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Online Communities. Benefits and Risks 在线社区。利益与风险
Pub Date : 2018-07-01 DOI: 10.4018/IJUDH.2018070101
Elena Graziani, F. Petrini
This article reviews empirical studies from 2008 to 2017 on the effects of participating in online communities. The review uses three databases: PubMed, Scopus and ScienceDirect. The criteria are: (1) online community aimed to provide support by and for people with a common problem; (2) the content of the sessions was determined by users; (3) members met via the Internet; (4) online community was available 24/7; (5) online community access was free and open to everyone with an Internet connection. Of the articles, 13 of 105 met the inclusion criteria. Seven studies reported positive changes: informational and emotional support, increased sense of belonging, less isolation, better medical understanding. Six articles also considered risks: the rise of the level of stress because of successes or failures of other users, the addiction to the forum and the consequent isolation from real relationships.
本文回顾了2008年至2017年关于参与网络社区影响的实证研究。这篇综述使用了三个数据库:PubMed、Scopus和ScienceDirect。标准是:(1)旨在为有共同问题的人提供支持的在线社区;(2)会话内容由用户决定;(3)通过互联网结识的成员;(4)网络社区全天候开放;(5)网络社区免费向所有能上网的人开放。105篇文章中有13篇符合纳入标准。七项研究报告了积极的变化:信息和情感支持,归属感增强,孤独感减少,更好的医学理解。6篇文章还考虑了风险:由于其他用户的成功或失败而导致的压力水平上升、对论坛的沉迷以及由此导致的与真实关系的隔离。
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引用次数: 0
Survival Fight of a Teen With Polytrauma, Severe Head Injury, Gr-V Liver Injury Followed By ARDS, Managed in a Rural Hospital of Andaman, India: Perseverance Gives Possibilities Even With Limited Resources 在印度安达曼的一家乡村医院,一名患有多重创伤、严重头部损伤、严重肝损伤并伴有急性呼吸窘迫综合征的青少年的生存之战:即使资源有限,坚持不懈也能带来希望
Pub Date : 2017-07-01 DOI: 10.4018/IJUDH.2017070104
Sidharth Bhasin, A. Narayan, C. Janardhan
Thisarticledescribeshowtheliverisoneofthemostcommonlyinjuredorgansintheabdomen, especially in road traffic accidents. Patients do present with polytrauma and those who are hemodynamicallyunstablehaveahighmorbidityandmortality,eveninadvancedhospitalsettings. Followingisthecasereportofa17-yr.oldboy,whowasinvolvedinaroadtrafficaccidentwith polytrauma,presentedtoatertiarycarehospitalinaremoteisland,withGradeIV-Vliverinjuryand developedARDSinpost-operativeperiod.Thepatientwasmanagedsuccessfullyanddischarged. KEyWoRDS Andaman, ARDS, Grade V liver injury, India, Polytrauma, RTA
Thisarticledescribeshowtheliverisoneofthemostcommonlyinjuredorgansintheabdomen,特别是在道路交通事故中。患者表现为多发创伤,而那些患者表现为hemodynamicallyunstablehaveahighmorbidityandmortality,eveninadvancedhospitalsettings。Followingisthecasereportofa17-yr。oldboy,whowasinvolvedinaroadtrafficaccidentwith polytrauma,presentedtoatertiarycarehospitalinaremoteisland,withGradeIV-Vliverinjuryand developedARDSinpost-operativeperiod.Thepatientwasmanagedsuccessfullyanddischarged。关键词:安达曼,ARDS, V级肝损伤,印度,多发伤,RTA
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引用次数: 0
Uncertainty in Clinical Knowledge: A Critical Dimension of Quality Evaluation 临床知识的不确定性:质量评估的一个关键维度
Pub Date : 2017-07-01 DOI: 10.4018/IJUDH.2017070102
V. Kazandjian
Thisarticleexploresthewaysinwhichuncertaintycanbeincorporatedintotheunderstandingof betterperformanceapproaches,andisthusproposedasanenablingdimensionofperformance.The enablingcharacteristicofuncertaintyisofspecial interest todesigningeducationalprogramsfor providersinassistancetotheameliorationofcarethroughtheapplicationofavailableknowledge,be thatfromdatarelatingprocessestooutcomes,orbasedonfeedbackprovidersgetfrompatientsand familiesabouttheirexpectationsfromthecare.Tracingthekeystonedefinitionsofuncertaintyfrom HippocratestoOsler,thediscussionaddressesthedimensionsofdecision-makingappropriateness,its