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Echoes from Developing Countries and Health Systems

Improving patient care in hospital in India by monitoring influential parameters

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Pages 83-101 | Published online: 10 Feb 2016
 

Abstract

Purpose: The purpose of this paper is to identify different parameters that govern the performance of hospitals in Indian context. Performance of hospital implies that patients are satisfied with the quality of treatment, and cost of treatment is low. Several literatures were reviewed for this purpose, and references were drawn from many countries around the globe to evaluate the extent to which different factors have an impact on the healthcare delivery.

Methodology: The methodology involved collecting data through primary survey. Through literature review, a priory factors that impact quality of healthcare were determined. After determining the factors, a theoretical framework was developed. Using this framework, a survey of 162 respondents were conducted and data analysed by structured equation modelling to determine the key factors that impact performances of healthcare in India. This was done by analysing the standardized coefficients of the variables that explained a majority of the variations of the dependent variable.

Findings: From the analysis, it was found that technology helped in integrating processes which reduced the cost of healthcare. Also, economies of scale, availability of skilled doctors, nurses, and staff improved quality of healthcare. Using technology to maintain electronic healthcare records (EHR) improved consistency, predictability of healthcare services.

Practical implication: The findings, when implemented, can be used by hospitals to focus on the key factors to improve their performance, reduce costs, and enhance performance. This will also help in prioritizing the resource allocations in a hospital.

Originality: The framework developed is based on primary survey and is original and not been replicated or copied from other sources. This aims to provide guidance for healthcare providers to assess their performance and thereafter improve upon it.

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