Refinement of the Questionnaire 'Quality of Care from the Patient's Perspective' using Structural Equation Modelling

1998 ◽  
Vol 12 (2) ◽  
pp. 111-118 ◽  
Author(s):  
Gerry Larsson ◽  
Bodil Wilde Larsson ◽  
Ingrid M. E. Munck
2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 561.1-561
Author(s):  
T. Santiago ◽  
E. Santos ◽  
A. C. Duarte ◽  
P. Martins ◽  
M. Sousa ◽  
...  

Background:In recent years more attention has been given to patients reported outcomes (PROs). Systemic sclerosis (SSc) is no exception. As there is no effective treatment or cure to SSc, it is important to recognize the relevance to patients of the different features of the disease to improve quality and enjoyment of life: the ultimate targets of therapy. Remarkably lacking in PROs is the evaluation of the overall perspective of subjective well being, equivalent to ‘happiness’ or “positive psychological dimensions”.Objectives:To examine the determinants of happiness and quality of life (QoL) in patients with SSc with emphasis on disease activity, disease impact and personality traits.Methods:This is an observational, cross-sectional and multicenter study from six rheumatology clinics in Portugal. A total of 113 patients with SSc with a complete set of data on disease activity, disease impact, personality, quality of life and happiness were included.Structural equation modelling (latent variable structural model) was used to estimate the association between the variables using a maximum likelihood estimation with Satorra-Bentler’s correction and performed with STATA® 15.0. Two hypotheses were pursued: H1 – Disease activity and impact of disease are negatively associated to overall QoL and happiness; H2 – ‘Positive’ personality traits are related to happiness both directly and indirectly through perceived disease impact.Results:Results obtained in the structural equation measurement model indicated a good fit [χ2/df=1.44; CFI=0.93; TLI=0.90; RMSEA=0.06] and supported all driving hypotheses (Figure 1). Happiness was positively related to ‘positive’ personality (β=0.45, p=0.01) and, to a lesser extent, negatively related with impact of disease (β=-0.32; p=0.01). This impact, in turn, was positively related to EUSTAR activity score (β=0.37; p<0.001) and mitigated by ‘positive’ personality traits (β=-0.57; p<0.001). Impact of disease had a much stronger relation with QoL than with happiness (β=-0.78, p<0.001). Quality of life and happiness had no statistically significant relationship.Conclusion:Optimization of Qol and happiness in people with SSc requires effective control of the disease process. Personality and its effects upon the patient´s perception of the disease impact, seems to play a pivotal mediating role in these relations and should deserve paramount attention if happiness and enjoyment of life is taken as the ultimate goal of health care.Disclosure of Interests:Tânia Santiago: None declared, Eduardo Santos: None declared, Ana Catarina Duarte: None declared, Patrícia Martins: None declared, Marlene Sousa: None declared, Franscisca Guimarães: None declared, Soraia Azevedo: None declared, Raquel Ferreira: None declared, Miguel Guerra: None declared, Ana Cordeiro Consultant of: Ana Cordeiro has acted as a consultant for Roche, Speakers bureau: Ana Cordeiro has received speaker fees from Boehringer Ingelheim, Lilly, and Vitoria, Inês Cordeiro: None declared, Sofia Pimenta: None declared, Patrícia Pinto: None declared, Maria Joao Salvador: None declared, José Antonio P. da Silva Grant/research support from: Pfizer, Abbvie, Consultant of: Pfizer, AbbVie, Roche, Lilly, Novartis


Author(s):  
Dheeraj P. Sharma ◽  
Shivendra K. Pandey ◽  
Ashish K. Gupta ◽  
Rajat Sharma

The purpose of this paper is to examine the suitability of SERVQUAL for trade shows. Theobjective is to identify the significant SERVQUAL dimensions and their relative importance toincrease the purchase intention of visitors to a trade show. The study uses a survey of 400visitors to a big trade fair. Structural equation modelling was used to determine the relativeimportance of the dimensions. Results suggest that SERVQUAL is well suited for assessing theservice quality of trade shows. The tangibility and assurance are the two most significant factorsinfluencing the purchase intention of trade show visitors. Exhibitors should enhance tangibilityin trade shows by methods such as display of product or product prototypes, brochures, andscreens. Further, they should increase assurance by displaying medals and awards won, qualitycertifications achieved, testimonials of past satisfied consumers, and experienced salespeople atthe trade show counters. Trade show organisers should attract big brands for the exhibition toenhance assurance. The present study contributes to the ongoing debate on the relevance ofSERVQUAL in the trade show context. The study demonstrates that SERVQUAL is a decentmeasure to study service quality in trade shows even though the majority literature claimsotherwise. Further, the present research prioritises the SERVQUAL dimensions, helpingmanagers to design customer-oriented sales strategies.


