The influence of sociodemographic behavioural variables on health-seeking behaviour and the utilisation of public and private hospitals in Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Awinaba Amoah Adongo ◽  
Jonathan Mensah Dapaah ◽  
Francess Dufie Azumah ◽  
John Onzaberigu Nachinaab
Keyword(s):  
Significant Relationship ◽  
Demographic Characteristics ◽  
Health Facilities ◽  
Research Approach ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Public And Private Hospitals

PurposeSeveral studies have described health-seeking behaviour within the context of various diseases, the health status and age group. However, knowledge on patient health-seeking behaviour in the use of public and private hospitals and socio-demographic characteristics in developing countries is still scarce. This paper examines the influence of socio-demographic behavioural variables on health-seeking behaviour and the use of public and private health facilities in Ghana.Design/methodology/approachQuantitative research approach uses the modified SERVQUAL dimension as a data collection tool. Descriptive statistics with Pearson's chi-square test were conducted to determine the relationship between socio-demographic behavioural variables and health-seeking behaviour of patients using public and private hospitals.FindingsThe results showed that there is a significant relationship between the socio-demographic characteristics (sex, marital status, education, level of income) and the health-seeking behaviour of patients in regard to the utilisation of public and private health facilities (p < 0.000).Originality/valueThere is a significant relationship between patients' socio-demographic variables and their choice and utilisation of public and private healthcare services. This information is of value to policy makers so that they have an idea on the socio-demographic behavioural variables that influence patients' health-seeking behaviour.

Health-seeking behaviour and practices among immigrant retail traders in an urban setting in North-Western Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elijah Yendaw ◽  
Anthony Mwinilanaa Tampah-Naah
Keyword(s):  
Health Facility ◽  
Urban Setting ◽  
Research Approach ◽  
Care Seeking ◽  
Snowball Sampling ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Self Medication ◽  
Cross Sectional ◽  
Content Type

Purpose This study aims to investigate the health-care-seeking behaviour and practices of West African migrants who reside and operate in Wa, Ghana, as itinerant retailers. Design/methodology/approach The study was cross-sectional and used the quantitative research approach. The analysis was done on a target population comprising 122 itinerant immigrant retail traders in Wa, Ghana. Fisher’s exact test and logistic regression were used to analyse the data. Findings Malaria was the commonest disease among them. Five in ten of the migrants preferred to report malaria episodes to a private health facility than to a government facility. Significant associations were identified between four dimensions (health facility, self-medication, home remedy and consult others) of health-seeking behaviour, and some background characteristics. The main reason why migrants prefer government health facilities was because of their better health personnel. They self-medicated because of easy accessibility of over-the-counter medicine shops. Also, when ill, the migrants usually consulted family members who would be in a position to take them home when their ailment worsens. Research limitations/implications Snowball sampling was used to select the respondents which could potentially lead to a sample that is not fully representative of the population in general. Originality/value Studies concerning migration and health in Ghana have been focused on internal migrants. Yet, minority immigrant traders equally encounter adverse health conditions but limited studies have been conducted to espouse their health-seeking behaviour. This study imperatively contributes to the subject matter that has limited literature in the country.

Do the servicescape of public and private hospitals differ? The Malaysian context

2019 ◽  
Vol 11 (3) ◽  
pp. 357-377 ◽  
Author(s):  
Kim Piew Lai ◽  
Siong Choy Chong
Keyword(s):  
Design Methodology ◽  
Recovery Process ◽  
Public Hospitals ◽  
Ambient Conditions ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
The Public ◽  
Public And Private Hospitals ◽  
Practical Implications

Purpose This study aims to explore if public and private hospitals have differing servicescape attributes. Design/methodology/approach The study uses a two-stage (EFA and CFA) procedure for identifying the servicescape attributes and examining their validity in the context of public and private hospitals. Findings The findings indicate that, in different contexts, patients would expect different aesthetics of servicescape attributes and how they are influenced by the hospital premises. Research limitations/implications It is interesting to note that: not all of the attributes that appear in both contexts are exactly the same; patients do not seem to face difficulties in analysing and interpreting directional cues, even though the spatial orientation in private hospitals is relatively smaller; the way patients of public hospitals draw inference about the ambient conditions is not consistent with private hospitals; and patients perceive that private hospitals pay special attention to developing a built environment that facilitates treatment and recovery process via interior layout, as well as decoration and architecture attributes. Practical implications The study grounds the servicescape attributes and provides insights to effectively promote public and private hospitals. Originality/value This study may be amongst the first to offer servicescape evidence in both the public and private hospitals.