timeliness,theexpectedandactualvalueofthecareservices,andtheroleofsystematiccommunication betweenprovidersofcareaswellaswithpatients.ThecrucialroleofHealthInformationTechnology isemphasized,andaunifyingmodelisproposedwheretheinclusionofuncertaintyasadimensionof performancepromotesanencompassingevaluationofthequalityofhealthcareservices.Evaluation, influencedby traditionandprecedent, isdiscussedas requiring the inclusionofhealthcareand caringservices. KEywoRDS Clinical Knowledge, Communication, Health Care Services, Health Information Technology, Quality Evaluation
Thisarticleexploresthewaysinwhichuncertaintycanbeincorporatedintotheunderstandingof betterperformanceapproaches,andisthusproposedasanenablingdimensionofperformance。The enablingcharacteristicofuncertaintyisofspecial interest > todesigningeducationalprogramsfor providersinassistancetotheameliorationofcarethroughtheapplicationofavailableknowledge,be thatfromdatarelatingprocessestooutcomes,orbasedonfeedbackprovidersgetfrompatientsand familiesabouttheirexpectationsfromthecare。Tracingthekeystonedefinitionsofuncertaintyfrom HippocratestoOsler,thediscussionaddressesthedimensionsofdecision-makingappropriateness,its时效性,theexpectedandactualvalueofthecareservices,andtheroleofsystematiccommunication betweenprovidersofcareaswellaswithpatients。ThecrucialroleofHealthInformationTechnology isemphasized,andaunifyingmodelisproposedwheretheinclusionofuncertaintyasadimensionof performancepromotesanencompassingevaluationofthequalityofhealthcareservices。Evaluation, influencedby traditionandprecedent, isdiscussedas需要的inclusionofhealthcareand caringservices。关键词临床知识沟通卫生保健服务卫生信息技术质量评价
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引用次数: 1
Abnormal Uterine Bleeding (AUB) and Thyroid Function in Chhattisgarh 恰蒂斯加尔邦的异常子宫出血(AUB)和甲状腺功能
Pub Date : 2017-07-01 DOI: 10.4018/IJUDH.2017070103
Mukund Tiwari, S. Agrawal, Subarna Mitra
Abnormalfunctionofthyroidglandisassociatedwithadisturbanceinthemenstrualcycle.However, inclinicalpractice,thyroiddysfunctionisfrequentlyoverlookedasapossibleetiologyandtherefore, theimportancetoinvestigatethyroidfunctioninasymptomaticcasesisunder-recognizedinIndia. Treating thyroiddysfunction in suchcasescan reverse themenstrual abnormality, thusavoiding unnecessaryhormonaltherapyorinlongterm,hysterectomy.Thisarticleisintendedtodetermine theprevalenceofovertandsubclinicalformsofhypothyroidism/hyperthyroidismamongwomenwith abnormaluterinebleeding(AUB)inaknowniodine-deficientstateofIndia,Chhattisgarh.Moreover, theaimsincludedtocharacterizethetypesofmenstrualabnormalitywiththyroiddysfunctioninstudy participants.Thepresentstudyfoundaprevalenceofthyroiddysfunctioninoneoutoffivecasesof menstrualabnormality,mostcommondysfunctionbeinghypothyroidism.Anappreciableproportion ofthyroiddisorderwasfoundinpatientswithmenorrhagia,oligomenorrhea,polymenorrheaand amenorrhea. KeywoRDS Chattisgarh, Endocrinology, Hypothyroidism, Menstrual Abnormality, Thyroid disorder
Abnormalfunctionofthyroidglandisassociatedwithadisturbanceinthemenstrualcycle。However, inclinicalpractice,thyroiddysfunctionisfrequentlyoverlookedasapossibleetiologyandtherefore, theimportancetoinvestigatethyroidfunctioninasymptomaticcasesisunder-recognizedinIndia。>治疗> thyroiddysfunction in > suchcasescan reverse> themenstrual异常,> thusavoiding unnecessaryhormonaltherapyorinlongterm,hysterectomy。Thisarticleisintendedtodetermine theprevalenceofovertandsubclinicalformsofhypothyroidism/hyperthyroidismamongwomenwith abnormaluterinebleeding(AUB)inaknowniodine-deficientstateofIndia,Chhattisgarh。Moreover, theaimsincludedtocharacterizethetypesofmenstrualabnormalitywiththyroiddysfunctioninstudy参与者。Thepresentstudyfoundaprevalenceofthyroiddysfunctioninoneoutoffivecasesof menstrualabnormality,mostcommondysfunctionbeinghypothyroidism。Anappreciableproportion ofthyroiddisorderwasfoundinpatientswithmenorrhagia、oligomenorrhea、polymenorrheaand闭经。关键词:恰蒂斯加尔邦;内分泌学;甲状腺功能减退
