":"Michael Howley, Prashant Srivastava","doi":"10.1080/00185868.2024.2404700","DOIUrl":"https://doi.org/10.1080/00185868.2024.2404700","url":null,"abstract":"<p><p>A small percentage of patients consume most of the health services in the US. These cases of superutilization affect hospitals, but little is known about what it is, the impact on hospitals, or how hospitals can identify potential cases of superutilization. We conducted exploratory research using the Medical Expenditure Panel Survey (MEPS) datasets for 2019 to examine superutilization as it relates to hospitals. Using total charges for health services to identify superutilization, we found a surprising amount of superutilization was not related to hospital care. When superutilization did occur in hospitals, there was reduced reimbursement for care in superutilization as measured by the reimbursement relative to charges. Demographic variables had limited utility in predicting superutilization. Our demographic analysis suggested that there are potential cases of superutilization that are not accessing hospital care. Our analyses suggest that given the amount of care that cases of superutilization require, the decreased reimbursement for the high levels of care and the untapped potential of superutilization, hospitals should consider developing capabilities to manage these challenging cases.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-18DOI: 10.1080/00185868.2024.2404703
Meenal Kulkarni, Ankit Singh, Neha Ahire
{"title":"Decision Making of Healthcare Consumers Based on Factors Associated with Online Review and Ratings.","authors":"Meenal Kulkarni, Ankit Singh, Neha Ahire","doi":"10.1080/00185868.2024.2404703","DOIUrl":"https://doi.org/10.1080/00185868.2024.2404703","url":null,"abstract":"<p><p>The study deals with understanding of the factors associated with online ratings and reviews that help the healthcare consumers in better decision making. Data was collected from 303 participants using mixed methods. The results indicate the factors that help in decision making which includes use of ratings as a reference, impact of positive and negative ratings, whether these ratings depict the actual worth of healthcare service provider and the relevance of these websites in decision making. This study concludes that there is significant relevance of online rating and review websites on healthcare consumers in selecting a healthcare provider.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-18DOI: 10.1080/00185868.2024.2404693
Fatma Erçetin, Hatice Serap Koçak
{"title":"The Effect of Healthcare Professionals' Gender Perceptions on Their Reporting of Intimate Partner Violence Against Women.","authors":"Fatma Erçetin, Hatice Serap Koçak","doi":"10.1080/00185868.2024.2404693","DOIUrl":"https://doi.org/10.1080/00185868.2024.2404693","url":null,"abstract":"<p><p>The research was conducted as a descriptive, cross-sectional study aimed at determining the factors influencing the effect of healthcare professionals' gender perceptions on their reporting of intimate partner violence against women. The sample of the study consisted of 191 people working in the emergency departments of public hospitals affiliated to the GaziantepG Provincial Health Directorate. A personal information form, the Gender Perception Scale, and the Scale of Health Professionals' Intentions/Behaviors Regarding Reporting Intimate Partner Violence were used as data collection tools. Data were evaluated using descriptive statistics, the Mann-Whitney U Test and the Kruskal-Wallis Test. The healthcare professionals' mean Gender Perception Scale score was determined as 90.79 ± 18.28, while their mean score on the Scale of Health Professionals' Intentions/Behaviors Regarding Reporting Intimate Partner Violence was determined as 107.05 ± 24.32. A positive and significant relationship was found between the healthcare professionals' gender perceptions and the behavior scale for reporting intimate partner violence against women (<i>r</i> = 0.178; <i>p</i> < 0.05), and it was determined that healthcare professionals with higher gender perception levels had a higher intention to report intimate partner violence against women.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-14DOI: 10.1080/00185868.2024.2403667
Lianna Wijaya, Muhammad Alfarizi
{"title":"Teaching Hospital Governance Model for Service Quality Performance: Case Study of Indonesian Central General Hospital.","authors":"Lianna Wijaya, Muhammad Alfarizi","doi":"10.1080/00185868.2024.2403667","DOIUrl":"https://doi.org/10.1080/00185868.2024.2403667","url":null,"abstract":"<p><p>This study aims to investigate the effect of teaching hospital management practices on the quality performance of health services by involving elements such as hospital accreditation standards, quality management, and JCI Academic Hospital-specific standards that are indirectly connected. This study chose a survey-based quantitative approach to clinical professional students in vertical teaching hospitals under the direct management of the Ministry of Health of the Republic of Indonesia. Six proposed hypotheses were tested by Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis. The test results showed a positive influence between hospital teaching governance and hospital accreditation compliance, quality assurance and JCI Academic Hospital standards. Third, compliance with teaching hospital standards was also found to have a significant positive effect on the performance of teaching hospital service quality. Understanding the role of governance in encouraging the performance of teaching hospital service quality can help develop effective managerial strategies in achieving complete service quality for patients and clinical profession participants. This research resulted in contributions to existing practices and literature as governance modeling in dual quality standards charged to teaching hospitals.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-11DOI: 10.1080/00185868.2024.2400527
Nayan Jyoti Nath, Aditi Chaudhary, Shubham Kumar
