Risk Management and Healthcare Policy最新文献

{"title":"Caregiver Burden and Associated Factors Among Informal Caregivers of Hospitalized Elderly Patients in China: A Latent Profile Analysis.","authors":"Hui Lv, Shujie Yang, Yuxi Zhang, Yingyue Wang, Lijiang Zhang, Jingjing Wang, Hui Jiang","doi":"10.2147/RMHP.S499768","DOIUrl":"10.2147/RMHP.S499768","url":null,"abstract":"<p><strong>Background: </strong>Caregiver burden is a critical issue in healthcare, particularly among informal caregivers of hospitalized elderly patients, as it can significantly impact both the caregivers' well-being and the quality of patient care.</p><p><strong>Objective: </strong>This study aims to identify the latent profiles of caregiver burden among informal caregivers of hospitalized elderly patients and the factors associated with caregiver burden.</p><p><strong>Methods: </strong>506 pairs of hospitalized elderly patients and their informal caregivers were interviewed using the Sociodemographic questionnaire, Caregiver Burden Inventory, Perceived Social Support Scale, Generalized Anxiety Disorder, and Barthel Index. Latent profile analysis identified caregiver burden profiles, and multinomial logistic regression determined associated factors.</p><p><strong>Results: </strong>The caregiver burden was classified into three profiles: low (49.01%), moderate (41.90%), and high (9.09%). Individual caregiver factors (older age, high economic stress, poor self-rated health, poor caregiving ability and profound anxiety) and situational factors (inadequate social support, and caring for patients with limited ADL) were associated with high level of caregiver burden <i>(P</i><0.05).</p><p><strong>Conclusion: </strong>These three profiles of caregiver burden in the study showed different characteristics in different dimensions of caregiver burden. These findings provide a basis for developing targeted interventions to alleviate the burden and enhance care quality.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"547-559"},"PeriodicalIF":2.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaborative Governance Strategies for Fever Clinics: A Multi-Scenario Evolutionary Game Analysis.","authors":"Weiqi Huang, Yingxin Wang, Nan Meng, Kexin Wang, Long Yin, Hongyu Li, Qunhong Wu, Huan Liu","doi":"10.2147/RMHP.S497125","DOIUrl":"10.2147/RMHP.S497125","url":null,"abstract":"<p><strong>Purpose: </strong>China's fever clinics succeeded during the Coronavirus Disease 2019 pandemic but revealed operational deficiencies. This study explores multiparty coordination mechanisms in fever clinics to improve collaborative management and efficiency in epidemic control.</p><p><strong>Patients and methods: </strong>A tripartite evolutionary game model was constructed, involving \"primary healthcare institutions-non-primary healthcare institutions-government\" to analyze the evolutionary stable strategies among these entities in different scenarios. We implemented a simulation of evolutionary processes and conducted sensitivity analyses of government subsidies, punishments, and public supervision.</p><p><strong>Results: </strong>Four evolutionarily stable strategies were identified: B₄(0,0,1), B₅(1,1,0), B₆(1,0,1), and B₇(0,1,1). The government gradually tended to be passive in emergency scenarios of the epidemic during the evolution process. Primary and non-primary healthcare institutions chose to participate in the coordinated response for epidemic prevention and control in transition scenarios. In addition, increased government subsidies and punishments resulted in the active participation of primary and non-primary healthcare institutions in the coordinated response for epidemic prevention and control. However, excessive subsidies and punishments led to lenient supervision when they exceeded a certain threshold. Meanwhile, the collaborative participation of non-primary healthcare institutions fluctuates in response to variations in government supervision. Under normal scenarios, public supervision had an obvious effect on driving primary healthcare institutions to participate in coordinated responses for epidemic prevention and control, thereby sharing the role of government supervision to a certain extent.</p><p><strong>Conclusion: </strong>Government subsidies and punishments under a certain threshold effectively promoted the participation of primary and non-primary healthcare institutions in pandemic prevention and control. Additionally, participation in public supervision gradually increased with the gradual evolution of the pandemic. Therefore, our results suggested that the government should actively explore reasonable, dynamic thresholds for subsidies and punishments, promote public participation through diversified means, and explore diverse operation types of fever clinics to address the challenges of emerging infectious diseases in the future.