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引用次数: 0
Missing Link of the Health Information Exchange Loop: Engaging Patients 健康信息交换循环缺失的一环:吸引患者
Pub Date : 2016-06-01 DOI: 10.4018/IJUDH.2016070103
A. Noblin, K. Cortelyou-Ward
Since2004,theservicesoftheFloridaHealthInformationExchange(HIE)havegrown,andin2011, thestatecontractedwithHarrisCorporationtoprovidesomebasicservicestotheFloridahealthcare industryandprovidefunctionalimprovementstotheexpandingstate-wideHIE.Theendeavorsof thispublic-privatepartnershipcontinuetothepresentday;however,asHIEserviceshaveexpanded, challengescontinue tobeencountered.Ultimately, successfulexchangeofmedicaldata requires patientengagementand“buy-in.”Thepurposeofthisarticlewillconsiderwhypatientengagement isimportantforHIEsuccess,offerrecommendationstoimprovebothpatientandproviderinterest, andconsidertheimportanceofonlinepatientportalstoincreasetheeffectivenessofhealthrecord keepingandthesharingofvitalpatientmedicalinformationneededbycaregiversandtheirpatients. KEywoRDS Florida, Health Information Exchange, Patient Engagement, Privacy INTRoDUCTIoN EffortstowardbuildingaHealthInformationExchange(HIE)inFloridabeganin2004.TheAgencyfor HealthCareAdministration(AHCA)laidthefoundationforastatewideHIEbyorganizinghealthcare stakeholdersandprovidinginitialfundingtolocalRegionalHealthInformationOrganization(RHIO) projectsthroughitsgrantsprogram.Floridaworkedtoachieveasecureandsustainableapproach tohealth informationtechnologyadoptionandexchangeresultinginbetterhealthcareoutcomes with lowered totalcosts. In2010, theOfficeof theNationalCoordinatorforHealthInformation Technology(ONC)providedgrantfundstosignificantlyadvanceFlorida’splanstobuildastatewide healthinformationinfrastructure.SincethefundingfromONChasnowended,sustainabilityhas beenattheforefrontforHIEsacrossthecountry,includingFlorida. Todate,keyservicesimplementedintheFloridaHIEincludethefollowing: • Patientlook-up(accessingpatientinformation) • Securemessaging(transmittingpasswordprotected&encrypteddata) • Eventnotification(sharinghealthcareencounterinformation)Thepurposeof thispaper is todescribe thecurrentservicesofFloridaHIE, identify future HIEgoals including theneed to increasepatients’access to theirownhealthrecords,define the obstaclestogoals,andofferrecommendationstoovercomeobstaclesandreachthedesiredgoals. Asnetworksareestablishedthroughoutthestate,theabilityofpatientstoaccesshealthinformation
Since2004、theservicesoftheFloridaHealthInformationExchange(HIE)havegrown、andin2011、thestatecontractedwithHarrisCorporationtoprovidesomebasicservicestotheFloridahealthcare industryandprovidefunctionalimprovementstotheexpandingstate-wideHIE。Theendeavorsof thispublic-privatepartnershipcontinuetothepresentday;however,asHIEserviceshaveexpanded, challengescontinue tobeencountered。Ultimately, successfulexchangeofmedicaldata需要patientengagementand”买进。Thepurposeofthisarticlewillconsiderwhypatientengagement isimportantforHIEsuccess,offerrecommendationstoimprovebothpatientandproviderinterest, andconsidertheimportanceofonlinepatientportalstoincreasetheeffectivenessofhealthrecord keepingandthesharingofvitalpatientmedicalinformationneededbycaregiversandtheirpatients。关键词:佛罗里达州,健康信息交换,患者参与,隐私引入EffortstowardbuildingaHealthInformationExchange(HIE)inFloridabeganin2004。TheAgencyfor HealthCareAdministration(AHCA)laidthefoundationforastatewideHIEbyorganizinghealthcare stakeholdersandprovidinginitialfundingtolocalRegionalHealthInformationOrganization(RHIO) projectsthroughitsgrantsprogram。