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Overview: Value stream mapping is a qualitative lean systems
tool aimed at eliminating waste (muda) in many manufacturing
processes. Value stream mapping is useful because it creates a
visual map of every process involved in the flow of materials
and information in a product’s value chain (worth of
operations).
Prompt: Using the example of a value stream map in Table
6.1(in Chapter 6 of the course textbook), produce a value stream
map of the company you selected to research for your final
project. (You may focus on a specific product line or division
within the company.) In similar chart form, be sure to include
each of the eight types of waste and how they apply to your
selected company. You may use the textbook information and
any outside sources identified in your research so far to inform
your response. The eight types of waste are as follows:
1. Overproduction
2. Inappropriate processing
3. Waiting
4. Transportation
5. Motion
6. Inventory
7. Defects
8. Underutilization of employees
For more information on how to develop a flow chart, see the
following video tutorials:
· Create a Flow Chart WithSmartArt Graphics
· Create a Flow Chart With PowerPoint
Your value stream map should outline the three parts of the
value stream mapping process:
1. Evaluation: Include a current-state value stream map, as
exemplified by the instructions and process steps in Chapter 6
of the course textbook. This will require an evaluation of the
present processes being investigated. Be sure to include all
relevant processing steps, timeline elements, and transportation
methods for delivery on incoming shipment of product.
2. Projection: Include a future-state value stream map,which
projects how the value stream map would lay out after
improvements are made.
3. Analysis and Recommendations: Include an implementation
plan, as exemplified by the instructions and process steps in
Chapter 6 of the course textbook. Be sure to completely analyze
the current-state value stream map, identify instances of
bottlenecks and waste (muda), and clearly explain the
improvements that can be made to achieve a leaner process.
The current-state and future-state value stream maps should be
included in the document you submit. Outside sources identified
in your research so far can be used to inform your responses.
Note that this exercise will help you prepare for the tasks in the
Milestone Two assignment.
Guidelines for Submission: Submit a 3- to 5-page document
with double spacing, 12-point Times New Roman font, and one-
inch margins. Your sources should be properly cited according
to APA style on a References page at the end of your report.
Your value stream maps should be included in the document you
submit. They may be created as tables in the document, or they
may be images that you create in another application and paste
into your submission.
Critical Elements
Proficient (100%)
Needs Improvement (80%)
Not Evident (0%)
Value
Evaluation: Current-State Value Stream Map
Current-state value stream map correctly and thoroughly charts
the company’s current processes
Current-state value stream map is developed but may be
incorrectly charted or incomplete
Does not include a current-state value stream map
30
Projection: Future-State Value Stream Map
Future-state value stream map is correctly and completely
developed, outlining key opportunities to eliminate waste
(muda)
Future-state value stream map is developed but may contain
flow chart errors or omissions that overlook opportunities to
eliminate waste (muda)
Does not include a future-state value stream map
30
Analysis and
Recommendations:
Implementation Plan
Implementation plan identifies notable instances of waste
(muda) in the company’s processes and makes creative and
feasible recommendations for improvement of bottlenecks and
transportation methods for deliveries/shipment of product
Implementation plan identifies instances of waste (muda) in the
company’s processes but overlooks some areas where
inefficiencies could be addressed; recommendations for
improvement are made but may not be complete or fully feasible
Does not include an implementation plan
30
Articulation of Response
Submission has no major errors related to citations, grammar,
spelling, syntax, or organization
Submission has major errors related to citations, grammar,
spelling, syntax, or organization that negatively impact
readability and articulation of main ideas
Submission has critical errors related to citations, grammar,
spelling, syntax, or organization that prevent understanding of
ideas
10
Total
100%
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www1234.docx
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Title
PATIENTS SAISFACTION ABOUT PATIENTS REFERRAL
PROCESS TO RIYADH SPECIALIZED DENTAL CENTER
Part 1: Introduction: The two main branches are descriptive and
inferential statistics. People who do not have any formal
training in statistics are more familiar with inferential statistics
than with descriptive statistics. Descriptive Statistics Definition
The descriptive statistics is the type of statistical analysis which
helps to describes about the data in some meaningful way. The
statistics is used to describe quantitatively about the important
features of the data or information. The descriptive statistics
gives the summaries of the given sample as well as the
observations done. These summaries or descriptions can either
be
graphical or quantitative. Inferential Statistics Definition
Inferential statistics is the type of statistics which deals with
making conclusions. It inferences about the predictions for the
population. It also analyses the sample. Basically, the
inferential statistics is the procedure of drawing predictions and
conclusions about the given data which is subjected to the
random variations. Inferential statistics includes detection and
prediction of observational and sampling errors. This type of
statistics is being utilized in order to make estimates and test
the
hypotheses using given data. Tool Selection To complete this
project I have choose Excel. It is one of the most powerful and
popular for data analysis. Excel is considered to be the best
application for any statistician as it possesses an extensive
catalog
of statistical and graphical methods. One of the best advantage
of excel is availability. Data collection: Healthcare systems
and services in the Kingdom of Saudi Arabia is currently more
developed compared to its state in the past four decades. The
Ministry of Health widely manages the healthcare in this
kingdom. It is referred as a national care systems because the
ministry
f H lth f d t f th i Th Mi i t f h lth l t l d f d i h lth j t ithi th t
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of Health funds most of the services. The Ministry of health
plans, controls, and fund various health projects within the
country.
The Ministry of Health manages almost 60% of the healthcare
system. The remaining percentage is covered by other
government agencies and the private sectors. Some of the
government agencies that also contributes to the growth of the
Saudi Arabian healthcare system includes the Ministry of
Interior, Ministry of Defense and Aviation and the Saudi
Arabian
National Guard. Some of the private sectors such as private
hospitals and dispensaries are also boosting the health sector.
