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Review of literature on patient satisfaction in hospitals
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Radiology is a part of the health service industry and as a service provider one needs to understand quality and delivery of service, which includes knowledge of customer service, customer satisfaction and all of its related issues [1]. Patient satisfaction is defined as the extent to which the patients feel that their needs and expectations are being met by the service provider . Patient satisfaction is an expression of the gap between expected and perceived characteristics of service [2].
It is a subjective concept aimed to relate the grade at which health care responds to the expectations of the patient or community. Also it is a multidimensional affected by thoughts or even previous experiences which make its measurements and comprehension
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Implementation of recent government health care policy of basing pay to hospitals for inpatient care on the quality of care instead of just the quantity of service provided, however, has changed the influence factor of patient satisfaction and given it direct impact on the income of healthcare facilities. Because quality of care ratings now determine government payouts, and patient satisfaction surveys now significantly decide assessment of care, patient satisfaction is of critical importance to every practice. With the recent healthcare reform, patients’ satisfaction is at the forefront of topics in medical centers and suddenly new changes in determining comparative quality, payments, and rankings of services have become essential objectives even on a public forum. Within the hospital system, Radiology Departments play a major role in influencing patient satisfaction. Their high through-put, diverse mix of patient populations, disease entities, procedure-related discomfort including claustrophobia, and examination types ranging from routine imaging to emergency exams pose unique challenges …show more content…
Though it does not ensure that the patient will remain loyal to the doctor or the hospital, it is still a strong motivating factor. Patient satisfaction is only an indirect or a proxy indicator of the quality of doctor or hospital performance. Delivery of patient-focussed care requires that we provide care in a particular way, not just sometimes or usually, but always. It must be every patient every time.It is an ironic fact - the better you are, the better you must become. Quality does not stand still. It should be linear and always ascending. One should strive to provide better care and soar above each and every patient's expectations.“A satisfied patient is a practice builder”. [6]
With the development of health care reform, patients’ care has been the major focus of most discussions, and this may be due to the need to reinforce strategies whereby care is of benefit to patients and to enhance a more fulfilling practice among health care providers[8].
Quality improvement is a formal process to examine and improve performance through the analysis of data. The primary goal of quality improvement is to enhance patients’
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
According to Fred Lee (2004) hospitals use clinical results and process improvement as a gauge of quality as this data can be readily measured and objective. Conversely, patients judge the quality of care by individual perception. Therein a gap of what the patient’s perception of quality care and how the healthcare providers perceive quality of care is created. The purpose of this paper is to discuss the Gaps Model of Service Quality while comparing the findings of the work done by Fred Lee in the book, If Disney Ran Your Hospital: 91/2 Things You would Do Differently.
The role of the radiologist is one that has undergone numerous changes over the years and continues to evolve a rapid pace. Radiologists specialize in the diagnoses of disease through obtaining and interpreting medical images. There are a number of different devices and procedures at the disposal of a radiologist to aid him or her in these diagnoses’. Some images are obtained by using x-ray or other radioactive substances, others through the use of sound waves and the body’s natural magnetism. Another sector of radiology focuses on the treatment of certain diseases using radiation (RSNA). Due to vast clinical work and correlated studies, the radiologist may additionally sub-specialize in various areas. Some of these sub-specialties include breast imaging, cardiovascular, Computed Tomography (CT), diagnostic radiology, emergency, gastrointestinal, genitourinary, Magnetic Resonance Imaging (MRI), musculoskeletal, neuroradiology, nuclear medicine, pediatric radiology, radiobiology, and Ultrasound (Schenter). After spending a vast amount of time on research and going to internship at the hospital, I have come to realize that my passion in science has greatly intensified. Furthermore, both experiences helped to shape up my future goals more prominently than before, which is coupled with the fact that I have now established a profound interest in radiology, or rather nuclear medicine.
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
...essionals are giving quality care to patients by allowing them the opportunity to voice their opinion of the care they feel was given to them. By reviewing this data, health care facilities can encourage their employees to address areas of concern and strive for success in satisfying their customers.