Ergonomics ◽  
2017 ◽  
Vol 60 (11) ◽  
pp. 1471-1484 ◽  
Author(s):  
Chia-Fen Chi ◽  
Ratna Sari Dewi ◽  
Yopie Yutama Surbakti ◽  
Dong-Yu Hsieh

2021 ◽  
Vol 5 (1) ◽  
pp. 43-56
Author(s):  
Ikrima M. Mustafa Mustafa

Penelitian ini bertujuan untuk mengetahui pengaruh gaya kepemimpinan, Quality of Work Life, motivasi kerja dan kinerja pegawai, hubungan gaya kepemimpinan dan Quality of Work life secara bersama-sama terhadap motivasi kerja, dan hubungan antara gaya kepemimpinan, Quality of Work Life, motivasi kerja secara bersama-sama terhadap kinerja pegawai di Biro Sekretariat Daerah Provinsi Maluku Utara. Metode Penelitian adalah deskriptif verifikatif dimana setiap responden  diberikan 70 pernyataan yang terdiri dari 22 pernyataan untukvariabel gaya kepemimpinan, 14 untuk variabel Quality Of Work Life, 16  pernyatan motivasi kerja, dan 18 pernyataan untuk kinerja pegawai, pemberian skor menggunakan skala likert 1 s/d 5. Sampel penelitian adalah 250 orang. Teknik analisis yang digunakan  adalah analisis statistik dekriptif dimana digunakan untuk menggambarkan data yang telah terkumpul tanpa bermaksud membuat kesimpulan yang berlaku umum atau generalisasi. Untuk menganalisa secara deskriptif digunakan program SPSS 20.00. Model yang digunakan dalam penelitian ini adalah model kausalitas atau hubungan pengaruh. Untuk menguji hipotesis yang diajukan dalam penelitian ini maka teknik analisis yang digunakan adalah SEM (Structural Equation Modelling) yang di operasikan melalui program LISREL 8.80. Berdasarkan analisis yang digunakan dengan demikian terbukti bahwa gaya kepemimpinan, Quality of Work life, motivasi kerja berpengaruh positif dan signifikan baik secara langsung maupun tidak langsung terhadap kinerja pegawai di Biro Sekretariat Daerah Provinsi Maluku Utara.  


2020 ◽  
Vol 20 (2) ◽  
pp. 151-160
Author(s):  
Novi Ari Nugroho ◽  
Iman Setyarno ◽  
Agus Taufik Mulyono ◽  
Latif Budi Suparma

