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Indrayathi PA, Januraga PP, Ulandari LPS, Pradnyani PE, Makame KR, Elehamer NM, Hilal S, Kirshbaum MN, Kolozsvari LR. International students' perceived quality of university health centre services: an exploratory sequential mixed methods study. Prim Health Care Res Dev 2024; 25:e39. [PMID: 39301603 PMCID: PMC11464857 DOI: 10.1017/s1463423624000288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 05/16/2024] [Accepted: 05/27/2024] [Indexed: 09/22/2024] Open
Abstract
AIM This study aims to investigate international students' perspectives on service quality and analyse factors contributing to the perceived service quality of the university health centre. BACKGROUND International students are at increased risk of experiencing poor mental health, isolation from families and cultures, language barriers, financial stress and academic pressures. It is important that universities support international students to enable them to complete their degrees and reach their desired level of achievement and performance. One of the supports required by international students is the availability of healthcare services. Therefore, improving the quality of services to meet international students' requirements, including healthcare services, is essential. METHODS A three-phase exploratory sequential mixed methods design was used. Phase 1 aims to explore international students' perceptions of primary healthcare quality by conducting in-depth interviews and focus group discussions. Data were analysed using thematic analysis. Phase 2 is to form questionnaire items based on the results of the qualitative study. The questionnaire is subject to pilot testing to measure validity and reliability. Phase 3 analyses factors influencing international students' perceived primary healthcare service quality. Multiple regression was used to analyse factors contributing to the perceived service quality of international students. FINDINGS The qualitative strand revealed five major themes representing the study participants' thoughts about the quality of services in the university healthcare context. Perceived quality attributes identified in this study were primarily empathy, equity, effectiveness, efficiency and safety. The quantitative strand found that 35.57% of participants consider the perceived quality of the centre as good. The highest and lowest service quality attributes were related to safety and efficiency, with a score of 21.12 ± 3.58 and 19.57 ± 4.34, respectively. The multiple linear regression analyses showed that PhD students from Health Faculty and Scholarship awardees were significantly associated with the perceived quality of healthcare services. Thus, the university management needs to improve service quality considering the diversity of international students' socio-demographic characteristics.
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Affiliation(s)
- Putu Ayu Indrayathi
- Doctoral School of Health Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Bali, Indonesia
| | - Pande Putu Januraga
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Bali, Indonesia
| | - Luh Putu Sinthya Ulandari
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Bali, Indonesia
| | | | - Khadija Ramadhan Makame
- Doctoral School of Health Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- School of Health and Medical Sciences, The State University of Zanzibar, Tunguu, Tanzania
| | - Nafisa M.K. Elehamer
- Doctoral School of Health Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Faculty of Public and Environmental Health, University of Khartoum, Khartoum,Sudan
| | - Soukaina Hilal
- Doctoral School of Health Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | | | - Laszlo Robert Kolozsvari
- Doctoral School of Health Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary
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Indrayathi PA, Ulandari LPS, Pradnyani PE, Dhamanti I, Kirshbaum MN, Szepesi CI, Horvath N, Kolozsvari LR. Understanding International Students' Perspective of Health Service Quality: A Cross-Sectional Study in a Hungarian University. Risk Manag Healthc Policy 2024; 17:1757-1769. [PMID: 38974389 PMCID: PMC11227865 DOI: 10.2147/rmhp.s460534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 05/18/2024] [Indexed: 07/09/2024] Open
Abstract
Purpose Understanding patient's preferences is important to delivering good quality services. Patients' feedback provides healthcare providers with valuable information about the services provided. The increasing number of international students enrolling in Hungarian Universities raises the need to ensure the quality of services meets international students' requirements, which includes healthcare. This study aimed to assess service quality in the University Health Center (UHC) from the international student's point of view to be used to improve the quality of services. Methods This cross-sectional study was conducted at the university health center. We used a mixed methods approach to collect both quantitative and qualitative data. We used the importance-performance analysis (IPA) for quantitative analysis to understand expectations and perceptions in service research. The qualitative analysis was conducted from responses to reflection questions. The qualitative data were then analyzed using thematic analysis. Results 437 international students participated in the study, but only 402 (91.99%) were analysed. The gaps between the importance and performance of service quality were negative in all dimensions (P-value < 0.001). This suggests that there is an unmet need for student expectations and university health center performance. From the Importance factor, the highest and lowest were related to safety (4.54 ± 0.56) and efficiency (4.31 ± 0.66) dimensions. The Performance factor's highest and lowest mean scores were also related to safety (4.22 ± 0.72) and efficiency (3.91 ± 0.87), respectively. From qualitative analysis, there are two major themes several secondary themes from the thematic analysis of free-text responses were identified. Conclusion The importance and performance analysis could provide useful information to university policymakers about university health center service quality. There is a need for improvement and obviating the importance-performance gaps, especially in the efficiency dimension. Decision-makers can use the IPA analysis results to allocate limited resources more effectively, giving special attention to possible organizational weaknesses for further direction.