Saudi Red Crescent Society (SRCS) is one of the individual
industries that promote the provision of preventive healthcare as
they
are involved in pretreatment such as first aid at the accident
scene. The data set, for instance, the data on comparison among
attribute of the given set. The dataset consists of 400
individuals where 220 are males and 180 females. Below is the
pie chart
graph that graphically represent the gender composition. In
terms of percentage, the males 55% are whereas the females are
45%. This is an indication that the data sample used was
relatively balanced in terms of gender. Atkinson-Bonasio (2017)
asserts
that in research, fostering diversity achieved by gender equality
assures innovation. She further states that bias and gender
disparity should be examined so as to ensure a data-informed
approach especially to implementing policies and interventions
related to gender inequality. Gender: · MALE 220 · FEMALE
180
The pie chart graph that graphically represent that the 86%
participation are more than 18 years old, 7% participation
between
12-18 years old and 7% participation are less than 12 years old.
Correct Age Range. · >18 years old =343 · 12-18 years old =29
·
<12 years old =28
Applicable Educational Attainment at the Moment: · More than
University/College edition (MS) 63 · University/College
Graduate
201 · High School or less 136
Was the referral done by paper forms or automation? · Paper
(paper referral forum) 103 · Automatic forum) 239 · Not Sure
58
Was the referral out of own choice or choice by doctor? ·
Doctor’s suggestion. 299 · My suggestion. 101
In the case a doctor explains about your sickness, do you have
any idea what the referral is for: · YES 338 · NO 62
Did the dentist in te primary healthcare center provide any
dental treatment before referral? ❏ YES 203 ❏ NOT 176 ❏
NOT
SURE 21
Staff that responsible about referral did he give you any
communication methods in case issues arise? ❏ YES 141 ❏ NO
202 ❏
NOT SURE 57
Did you feel any uncomfortable feeling when conducting the
experiment how does to fell thick? ❏ Easy procedures. 172 ❏
Acceptable procedures 168 ❏ Difficult, hard to follow 68
The medical education in Saudi Arabia is rapidly growing.
There is numerous medical learning institution within the
country.
The government through the ministry of health is also offering
scholarship and sponsorship to many medical students and the
practitioners who want to further their education. Proper plans
should be put in place to achieve the future goals of the
healthcare system taking into consideration the evolving history
of the state of the healthcare system.
4
3
The policies should be reviewed to adapt the ever-growing
population of Saudi Arabia. Part 2: The knowledge would be
useful in
customer management in the formulation of strategies that elicit
customer loyalty. In the modern world many hotels are
realizing the benefit of customer loyalty as opposed to the
traditional strategy of gaining market share (Cantallops & Salvi
2014).
Customers who are loyal will tend to visit more often, stay
longer, pass positive word of mouth about a destination and
ready to
pay a premium. The healthcare system in Saudi Arabia was
established in the early 1920s. During that time, King Abdul
Aziz
declared the prioritization of a preventive healthcare system. It
was a microsystem which was only serving the royal class. In
1926, the first medical learning institution was established. The
school offered nursing skills. Another institution was later
established which was offering health emergency courses. With
the development of these institutions, there was a
noticeable change in the organization of the health sector. In the
1950s, the preventive care system was now well developed.
The establishment of the Ministry of Health made some
remarkable improvements in the precautionary measures in the
healthcare system. The ministry of health collaboration with
ARAMCO Company offered some preventive care to diseases
such as malaria and bilharzia in the early 1950s. In the 1970s, a
health research center was established. The institution was
called King Faisal Specialist Hospital and Research Center
(KFSHRC). The institution was specialized in dealing with
incurable
diseases that could not be handled in other institution. It was a
referral center. In the 1980s, there was a ministerial ordinance
which unified all the health institution in the country. Even
though the number of health practitioners was slowly increasing
due
to the established learning institution, the number of Arabian
practitioners was comparatively low. In early 2000, the
emergence of private sectors in health care services improved
the quantity and quality of healthcare in Saudi Arabia. Health
Insurance was introduced to cover comprehensive and
integrated healthcare issues. In 2004, the ministry of health
increased its
national budget, and there were developments in the health
provision, the number of health practitioners increased
compared
to the population that was there before 2000. Policies and
Proposed Rulings Affecting the Healthcare System in Saudi
Arabia
Numerous policies have been put in to promote the quality of
healthcare in the Kingdom of Saudi Arabia. One of the
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policies put in place in the public-private partnership health
insurance. The policy ensures that there is coordination of
funding
the health sector promptly (Al, S. R. Y. A. 2011). . This policy
has reduced the cost of healthcare hence making healthcare
access
affordable to many citizens. The government has put in place
proper regulation that controls the interrelationship between the
private and the public sectors. The policy of electronic medical
recording system established in many health facilities in Saudi
Arabia has also improved the provision of healthcare in the
country (Courtney, K. L., Shabestari, O., & Kuo, A. 2013). .
Initially, this policy was lagging behind in its implementation
due to the language barrier. However, it has significantly been
implemented in many hospitals and other health institutions.
The implementation of electronic medical recording system has
improved the administration of the health facilities. Information
on the institutions and the service they offer are available
online, and patients have the opportunity to choose the facility
to attend. The patient’s information is also well recorded and
monitored electronically by the practitioner. Health processing
has been faster, and many patients are catered for in a short
period as compared to the process that took place during manual
system of recording
The establishment of Evidence-based healthcare has also
improved the quality of service provided by the healthcare
practitioners. It has developed best clinical practice guidelines
which are used to prevent, diagnose and treat most prevalent
diseases. Most of the institutions locally use the clinical
guidelines hence resulting in a uniform provision of healthcare
services
across the country. Impact of Population Growth on Current
Saudi Arabian Healthcare Access and Efficiency
The population of the Arabian kingdom is growing swiftly. Due
to the population growth in the country, there is increased
healthcare expenditure that the government undergoes
(Alshahrani, S. A., & Alsadiq, A. J. 2014). . Due to the
increased
population, the number of inpatients has increased hence
causing shortfalls of beds in the hospitals. The shortfall of beds
has
denied other patients the opportunity to be admitted as
inpatients hence limited access to healthcare facilities. The
increased population has also outnumbered the population of the
health practitioner. One medical practitioner is expected to
serve many patients hence delays in the provision of healthcare.
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The delays have affected the efficiency of the facilities
operation. The government is implementing privatization of
health
facilities to accommodate the growing population.
Customer satisfaction is a subjective decision of the quality of
service, but when patients have a selection of services or the
ability to endorse a provider to others, it is a driving factor.
Satisfied patients come home because they need a health care
system and suggest their doctor to friends and family members
when they are looking for a suitable health care provider.