Floridaworkedtoachieveasecureandsustainableapproach tohealth informationtechnologyadoptionandexchangeresultinginbetterhealthcareoutcomes with [lowered] totalcosts。> In2010, > theOfficeof theNationalCoordinatorforHealthInformation technology > (ONC) > providedgrantfundstosignificantlyadvanceFlorida 'splanstobuildastatewide healthinformationinfrastructure。SincethefundingfromONChasnowended,sustainabilityhas beenattheforefrontforHIEsacrossthecountry,includingFlorida。Todate,keyservicesimplementedintheFloridaHIEincludethefollowing:•查病人(访问病人信息)•安全消息(传输密码保护和加密数据)•事件通知(共享医疗遇到信息)的目的这一纸电流服务描述的佛罗里达催促,识别未来催促目标包括增加病人需要的访问自己的健康记录,目标障碍的定义,,克服障碍的建议提供,达成期望的的目标。Asnetworksareestablishedthroughoutthestate,theabilityofpatientstoaccesshealthinformation
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引用次数: 0
Communication AssessmenT Checklist in Health: Assessment and Comparison of Web-Based Health Resources 健康沟通评估清单:基于网络的健康资源评估与比较
Pub Date : 2016-06-01 DOI: 10.4018/IJUDH.2016070101
J. Genova, J. Bender
Thereisnocomprehensiveandstandardizedtoolforevaluatingthecommunicationqualityofweb resourcesforpatients.Thepurposeofthisstudywastoassessprostatecancerwebsitesusingthe CommunicationAssessmenTChecklistinHealth(CATCH)andtocomparetheresultswiththoseof theConsumerandPatientHealthInformationSectionoftheMLA(CAPHIS).CATCHisatheorybasedtoolconsistingof50elementsnestedin12concepts.Tworatersindependentlyapplieditto35 HONcertifiedwebsitescontaininginformationonprostatecancertreatment.TheCATCHsummary scoresforthesewebsiteswerethencomparedtothe2015listofcrediblehealthwebsitespublished byCAPHIS.Websitescontainedamean24.1(SD=3.6)CATCHitems.TheconceptsLanguage, Readability,Layout,TypographyandAppearancewerepresentinover80%ofsites.Content,Risk Communication,Usefulness,andScientificValuewerepresentin50%orless.CATCHprovided anoverallscoreoftheselectedsitesthatwasconsistentwithCAPHISratings.Theprostatecancer websitesevaluatedinthisstudydidnotpresenttreatmentinformationinauseful, informativeor crediblewayforpatients.Thecommunicationqualityoftheseresourcescouldbeimprovedwitha clearstrategicintentfocusedondecision-making,usingCATCHasaguidingframework.CATCH isatoolthatcanbeusedindependentlyorwithotherhealthresourceevaluationtoolstoselectthe mosttrustworthywebresourcesforhealthinformation. KeyWoRDS CAPHIS, Communication, Credibility, Internet, MLA, Patient Education, Prostate Cancer, Risk Communication, Websites
Thereisnocomprehensiveandstandardizedtoolforevaluatingthecommunicationqualityofweb resourcesforpatients。Thepurposeofthisstudywastoassessprostatecancerwebsitesusingthe CommunicationAssessmenTChecklistinHealth(CATCH)andtocomparetheresultswiththoseof theConsumerandPatientHealthInformationSectionoftheMLA(CAPHIS).CATCHisatheorybasedtoolconsistingof50elementsnestedin12concepts。Tworatersindependentlyapplieditto35 HONcertifiedwebsitescontaininginformationonprostatecancertreatment。TheCATCHsummary scoresforthesewebsiteswerethencomparedtothe2015listofcrediblehealthwebsitespublished byCAPHIS.Websitescontainedamean24.1(SD=3.6)CATCHitems。TheconceptsLanguage,可读性,Layout,TypographyandAppearancewerepresentinover80%ofsites。Content,Risk通讯,Usefulness,andScientificValuewerepresentin50%orless。CATCHprovided anoverallscoreoftheselectedsitesthatwasconsistentwithCAPHISratings。Theprostatecancer websitesevaluatedinthisstudydidnotpresenttreatmentinformationinauseful, informativeor crediblewayforpatients。Thecommunicationqualityoftheseresourcescouldbeimprovedwitha clearstrategicintentfocusedondecision-making,usingCATCHasaguidingframework。CATCH isatoolthatcanbeusedindependentlyorwithotherhealthresourceevaluationtoolstoselectthe mosttrustworthywebresourcesforhealthinformation。关键词CAPHIS,沟通,可信度,互联网,MLA,患者教育,前列腺癌,风险沟通,网站