Measuring quality performance between public and private hospitals in Malaysia

2017 ◽  
Vol 9 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Selim Ahmed ◽  
Noor Hazilah Abd Manaf ◽  
Rafikul Islam
Keyword(s):  
Patient Satisfaction ◽  
Public Hospital ◽  
Private Hospital ◽  
Hospital Staff ◽  
Quality Performance ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
The Past ◽  
Public And Private Hospitals

Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.

Factors affecting maintenance management in hospital buildings

2019 ◽  
Vol 37 (1) ◽  
pp. 6-21 ◽  
Author(s):  
Dana Jandali ◽  
Rateb Sweis
Keyword(s):  
Design Methodology ◽  
Descriptive Analysis ◽  
Public Hospitals ◽  
Maintenance Management ◽  
Management Performance ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Factors Affecting ◽  
Public And Private Hospitals

Purpose The purpose of this paper is to identify and assess the factors affecting maintenance management performance in public and private hospitals in Amman-Jordan. Design/methodology/approach The paper identified 70 items affecting maintenance management performance from the literature review. Descriptive analysis was performed to assess the practices in both sectors. Comparison between public and private hospitals was performed through conducting a Mann-Whitney U-test. Findings Public hospitals were found to be implementing more improved practices than private hospitals. The perception of maintenance staff in both sectors regarding the factors affecting maintenance management performance varied. Originality/value This paper provides an original review of the factors affecting maintenance management in public and private hospitals in Amman-Jordan. The identified factors provide a useful reference to maintenance departments to improve maintenance performance and practices.

Patient’s behavioral intention: public and private hospitals context

2018 ◽  
Vol 36 (3) ◽  
pp. 349-364 ◽  
Author(s):  
Muhammad Sabbir Rahman ◽  
Mahafuz Mannan ◽  
Md Afnan Hossain ◽  
Mahmud Habib Zaman
Keyword(s):  
Service Quality ◽  
Behavioral Intention ◽  
Corporate Image ◽  
Public Hospitals ◽  
Experience Economy ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Perceived Service Quality ◽  
Public And Private Hospitals

Purpose The purpose of this paper is to examine patient’s behavioral intention in a comparative analysis between public and private hospitals in the context of a developing country. Design/methodology/approach The research design was cross-sectional. A conceptual model was developed through an extensive literature review. Survey research was conducted to collect the data from the patients of public and private hospitals of Bangladesh. Partial least square structural equation modeling was used to perform a comparative analysis of the proposed model. Findings Perceived service quality and corporate image both were found to have a positive direct effect on patient’s behavioral intention for both public and private hospitals. While emotional satisfaction was found not to influence patient’s behavioral intention for public hospitals, it was found to fully mediate the perceived service quality-behavioral intention relationship and partially mediate the corporate image-behavioral intention relationship for private hospitals. Experience economy was found to partially mediate the corporate image-behavioral intention relationship for public hospitals, while it was found to partially mediate both the perceived service quality-behavioral intention and corporate image-behavioral intention relationships for private hospitals. Originality/value This is the first of a kind study that combined experience economy and emotional satisfaction with perceived service quality and corporate image to predict patient’s behavioral intention in a comparative study between public and private hospitals in the context of a developing country.

Contingency framework for understanding quality in public and private hospitals of India

2019 ◽  
Vol 14 (1) ◽  
pp. 137-158
Author(s):  
Geeta Marmat ◽  
Pooja Jain
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Situational Factors ◽  
Future Research ◽  
Private Hospitals ◽  
Public And Private ◽  
System Perspective ◽  
Content Type ◽  
Public And Private Hospitals ◽  
Contingency Framework

