background: responsiveness is one of the three main goals of the health system introduced by world health organization. this study aimed at examining health system responsiveness after health sector evolution plan in kermanshah, western iran. methods: a sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of kermanshah (iran) in 2...

implementation of patient feedback is considered as a critical part of effective and efficient management in developed countries. the main objectives of this study were to assess patient satisfaction with the services provided in hospitals affiliated to tehran university of medical sciences, iran, identify areas of patient dissatisfaction, and find ways to improve patient satisfaction with hosp...

The HIV epidemic in South Africa is putting great strain on health services, including the inpatient care of young children. Caregivers and young children (107 pairs) and 17 nurses participated in an intervention to improve the care of young children in hospital in a high HIV and AIDS setting. The intervention addressed caregiver expectations about admission and treatment, responsive feeding, c...

Inpatient child psychiatry should be seen as a mode of treatment and not a bureaucratic convenience or a form of substitute care. The kind of therapeutic work and research generated within inpatient units has taken a distinguished place in the history of mental health services for children,' but in the current climate there are a number of trends that quite rightly necessitate those of us worki...

Understanding the complexities of distress and knowing who is most vulnerable is foundational to the provision of quality, palliative end-of-life care. Although prior studies have examined the prevalence of symptom distress among patients nearing death, these studies have tended to largely focus on physical and, to a lesser extent, psychological challenges. The aim of this study was to use the ...

The Golisano Children's Hospital at Upstate Medical University is a 71 bed children's hospital within a hospital, serving nearly two million people in Central New York. Minor procedures occur daily in all children's hospitals, yet team coordination when planning for these procedures is often overlooked. LEAPP™ is a mnemonic for: Listen, Evaluate, Anticipate, Plan, and Proceed. The "Look before ...

BACKGROUND Many children experience significant distress before and after surgery. Previous studies indicate that healthcare providers' and parents' behaviors may influence children's outcomes. This study examines the influence of adults' behaviors on children's distress and coping in the postanesthesia care unit. METHODS Children aged 2-10 yr were videotaped during their postanesthesia care ...

BACKGROUND Parents caring for children with complex and long-term conditions at home take on responsibility for technical health-care procedures that may cause their child distress. Little evidence exists about parents' experience of this specific aspect of their caring role. AIMS To explore and understand parents' experiences of administering distressing health-care procedures as part of car...