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引用次数: 4
Specialty Health Care in Rural Areas of West Bengal (India): A Policy Document 西孟加拉邦(印度)农村地区的专业保健:一份政策文件
Pub Date : 2016-06-01 DOI: 10.4018/IJUDH.2016070104
A. Biswas, E. Gebuis, P. Irimia
ThehealthcaresystemofWBneedsamassivechangefromeveryaspect.However,changingasystem whichisrunningforyearsisinitselfachallenge.Therefore,changeinthehealthpolicyneedstobegin eitherfromthefoundationuporaccordingtotheimportanceofproposedlegislation.Ruralhealth caresystemwithoutspecialtycarehasalwaysbeentheunderdogofWBhealthsystem.However, mostimprovementcanbemadethere.Thispolicydocumentproposesabasicspecialtycareinrural areasofWB,intendedtoimprovehealthcareforamaximumpossiblepopulation. KeyWoRDS India, Policy Document, Rural West Bengal, Specialty Care
ThehealthcaresystemofWBneedsamassivechangefromeveryaspect。However,changingasystem whichisrunningforyearsisinitselfachallenge。Therefore,changeinthehealthpolicyneedstobegin eitherfromthefoundationuporaccordingtotheimportanceofproposedlegislation。Ruralhealth caresystemwithoutspecialtycarehasalwaysbeentheunderdogofWBhealthsystem。However, mostimprovementcanbemadethere。Thispolicydocumentproposesabasicspecialtycareinrural areasofWB,intendedtoimprovehealthcareforamaximumpossiblepopulation。关键词:印度;政策文件;西孟加拉邦农村
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引用次数: 1
RFID in Health Care-Building Smart Hospitals for Quality Healthcare RFID在医疗保健中的应用——建设高质量医疗保健的智能医院
Pub Date : 2016-06-01 DOI: 10.4018/IJUDH.2016070102
A. Manzoor
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引用次数: 10
Introducing Lesbian, Gay, Bisexual, and Transgender (LGBT) and Gender Identity Issues in a Medical Humanities Module 介绍女同性恋、男同性恋、双性恋和变性人(LGBT)和医学人文模块中的性别认同问题
Pub Date : 2015-07-01 DOI: 10.4018/IJUDH.2015070101
P. Shankar, Christopher Rose
Lesbian, gay, bisexual and transgender (LGBT) are ways of referring to someone's sexual orientation/preferences; gaining a better understanding as to how best serve the needs of the LGBT community are becoming increasingly important in medical education. While nations (especially developing ones) are making efforts to become more pluralistic societies that uphold and honor the rights of all their citizenry, members of the LGBT community continue to face hostility and violence. These factors cause many members of the LGBT community to be wary about identifying their sexual orientation. Curricular interventions to address LGBT issues are becoming increasingly common. The LGBT community faces a number of challenges and disparities in accessing healthcare. The authors facilitate a medical humanities (MH) module at the Xavier University School of Medicine, Aruba.. Small group, activity-based learning strategies are widely used during the module. Literature, case scenarios, paintings and role-plays are used to explore different aspects of MH. In this manuscript role-plays serve as vehicles to introduce LGBT issues to medical students during the module. The process of debriefing the role-play including students' comments are briefly discussed. One scenario deals with a young girl forced to become a worker in the sex trade, another contends with a night club owner who is diagnosed as HIV positive, a third situation portrays a young woman with a same gender life partner suffering from terminal cancer, the fourth situation explores the difficulties a female student faces when she reveals a sexual attraction for a same sex classmate. The role-plays serve to introduce students to an initial understanding of some of the issues faced by members of the LGBT community and an opportunity to put themselves in the position of a LGBT individual.