Abstract Bridges are an important part of a road network system, so they need to be kept functioning properly. Bridge preservation is one of the important and fundamental types of handling to maintain the condition of the bridge in good condition and restore the condition of the bridge to its original capacity so that it can serve effectively. The purpose of this study is to identify the contribution of the influence of factors and variables that affect the quality of the implementation of bridge preservation. Data analysis was based on the results of a survey of respondents who came from service users, service providers and the public who had been involved in implementing bridge preservation. The analysis was conducted using the Structural Equation Modeling method. The results showed that the implementation of bridge preservation factors and variables that influence the implementation of bridge preservation influence on the achievement of the quality of the bridge preserva-tion of 60.6%. The contribution of the influence of the factors that affect the quality of the implementation of the bridge preservation is the human resource factor contributing to the effect of 89.4%, a material factor of 81.8%, a method factor of 80.7%, a tool factor of 68.7%, a factor financial contribution of 54.0%, and environmental factors contributed an influence of 53.1%. To realize good quality achievements, the parties involved in implementing bridge preservation must pay attention to 6 factors and 33 important variables to be able to support these quality achievements. Keywords: bridge preservation; Structural Equation Modelling; influence contribution; quality achievement.  Abstrak Jembatan merupakan bagian yang penting dalam suatu sistem jaringan jalan, sehingga perlu dijaga agar tetap berfungsi dengan baik. Preservasi jembatan merupakan salah satu jenis penanganan yang penting dan mendasar untuk mempertahankan kondisi jembatan dalam kondisi baik dan mengembalikan kondisi jembatan sesuai kapasitas semula sehingga dapat melayani dengan efektif. Tujuan penelitian ini adalah mengidentifikasi kontri-busi pengaruh dari faktor dan variabel yang memengaruhi capaian mutu pelaksanaan preservasi jembatan. Data analisis berdasarkan hasil survei terhadap responden yang berasal dari pengguna jasa, penyedia jasa dan publik yang pernah terlibat dalam pelaksanaan preservasi jembatan. Analisis dilakukan dengan metode Structural Equation Modelling. Hasil penelitian menunjukkan bahwa pada pelaksanaan preservasi jembatan faktor dan variabel yang memengaruhi pelaksanaan preservasi jembatan memberikan pengaruh terhadap capaian mutu pelaksanaan preservasi jembatan sebesar 60,6%. Kontribusi pengaruh dari faktor-faktor yang memengaruhi capaian mutu pelaksanaan preservasi jembatan adalah faktor sumber daya manusia memberikan kontribusi pe-ngaruh sebesar 89,4%, faktor material sebesar 81,8%, faktor metode sebesar 80,7%, faktor alat sebesar 68,7%, faktor keuangan sebesar 54,0%, dan faktor lingkungan memberikan konstribusi pengaruh sebesar 53,1%. Untuk mewujudkan capaian mutu yang baik, pihak-pihak yang terlibat dalam pelaksanaan preservasi jembatan harus memerhatikan 6 faktor dan 33 variabel penting untuk dapat mendukung capaian mutu tersebut. Kata-kata kunci: preservasi jembatan; Structural Equation Modelling; kontribusi pengaruh; capaian mutu.


2021 ◽  
Vol 2 (3) ◽  
pp. 41-48
Author(s):  
Mohd Norbayusri Baharudin ◽  
Mahadzirah Mohamad ◽  
Fazida Karim

This study emphasises the importance of Quality of Life (QoL) as a bridge between prison climate and life satisfaction among Malaysian drug-abuse inmates. The respondents are given a self-administered assessment randomly selected from the list of drug-abuse inmates in a Malaysian prison. The Structural Equation Modelling in IBM-SPSS-AMOS 25.0 is applied to model and calculate the inter-relationships among the constructs in the study. The results show that QoL significantly influences drug abuse inmates' prison climate and life satisfaction and partially mediates the relation between prison climate and life satisfaction among Malaysian drug-abuse inmates. QoL is essential to fulfil drug-abuse inmates' life satisfaction during imprisonment and achieve a better life in the community after being released from prison. Hence, practical contributions are proposed to the Malaysian Prison Department for designing appropriate policies and strategies to improve prison climate and QoL for achieving drug-abuse inmates' life satisfaction since Malaysian life satisfaction has become the government's priority in the 12th Malaysia Plan (2021-2025). 


2016 ◽  
Vol 1 (4) ◽  
pp. 23 ◽  
Author(s):  
Zayyanu Muhammad ◽  
Zungwenen Jonathan ◽  
Foziah Johar ◽  
Rafee M Majid

The lingering problem of poverty has prompted many countries to adopt community-based development strategy towards improving the Quality of Life (QoL) of their citizens. Numerous studies have focused on assessing QoL by measuring the manifested (measured) variables and ignored the significant contribution of some “latent” factors. Using Structural Equation Modelling (SEM), this paper investigated the factors that influence improvement in the QoL in a Community-based Poverty Reduction Project (CPRP) in Nigeria. The model indicates that the measured variables cause only 36% (R2 = 0.36) of the reduction in poverty level of the project beneficiaries. This finding implies that there are other “hidden” factors responsible for the improvement in the quality of life.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Quality of Life, Community-based Development Projects, Poverty Reduction, Structural Equation Modelling


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