Unhappy patients rarely come back when they have other
opportunities or attribute their unpleasant experiences to anyone
else. Therefore, increasing customer satisfaction levels is very
critical, especially in today's challenging medical landscape in
which integrated care organizations use patient outcomes as a
metric to assess their reimbursements. One of the biggest
challenges in the modern practice of medicine and Healthcare is
preserving the slightest issues that affect the quality of the
delivery is predominantly dominated by routine practices.
Excellent clinical practices not only preserve the theory that has
been
maintained for a long time of disease treatment but is also a
culture that preserves the presence of the therapeutic issues
affecting the patient and the pronation. A better relationship
between the patient and the clinician has a massive impact on
the
medical outcome. Despite the widespread belief that has been
maintained about the impact of the relationship between
patients and the clinician, based on the health outcome, it has
been tested based on the randomized controls and different
trials. Many empirical practices have examined the effect of
patient-clinician relationship and whether the impact that it has
on
the outcome is observable in nature. The main challenges that
this affects cannot be assessed casually. Nonetheless, these
studies show a trend that can be used in the study and how
important this relationship is. There are various observational
studies that suggest that the connection aspects may hold the
significant potential affecting the outcomes. Relationship
between the patient and the clinician has various components
including emotional component and information part of the
component. This can also be termed as the emotional care and
perspective of cognitive care. Emotional care refers to the
mutual trust and empathy that a patient has with the clinician,
and the respect acceptance and gratitude the clinician receives
from the patient. Cognitive care involves information gathering
and how information is shared between the patient and the
patient and the clinician. Ideas involved here include the
location and management of expectation. Investigating the
emotional
component of the existing relationship with a major objective in
where studies. However, most of these studies involve the two
sides of Cognitive and emotional health care. Consequently, it
becomes crucial to focus on other studies that show the measure
of care and how communication can contribute to the
development of the health status of the patient. The connection
between
patient satisfaction and healthcare outcomes have also led to the
development of different programs by healthcare
professionals to meet an important element of the profession.
Patients are likely to get a positive based outcome when they
are
comfortable with people who are treating them. This is because
it makes them satisfied and they are willing to take long-term
procedures that have been defined by the clinicians. Clinicians
advise patients to maximize the opportunity that has been given
to them and that they have to work towards achieving better
health conditions continuously.
Through developing Trust, the patients open up about the
suffering and the signs and symptoms of the disease that they
are
suffering from. This makes it easier for definitions within the
tracks because of the relationship that we have formed with the
clinician. There are times that patients have to record
themselves and goes to the procedures of treatment of their
own. This is
the dedication that can only be improved when the patient
understands the value of the treatment. To understand the value,
they have to build a rapport with a clinician.
Th i li i f i li i i l i hi
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The implication of a patient-clinician relationship
Communication and the relationship between the clinician and
patient give a potential of massively improving the quality of
care that is delivered. A better relationship has a massive
implication in the overall health of the patient. Young people
who
have long-term conditions are always in danger of getting
disengaged biro activities that are involved in. For example,
continuous use of telemedicine where doctors keep in touch
with their patients. This technology is crucial especially when it
comes to the relationship between clinician and the people they
treat. It allows the patient to have contact continuously and to
communicate effectively with them clinician so that they can
see the progress that they have made (banka et al., 2015).
In most cases, patients fail to realize the importance of stay in
touch and contact with their clinicians. Telemedicine requires
patients to get recovered quickly so that they can resume their
normal activities. Professions that require instant and
continuous monitoring by the clinicians, establishing a better
relationship is crucial as it gives them an advantage over the
others that do not have a good relationship. Part 3 and part 4:
Conclusion and recommendation: Clinical participants have
seen
the benefits of having a confusing relationship with the
clinicians. The reason why they value relationship is that they
feel
empowered by the clinicians. When the clinicians ask the
patient about how they are feeling and the suggestions for what
they
feel should be the right procedures for the treatment, they feel
that the position empowers them. This implies that they have
improved Trust that has developed between the clinician and the
patient is based on professionalism expressed by the
clinicians .in return, it goes a long way towards the treatment of
the patient. The positive outcome also comes as a result of the
reduced harm and improved access to clinical advice. There are
times that the patient may want to be advised on issues that
are outside the treatment plan defined by the inclination. It is
sometimes difficult to define boundaries especially if there is a
focus on confidentiality. Confidentiality has been a mistaken
issue and an ethical concern to numerous clinicians. For the
patients, it is an idea that comes from the trust that they have
with their clinicians. There is confidential information that they
would not want to share weekly editions in case they do not
have to confide in them (Mayer et al., 2016). Better interaction
and
focus on the relationship between the two of them can be shown
through relentless Focus on their objectives. This basic
interaction creates dependency, and it also promotes autonomy
between the patient and their clinicians. Participation of the
patient is an important element that put confidentiality and
communication into a simple context. The other implication for
quality of patient relationship with the clinician is the extensive
healthcare plan that can be designed by both parties. Poor
connection and interaction imply that there will be less
adherence by the clients who eventually performs poorly when
it comes
to adherence. This is because the clinicians do not have a well-
defined relation that can allow them to convince the client’s
only
patients to continue with other medical practices of adherence.