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Affiliation(s)
- Putu Ayu Indrayathi
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
- Department of Public Health and Preventive Medicine, Udayana University, Denpasar, Bali, Indonesia
- Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary
| | | | | | - Inge Dhamanti
- Center of Excellence for Patient Safety Research and Quality, Universitas Airlangga, Surabaya, Indonesia
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | | | - Csongor Istvan Szepesi
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
- Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary
| | - Nora Horvath
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
- Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary
| | - Laszlo Robert Kolozsvari
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
- Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary
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Alrajhi MM, Alshahrani SS, Aman MM, Binyamin DT, Alsaadawi MT, Almani HA, Aldousari NY, Alghamdi SH, Alqahtani SM. Economical Impact of Integration of Mental Health Services to Primary Care - A Review. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2024; 16:S1950-S1952. [PMID: 39346487 PMCID: PMC11426777 DOI: 10.4103/jpbs.jpbs_121_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 02/24/2024] [Accepted: 02/27/2024] [Indexed: 10/01/2024] Open
Abstract
There are numerous people all across the world who are struggling with mental health (MH) conditions. There is a growing recognition of the significance of MH as a primary cause of disability with substantial effects on daily functioning. The Ministry of Health's financial division oversees money with the Ministry of Finance's approval. Thus, this review explores the economics of integrating MH services in a primary healthcare center (PHC) in Saudi Arabia (SA). The incorporation of MH services into basic medical care is required as it ensures that the general population has access to the necessary MH care and the likelihood of better health outcomes is raised when receiving treatment in PHCs. The majority of funds that are now allocated to the provision of MH care are used to pay the wages of MH professionals and paramedical staff members who are employed in mental hospitals, as well as to invest in the development of infrastructure and education of MH experts. A report found that MH expenditures accounted for 4% of the entire budget for health care. The expenditure for mental hospitals was 22% of the total for MH hospitals. The allocation of funds is integral for the PHCs to perform at their maximum potential in the MH domain. Thus, this review explores the economics of integrating MH services in a PHC in S SA.
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Affiliation(s)
| | - Saad Shebnan Alshahrani
- Department of Family Medicine, Community Health Excellency, Riyadh First Health Cluster, Riyadh, Saudi Arabia
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Alharbi A, Aljuaid M. Patients and Health Professionals' Perceptions of Primary Health Care Services in Saudi Arabia: A Scoping Review. Int J Gen Med 2024; 17:1155-1170. [PMID: 38559592 PMCID: PMC10981375 DOI: 10.2147/ijgm.s442892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 03/21/2024] [Indexed: 04/04/2024] Open
Abstract
Objective This scoping review aims to identify and summarize existing evidence concerning the quality and capacity of PHC services in the Kingdom of Saudi Arabia (KSA) with a focus on the patients and healthcare professionals' perceptions of PHC. Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The digital library, PubMed, and the search engine Google Scholar were searched to broaden our results for primary research involving patient and/or health professionals' perspectives on Primary Healthcare in KSA. Results A total of 38 publications were selected for the scoping review. Several studies examined patients' overall satisfaction with PHC services (n=14) while others focused their investigation on specific services provided by PHC (n=3). Several studies assessed the perceptions of certain groups of patients (n=5). Several studies examined health professionals' perceptions of the use of electronic health records (n=3), the safety culture (n=2), communicable disease management (n=1), emergency services (n=1), laboratory services (n=1), cost-effectiveness (n=1), and leadership (n=1). This review also included studies that assessed the health professionals' job satisfaction and burnout (n=6). Conclusion Patients were satisfied with some aspects of PHC services while recognizing that improvements in some areas were needed. These included waiting time, physician-patient communication, access to the services in rural areas, patient involvement in disease management, and oral health. Health workers were positive about certain quality aspects and services provided by PHC such as EHRs, safety culture, communicable disease management, emergency services, and laboratory services. Health workers demonstrated a low level of job satisfaction due to several reasons, including, working conditions, financial incentives, and burnout.