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"517-536"},"PeriodicalIF":2.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Knowledge and Training Needs for the Clinical Management of Warfarin Anticoagulation Among Physicians in China.","authors":"Aijing Luo, Juan Liu, Yuzi Zhang, Yijia Long, Xuliang Chen","doi":"10.2147/RMHP.S489195","DOIUrl":"10.2147/RMHP.S489195","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge level of physicians on anticoagulation management and identify their training needs to ensure the safety and efficacy of warfarin therapy among patients.</p><p><strong>Methods: </strong>This project adopted convenient sampling and collected survey questionnaires online to investigate physicians' management level in aspects such as basic anticoagulation knowledge, routine adjustment of warfarin dosage, and management of warfarin complications and special situations after mechanical valve replacement.</p><p><strong>Results: </strong>Among the 232 participants in this survey, 158 were male (68.10%), and 74 were female (31.90%); Grade III hospitals accounted for 61.21%; cardiovascular medicine department accounted for 65.09%; primary, intermediate, and advanced title holders each accounted for about one-third. The respondents had a good foundation in warfarin anticoagulation knowledge, and most physicians could guide patients in anticoagulation treatment. However, there were still many respondents who answered incorrectly on some basic questions. Using the chi-square test, the analysis of the impact of gender, age, hospital level, department, education, and title on the knowledge level of warfarin anticoagulation found that gender had no statistical significance in all items; age, department, and title had statistically significant differences in the impact on the knowledge level of anticoagulation in the respondent (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The respondents have good anticoagulation knowledge on basic items, but some healthcare professionals have insufficient understanding of some items, such as the approximate time required for INR to reach a stable value and the use of warfarin in pregnant women, posing significant risks in clinical work. Relevant healthcare professional training should be strengthened on extended knowledge on warfarin.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"537-546"},"PeriodicalIF":2.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of Poor Hand and Oral Hygiene Practices Among Adolescent Students in Eastern China: A Cross-Sectional Study.","authors":"Jieming Zhong, Meng Wang, Xiaofu Du, Mingbin Liang, Xiangyu Chen, Feng Lu","doi":"10.2147/RMHP.S500728","DOIUrl":"10.2147/RMHP.S500728","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the current status and associated factors of hand and oral hygiene behaviors among adolescent students in Zhejiang Province, Eastern China.</p><p><strong>Methods: </strong>This study utilized a cross-sectional survey conducted in Zhejiang Province between April and June 2022. Data were collected through a self-administered, structured questionnaire that assessed tooth brushing frequency, hand washing practices before meals, after toilet use, and hand washing with soap. Multivariate logistic regression was performed to identify associations between hygiene practices and socio-demographic factors.</p><p><strong>Results: </strong>The study included 26,101 adolescent students. Of these, 29.25% had poor oral hygiene practices, and the majority brushed their teeth twice per day (51.43%). Regarding hand hygiene, 78.06% exhibited poor hand hygiene before meals, 24.67% after toilet use, and 82.56% when using soap. Multivariate logistic regression analysis indicated that higher parental education and greater family income were linked to a reduced likelihood of poor oral and hand hygiene practices. Conversely, older age and parental marital status (divorced, widowed, or separated) were linked to an increased risk of both poor oral and hand hygiene practices. Additionally, girls and only children were less likely to exhibit poor oral hygiene but more likely to have poor hand hygiene.</p><p><strong>Conclusion: </strong>The prevalence of poor hand and oral hygiene practices among adolescent students in Zhejiang Province, Eastern China was very high. Several socio-demographic factors were identified to guide future targeted interventions aimed at improving hygiene practices among this population.