A cross-organizational Lean deployment in an Italian regional healthcare system
This study explores how Lean was deployed in several hospitals in the Apulia region in Italy over 3.5 years.An exploratory qualitative design was drawn up based on semi-structured interviews.The drivers of Lean in hospitals were to increase patient satisfaction and improve workplace well-being by eliminating non-value-add waste. The participants highlighted three key elements of the pivotal implementation stages of Lean: introduction, spontaneous and informal dissemination and strategic level implementation and highlighted critical success and failure factors that emerged for each of these stages. During the introduction,...
Source: International Journal of Health Care Quality Assurance - November 14, 2023 Category: Health Management Authors: Angelo Rosa Giuliano Marolla Olivia McDermott Source Type: research

The mediating effect of  patient trust on the relationship between service quality and patient satisfaction
The mediating effect of patient trust on the relationship between service quality and patient satisfaction Mais Al-hilou, Taghrid Suifan International Journal of Health Care Quality Assurance, Vol. ahead-of-print, No. ahead-of-print, pp.- The prime aim of this research is to examine the mediating effect of patient trust on the relationship between service quality and patient satisfaction in Amman, Jordan.A convenience sample of patients visiting seven out of the 44 private hospitals in Amman was selected. In total, 385 questionnaires were distributed among patients, with a response rate of 91%. Of these, 35 were disreg...
Source: International Journal of Health Care Quality Assurance - November 8, 2023 Category: Health Management Authors: Mais Al-hilou Taghrid Suifan Source Type: research

Evaluating patient and medical staff satisfaction from doctor –patient communication
This study contributes to the growing body of research on doctor–patient communication. Its originality lies on the fact that communication satisfaction level was examined simultaneously for doctors, nurses and patients. The study provides additional evidence supporting the link among satisfaction and duration of communication and personalized relationship. The study's findings are important in the training of medical staff and the management of patients' expectations. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - August 4, 2022 Category: Health Management Authors: Korina Katsaliaki Source Type: research

Lean six sigma and stroke in rural hospital – The case of Baruch Padeh Medical Center
Batsheva Tzadok, Oran Ben Tov, Vladimir Vaispapir, Lev Shornikov, Olga Marik, Leon Martens, Eran Tal Or International Journal of Health Care Quality Assurance, Vol. 35, No. 1, pp.21-37 This case study aims to demonstrate the strengths of the Lean Six Sigma (LSS) methodology to improve the acute ischemic stroke (AIS) treatment rates and reduce process lead time at Baruch Padeh Medical Center (BPMC), a rural hospital in the Galilee region of Northern Israel. The LSS project redefined the BPMC stroke care pathway and increased its efficacy.The LSS methodology was implemented in September 2017 by integrating lean principles a...
Source: International Journal of Health Care Quality Assurance - January 26, 2022 Category: Health Management Authors: Batsheva Tzadok Oran Ben Tov Vladimir Vaispapir Lev Shornikov Olga Marik Leon Martens Eran Tal Or Source Type: research

Examining the behavioural intention of inpatients in Indian government hospitals
Deepti Singh, Kavaldeep Dixit International Journal of Health Care Quality Assurance, Vol. 35, No. 1, pp.1-20 The purpose of this research is to examine the impact of perceived service quality (PSQ) on the behavioural intention (BI) of patients in Indian government hospitals. The underlying mechanism of trust and patient satisfaction (SAT) is examined as multiple mediating effect.Data from 510 respondents were collected using structured questionnaires. Six government hospitals, namely, S.M.S. Hospital, J.L.N. Hospital, New Medical College Hospital, Maharana Bhupal Medical Hospital, Mathuradas Hospital and P.B.N. Hospital,...
Source: International Journal of Health Care Quality Assurance - January 24, 2022 Category: Health Management Authors: Deepti Singh Kavaldeep Dixit Source Type: research

Persons with disability perception of facilities management service quality: hospital buildings in Malaysia
This study aims to discover the perception of persons with disabilities (PWDs) towards facilities management (FM) service quality at hospital buildings in Malaysia. A questionnaire survey was conducted with 99 respondents in selected hospitals in Selangor, Malaysia. This study aims to discover the perception of PWDs towards FM service quality, and it has found a gap for improvement. The area that requires the highest attention includes the importance of (1) assurance on accessibility despite maintenance activity being conducted (2) criticality of facilities maintenance itself, (3) assurance on comfort and safety,...
Source: International Journal of Health Care Quality Assurance - October 4, 2021 Category: Health Management Authors: Nuratiqah Aisyah Awang Shirley Jin Lin Chua Azlan Shah Ali Cheong Peng Au-Yong Amaramalar Selvi Naicker Brenda Saria Yuliawiratman Source Type: research

Editorial
Charu Chandra International Journal of Health Care Quality Assurance, Vol. 34, No. 1, pp.1-3 (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - January 28, 2021 Category: Health Management Authors: Charu Chandra Source Type: research