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Affiliation(s)
- Abeer Alharbi
- Health Administration Department, Business Administration College, King Saud University, Riyadh, Saudi Arabia
| | - Mohammed Aljuaid
- Health Administration Department, Business Administration College, King Saud University, Riyadh, Saudi Arabia
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Fassi CF, Mourajid Y, Azilagbetor DM, Sabri A, Chahboune M, Hilali A. Assessment of patient safety culture in Moroccan primary health care: a multicentric study. BMC Nurs 2024; 23:189. [PMID: 38515099 PMCID: PMC10956179 DOI: 10.1186/s12912-024-01864-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 03/12/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Promoting patient safety is a critical concern for developing-countries health systems like Morocco. There is an increasing acknowledgment of the need to create a patient-centered culture with the aim to decrease the number of adverse events related to care and improve health-care quality in Morocco. OBJECTIVE The purpose of this study is to examine the perceptions of health professionals working in primary care level of care facilities in Morocco about the concept of patient safety culture. METHODS We conducted a multicentric cross-sectional study of a quantitative nature in primary healthcare facilities in ten Moroccan cities, measuring ten patient safety culture dimensions, from February 2022 to June 2022. Data was collected using the French version of the HSOPSC questionnaire. RESULTS The most developed dimension of the culture of patient safety was found to be Teamwork within Units (69%), followed by Supervisor/Manager's Expectations & Actions Promoting Patient Safety (59%). The least developed dimensions were Staffing (34%) and Nonpunitive Response to Errors (37%). CONCLUSION Improving patient safety culture should be a priority for primary healthcare facility administrators and all stakeholders, addressing, in particular, the shortage of human resources. In addition, health personnel should be encouraged to report errors without fear of punitive consequences.
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Affiliation(s)
- Chaima Fihri Fassi
- Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Hassan First University of Settat, Settat, Morocco.
| | - Yasmine Mourajid
- Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Hassan First University of Settat, Settat, Morocco
| | | | - Asma Sabri
- Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Hassan First University of Settat, Settat, Morocco
| | - Mohamed Chahboune
- Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Hassan First University of Settat, Settat, Morocco
| | - Abderraouf Hilali
- Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Hassan First University of Settat, Settat, Morocco
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Ayyad A, Baker NA, Oweidat I, Al-Mugheed K, Alsenany SA, Abdelaliem SMF. Knowledge, attitudes, and practices toward Patient Safety among nurses in health centers. BMC Nurs 2024; 23:171. [PMID: 38481257 PMCID: PMC10938782 DOI: 10.1186/s12912-024-01831-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 02/29/2024] [Indexed: 03/17/2024] Open
Abstract
OBJECTIVE To assess knowledge, attitudes, and practices (KAPs) toward patient safety among nurses working at primary and comprehensive health care centers in Jordan; to identify factors that predict KAPs among nurses. METHODS A descriptive cross-sectional design was conducted using a convenience sample of 307 primary health care nurses in Jordan. A self-reported questionnaire (KAPs) toward patient safety was distributed to the nurses between August 2022 and October 2022. RESULTS The results revealed that the mean score of knowledge was 9.51 out of 11 (SD = 1.35), the mean score of attitudes was 57.66 out of 75 (SD = 9.17), and the mean score of practices was 5.64 out of 8 (SD = 1.72). Where 59% of participants reported good knowledge about patient safety. 61% of participants reported positive attitudes toward patient safety. A significant regression equation was found (R² = 0.073, F= (2.94), p = 0 0.003). Age and having information on patient safety during continuing education were significant predictors of the attitude score (p ≤ 0.05). CONCLUSION It is necessary to implement patient safety education programs and training.
