Modelling the Mediating Effect of Health Care Healing Environment on Core Health Care Delivery and Patient Satisfaction in Ghana

Amankwah, Oti; Choong, Weng Wai; Mohammed, Abdul Hakim

doi:10.1177/1178630219852115

Cited by 16 publications

(17 citation statements)

References 18 publications

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“…Despite this discordance, research still suggests that operational barriers can in fact undermine the care patients ultimately receive [15]. More specifically, Amanakwah et al found that organized clinical environments reduce stress, promote healing, and provide patients opportunities to express themselves openly with providers, ultimately leading to higher patient satisfaction [14,22]. Innovative changes that improve clinic flow and promote a conducive environment for care are likely to increase patient satisfaction with a healthcare facility and also improve provider interactions and overall healthcare outcomes [23,24,25].…”

Section: Discussionmentioning

confidence: 99%

Evaluating Attitudes Towards Patient Care and Operations at Korle-Bu Outpatient Clinic

Sokoloff

Kornbluth

Taing

et al. 2020

Annals of Global Health

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Background: Extensive research suggests that positive patient experience leads to improvement in patient health outcomes. Patient experience is particularly important in ambulatory care, where a patient builds a long-term relationship with a provider to manage his/her chronic illness over the span of years. Despite these known benefits, patient experience and its impact on health outcomes is poorly understood in lowand middle-income countries, where resources may be limited and primary care infrastructure spotty. Objectives: This paper aims to better characterize patient experience in a tertiary teaching hospital in Accra, Ghana. Methods: Forty qualitative interviews were conducted in the Outpatient Medical Clinic at Korle-Bu Teaching Hospital in Accra, Ghana. All interviews were transcribed and a qualitative analysis of central themes was evaluated by the study team. Findings: We found patients eager to share their views on clinical care in an ambulatory clinic in Ghana's largest tertiary care center. Patients voiced desires for decreasing patient wait times, increasing wayfinding resources to navigate the clinic, creating appointment times, and implementing continuity of care with a single physician. The majority of patients also reported feeling actively engaged in their clinical care and emphasized their positive interpersonal interactions with providers. Conclusions: These findings suggest that patients described positive interpersonal experiences with providers at this ambulatory clinic, but identified numerous operational changes that could be made to vastly improve patient experience.

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Section: Discussionmentioning

confidence: 99%

Evaluating Attitudes Towards Patient Care and Operations at Korle-Bu Outpatient Clinic

Sokoloff

Kornbluth

Taing

et al. 2020

Annals of Global Health

View full text Add to dashboard Cite

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“…Lavy and Shohet (2009) use a maintenance efficiency indicator that is further developed by Marmo et al (2020) to a Building Performance and maintenance information based on an international foundation class scheme. F 39,11/12 Amankwah et al (2019aAmankwah et al ( , 2019b looked at the FM service quality on patient satisfaction of hospitals in Ghana. They found that the quality of the FM services directly affects the patient satisfaction and confirms that the FM service quality has a positive influence on the patient satisfaction.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

“…Amankwah et al (2019a, 2019b) looked at the FM service quality on patient satisfaction of hospitals in Ghana. They found that the quality of the FM services directly affects the patient satisfaction and confirms that the FM service quality has a positive influence on the patient satisfaction.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

FM and clinical employees' involvement in the design of eight Norwegian hospital projects