Adverse obstetric outcomes in two Brazilian maternity hospitals
Alessa Leila Andrade, Zenewton André da Silva Gama, Marise Reis de Freitas, Wilton Rodrigues Medeiros, Kelienny de Meneses Sousa, Edna Marta Mendes da Silva, Tatyana Souza Rosendo International Journal of Health Care Quality Assurance, Vol. 34, No. 1, pp.4-18 Obstetric adverse outcomes (AOs) are an important topic and the use of composite measures may favor the understanding of their impact on patient safety. The aim of the present study was to estimate AO frequency and obstetric care quality in low and high-risk maternity hospitals. A one-year longitudinal follow-up study in two public B...
Source: International Journal of Health Care Quality Assurance - January 5, 2021 Category: Health Management Authors: Alessa Leila Andrade Zenewton Andr é da Silva Gama Marise Reis de Freitas Wilton Rodrigues Medeiros Kelienny de Meneses Sousa Edna Marta Mendes da Silva Tatyana Souza Rosendo Source Type: research

Assessing the telemedicine acceptance for adults in Brazil
This study aimed to find factors influencing the acceptance of telemedicine for adults in Brazil. Moreover, it investigates the moderating role of disease complexity and the generational digital divide phenomenon on the intention to use the telemedicine service. A quasi-experiment was employed. Primary data were collected using a survey research method considering two different scenarios based on disease complexity and symptom severity. A total of 248 responses were collected using a structured questionnaire. The authors also tested these two scenarios in three generations (X, Y and Z) of adults. Partial least squares...
Source: International Journal of Health Care Quality Assurance - December 24, 2020 Category: Health Management Authors: Karina M. Serrano Glauco H.S. Mendes Fabiane L. Lizarelli Gilberto M.D. Ganga Source Type: research

Determinants of inpatient satisfaction: evidence from Switzerland
Stephan Tobler, Harald Stummer International Journal of Health Care Quality Assurance, Vol. 34, No. 1, pp.19-34 A common way to handle quality problems and increasing costs of modern health care systems is more transparency through public reporting. Thereby, patient satisfaction is seen as one main reported outcome. Previous studies proposed several associated factors. Only a few of them included organizational determinants with potential to inform the health care provider's management. Therefore, the aim of this study was to investigate the influence of organizational contingency factors on pa...
Source: International Journal of Health Care Quality Assurance - December 22, 2020 Category: Health Management Authors: Stephan Tobler Harald Stummer Source Type: research

Business process improvement methods in healthcare: a comparative study
This study has been carried out by using a methodology combining an in-depth literature review with a comparison framework, which is called as the “Framework for Comparing Business Process Improvement Methods.” The framework is composed of seven dimensions and has been adapted from four recognized, related frameworks. In addition to the in-depth review of related literature and the adapted comparison framework, researchers have conducted s everal interviews with healthcare BPI practitioners in different hospitals, to attain their opinions of BPI methods and tools used in their practices. Findings The main results have...
Source: International Journal of Health Care Quality Assurance - June 13, 2019 Category: Health Management Source Type: research

Patients ’ perspective of a dedicated biologic clinic for inflammatory arthritis
This study was based on a quality improvement survey, which was developed using Zineldin’s five qualities model and assessed various aspects pertaining to service quality and improvement. A structured interview approach was used and 44 consecutive patients were recruited. Findings This paper explores key aspects that influence patient satisfaction within a rheumatology outpatient setting such as education on arthritis and biologics and involvement in decision making. It provides insight on what patients value most and it also addresses organizational aspects that can have an impact on patient satisfaction. It suggests t...
Source: International Journal of Health Care Quality Assurance - June 13, 2019 Category: Health Management Source Type: research

Evidence based practice among healthcare providers: a cross-sectional study
International Journal of Health Care Quality Assurance,Volume 32, Issue 5, Page 867-878, June 2019. Purpose Nowadays health systems in most of the countries are trying to build their healthcare provision system based on scientific knowledge based evidence. Evidence-based practice (EBP) is a crucial factor for quality improvement focusing on compliance with clinical standards. The purpose of this paper is to assess evidence-based knowledge and skills among healthcare providers in Qazvin hospitals in 2016. Design/methodology/approach This was a descriptive study conducted among 300 health professionals working in hospitals...
Source: International Journal of Health Care Quality Assurance - June 13, 2019 Category: Health Management Source Type: research

Appreciative enquiry peer review improving quality of services
International Journal of Health Care Quality Assurance,Volume 32, Issue 5, Page 857-866, June 2019. Purpose Mental health service improvement initiatives often involve the setting of targets and monitoring of performance. The purpose of this paper is to describe the application of appreciative enquiry (AE), a radically different but complementary approach to quality assurance and improvement, to specialist mental health services across a health region. Design/methodology/approach This case study describes a regional quality improvement (QI) project involving 12 early intervention in psychosis (EIP) services in South West...
Source: International Journal of Health Care Quality Assurance - June 13, 2019 Category: Health Management Source Type: research

An exploration of how domains of quality of care relate to overall care experience
International Journal of Health Care Quality Assurance,Volume 32, Issue 5, Page 844-856, June 2019. Purpose The purpose of this paper is to determine the relative influence of the different domains of healthcare quality from the Care Experience Feedback Improvement Tool (CEFIT) and identify key predictors of healthcare quality from the patients ’ perspective. Measurement is necessary to determine whether the quality of healthcare is improving. The CEFIT was developed as a brief measure of patient experience. It is important to determine the relative influence of the different domains of healthcare quality to further cla...
Source: International Journal of Health Care Quality Assurance - June 13, 2019 Category: Health Management Source Type: research