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"491-503"},"PeriodicalIF":2.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Relevant Factors Influencing the Development of Pharmacist Human Resources in China: Based on the Time Series Vector Auto-Regression Model.","authors":"Wei Guo, Han Zhang, Yan Quan Lin, Gang Wu, Wei Li, Peng Zhang, Wan Tang, Hong Dou Chen","doi":"10.2147/RMHP.S484621","DOIUrl":"10.2147/RMHP.S484621","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and predict the dynamic influence trends and degrees caused by various factors that may affect the expansion of the hospital pharmacist team in China.</p><p><strong>Methods: </strong>Time series data including the number of hospital visits in all hospitals in China, the total number of pharmacists, per capita health expenditure, and per capita GDP from 2002 to 2022 were collected at the national level. A vector autoregressive (VAR) model was constructed, and methods such as the Granger causality test, impulse response analysis, and variance decomposition were employed to explore the influence process and direction of various influencing factors on the number of pharmacists in China.</p><p><strong>Results: </strong>The Augmented Dickey-Fuller (ADF) test indicates the first-order difference series of the time series is stationary (P<0.05). The model stability test shows the modulus of all specific root reciprocals falls within the unit circle, indicating model stability and credible results. The cointegration test reveals a cointegration relationship among the number of hospital visits, per capita health expenditure, per capita GDP, and the number of pharmacists (P<0.05). The Granger causality test indicates a unidirectional Granger causality relationship between the number of hospital visits, per capita health expenditure, and the number of pharmacists. The impulse response function indicates that the number of pharmacists shows an upward trend after being impacted by one unit of the number of hospital visits and per capita GDP, while the positive impact of per capita health expenditure on the number of pharmacists turns into a negative impact in the third stage. Variance decomposition shows that the contribution rate of the number of hospital visits to the number of pharmacists is 12%, the contribution rate of per capita health expenditure to the number of pharmacists is 57%, and the contribution rate of per capita GDP to the number of pharmacists is 80%.</p><p><strong>Conclusion: </strong>The number of hospital visits, per capita health expenditures, and per capita GDP all positively contribute to the development of the pharmacist workforce. Per capita health expenditures lead to an increase in the number of pharmacists in the short term. Among the selected indicators, the primary drivers of pharmacist workforce development are per capita health expenditures and per capita GDP. Hospital visits have a relatively minor contribution to the growth in the number of pharmacists.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"505-515"},"PeriodicalIF":2.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributions of Specialized Nurses to Medication Management for Older People in Home Care: A Mixed-Method Systematic Review.","authors":"Mojtaba Vaismoradi, Patricia A Logan","doi":"10.2147/RMHP.S508170","DOIUrl":"10.2147/RMHP.S508170","url":null,"abstract":"<p><p>There is a growing international interest in defining the roles, responsibilities, and contributions of specialized nurses across various aspects of home care to establish them as effective members of multidisciplinary home care teams. This study aimed to identify and describe the contributions of specialized nurses to medication management for older people in home care. This systematic review was performed using a mixed method approach. A thorough search was conducted across PubMed (including MEDLINE), Scopus, CINAHL, ProQuest, and Embase, focusing on studies published in English over the last decade, from 2014 to 2024. The convergent synthesis was used to combine and analyze qualitative and quantitative evidence in parallel to address the review question. The initial search yielded 875 studies, which were then refined to 32 studies selected for data-based convergent synthesis. The findings of the review were organized into three categories: \"specialized nurses' identities\", \"specialized nurses' roles and responsibilities\", and \"impact of specialized nurses' medication management in home care\". Specialized nurses played key roles in enhancing medication safety, improving older adults' quality of life, and reducing emergency visits. Their support in medication management eased the home care burden and ensured timely interventions for better symptom control and healthcare outcomes. Specialized nurses bring vital expertise to home care multidisciplinary medication team, promoting safe medication practices and helping older adults manage chronic conditions effectively at home.