Purpose Health-care delivery organizations (hospitals) constitute a complex adaptive system; hence, a contingency perspective is imperative to guide the design of customized approaches to quality management in different health-care settings. Accordingly, this paper aims to propose a contingency framework to advance the understanding of the relationship between situational factors and effectiveness of quality approaches in health-care organizations (HCOs), such as hospitals in India. Design/methodology/approach Related literature was reviewed to identify existing research and theories related to quality and quality approaches, situational factors of the HCOs (hospitals) and some existing logical evidence on public and private hospitals in India. Then a contingencies framework for quality and quality approaches was conceptualized. Findings This paper proposes contingent determinants arise out of conceptualization of the HCOs (hospitals) from different system perspective such as rational system, natural system, open system and integrative system; uncertainty because of physicians’ behaviour, nurses’ approach and a dual line of authority; and the task environment such as patients, competition and economic pressure. These determinants represent situational constructs to the quality enhancement of any attempt at quality approaches. While these determinants have an influence on the quality and quality approaches of the HCOs (hospital), it is imperative to build any quality improvement strategy to work effectively, i.e., quality approach is dependent on determinants of the contingencies of the hospital’s environment, be it external or internal. Propositions for future research are also incorporated. Research limitations/implications This paper proposes a conceptual model as well as research propositions that need to be validated and confirmed empirically. It advances the research and theory related to quality and quality approaches in a health-care setting. It can enable policymakers, hospital managers to analyze and gauge the appropriateness of quality approaches in a given context before implementing them and could help to improve the introverted quality approaches and quality dimensions currently followed in HCOs (hospitals). Originality/value Contingency framework is a new approach for research on the effectiveness of quality approaches in hospitals. The fundamental idea behind this framework is that effectiveness of quality approaches can be understood best by examining its contingent determinants. Thus, it has the capacity to contribute to the efforts of government and policymakers to make the quality of care affordable to all in India. Essentially, we examine the contexts and variables that determine the effectiveness of quality approaches.

Prioritizing lean management practices in public and private hospitals

2016 ◽  
Vol 30 (3) ◽  
pp. 457-474 ◽  
Author(s):  
Matloub Hussain ◽  
Mohsin Malik
Keyword(s):  
United Arab Emirates ◽  
Management Practices ◽  
Healthcare Management ◽  
Public Hospitals ◽  
Lean Management ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Measurement Analysis ◽  
Public And Private Hospitals

Purpose – The purpose of this paper is to prioritize 21 healthcare wastes in public and private hospitals of United Arab Emirates (UAE). Design/methodology/approach – Seven healthcare wastes linked with lean management are further decomposed in to sub-criteria and to deal with this complexity of multi criteria decision-making process, analytical hierarchical process (AHP) method is used in this research. Findings – AHP framework for this study resulted in a ranking of 21 healthcare wastes in public and private hospitals of UAE. It has been found that management in private healthcare systems of UAE is putting more emphasis on the inventory waste. On the other hand, over processing waste has got highest weight in public hospitals of UAE. Research limitations/implications – The future directions of this research would be to apply a lean set of tools for the value stream optimization of the prioritized key improvement areas. Practical implications – This is a contribution to the continuing research into lean management, giving practitioners and designers a practical way for measuring and implementing lean practices across health organizations. Originality/value – The contribution of this research, through successive stages of data collection, measurement analysis and refinement, is a set of reliable and valid framework that can be subsequently used in conceptualization, prioritization of the waste reduction strategies in healthcare management.

Big data management and environmental performance: role of big data decision-making capabilities and decision-making quality

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Qasim Ali Nisar ◽  
Nadia Nasir ◽  
Samia Jamshed ◽  
Shumaila Naz ◽  
Mubashar Ali ◽  
...  
Keyword(s):  
Decision Making ◽  
Big Data ◽  
Data Management ◽  
Environmental Performance ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Public And Private Hospitals