What technology has played a massive role in the relationship
between the patient and the clients, physical relationships
between the patient and the cognition is still crucial as it
implies
them long-term relationship long-term patient. Despite
technology having taken most of the clinical relationship
between the
patient and the client, it will always be crucial that people get
into contacts and promote autonomy among themselves. This
goes beyond the concerning issues of confidentiality and
consent. It has issues to do with safeguarding professionalism
and
promoting ethical obligations that all the nurses and clinicians
have to preserve. On the other hand, a different perspective on a
general area in the Eastern Saudi Arabia region was given focus
on research by Al Fraihi & Latif (2016). The study aimed at
examining patient impressions and preferences of outpatient
care in hospitals using a quality of service difference model and
shaping factors such as these. It then stated that the proposed
system is empirically validated, and significant quality service
disparities of all 5 measurements need to be given priority and
resolved through concentrated health board development
efforts. The research data showed that by following the
suggested standards, the proposed model for service quality
dimensions suit well. The preferences of patients surpassed
beliefs in all aspects of customer satisfaction, suggesting
statistically meaningful differences in service quality (t=26.3,
p<0.000). Findings showed that the compassion factor applied
to
the expectations of most patients (4.7 ± 0.5) and perceptions
(3.7 ± 0.8) scores, and less to expectations (4.5 ± 0.6) and
perceptions (3.2 ± 0.8) scores. Prompt services reported the
highest quality of service difference, while privacy analysis
showed
the lowest quality of service gap in reports. The Saudi
healthcare marketplace is making positive steps day by day in
all
health-related sectors. It is comparatively young to the western
healthcare system, but it has abundant opportunity for
expansions. The government is prioritizing health care delivery,
and we can expect to see supplementary modifications to the
governing controls, to realize the objective of enlarged private
sector participation and investment. In many healthcare
organizations, the basis of good health depends on the attitude
and the feedback that they get from the patients. This means
that the patients have to talk well about the services that they
have received from the organizations.
7
To achieve these levels of better recommendations for the
services, there has to be a better relationship. The better
relationship results to better trust and an insightful relationship
that the client or the patient agrees with. Suh relationship is
important for healthcare institutions. In addition to this, it
comes easier for hospitals to deliver based on the demands of
the
patients. When the clinician has a good relationship with the
patients, it gives the hospital an edge based on a better
relationship.
Research is done by banka et al., (2015) shows various methods
that can be used to improve patient satisfaction and how
important it is to give feedback to the health care organization.
This research talks about patience outcome that has improved
in recent times because of continuous focus on relationship
definitions. When the patients are satisfied, they are also likely
to
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Source Matches (27)
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accept all the initiatives by the doctor to treat them and to give
them the recommendations. Ethics in medicine dictate that the
patients appreciate having to accept the treatment procedures
that have been defined by a medical professional. As such, the
patients have to accept all the initiatives by the clinician before
they have been administered with any treatment. The
satisfaction that patients get from the trust that they have with
the clinicians is important because it promotes adherence and
honesty together independence from the clients and patients —
adherence as an important component in treatment. A patient
must accept the treatment procedures and adhere to the well-
defined prescription. When the patients fail to follow the
prescriptions that have been done to him by the doctor, they are
less likely to have a successful treatment plan. A clinician is
also not allowed to enforce the treatment plan on a patient
(banka et al., 2015). They have to get their consent before they
use
the prescriptions that are important and will help the patient.
Research is done by Borger et al., 2017 shows that patient
satisfaction is a factor that makes a massive contribution
towards the mobility of them patience and has a massive impact
on
the outcome.
REFERENCE
Al, S. R. Y. A. (2011). Customer Satisfaction with Paid Medical
Services in Public Hospitals in the Kingdom of Saudi Arabia 
International Journal of Excellence in Healthcare Management
.- 2010, Vol. 4, No. 1, pp. 1-34. Dubai: Hamdan Bin
Mohammed e-University. Alshahrani, S. A., & Alsadiq, A. J.
(2014). Economic Growth and Government Spending in Saudi
Arabia. Washington: International Monetary Fund. Courtney, K.
L., Shabestari, O., & Kuo, A. (2013). Enabling Health
and Healthcare through ICT. Amsterdam: IOS Press. Khouja,
Tumader. (2013). Reform of financing healthcare services in the
GCC: focus on establishing health insurance system in KSA.
Age Range
> 18 years old 12-18 years old < 12 years old 343 29 28
Applicable Educational Attainment at the Moment
More than University/College edition (MS) University/College
Graduate High School or less 63 201 136
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Student paper
The two main branches are
descriptive and inferential
statistics. People who do
not have any formal
training in statistics are
more familiar with
inferential statistics than
with descriptive statistics.
Descriptive Statistics
Definition The descriptive
statistics is the type of
statistical analysis which
helps to describes about
the data in some
meaningful way.
Original source
The two main branches are
descriptive and inferential
statistics People who do
not have any formal
training in statistics are
more familiar with
inferential statistics than
with descriptive statistics
Descriptive Statistics
Definition The descriptive
statistics is the type of
statistical analysis which
helps to describes about
the data in some
meaningful way
1
Student paper
The statistics is used to
describe quantitatively
about the important
features of the data or
information. The
descriptive statistics gives
the summaries of the given
sample as well as the
observations done. These
summaries or descriptions
can either be graphical or
quantitative. Inferential
Statistics Definition
Original source
The statistics is used to
describe quantitatively
about the important
features of the data or
information The descriptive
statistics gives the
summaries of the given
sample as well as the
observations done These
summaries or descriptions
can either be graphical or
quantitative Inferential
Statistics Definition
2
Student paper
Inferential statistics is the
type of statistics which
deals with making
conclusions. It inferences
about the predictions for
the population.
Original source
Inferential statistics
Inferential statistics is the
type of statistics which
deals with making
conclusions It inferences
about the predictions of the
population
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Student paper
100%
Student paper
70%
Student paper
63%
Student paper
65%
Student paper
70%
Student paper
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Student paper
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Student paper
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Student paper
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Student paper
70%
Student paper
100%
1
Student paper
It also analyses the sample.
Basically, the inferential
statistics is the procedure
of drawing predictions and
conclusions about the given
data which is subjected to
the random variations.
Inferential statistics
includes detection and
prediction of observational
and sampling errors. This
type of statistics is being
utilized in order to make
estimates and test the
hypotheses using given
data.
Original source
It also analyses the sample
Basically, the inferential
statistics is the procedure
of drawing predictions and
conclusions about the given
data which is subjected to
the random variations
Inferential statistics
includes detection and
prediction of observational
and sampling errors This
type of statistics is being
utilized in order to make
estimates and test the
hypotheses using given
data
3
Student paper
Healthcare systems and
services in the Kingdom of
Saudi Arabia is currently
more developed compared
to its state in the past four
decades.
Original source
Introduction Healthcare
services and systems in
Saudi Arabia have grown
compared to other
countries in the past four
decades
4
Student paper
The remaining percentage
is covered by other
government agencies and
the private sectors.
Original source
MOH, other government
agencies and private
sectors
3
Student paper
The medical education in
Saudi Arabia is rapidly
growing.
