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J Korean Soc Emerg Med > Volume 25(4); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(4): 371-391.
Tangalle Sri Lanka Emergency Medical Center: To Implement a New Operating and Management System Through Means of Surveys
Sang Heon Park, Moo Eob Ahn, Jeong Yeol Seo, Jae Hyun Han, Eun Seong Hong, Kang Hyun Lee, Hoon Kim, Chang Bae Park
1Department of Emergency Medicine, Hallym University College of Medicine, Chuncheon, Korea. mooeob@hanmail.net
2Center for Health Industry Management, Hallym University, Chuncheon, Korea.
3Department of Emergency Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
4Wonju College of Medicine, Yonsei University, Wonju, Korea.
5Inje University Ilsan, Paik Hospital, Goyang, Korea.
6College of Medicine, Seoul National University, Seoul, Korea.
This study was conducted in the base hospital of Tangalle, Sri Lanka, in order to improve a new emergency operating system.
Emergency staff and patients were surveyed based on the five point Likert scale. Doctors and nurses were asked to rate their level of satisfaction regarding their relationship with patients. Patients were asked to rate their level of satisfaction with doctors, facilities, and the environment in the hospital.
Doctors were overall satisfied with their job, scoring an average of 3.7. They were displeased with limitation of autonomous decision making on medical treatment, which they gave a score of 2.80. Nurses were generally satisfied with emergency services, with a score of 4.53. Nurses feel discomfort in non-specialized training (3.02). They also sense a lack of opportunities in their hospital (3.12). Patients' findings indicate that most patients were satisfied (4.2) and were displeased with wait time (3.429) and the attention that was given to each patient (3.92). When asked if they would recommend their physician to others and were willing to come back to their physician, outcomes were generally positive, receiving scores of 4.1, respectively.
Findings showed that in order to create a well-structured system in the emergency centers around the Tangalle area, it is crucial to meet the needs of both patients and the emergency staff. Patients must have a sense of rapid treatment as well as privacy. Training should be provided to the staff so that they are better informed in quality care and up to date on recent studies.
Key words: Tangalle base hospital, New emergency medical service, Satisfaction survey
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