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providers’ and patients’ satisfaction as a component of accreditation standards : An intervention study in Obstetrics and Gynecology Hospital / Cairo University

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Public Health

Advisors

Abdel-Razeq, Madiha S. , Selim, Mussttafa A. , Barakat, Abir A.

Authors

Rezq, Huda Ebrahim Ebrahim

Accessioned

2017-07-12 06:42:08

Available

2017-07-12 06:42:08

type

M.D. Thesis

Abstract

Patient and provider satisfaction (PPS) is an important indicator of health care quality.Aim: provide a model demonstrating mechanisms of utilization of PPS survey (PPSS) findings for action taking to achieve accreditation quality standards. Methods: The study was conducted in the Obstetrics & Gynecology Hospital (Ob&GH) /Cairo University. It is an intervention operations research quasi-experimental separate sample pre-post-test design. Both quantitative data (structured interview with 720patients at time of discharge from the hospital and service statistics 2009), and qualitative data (in-depth interview with physicians (n=16), nurse supervisors (n=22), nurses (n=30) and content analysis of Ob&GH mission and decisions).The study was conducted in four phases (1) Pre-intervention (Pre-I) PPSS (2) Intervention: preparation and presentation of policy brief, including situation analysis for 12 qualityaccredited items to Ob&GH Board (3) Follow up the intervention: Content analysis for decisions and procedures launched by hospital managers (3) Evaluation of the impact of the intervention by analysis of Pre-I vs. post-intervention (Post-I) data derived from PPSS. Results: Presenting policy brief to Ob&GH board had stimulated action taking to improve hospital environment, considering patient-centered care andintroducing tasks of rapid PPSS to monitor quality of care. Comparing data derived from pre-I and post-I PPSS showed significant increase in the proportion of patients who rated the overall quality score as excellent from 26.7% to 42.8%(p=<0.001).Logistic regression analysis ranked nurses’ performance (β= 6, CI= 1.3-28) as the first determinant for scoring the service quality as excellent among Post-I group. Conclusion: introducing mechanisms of PPSS-policy brief- action taking could help hospitals achieving accreditation.

Issued

1 Jan 2010

DOI

http://dx.doi.org/10.21473/iknito-space/37576

Details

Type

Thesis

Created At

28 Jan 2023