Støre-Valen

2021

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Purpose This paper aims to gain insight in how the involvement of facilities management (FM) and clinical employees are practiced in new Norwegian hospital projects and to study the benefits and lessons learned from the involvement. Design/methodology/approach This study is conducted by cross-sectional case studies of eight hospital projects by using a literature review, interviews and document studies of FM and clinical employees and project leaders (PLs) among Sykehusbygg. Findings The service design approach with a structured interaction between the PL’s of Sykehusbygg, and the different disciplines of clinical employees and FM specialist was rewarding and efficient. The facilitator role of Sykehusbygg is essential to manage such a broad and complex involvement process using a wide range of various techniques at the different stages of the projects (dialogue meetings, review meetings, workshops, post-it notes, 2-D drawings, mock-up and 3-D models, as well as virtual reality (VR) and Building Information Modeling technology). The clinical employees’ framework is stronger and much more structured than the involvement of FM competences through the different stages of the projects. The property management competences were involved at the early concept phase and design phase, whereas the Operation and Maintenance (O&M) competences were getting involved through the construction and commissioning phase. The value of FM involvement in all stages of the project is seen beneficial, particularly when the FM specialist become a part of the design team and located physically at the same place. The main reported benefits of early FM involvement are cost-effective technical solutions and installations, less design flaws and improved functionality, as well as a stronger ownership and mutual respect between the clinical and FM disciplines. However, not all hospital organizations see the benefits of the FM involvement of all stages, as they are driven by reducing capital cost. In one of the new projects, other ways of involving the FM competences were tested. Additionally, particularly for the O&M competences, a dialogue meeting with a clear focus of sharing experiences with different technical solution was found rewarding in terms of cost benefits. Research limitations/implications This study does not consider the social impact of the choices made in the design phase. The findings also indicated a certain development of the FM involvement. This is not studied in two of the newest projects where they are still in the design phase and the FM role was not interviewed. Practical implications The PL role is important as a facilitator role of the involvement process. Social implications A dialogue meeting with a group of O&M people was found rewarding and valuable for knowledge sharing. This methodology can be further developed and tested, as this group of stakeholders is not always available for giving input in the project. Originality/value The value of this study is the description of the interaction between the PLs and the hospital organization in the eight projects and lessons learned by the involvement of FM competences and clinical employees.

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“…Prominent among them are reactive FM practices, lack of policy guidelines for FM, complete absence of building maintenance manuals, lack of funds, lack of strategic direction and socio-cultural issues (Koleoso et al, 2017). These challenges have created health-care healing environments which do not facilitate efficient health-care delivery thus allowing for the prevalence of hospitalacquired infections (Amankwah et al, 2019;Amos et al, 2020a). Hospitals are faced with unique challenges in times of infectious disease outbreak as they bear the responsibility of mitigating the spread of disease and protecting the citizenry.…”

Section: Health-care Facilities Management In Briefmentioning

confidence: 99%

Enhancing the role of facilities management in the fight against the COVID-19 (SARS-CoV-2) pandemic in developing countries’ public hospitals

Amos

Au-Yong

Musa

2020

JFM

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Purpose This paper aims to present a review of the current COVID-19 pandemic with particular emphasis on developing countries in Africa. It aims to demonstrate how facilities management (FM) services delivery in public hospitals can be improved for the fight against the COVID-19 pandemic. Design/methodology/approach This paper embraces a review of current literature on COVID-19 and FM together with credible media updates. The paper critically synthesizes knowledge on the pandemic to position a technical view on how FM can be improved in the fight against the COVID-19 pandemic. Findings The COVID-19 pandemic presents unprecedented challenges and realities to the health-care system of most African countries. Despite the significant efforts being made by various governments, there appears to be a lack of a coherent and strategic FM plan to fight the pandemic. To create the necessary antivirus built environment, actionable and timely FM interventions are needed. Research limitations/implications The report herein is case guarded, based on the prevailing data and information as at the time of writing the paper. Nevertheless, the recommendations from the paper are useful for a worse future trajectory of the pandemic. Practical implications Knowledge of the proposed interventions will inform and assist health-care facilities managers in the fight against the COVID-19 pandemic. Originality/value The paper presents the first step towards encapsulating knowledge on FM and the COVID-19 pandemic. It sets forth recommendations that are useful for most developing countries’ public hospitals’ FM practices in the fight against this global pandemic. The authors intend to follow-up with future empirical studies for more objective assessments of FM and the COVID-19 pandemic.

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Modelling the Mediating Effect of Health Care Healing Environment on Core Health Care Delivery and Patient Satisfaction in Ghana

Cited by 16 publications

References 18 publications

Evaluating Attitudes Towards Patient Care and Operations at Korle-Bu Outpatient Clinic

Evaluating Attitudes Towards Patient Care and Operations at Korle-Bu Outpatient Clinic

FM and clinical employees' involvement in the design of eight Norwegian hospital projects

Enhancing the role of facilities management in the fight against the COVID-19 (SARS-CoV-2) pandemic in developing countries’ public hospitals

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