女同性恋、男同性恋、双性恋和变性人(LGBT)是指某人的性取向/偏好的方式;更好地了解如何最好地满足LGBT群体的需求在医学教育中变得越来越重要。虽然各国(特别是发展中国家)正在努力成为更加多元化的社会,维护和尊重所有公民的权利,但LGBT群体的成员继续面临敌意和暴力。这些因素导致LGBT群体的许多成员对确定自己的性取向持谨慎态度。针对LGBT问题的课程干预正变得越来越普遍。LGBT群体在获得医疗保健方面面临着许多挑战和差异。作者促进了阿鲁巴泽维尔大学医学院的医学人文(MH)模块。本单元广泛采用小组、活动学习策略。文学,案例场景,绘画和角色扮演被用来探索MH的不同方面。在这个手稿中,角色扮演是在模块期间向医学生介绍LGBT问题的工具。简要讨论了角色扮演述职的过程,包括学生的意见。其中一个场景是一个年轻女孩被迫成为性交易工作者,另一个场景是与一个被诊断为艾滋病毒阳性的夜总会老板争吵,第三个场景是一个年轻女子与一个患有晚期癌症的同性生活伴侣,第四个场景探讨了一个女学生在向同性同学透露性吸引力时面临的困难。角色扮演的目的是让学生初步了解LGBT群体成员所面临的一些问题,并有机会把自己放在LGBT个体的位置上。
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引用次数: 0
Travel for Treatment: Patients Perspective on Medical Tourism 为治疗而旅行:患者对医疗旅游的看法
Pub Date : 2015-07-01 DOI: 10.4018/IJUDH.2015070102
B. Sharma, J. Sharma, Sudir Padroo
Medical tourism is growing and diversifying at a high rate. The medical tourism in India is poised to be next success story after software industry. This term is used to refer to travel activity that involves a medical procedure or activities that promote the wellbeing of the patient. The term medical tourism is the act of travelling to other countries to obtain medical, dental and surgical care. (Connell 2006) All the beneficiaries of this industry are putting their best foot forward by providing quality services at affordable cost in order to lure medical tourists. It goes without saying that only those health care organizations will survive and succeed in gaining competitive advantage over others that incorporates quality improvement process on a continuous basis. The results show that there is significant growth of medical tourism in India, which is growing at the rate 30% in 2015 (Saravana 2015) The standards of medical treatment and hospital facilities provided to patients have significantly improved in India with 21 hospitals in India already accredited by JCI. In this study hospital chosen for the present study is the hospital one amongst the list of JCI accredited hospitals in India. The objective of this study is to identify the medical tourist's satisfaction level & also to identify the grey areas for better services. The results show that they were quite satisfied with the services availed & are recommending it to others due to the significant treatment services.
医疗旅游正在高速增长和多样化。印度的医疗旅游有望成为继软件业之后的下一个成功案例。这个术语用于指涉及医疗程序或促进患者健康的活动的旅行活动。医疗旅游一词是指前往其他国家获得医疗、牙科和外科护理的行为。(Connell 2006)为了吸引医疗游客,这个行业的所有受益者都在以可承受的成本提供优质的服务,从而把他们最好的一面展现出来。毫无疑问,只有那些在持续的基础上整合质量改进过程的医疗保健组织才能生存下来,并成功地获得竞争优势。结果表明,印度的医疗旅游有显著的增长,2015年以30%的速度增长(Saravana 2015)。印度为患者提供的医疗标准和医院设施显著提高,印度已有21家医院获得JCI认证。在本研究中选择的医院是印度JCI认证医院之一。本研究的目的是确定医疗游客的满意度水平,并找出更好的服务的灰色地带。结果显示,他们对所提供的服务相当满意,并因其显著的治疗服务而推荐给其他人。
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引用次数: 0
期刊
International Journal of User-Driven Healthcare
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