Original source
Nevertheless, medical
education is rapidly
growing in the country
5
Student paper
The healthcare system in
Saudi Arabia was
established in the early
1920s.
Original source
Healthcare System in Saudi
Arabia
3
Student paper
With the development of
these institutions, there
was a noticeable change in
the organization of the
health sector.
Original source
Due to the establishment of
these institutions, there
was a noticeable
improvement in the health
sector
3
Student paper
The ministry of health
collaboration with ARAMCO
Company offered some
preventive care to diseases
such as malaria and
bilharzia in the early 1950s.
Original source
The ARAMCO with the
assistance of the Ministry of
health gave preventive care
to diseases such as
bilharzia and malaria (Al, S
3
Student paper
In early 2000, the
emergence of private
sectors in health care
services improved the
quantity and quality of
healthcare in Saudi Arabia.
Health Insurance was
introduced to cover
comprehensive and
integrated healthcare
issues.
Original source
In 2000, there was the
emergence of private
sectors which improved the
quality and quantity of
health care in the Kingdom
of Saudi Arabia Later,
health insurance to cover
integrated and
comprehensive health
issues was introduced
6
Student paper
Policies and Proposed
Rulings Affecting the
Healthcare System in Saudi
Arabia
Original source
Healthcare system policies
in Saudi Arabia
3
Student paper
One of the policies put in
place in the public-private
partnership health
insurance.
Original source
One of the policies that are
currently undergoing is the
public-private partnership
health insurance
3
Student paper
L., Shabestari, O., & Kuo, A.
Original source
L., Shabestari, O., & Kuo, A
2019/ 11/ 22 Originality Report
riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3-
2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print
=true&download=true… 7/8
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83%
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100%
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80%
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63%
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100%
Student paper
94%
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100%
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100%
Student paper
100%
Student paper
100%
7
Student paper
Impact of Population
Growth on Current Saudi
Arabian Healthcare Access
and Efficiency The
population of the Arabian
kingdom is growing swiftly.
Due to the population
growth in the country,
there is increased
healthcare expenditure that
the government undergoes
(Alshahrani, S.
Original source
Impact of population
growth on current Saudi
Arabian healthcare access
and efficiency The
population of the Kingdom
is growing swiftly Due to
the population growth in
the country, there is
increased healthcare
expenditure that the
government undergoes
Due to the increased
population, the number of
inpatients has increased
hence causing shortfalls of
beds in the hospitals
3
Student paper
A., & Alsadiq, A.
Original source
A., & Alsadiq, A
7
Student paper
. Due to the increased
population, the number of
inpatients has increased
hence causing shortfalls of
beds in the hospitals. The
shortfall of beds has denied
other patients the
opportunity to be admitted
as inpatients hence limited
access to healthcare
facilities.
Original source
Due to the population
growth in the country,
there is increased
healthcare expenditure that
the government undergoes
Due to the increased
population, the number of
inpatients has increased
hence causing shortfalls of
beds in the hospitals The
shortfall of beds has denied
other the opportunity to be
admitted as inpatients
hence limited access to
healthcare facilities.
(Alshahrani, & AAlsadiq,
2014)
3
Student paper
The increased population
has also outnumbered the
population of the health
practitioner.
Original source
Also, the increased
population has
unfortunately
outnumbered the number
of qualified health
practitioners
7
Student paper
The Saudi healthcare
marketplace is making
positive steps day by day in
all health-related sectors. It
is comparatively young to
the western healthcare
system, but it has abundant
opportunity for expansions.
The government is
prioritizing health care
delivery, and we can expect
to see supplementary
modifications to the
governing controls, to
realize the objective of
enlarged private sector
participation and
investment.
Original source
The Saudi healthcare
marketplace is making
positive steps day by day in
all health-related sectors It
is comparatively young to
the western healthcare
system, but it has abundant
opportunity for expansions
The government is
prioritizing health care
delivery, and we can expect
to see supplementary
modifications to the
governing controls, to
realize the objective of
enlarged private sector
participation and
investment
3
Student paper
Customer Satisfaction with
Paid Medical Services in
Public Hospitals in the
Kingdom of Saudi Arabia 
International Journal of
Excellence in Healthcare
Management .- 2010, Vol.
Original source
Customer Satisfaction with
Paid Medical Services in
Public Hospitals in The
Kingdom of Saudi Arabia 
International Journal of
Excellence in Healthcare
Management
3
Student paper
Hamdan Bin Mohammed e-
University.
Original source
Hamdan Bin Mohammed e-
University
3
Student paper
A., & Alsadiq, A.
Original source
A., & Alsadiq, A
5
Student paper
Economic Growth and
Government Spending in
Saudi Arabia.
Original source
Economic Growth and
Government Spending in
Saudi Arabia
3
Student paper
International Monetary
Fund.
Original source
International Monetary
Fund
2019/ 11/ 22 Originality Report
riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3-
2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print
=true&download=true… 8/8
Student paper
100%
Student paper
100%
Student paper
87%
3
Student paper
L., Shabestari, O., & Kuo, A.
Original source
L., Shabestari, O., & Kuo, A
3
Student paper
Enabling Health and
Healthcare through ICT.
Original source
Enabling Health and
Healthcare through ICT
3
Student paper
Reform of financing
healthcare services in the
GCC: focus on establishing
health insurance system in
KSA.
Original source
Reform of financing health
care services in the GCC
focus on establishing
health insurance system in
KSA
Title
PATIENTS SAISFACTION ABOUT PATIENTS REFERRAL
PROCESS TO RIYADH SPECIALIZED DENTAL CENTER
My friend, I wrote all my notices need to be corrected inside
this file for each part ,,, I need you to using same layout here
include 12 font size (time new roman) ,,,space 1.5 between
lines,,,,thank you
Data Collection
I wrote the result of data after I collected from questioner so I
put the answer for each question beside the choices as
number,,,,also my friend I needed a spelling and grammar check
for this questionnaire in this part ,,,thank you
The result beside every question
All sample was 400 participants
Please Select Gender:
· MALE 220
· FEMALE 180
Please Select Correct Age Range of Yours:
· >18 years old 343
· 12-18 years old 29
· <12 years old 28
Please Select Applicable Educational Attainment At the
Moment:
· More than University/College edition (MS) 63
· University/College Graduate 201
· High School or less 136
Part Two:
Was the referral done by paper forms or automation?