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"445-470"},"PeriodicalIF":2.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming Healthcare Through Value: A Fiscal Perspective on OECD Countries.","authors":"Bo Tang, Zhi Li, Yumin Liu, Fan Zhu","doi":"10.2147/RMHP.S504275","DOIUrl":"10.2147/RMHP.S504275","url":null,"abstract":"<p><strong>Background: </strong>Escalating healthcare expenditures pose a significant challenge to global fiscal sustainability. Value-based healthcare offers a strategy to improve health outcomes while controlling costs. This study examines the fiscal impacts of value-based healthcare in OECD countries, providing evidence of its role in enhancing fiscal efficiency.</p><p><strong>Methods: </strong>This study employs three key approaches. A value-based healthcare index was constructed using the entropy weight method to measure performance across 32 OECD countries from 2000 to 2019. Econometric analysis using panel data models explored the fiscal effects of value-based healthcare. Contextual examination further assessed the interactions between value-based healthcare and factors such as government health expenditure, population aging, and elderly disease burden.</p><p><strong>Results: </strong>The results show that higher value-based healthcare performance improves budget balance, reduces debt burden, and enhances fiscal sustainability. Interaction effects highlight the importance of government health expenditure and demographic factors in influencing fiscal outcomes.</p><p><strong>Conclusion: </strong>This study demonstrates the fiscal benefits of value-based healthcare, emphasizing its potential to address healthcare inefficiencies and promote sustainable public finances. Policymakers should integrate value-based healthcare principles into healthcare systems while considering country-specific contexts to maximize long-term impact.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"479-490"},"PeriodicalIF":2.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors for Successful Weaning from Veno-Venous Extracorporeal Membrane Oxygenation in Patients with Severe Acute Respiratory Distress Syndrome.","authors":"Zhisheng Duan, Heping Xie, Huaping Zhong, Shuo Hu, Xu Chen, Ziyou Liu","doi":"10.2147/RMHP.S482316","DOIUrl":"10.2147/RMHP.S482316","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the predictors of successful weaning from veno-venous extracorporeal membrane oxygenation (VV-ECMO) among patients with severe acute respiratory distress syndrome (ARDS) in our centre.</p><p><strong>Methods: </strong>The clinical data of patients with severe ARDS who were treated with VV-ECMO between January 2019 and January 2022 were retrospectively analysed. Due to the outcomes of weaning from extracorporeal membrane oxygenation (ECMO), the considered patients with ARDS were divided into a successful weaning group and an unsuccessful weaning group. Logistic regression analysis was employed to evaluate predictors for successful VV-ECMO weaning among patients with severe ARDS.</p><p><strong>Results: </strong>A total of 65 patients with severe ARDS were included for analysis. Among them, 31 (47.69%) patients were grouped into the successful weaning group, while 34 (52.30%) patients were grouped into the unsuccessful weaning group. Univariate analysis showed that Age (odds ratio [OR] =0.939; 95% confidence interval [CI] =0.896-0.983; <i>p</i> = 0.008), APACHEII scores before ECMO (OR =0.651; 95% CI =0.537-0.789; <i>p</i> < 0.001), Renal insufficiency (OR =0.061; 95% CI =0.012 -0.298; <i>p</i> = 0.001), MAP before ECMO (OR =1.246; 95% CI =1.114-1.392; <i>p</i><0.001), PaO2 during ECMO (OR =1.083; 95% CI =1.033-1.135; <i>p</i> = 0.001), and CRRT (OR =0.080; 95% CI =0.022-0.285; <i>p</i> = 0.008) were identified as an independent predictor of successful VV-ECMO weaning. After multivariate analysis was performed, APACHE II scores before ECMO (OR = 0.651; 95% CI = 0.462-0.919; <i>p</i> = 0.015) were identified as independent predictors for successful VV-ECMO weaning.</p><p><strong>Conclusion: </strong>In conclusion, in severe ARDS patients, lower APACHE II scores predicted successful wean from VV-ECMO.