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
In order for optimal patient care to be achieved nurses need to be inspired by their work and feel supported by the health care staff. Both patients and nurses deserve to be given the attention and support they need to thrive. The patient to nurse ratio in California is already being addressed and this is a movement that needs to extend worldwide. It is imperative that health care professionals as a whole are being heard and supported. Patients depend on their health care providers and nurses are the backbone of patient care thus acknowledging their needs should always be top priority.
When choosing a career there are many factors that I will need to look at: will it be something I enjoy; am I just in it for the money; will the job be around years from now; how will it affect my family and me; how will I benefit from the job; and how will my personality fit in? I used to work at Conroe Regional Medical Center in the Radiology Department and watching everyone scurry around the halls was very exciting to me. I knew I always wanted to be in the medical industry I just really wasn’t sure where I would fit in just yet. Many times I have thought about going back to school, and many times I have put it off and I kept making excuses and for many reasons and many times I have put it off because I was scared. There finally came a time in my life to where I could not put it off anymore - it was now or never. In saying this I needed a job that will have a solid future and great job security. The career I have chosen is Radiology Technologist. The reason I have chosen radiology technologist is because I am a hands on person and love working with and seeing different people every day. Radiologic technologists have a great outlook in the job industry the employment is expected to grow 28 percent between 2010 and 2020. You can either work in a hospital setting which at times can be a hectic environment. Because many places offer the same imaging equipment that the hospitals have, you can now work in a clinical setting which would be a little more calm and regular set hours. In May 2010 the median yearly wage was $54,340 and can earn as high as $76,850.
In the medical community there appears to be a divide between disease-centered care and patient-centered care. Both Charon and Garden, readily acknowledge this. Charon explains how although doctors can boast in their “impressive technical progress,” and “their ability to eradicate once fatal infections,” doctors often lack the abilities to recognize the pain of their patients and to extend empathy (3). Charon further adds that “medicine practiced without a genuine and obligating awareness of what patients go through [empathy] may fulfill its technical goals, but it is an empty medicine, or, at best, half a medicine” (5). Often, doctors fail to remember that their patients are more than just a person with cancer or a congenital heart defect — they are human, a whole person with dreams, aspirations, and fears. According to Charon, “scientifically competent medicine alone cannot help a patient grapple w...
There are various definitions of “models of care”. However, the most important feature remains how health care services are delivered. Model of care was defined more precisely as a conceptual tool which is a standard that associates concept, belief and intent linked in several ways (1). This implies people getting care when it is required, with optimal utilization of resources and by the appropriate provider. ****find reference…..
Radiologic Technologists use radiation to produce images of tissue, organs, and vessels that make up the body, as well as cancer, tumors, broken bones, and tumors (Cape Fear Community College). If a person is in the medical imaging field to become a Radiologic Technologist to help people, this part of the job is what grabs their attention, because as soon as they find these problems they omit the images to a doctor that helps take care of it. Radiologic Technologist is a branch of Health Science Cluster Diagnostic services pathway (OkCollegeStart). When a person’s knows where their career choice starts it helps get a better overview of where to start and helps get them where they want to be. Radiologic Technologists review and evaluate developed x-ray, videotape, or computer generated information to determine if images are “satisfactory for diagnostic purposes” (OkCollegeStart). Persons who are more technology driven are attracted to this career because of the technology a person gets to use and process. Radiologic
Patient experiences are equally important for better clinical outcomes. But many medical professionals are unaware about it. If the influences of person-centred care on patients were studied then, it would be of great help in improving patient’s quality of life, healthy outcomes, improved patient advice and support, patient satisfaction and also job satisfaction for health team members. Some patients have shared their experiences like they felt healthy when doctors and nurses talked to them as a person, and statements like nobody understood their body more than themselves, not even their doctors (Rasmussen, Jorgensen & Leyshon 2014).
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
Patient value doesn’t stop there; feedback is always necessary. In 2013 and 2014, a survey was conducted to learn what do patients value more in the healthcare industry. “The focus groups consisted of men and women of various ages, and all of the groups were racially and economically diverse. Overall, they said the they will rather have more compassion in healthcare. Patients want to feel the hence of warmth, respect, openness and caring. Patients feel if someone is going to be their physician, he or she should know their name and something about them. This also help with the patient- doctor relationship as mentioned before. Patients will like the physicians to be smiling and looking at them in the eye. Direct eye contact is a sign; of full