Evaluation of advanced medical imaging services at Governmental Hospitals-Gaza Governorates, Palestine

Abstract

Medical imaging services are the key tool to diagnose many diseases and have an important role in monitoring treatment and predicting outcome. The current study conducted to evaluate advanced medical imaging services (CT and MRI) at Governmental Hospitals-Gaza Governorates, Palestine. Triangulated study design was used (checklist, questionnaire and key informant interview). The researcher used arbitrated checklist to evaluate medical imaging facilities. Census study conducted on all Radiologic Technologists and medical imaging departments at three main governmental hospitals in the Gaza Strip, which offered advanced medical imaging. In addition, three key informant interviews with Radiologic Technologists manager were conducted. Researcher have directly interviewed 20 participants (75% Males; 80% older than 30; 90% bachelor and master degrees and 80% more than 10 years' experience). Researcher have directly interviewed 20 participants (75% Males; 80% older than 30; 90% bachelor and master degrees and 80% more than 10 years' experience). Each RT at European Gaza hospital is expected to perform 25 cases in the morning shift against 6 and 13 cases at Indonesia and Al-Shifa Hospital, respectively. Both of Computed Tomography and Magnetic Resonance Imaging departments showed that "60%, 78% and 91%" and "86%, 100% and 90%" followed standard regarding to their structures, occupational safety and essential supplies, respectively. An observable shortage in number of radiographic machines and Radiologic Technologists at all advanced medical imaging departments. All departments showed clear defect in structure, design and essential supplies. Critical readings were observed respecting to insufficient radiation protection tools and holding of Thermoluminescence Dosimeters.

Loyalitas Pasien Rumah Sakit Pemerintah: Ditinjau Dari Perspektif Kualitas Layanan, Citra, Nilai Dan Kepuasan

“…Kualitas layanan merupakan evaluasi secara keseluruhan tentang kinerja dan nilai entitas dari sebuah pelayanan (Cronin & Taylor, 1992). Penelitian mengenai kualitas layanan pada industry kesehatan telah banyak diteliti dibeberapa tahun terakhir hingga saat ini antara lain seperti : (Budiwan, 2016), (Kalaja, Myshketa, & Scalera, 2016), (Purcărea, Gheorghe, & Petrescu, 2013), (Li et al, 2015), (Abushab et al, 2018), (Aliman & Mohamad, 2016) dan (Kitapci, Akdogan, & Dortyol, 2014). Konsep pelayanan berkualitas meliputi infrastruktur, kualitas personel, akses, proses pelayanan kesehatan, karena diera saat ini pelayanan kesehatan yang berkualitas adalah pelayanan kesehatan yang mengacu pada preferensi, kebutuhan dan ekspektasi pasien demi mewujudkan customer value dan customer satisfaction.…”

Assessment of Diagnostic Imaging Sector in Public Hospitals in Northern Jordan

“…Table 7 demonstrates that all CT units in public hospitals have lead aprons, lead protective glasses, lead-shielded walls (thickness ≥ 3 mm and height ≥ 2 m) and doors, gonadal shielding, adequate light, radiation warning signs on the door, air conditioner systems, and good ventilation, and the persons entering the rooms are also checked by competent authorities according to global requirements [ 14 , 18 , 19 , 20 ].…”

“…It is demonstrated that MRI units in both of these public hospitals provide special forms for procedures, headphones for patients, change cubicles, and contact device “loudspeakers” between radiological technologists and patients. In addition, control consoles and imaging rooms achieved the required default dimensions of (≥10 m 2 ) and (≥42 m 2 ), respectively, to accommodate MRI devices and a wide locker for preserving radiofrequency coils [ 14 ].…”

“…There are specialized chambers for conducting clinical evaluations, including medical imaging, according to the type of clinical evaluations needed and patient access to the location, as the locations and design of the chambers in the units of hospitals have been extensively studied in order to ensure the safety and comfort of the patient and the medical staff, as well as the possibility of continuous improvement and updates to keep up with the latest technology without structural obstacles [ 14 ]. Additionally, the efficiency and qualifications of radiological technologists play a major role in high-quality medical imaging processes.…”

Evaluation of Diagnostic Radiography Technology Curriculum from the Graduates Perspective

“…Khalfalla (2011) stated that the use of the diagnostic radiography has enhanced the patients living in Sudan involving additional innovative modalities. The imaging procedure is performed by the Radiologic Technology Specialist (RTS) upon the request of and for interpretation by a radiologist or licensed practitioner (Abushab et al 2018). Elkhadir and Saeed (2018) stated that the radiographic profession is undergoing various changes and developments which require devising of updated curriculum where the necessary competence can be developed among the practitioners.…”