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"471-477"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Nursing Students' Awareness and Willingness to Participate in Multi-Site Practice: A Cross-Sectional Study.","authors":"Fan Li, Qi Huang, Lingling Xiong, Cheng Lei, Shaoyu Mou, Yujing Zhou, Ruichen Liang, Huiting Yu, Haihua Zhang, Xiaobo Ren, Qiuling Shi","doi":"10.2147/RMHP.S503880","DOIUrl":"10.2147/RMHP.S503880","url":null,"abstract":"<p><strong>Background: </strong>With the growing awareness of health and the expanding aging population, the demand for health services continues to rise. According to statistics from China, the number of professionals engaged in medical and health care services is insufficient to meet the public's needs, particularly in terms of nursing human resources in medical institutions. Multi-site practice may offer a potential solution to this issue.</p><p><strong>Aim: </strong>To investigate the willingness and motivation of nursing students for multi-site practice of reference and nurse, and to lay a foundation for subsequent research.</p><p><strong>Research questions: </strong>1. How much do nursing students know about multi-site practice? What are the main sources of their knowledge of multi-site practice? 2. What are the main intentions and motivations of nursing students to participate in multi-site practice? For example, is it for financial gain, self-worth, or other reasons? 3. What are the potential barriers for nursing students to participate in multi-site practice in the future? For example, will inadequate laws and regulations, occupational safety issues or excessive work load affect their willingness?</p><p><strong>Methods: </strong>This cross-sectional study was conducted across eight provinces in China, involving 1014 nursing students who participated in an online survey between October and November 2021.</p><p><strong>Results: </strong>Among the 1014 nursing students surveyed, 61.74% were introduced to multi-site practice through their educational institutions, 75.25% expressed support for multi-site practice, and 53.75% indicated a willingness to engage in multi-site practice. However, a smaller percentage of students reported having a comprehensive understanding of multi-site practice. Notably, 61.74% of students cited their schools as the primary source of multi-site practice-related knowledge.</p><p><strong>Conclusion: </strong>Nursing students demonstrate positive attitudes toward multi-site practice and a willingness to participate. However, awareness of multi-site practice could be enhanced, and a standardized multi-site practice training system and model should be developed.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"429-443"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Patient Satisfaction With MRI Department Services and Staff in Saudi Hospitals.","authors":"Sami A Alghamdi","doi":"10.2147/RMHP.S503803","DOIUrl":"10.2147/RMHP.S503803","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is a key component of healthcare quality and is essential for improving clinical outcomes. This study was conducted to assess patient satisfaction with MRI services across 10 hospitals in Saudi Arabia, focusing on both department services and staff performance.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from July to August 2024 and involved 496 patients at four private and six public hospitals who underwent MRI scans. A structured questionnaire comprising a five-point Likert scale was used to measure patient satisfaction with MRI department services and staff. The data were analyzed using descriptive statistics, Pearson's chi-square test, t-tests, and ANOVA.</p><p><strong>Results: </strong>The majority of respondents (51.6% female) were 40-49 years of age, and 41.1% held a bachelor's degree. Overall, 92% of patients were either satisfied or very satisfied with MRI department services, particularly with registration efficiency (91.9%) and equipment quality (84.7%). However, satisfaction with waiting times was lower, with 66.1% of patients expressing satisfaction. Regarding MRI staff, 95.9% of patients were either satisfied or very satisfied with the privacy and confidentiality maintained during the procedure. A strong positive correlation (r = 0.76, p < 0.001) was observed between satisfaction with staff and overall MRI services.</p><p><strong>Conclusion: </strong>The patients reported high levels of satisfaction with MRI services, particularly with staff professionalism and facility quality. However, waiting times before MRI scans were identified as requiring improvement, particularly in public hospitals. Addressing this issue while maintaining high service standards can enhance patient satisfaction and overall experience.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"419-428"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}