{"title":"Exploring Drivers of Healthcare Utilization among the Working and Non-Working Elderly Population: Insights from LASI.","authors":"Nayan Jyoti Nath, Aditi Chaudhary, Shubham Kumar","doi":"10.1080/00185868.2024.2400527","DOIUrl":"https://doi.org/10.1080/00185868.2024.2400527","url":null,"abstract":"<p><strong>Background: </strong>The elderly population of India has been growing exponentially over the past few decades, caused by a decline in fertility and an increase in life expectancy. The growth eventually has transcended the disease burden on the public healthcare system. This calls for a need to evaluate the healthcare utilization pattern of the elderly based on their socioeconomic and working condition.</p><p><strong>Methods: </strong>Study used access to public and private healthcare services to measure healthcare utilization. Descriptive analysis and multivariable logistic regression were used to understand utilization patterns by working status and some selected sociodemographic parameters. All the results were reported at a 95% confidence interval.</p><p><strong>Results: </strong>Using the data from the first wave of Longitudinal Ageing Study in India (LASI) with a sample of 22,680 older persons 60 years and above. The study identified that 50% of the working elderly access private services; however, 26% access public healthcare services. It was found that the working status of the elderly alone did not influence access to healthcare services, but education is also an essential indicator for utilizing healthcare services. Further, factors such as gender, marital status, religion, wealth, tobacco usage, self-rated health, ADL and IADL were significant predictors of healthcare services' utilization for the elderly.</p><p><strong>Conclusion: </strong>This study suggests that there are not many differences found among working and non-working status with healthcare utilization, although some sociodemographic indicators are associated with the utilization of healthcare services, highlighting that increasing health needs among the elderly requires strengthening the quality and appropriate public investment in health.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-05DOI: 10.1080/00185868.2024.2399269
Dan Friesner, Andrew Brajcich, Kelly Friesner, Matthew Q McPherson
{"title":"Assessing Similarity in Production from Organizational and Department-Level Financial Accounting Statements.","authors":"Dan Friesner, Andrew Brajcich, Kelly Friesner, Matthew Q McPherson","doi":"10.1080/00185868.2024.2399269","DOIUrl":"https://doi.org/10.1080/00185868.2024.2399269","url":null,"abstract":"<p><p>Hospitals are complex organizations which provide a wide array of health care services. This complexity creates challenges for stakeholders who wish to use financial accounting statements to make inferences about the productive choices made by a hospital's management. These challenges are especially salient when using data reported at the department (or cost center) level, or where the provision of care is coordinated across hospital departments. This study applies information entropy-based comparability analysis techniques to overall and department-level hospital financial data to identify hospital peer groups. Hospitals peer groups not only exhibit similar financial positions overall, but are also likely to exhibit operational similarities at the department level. Data for this analysis are drawn from the financial statements of Washington State critical access hospitals in the fiscal year 2019. The medical laboratory and pharmacy departments were specifically assessed because their services impact or support virtually every other revenue-producing department in the hospital. Findings suggest both departments significantly impact the formation of peer groups, with the pharmacy department contributing the largest impact.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-09-04DOI: 10.1080/00185868.2024.2398497
Serkan Deniz, Mustafa Amarat, Mahmut Akbolat, Mesut Çimen
{"title":"The Mediating Role of Workplace Loneliness in the Effect of Resilience on Work Alienation in Nurses.","authors":"Serkan Deniz, Mustafa Amarat, Mahmut Akbolat, Mesut Çimen","doi":"10.1080/00185868.2024.2398497","DOIUrl":"https://doi.org/10.1080/00185868.2024.2398497","url":null,"abstract":"<p><p>The aim of the current research was determining the mediating role of workplace loneliness (WL) in the effect of resilience on work alienation (WA). This study was conducted in Istanbul, Türkiye, between June 2021 and November 2021. Research data were obtained from nurses working in private hospitals operating in Istanbul. The results of the research showed that resilience had a negative effect on WL and WA, and WL had a positive effect on WA. Finally, WL had a mediating role in the effect of resilience on WA. This study showed that resilience is a determinant of both WL and WA.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maintaining the Psychological Well-Being of Physicians in the Uncertain Work Environment: A Practitioners Perspective.","authors":"Maitha Abdulla Khamis Alkaabi, Jagroop Singh, Vinaytosh Mishra, Moon Moon Haque","doi":"10.1080/00185868.2024.2394801","DOIUrl":"https://doi.org/10.1080/00185868.2024.2394801","url":null,"abstract":"<p><p>COVID-19 significantly altered the healthcare ecosystem and forced us to stretch the capacity to ensure healthcare delivery services. Physicians were on the frontline and acted as an important cog in the wheel of healthcare delivery. This unprecedented situation forced them to adopt to a new norm amidst uncertainty, potentially impacting their mental well-being and overall health. The study aims to investigate the coping strategies for physicians to maintain their psychological well-being during uncertain events such as COVID-19. By employing Analytic Hierarchy Process (AHP), the research prioritizes coping strategies that can improve physicians' psychological well-being. This study affirms that the physicians working in healthcare during pandemic preferred adaptive strategies over maladaptive strategies. Maintained exercise, yoga/meditation (or similar), and behavioral disengagement are the three most preferred coping strategies. The study will benefit physicians and the policy makers, to achieve their agenda of enhancing physicians' psychological resilience during uncertain events, ultimately contributing to the continuity and quality of healthcare delivery.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}