Multifaceted impact evaluation of a day hospital compared to hospitalization on symptoms, social participation, service satisfaction and costs associated to service use (original) (raw)
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Pakistan Journal of Medical Sciences, 2010
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A study on Patient’s fulfillment with reference to our hospital services
International Journal of Orthopaedics Sciences, 2020
Background: Even after full dedication of doctors and staff, hospital services to patients care, there was a difference of opinion at the end treatment. To understand the fulfillment of patient and improving health care status, a correction had to be made to attain the at most satisfaction. Present study is designed to extract this work by qualities of medical care feedback in orthopedic inpatient department of Akash institute of medical sciences, Bangalore. Methods: After identification of key indicators by reviewing literature a pro-forma of questionnaires was prepared and feedback taken in to 9 domains from orthopedic ward patients at time of discharge. Total of 110 cases were surveyed among which 68 were male and 42 were female patients between 10 to 80 years. Statistical analysis was done, to compare & conclude. Results: In the domain front office staff, 80% were satisfied with Polite, Friendly & helpful behavior of staff, and their explanation about admission procedure, room facility & tariff. In the Nursing domain 66.3% were satisfied with receiving the patient, response and attentiveness to their queries, timely medication and bed care. When it came to house Keeping which includes, everyday cleaning of rooms and toilet, Polite, Friendly & helpful behavior of the staff, 73.6% were satisfied. Doctor's explanation of disease, treatment skills, Counseling about treatment and Post operative care were satisfactory in 82%. When it came to physiotherapy services, only 65% were satisfied. 84.5% were satisfied with cost of treatment and pharmacy services. 47% showed satisfaction regarding dietary services. Billing services was acceptable in 88 out of 110 patients.81.8% were satisfied with overall hospital service. Conclusion: Most of the patients treated in our hospital were satisfied with the care in different domains. By fulfilling the deficiencies with respect to domains, a "new model of care" can be achieved they are 1. By recruiting more trained staff and making them learn local language. 2. Arranging transport for the visiting patients from nearest bus stop. 3. Upgradation of pharmacy for availability of all medicines. 4. Maintaining hygiene and cleanliness.
Effectiveness and costs of acute day hospital treatment compared with conventional in-patient care
British Journal of Psychiatry, 2006
BackgroundData on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent.AimsTo establish the effectiveness and costs of care in a day hospital providing acute treatment exclusively.MethodIn a randomised controlled trial, 206 voluntarily admitted patients were allocated to either day hospital treatment or conventional wards. Psychopathology, treatment satisfaction and subjective quality of life at discharge, 3 months and 12 months after discharge, readmissions to acute psychiatric treatment within 3 and 12 months, and costs in the index treatment period were taken as outcome criteria.ResultsDay hospital patients showed significantly more favourable changes in psychopathology at discharge but not at follow-up. They also reported higher treatment satisfaction at discharge and after 3 months, but not after 12 months. There were no significant differences in subjective quality of life or in readmissions during follow-up. Mean total support costs were high...
Day Hospital in Community Psychiatry: Is it Still an Alternative to Mental Health Care?
Arquivos de Medicina
The Day Hospital constitutes one of the main components of the community psychiatry and it is integrated in the current social psychiatry policy, representing one of the main alternatives to inpatient regimen. The concept was created in ex-URSS in the 1930's and spread to USA during the 40's and 50's, reaching its peak in the 1970's. Even though there was in the decades ahead a decline of expansion and an increased closure of day hospital programs, there has been in the last few years, a renewed interest as well as an increased number of established day hospitals. Although this phenomenon is related to evidence of cost effectiveness and social advantage, showing that they can provide feasible and effective care, new paradigms like acute home care can make it seem old fashionable and aged. Nowadays, a more intensive treatment and an increasing number of therapeutic models applied to different psychiatric disorders, settled by a modern community mental health care system, are becoming the reality of its practice. But the somehow heterogeneity of the community services that the designation day hospital comprises can make difficult the evaluation of its efficacy. The purpose of this review is to find out what is the position of day hospital in the context of actual and future mental health care.