PurposeThis study is undertaken to examine the antecedents and role of big data decision-making capabilities toward decision-making quality and environmental performance among the Chinese public and private hospitals. It also examined the moderating effect of big data governance that was almost ignored in previous studies.Design/methodology/approachThe target population consisted of managerial employees (IT experts and executives) in hospitals. Data collected using a survey questionnaire from 752 respondents (374 respondents from public hospitals and 378 respondents from private hospitals) was subjected to PLS-SEM for analysis.FindingsFindings revealed that data management challenges (leadership focus, talent management, technology and organizational culture for big data) are significant antecedents for big data decision-making capabilities in both public and private hospitals. Moreover, it was also found that big data decision-making capabilities played a key role to improve the decision-making quality (effectiveness and efficiency), which positively contribute toward environmental performance in public and private hospitals of China. Public hospitals are playing greater attention to big data management for the sake of quality decision-making and environmental performance than private hospitals.Practical implicationsThis study provides guidelines required by hospitals to strengthen their big data capabilities to improve decision-making quality and environmental performance.Originality/valueThe proposed model provides an insight look at the dynamic capabilities theory in the domain of big data management to tackle the environmental issues in hospitals. The current study is the novel addition in the literature, and it identifies that big data capabilities are envisioned to be a game-changer player in effective decision-making and to improve the environmental performance in health sector.

Emotions and satisfaction at the hospital

2018 ◽  
Vol 12 (2) ◽  
pp. 126-145 ◽  
Author(s):  
Mariella Pinna ◽  
Giacomo Del Chiappa ◽  
Marcello Atzeni
Keyword(s):  
Service Provider ◽  
Hierarchical Cluster ◽  
Convenience Sample ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Patients Satisfaction ◽  
Chi Squared ◽  
Affective Components ◽  
Public And Private Hospitals

Purpose This study aims to compare public and private hospitals based on both cognitive and affective components of patients’ satisfaction. Design/methodology/approach A survey of 770 Italian patients from public and private hospitals was conducted. Then, hierarchical and non-hierarchical cluster analyses and a series of chi-squared tests were run with the aim of segmenting patients’ emotional response. Findings Respondents show different levels of satisfaction and a different emotional status based on the private or public nature of the service provider. The cluster analysis helped to identify two segments. Specifically, the cluster with the highest positive emotions is reported to have a higher level of satisfaction and a higher intention to return; this evidence is much stronger when a private service provider rather than a public one is considered. A series of chi-squared tests reveal that no significant differences exist among clusters based on socio-demographic characteristics. Research limitations/implications This study uses a convenience sample and is highly context specific, and thus the authors are unable to make generalizations. Practical implications Hospital managers should develop a customer-oriented approach, for example, by paying greater attention to patients’ emotions and experience, via conducting systematic surveys on patients’ emotions and improving the servicescape. Originality/value The main contribution of this study resides in simultaneously considering the role of cognitive and affective components on patients’ satisfaction and behavioural intention, and segmenting patients based on their emotional responses. Moreover, only few studies provide a comparison of public and private hospitals in Italy.

Hospital responsiveness and its effect on overall patient satisfaction

2017 ◽  
Vol 30 (8) ◽  
pp. 728-736 ◽  
Author(s):  
Sadegh Ahmadi Kashkoli ◽  
Ehsan Zarei ◽  
Abbas Daneshkohan ◽  
Soheila Khodakarim
Keyword(s):  
Patient Satisfaction ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Public And Private Hospitals ◽  
The Right

Purpose Hospital responsiveness to the patient expectations of non-medical aspect of care can lead to patient satisfaction. The purpose of this paper is to investigate the relationship between the eight dimensions of responsiveness and overall patient satisfaction in public and private hospitals in Tehran, Iran. Design/methodology/approach This cross-sectional study was conducted in 2015. In all, 500 patients were selected by the convenient sampling method from two public and three private hospitals. All data were collected using a valid and reliable questionnaire consisted of 32 items to assess the responsiveness of hospitals across eight dimensions and four items to assess the level of overall patient satisfaction. Data analysis was performed using descriptive statistics and multivariate regression was performed by SPSS 18. Findings The mean score of hospital responsiveness and patient satisfaction was 3.48±0.69 and 3.54±0.97 out of 5, respectively. Based on the regression analysis, around 65 percent of the variance in overall satisfaction can be explained by dimensions of responsiveness. Seven independent variables had a positive impact on patient satisfaction; the quality of basic amenities and respect for human dignity were the most powerful factors influencing overall patient satisfaction. Originality/value Hospital responsiveness had a strong effect on overall patient satisfaction. Health care facilities should consider including efforts to responsiveness improvement in their strategic plans. It is recommended that patients should be involved in their treatment processes and have the right to choose their physician.

Sign in / Sign up

Export Citation Format

Share Document