· Paper (paper referral forum) 103
· Automatic forum) 239
· Not Sure 58
Was the referral out of own choice or choice by doctor?
· Doctor’s suggestion . 299
· My suggestion . 101
In the case a doctor explains about your sickness, do you have
any idea what the referral is for:
· YES 338
· NO 62
Did the dentist in te primary healthcare center provide any
dental treatment before referral?
❏ YES 203
❏ NOT 176
❏ NOT SURE 21
Staff that responsible about referral did he give you any
communication methods in case issues arise?
❏ YES 141
❏ NO 202
❏ NOT SURE 57
Did you feel any uncomfortable feeling when conducting the
experiment how does to fell thick?
❏ Easy procedures. 172
❏ Acceptable procedures 168
❏ Difficult, hard to follow 68
My friend, you need to read the introduction, literature review ,
objectives, material and methods before start doing the results
to understand the topics and the date and information be
Consistent, thank you
INTRODUCTION
In evaluating the performance of healthcare services,
customer satisfaction is an important measure. Nevertheless, it
is influenced not only by performance of the healthcare services
rendered, but also by the willingness of the health professionals
to communicate effectively with the clients and the preferences
of a health care environment for the patient. Polls of patient
outcomes have been used in the assessment of medical care
worldwide with increased frequency. They were used to
evaluate the quality of service in the hospital environment, in
objective measures, and to examine the relation between
satisfaction with diagnosis and compliance, enforcement, and
consistency. Such surveys were also used by dental healthcare
professionals around the world to address the needs of clients
and increase the quality of their services.
Customer satisfaction is a subjective decision of the
quality of service, but when patients have a selection of services
or the ability to endorse a provider to others, it is a driving
factor. Satisfied patients come home because they need a health
care system and suggest their doctor to friends and family
members when they are looking for a suitable health care
provider. Unhappy patients rarely come back when they have
other opportunities or attribute their unpleasant experiences to
anyone else. Therefore, increasing customer satisfaction levels
is very critical, especially in today's challenging medical
landscape in which integrated care organizations use patient
outcomes as a metric to assess their reimbursements.
The need to fix healthcare efficiency in Saudi Arabia has
risen dramatically over the past few years, mainly due to the 2.7
percent growth in the Saudi community annually. To provide
adequate care across each of its provinces, the 2013 budget for
Saudi Arabia included funding for 19 new hospitals, in addition
to the 102 currently under construction.There have been issues,
though, that the pace of the development of medical care
capacity might sacrifice the performance of health services.
Researchers regarded certification as the gold standard for
medicine and might lead to quality management and
development, thereby positively affecting medical outcomes.
Customer satisfaction is an important thing to consider in
any dentist clinic or health facility. Many studies were
conducted in Riyadh, Madinah and Qassim in Saudi Arabia to
determine customer satisfaction. Current health care, however,
depends heavily onto the patient's co-contribution to the service
provision system. Contentment relies not only on the dental
procedures, but also in the medical team's cooperation. Dentists,
managers, engineers and receptionists are included in this
group. We all should work along with one another with an aim
to gain patient confidence, as this will represent the desire of
patients to respond with patient outcomes is the most essential
thing that each health center has to accomplish.
Customer satisfaction with oral health facilities is the
balance that occurs here between patient's view of the treatment
obtained / after serving with patient perceptions prior to
service. If the perceptions of the patient are encountered, this
means that somehow the delivery has delivered quality medical
care that makes an excellent quality and will also result in
increased satisfaction. Patient satisfaction is a useful metric that
can be used to determine the quality treatment of the provider
and its compliance with the medications.
Most patients evaluated during a primary healthcare visit
would need dental treatment, including accurate care and
treatment that can only be given by a dental staff. Wherever
practicable, the primary healthcare group must endorse the
strong relationships of patients by transferring to their specific
dentists clients who have a daily source of dental treatment.
Nevertheless, it can be assumed that many clients seen in the
primary healthcare environment do not yet have a connection
with a specialist and will need referrals services support. The
basic principle of the Dental Health Service Structure (the
Framework) is that references to dental treatment should be as
seamless as references to any other medical or surgical
professional — the burden of coordinating care transitions
shouldn't even be on the person.
For co-located medical services, primary healthcare
services have an extensive consultation network "installed-in."
But, functional testing experience indicates that there are many
possibilities for policies with non-located dental services to
enhance referral procedures and standardize care. In addition,
most co-located dental practices are capable of absorbing either
the amount or form of referrals that patient care can produce.
The referral program among dental clinics in primary
healthcare centers and advanced dental facilities will help
patients reach the qualified clinic by strengthening referral
services and concentrating on coordinated treatment between
primary healthcare centers and advanced dental clinics. Patient
engagement between primary healthcare centers and specialist
dental centers with prescription steps.
LITERATURE REVIEW
Patient satisfaction is one of the quintessential parts of public
health output since it gives a feedback that is vital on what
healthcare institutions should work on next to improve their
services such as investing in more facilities, getting more focus
on specialist expertise, among others. When there is a negative
feedback, this obviously creates more ideas on improving the
service to future and existing customers.
A research by Mohebifar et. al. (2016) revealed that
negative gap in the feedback dimensions shows that the
institution must further invest in improving their services. In
the research, academic hospital in Qazvin, Iran served as the
subject of the research. Results show that a significant
difference in service levels in all five parameters (p<0.05)
between value and efficiency. When looking at the difference,
the measurements "Reliability" (2.36) and "Assurance" (2.24)
had the best quality gap and the weakest gap was
"Responsiveness" (1.97). Reliability and certainty were also
found in Quadrant (1), empathy was found in Quadrant (2), and
tangibles and accessibility were relevant in Quadrant (4).
To ensure the highest level of quality of hospital services
and recognize existing deficiencies, patients ' perceptions of
different quality metrics need to be measured and examined and
contrasted to their service quality standards. Applying tactical
methods can also help managers improve the quality of services
and satisfaction of customers by stressing the expectations of
relevance and success identified by service users in each
general area. In addition, outcome-makers can use the effects of
matrix analysis to effectively allocate scarce resources by
putting greater emphasis on areas that require special attention.
