Mumtaz Hassan, Hafeez Muhammad H, Bhatti Ihtisham H, Sahar Tooba, Khan Zohaib A, Butt Zeelaf, Akhtar Samaa, Ali Ayaz
Maroof International Hospital.
Health Services Academy.
Ann Med Surg (Lond). 2023 Sep 5;85(12):5879-5884. doi: 10.1097/MS9.0000000000001106. eCollection 2023 Dec.
The study focuses on healthcare delivery standards in Pakistan's tertiary care hospitals. Poor accountability and a lack of financial and human resources are the main contributing factors to a hospital's substandard performance and low patient satisfaction rates. Feedback surveillance forms are the Achilles tendon in the quality improvement of a facility, and this practice is, unfortunately, not widely practiced in the hospitals of Pakistan. Through this paper and experience, the authors hope to shed light on the need for regular feedback surveys and implementing their results to improve healthcare quality.
A prospective, observational study of seven tertiary care hospitals in Pakistan.
The data was collected using a survey form. Each survey form was filled out by a team comprising three public health professionals who observed the hospital and its functioning without interfering with its workings. The questionnaire was developed with the help of Tools for Assessing the Operationality of District Health Systems: Health Facility Questionnaire designated in the respective facilities. The analysis was then draughted as a qualitative narrative review. Finally, the review was broken down into an assessment of the hospital's outpatient clinic setting, inpatient department, emergency department and other departments.
The survey was conducted at seven public sector hospitals in three major cities of Pakistan. The survey focused on administrative and nonmedical parameters of healthcare facilities. Overall, the hospitals of Lahore and Islamabad lacked mass casualty apparatus and cleanliness, and staff behaviour can be improved. The hospitals in Rawalpindi have mass casualty apparatuses in place. However, they need improvement in accessibility services and hygiene and staff attitude.
The survey showed that all the hospitals had good access and accessibility, and the directions were clearly marked for the visitors. The hospital staff is knowledgeable about the hospital, but their behaviour needs to be improved. Also, the quality of the cleanliness and waiting areas is fair but needs improvements. Finally, regular cheques via regular feedback and quality assessments can improve healthcare delivery.
该研究聚焦于巴基斯坦三级医疗医院的医疗服务提供标准。问责不力以及财政和人力资源匮乏是医院表现不达标准和患者满意度低的主要促成因素。反馈监督表是医疗机构质量改进的关键所在，但遗憾的是，这种做法在巴基斯坦的医院中并未广泛推行。通过本文及相关经验，作者希望阐明定期进行反馈调查并落实调查结果以提高医疗质量的必要性。
对巴基斯坦七家三级医疗医院进行的一项前瞻性观察研究。
通过调查问卷收集数据。每份调查问卷由一个由三名公共卫生专业人员组成的团队填写，他们在不干扰医院运作的情况下观察医院及其运行情况。该问卷是借助《评估地区卫生系统运行情况工具：各机构指定的卫生设施问卷》编制而成。随后将分析内容撰写为定性叙述性综述。最后，该综述被细分为对医院门诊科室设置、住院部、急诊科及其他科室的评估。
该调查在巴基斯坦三个主要城市的七家公立部门医院开展。调查聚焦于医疗设施的行政和非医疗参数。总体而言，拉合尔和伊斯兰堡的医院缺乏大规模伤亡应对设备且卫生状况不佳，工作人员的行为有待改善。拉瓦尔品第的医院配备了大规模伤亡应对设备。然而，它们在无障碍服务、卫生状况及工作人员态度方面需要改进。
调查显示，所有医院的可达性良好，且为访客清晰标明了方向。医院工作人员对医院情况了解，但他们的行为需要改进。此外，清洁程度和候诊区质量尚可，但仍需改善。最后，通过定期反馈和质量评估进行定期检查可改善医疗服务提供情况。