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Affiliation(s)
- Ahmad Ayyad
- School of Nursing, Community and Mental Health Department, Jordan University of Science and Technology, 22110, Irbid, P. O. Box 3030, Jordan.
| | - Nesrin Abu Baker
- School of Nursing, Community and Mental Health Department, Jordan University of Science and Technology, 22110, Irbid, P. O. Box 3030, Jordan
| | - Islam Oweidat
- Community and Mental Health Nursing Department, Faculty of Nursing, Zarqa- Jordan, Zarqa, Jordan
| | | | - Samira Ahmed Alsenany
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, 11671, Riyadh, P. O. Box 84428, Saudi Arabia
| | - Sally Mohammed Farghaly Abdelaliem
- Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, 11671, Riyadh, P. O. Box 84428, Saudi Arabia
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Alasqah I. Patients' Perceptions of Safety in Primary Healthcare Settings: A Cross-Sectional Study in the Qassim Region of Saudi Arabia. Healthcare (Basel) 2023; 11:2141. [PMID: 37570381 PMCID: PMC10419299 DOI: 10.3390/healthcare11152141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/23/2023] [Accepted: 07/24/2023] [Indexed: 08/13/2023] Open
Abstract
This study assessed patients' perceptions of safety and experiences in primary healthcare in the Qassim region of Saudi Arabia. Between July and September 2022, 730 patients from primary healthcare centers were surveyed using a multi-staged cluster random sampling approach. The Patient-Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire was used to measure patients' perceived safety and experience in primary healthcare settings within the past year. Descriptive analyses were performed to report patients' perceived safety experiences. The statistical analysis examined individual items and scales. A considerable proportion of patients reported encountering safety problems, ranging from 11% (vaccine-related) to 27% (diagnosis-related). Diagnostic errors were the most common perceived safety problem (26.7%), followed by communication issues (24.1%) and medication errors (16.3%). Between 26% and 40% experienced harm, including financial problems (40%), increased care needs (32.4%), physical health issues (32%), limitations in activities (30.6%), increased healthcare needs (30.2%), and mental health concerns (26.8%). Patient-reported safety experiences reported in our study offer valuable insights into primary care safety in Saudi Arabia. Collecting routine patient feedback is crucial for addressing identified safety problems and implementing standardized procedures.
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Affiliation(s)
- Ibrahim Alasqah
- Department of Public Health, College of Public Health and Health Informatics, Qassim University, Albukairiyah 52741, Saudi Arabia
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Alanazi E, Alanazi H, Alanazi M, Alsadoun A, Asiri S, Bahari G. Quality Perceptions, Expectations, and Individual Characteristics among Adult Patients Visiting Primary Healthcare Centers in Saudi Arabia: A Cross-Sectional Study. Healthcare (Basel) 2023; 11:healthcare11020208. [PMID: 36673576 PMCID: PMC9859356 DOI: 10.3390/healthcare11020208] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/02/2023] [Accepted: 01/06/2023] [Indexed: 01/12/2023] Open
Abstract
Quality is a main concern of primary healthcare centers, and pursuing quality can lead to service improvement as well as affordable healthcare. The purpose of this cross-sectional study was to describe patients' healthcare quality perceptions and expectations and determine the relationships between them and associated factors. The study was conducted on a convenience sample of 470 patients visiting primary healthcare centers. Data were collected between April and July 2022 using an anonymous questionnaire. Bivariate and multivariate analyses were conducted. Most participants reported high levels of quality perceptions and expectations. Bivariate analyses showed a significant correlation between quality perceptions and expectations. Both being single and having a higher level of education were statistically different in terms of quality perception and expectations, respectively. Further, being single, highly educated, and employed had significant differences in terms of expectations. In regression, primary education and expectations influenced quality perceptions. Marital status, profession, and perception were the only variables that significantly influenced participants' expectations. Patients' healthcare quality perceptions and expectations are important for ensuring the efficiency of healthcare services. Primary healthcare centers are the key avenue for disease prevention and early detection. The optimization of primary healthcare centers' quality and addressing its potential issues should be performed through interdisciplinary teamwork.
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Affiliation(s)
| | | | | | - Ahmed Alsadoun
- Medical Surgical Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia
| | - Saeed Asiri
- Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia
| | - Ghareeb Bahari
- Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia
- Correspondence:
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