Such an analysis is important in today's health sector to cut
costs.
Funds should be dedicated either to boost the performance
dimensions of maintaining a good function quadrant like
consistency or to address the main shortcomings of focus in this
quadrant from the viewpoint of patients. It is also revealed that
the research that represents the value and at the same time
appropriate quality of these measurements is deemed to be in
region of consistency and security. Findings also indicated that
perceived service quality was mainly measurable, stating that
the highest mean of patient standards was linked to physical
environment, facilities, payment system, and cleanliness.
While negative customer satisfaction plagues most
healthcare institutions, some of those in the KSA have moderate
to satisfactory patient outcomes.
Dental services in the King Abdulaziz University Dental
Hospital was the focus of the research by Naguib et. al (2016).
In the research, they concluded that while there is an overall
high rate on patient outcomes, loopholes still persist within the
system. Overall, patients were pleased with the care they
provided (84.1%), with particular appreciation of physicians
and staff supervisors being respectful (73.4%, 61.0%, in both),
and expressing their views (54.3% and 60.0%, in both).
Discontent with the nature of the patient relationship (48.2
percent) and professionalism (49.6 percent) were observed, and
the majority of patients reported to be extremely unhappy with
the review system (69.0 percent) and medical communication
difficulty (72.0 percent).
There is a stark difference between reviewing a private
health facility and a university health facility is that the
professionals running. While this is in no way disparaging the
efforts of both those that work in the aforementioned type of
facilities, the expertise differs due to the number of hours or
rather years spent mastering their profession. In the study, it
was discussed that some of the employees and/or interns have
only completed high school education and some have previous
experience in non-medical settings. This requires close
inspection as receptionists in the dentistry team are tactical. Not
only do they provide all the "face" of care as they are the very
first people to meet the patient, they provide patients with
appropriate flow and recommendations and a frame of reference
for patients looking for information.
The care patients get with particular gratification of being
friendly and expressing their views with respect to doctors and
staff supervisors. It clearly reflects the level of competence of
the staff of the institution and ultimately offers a high level of
patient faith in the work performed at the subjected institute.
Nevertheless, the study highlighted a concern raised by patients
about "listening carefully" to them by the supervising staff and
appearing at the meetings on schedule.
The research provides significant discovery that the
institution as a whole has to resolve healthcare issues in order
to boost its facilities. Interacting with patients is the foundation
of effective patient service; thus, these results should be used
by the hospital to find a way to create a medical environment
conducive to good doctor-patient interaction. It is possible to
follow many approaches, including increasing the number of
nurses, expanding the medical session duration and creating a
more effective referral system.
On the other hand, a different perspective on a general area
in the Eastern Saudi Arabia region was given focus on research
by Al Fraihi & Latif (2016). The study aimed at examining
patient impressions and preferences of outpatient care in
hospitals using a quality of service difference model and
shaping factors such as these. It then stated that the proposed
system is empirically validated, and significant quality service
disparities of all 5 measurements need to be given priority and
resolved through concentrated health board development efforts.
The research data showed that by following the suggested
standards, the proposed model for service quality dimensions
suit well. The preferences of patients surpassed beliefs in all
aspects of customer satisfaction, suggesting statistically
meaningful differences in service quality (t=26.3, p<0.000).
Findings showed that the compassion factor applied to the
expectations of most patients (4.7 ± 0.5) and perceptions (3.7 ±
0.8) scores, and less to expectations (4.5 ± 0.6) and perceptions
(3.2 ± 0.8) scores. Prompt services reported the highest quality
of service difference, while privacy analysis showed the lowest
quality of service gap in reports.
The surroundings of the hospital plays a key role in
increasing the quality of care, an appealing ambulatory
environment and finding appropriate ambulatory facilities as
one of the most significant reasons for people coming to the
clinic. The disparity in the measurable aspect is a wake-up call
for hospital management to significantly improve the outpatient
services ' surroundings.
The three most important service quality deficiencies are
linked to ambulatory setting, service timeliness, and outpatient
service consistency. The expectations in this study are higher
than the attitudes of the quality of service offered, suggesting
potential for improvement in all configurations of quality. A
difference in one aspect can have a stimulating effect on other
aspects of quality of service, leading to a reduction in those
dimensions.
Such a conclusion can also add to the fact that the
correlation between customer satisfaction and quality of service
dimensions should be extended. Consideration should also be
given to the opinions of patients and service providers in future
research. It should be noted that one method can not only gather
the preferences but also the aspirations of patients for the
quality of service.
On a general note, a certain study by Ali (2016) notes the
general scene of dental care satisfaction amongst patients. Two
notes were the focal point of the study: (1) assess the degree of
patient outcomes between clinical and non-clinical dental care
given in specialized dental centers and (2) examine the factors
correlated with the overall degree of fulfillment. It was then
revealed that the participants were generally pleased, but they
noted internal differences. The strongest satisfaction was with
the quality of the dentists exhibited, followed by the services of
the dental associates, and the poorest satisfaction with the
physical attributes and accessibility of the center. Data shows
further that the incremental regression analysis showed that the
determination factor (R2) was 40.4%. Customer satisfaction
with dentists ' results accounted for 42.6 percent of customer
satisfaction, while their medical satisfaction clarified 31.5
percent of user satisfaction.
The findings of this study indicated that, except for
availability and the physical outer of the reception / waiting
rooms, the satisfaction level with dental care services was
significantly higher for much of the areas tested.
In relation to the study, in terms of accessibility, there is a
need for solutions, especially when scheduling an appearance
and the accompanying wait period. Such initiatives will promote
quality, patient-focused service delivery to enhance the dental
center's reputation, warrant increased use and help improve
patients' oral health, thus improving their well-being and
standard of living.
On the other hand, there has been countless studies
involving observance of patient satisfaction across countries
across the world.
One of those studies was a focus on patient satisfaction in
Malaysia, particularly in the city of Johor Bahru. In the study
conducted by Rafidah & Suhaila (2017), they revealed that
using two random sampled hospital facilities, they concluded
that while these two were both government hospitals, Hospital
A gave a better experience than Hospital B. In the study, they
suggested that for hospitals to be more patient-friendly, proper
funding should be seen, and the expertise should be more
recognizable in a world where the population is continuously
evolving over time.