Assessing the outcomes of day hospital care for older people: A review of the literature
Quality in Ageing and Older Adults, 2001
The current policy context demands that health service providers demonstrate that services are effective, efficient, value for money and of good quality. Recent Government interest in intermediate care has increased pressure on day hospitals in particular to supply such evidence, because they face competition for their core services (such as rehabilitation care) from other community‐based providers. This review was conducted as part of a small study to evaluate a day hospital service in North London. Findings suggest that the outcomes of day hospital care are especially difficult to appraise because of the highly variable nature of both individual facilities and the needs and capabilities of patients attending. Traditional quantitative methods, such as randomised controlled trials or the use of standardised tools to assess treatment outcomes, face severe methodological problems owing to this variability. Three problems in particular would appear to hamper such research: comparabilit...
2014
This study aims at assessing patient satisfaction and therefore, the increase of the quality of care of the patients admitted to a medical centre with beds. Method: A psychometric instrument was used by means of a questionnaire applied to 130 patients, together with both descriptive and inferential statistical analysis, due to the diverse volume of quantitative and qualitative data collected by means of the questionnaire. Results: The results were represented by the identification of the level of satisfaction in patients admitted to a medical centre with beds, indicating a higher degree of satisfaction in those from rural areas, females and those with lower levels of education, both in terms of hospital conditions, medical staff attitude and information obtained when admitted and during hospitalization. Conclusions: Variables may play a significant role in improving the quality of future medical services, hospital conditions and the degree of patient satisfaction related to health p...
Materia Socio Medica, 2015
Background and Purpose: Outpatient department is the gateway to almost all of the hospital services. Providing method of service in this place has an important role in the general impression of the patient of hospital sanitary and treatment services. This research was done with the purpose of studying the perception and expectations of outpatient service receivers of Imam Khomeini Hospital in Sari. Materials and Methodology: A cross-sectional study was conducted on those patients in the outpatient service department of Imam Khomeini Hospital who at least have the junior high school degree. 200 people were selected as sample size with Morgan's table. Respondents answered the questionnaire two times. Once they expressed their perception of the provided services and once for their expectations. Therefore, the following expectation scores are obtained. To prove the significance of demographic variables with perception and expectations, the T and Tukey , s tests and also to compare different groups the variance analysis test are used. Findings: The mean of age was 25.68± 9.086 (The youngest participant was 16 and the oldest 67 years old). It was observed from the results of the T test there is no significant difference between sex and residential place. It was clear that in perception part; there was a significant difference, at the level of 0.05 significance, in all groups except for responding and behavior, while, in expectation level, no significance in the age of the dimensions except for access. Conclusion: Results showed that the satisfaction status of patients in Imam Hospital clinic in Sari is good. Many of the existing shortages can be improved by presenting an accurate and organized program. The present study shows that some service dimensions of patients require being promoted, the most important of which include behavior, accessibility and affordability, physical and responsiveness dimensions.
https://ijshr.com/IJSHR\_Vol.3\_Issue.3\_July2018/IJSHR\_Abstract.006.html, 2018
Background: Mimika Hospital in Mimika Regency is the only hospital owned by the local government which is the reference for advanced health services for patients including JKN participants in Mimika Regency. Patient satisfaction with service is satisfied in tangible dimension, reliability, responsiveness, assurance, empathy, assurance and empathy. Research Objectives: Analyze the health service program for patients in Mimika General Hospital of Mimika Regency. Methods: Descriptive analytic design with cross sectional study. The study was conducted in May 2018 in Mimika Hospital in Mimika Regency. The population are JKN patients who have visited 3 times in Mimika Hospital in Mimika Regency and the number of samples is 210 people. Data obtained using questionnaire and analysis using Chi square and logistic binary regression. Results: There is a relationship between outpatient program of JKN toward patient satisfaction is tangible (p-value 0,000 <α = 0,05), reliability (p-value 0,005 <α = 0,05), responsiveness (p-value 0.005 <α = 0.05), assurance (p-value 0,000 <α = 0,05), empathy (p-value 0.001 <α = 0.05). The assurance and empathy in the service quality of the JKN program is dominant factor on the patients satisfaction in Mimika Hospital in Mimika Regency