Similarly, Bhat et. al. (2019) conducted the same approach
of observing dental health care programs and/or facilities to
measure patient satisfaction, but this time it’s done in a rural
are in Udaipur, India. Data on the study showed that for the
issue of camp overall performance, the highest mean
satisfaction rating (4.97 ± 0.59) was observed, while waiting
time for care, treatment efficiency, and clarification of referral
need showed the lowest mean score. The average monthly
community satisfaction scores (4.55 ± 0.52) are substantially
higher than the weekly camps (4.38 ±0.55) (P= 0.013).
Programs for dental education are a significant part of
public dental health programs. These programs help health
professionals penetrate the poorer sections of society to provide
oral health services. The study results showed that the patient
satisfaction ratings for various aspects of weekly and monthly
dental outreach programs were adequate to nice. In addition,
more satisfaction scores were recorded in monthly dental camps
compared to weekly camps.
On one note, Akbar et. al. (2018) conducted a general
study on patient satisfaction amongst recipients of dental care
in North Mamuju in Indonesia. Data showed that the aspects of
empathy indicates the 43 (100 percent) respondents pleased
while insurance aspects did not satisfy the 4 (14.0 percent)
respondents.
Empathy dimensions are based on the dimensions that are
most fulfilled. Empathy is an important component, particularly
with regard to cognitive involves the understanding of
emotions, information, and ability to communicate in order to
help alleviate distress or patient concerns.
Patient satisfaction is based on the most pleased physical
properties of the physical attributes to address the dentists '
appearance queries as well as the most dissatisfied respond to
questions about the treatment room's cleanliness and neatness.
Dimensions in this situation the most prominent dentists
physical appearance and linked to satisfaction and expected
quality of service. Positive and important contribution on
customer satisfaction on the measurements of comfort (physical
appearance) is one direct evidence that there is comfort in the
reception area facilities and the patient will specifically assess
the neatness and sanitation.
Satisfaction is based on the measurements of the most
satisfied respondents in the health services who responded to
the question of the benefits offered by the services and many
are not satisfied with the efficacy of the medical services. The
efficiency of its service waiting lists until diagnosis as it takes a
long time for each patient to do care.
The hospital must effectively introduce the correct repair
service system in a dynamic global world. This brings up the
question of what and how to increase the quality of service and
the experience of the customer. Hence it is very important to
understand how to improve access performance for all aspects
in line to customer preferences and expectations.
Doctors ' actions has an important role to play in patient
satisfaction, accompanied by medication accessibility, hospital
facilities, staff conduct, and medical information. The patient's
main reason for returning to a health facility is an appreciation
of doctors, clinics, patient, nurse, and community contacts. It is
therefore very important to examine factors that can increase
patient satisfaction that are useful in improving service quality,
particularly in health facilities.
OBJECTIVES
The objectives of the study are as follows:
1. Analyze whether the patient would leave the primary
healthcare office with a referral to a particular dentist or
dentistry office that has a consultation arrangement with the
primary healthcare practice. Directions should clarify what to
do, what to anticipate, and who to keep in touch with if there
are issues.
2. Study if an approved collection of details must be sent to the
doctor from the primary healthcare clinic, so the dentist knows
the purpose for the consultation and has adequate information
about the medical condition of the person to be able to provide
proper treatment, including prescribing antibiotics, in a safe
manner.
3. Analyze if the doctor should deliver a consulting note
detailing the patient's view, what was accomplished, and any
long term treatment options to the primary healthcare clinician.
4. Investigate whether all appointments should be recorded as
structured data in the EHR so that they could be documented by
the primary healthcare staff and so that the referral system can
be controlled to ensure that clinicians are constantly referred to
as having active disease.
To achieve these goals, the primary healthcare practice
must monitor and endorse the appointment until the dentist
receives a consulting notice. This method is referred to as
"locking the circuit," and is the benchmark for efficient
collaboration of care. In addition, an essential component of
caring cooperation is to have a system in place to help people
find and book appointments, and to receive full help when
needed. Methods should provide the same degree of dental
consultation aid as they do for all other inpatient and outpatient
appointments.
My friend this part need edit and paraphrase sure must be free
plagiarism,, I put some question inside the text need to do
correction to be correlated to my study and my results .( I need
here 1000 words if you can expanded ) thank you .
MATERIALS AND METHODS
A cross-sectional study was conducted at the dental clinics
of Riyadh Specialized Dental Center (as tertiary dental
healthcare center) from October to November 2019. The sample
consisted of 400 participants who were randomly selected . Of
the questionnaires distributed 440 and 400 patients responded;
the response rate was 90%. Study sample The required sample
size was determined on the basis of a pilot study which was
conducted on 30 participants, in which 26% of them showed
good satisfaction levels. Using formula for estimating sample
size for single population, proportion with 95% confidence level
and 0.05 degree of accuracy, a sample size of 271 was obtained.
Allowing 10% of non‑responders, the final sample size comes
around 298.
This part need to modification according my study ,,,thank you
The Research Ethics Committee of the ministry of health ,
approved this study. also the informed consent was get from
each participant . After explaining the purpose and details of the
study, a written informed consent was obtained from all the
participants who were willing to participate.
The questionnaire was designed so that patients would evaluate
the dental center services. The questionnaire explored
nonclinical dental services.We define patient satisfaction as
‘positive evaluations of specific aspects of healthcare facility
’.In our context, it refers to a measurement that obtains ratings
from patients about referral procedd for dnebtal clinics in
primary healthcare centers to Riyadh Specialized Dental Center
(as tertiary dental healthcare center).
A self-administered revised questionnaire was used to assess
patients’ satisfaction with referral process from dental clinic in
the primary care centers to Riyadh Specialized Dental Center. A
questionnaire was designed from cues of questions used in
previous results, and formulated in a manner that would help us
better understand our patients’ concerns and needs. The
questionnaire was distributed by dental records department,
appointment department , inside dental clinics of Riyadh
Specialized Dental Center also in the patients waiting areas to
patients as they arrived for their appointment. The anonymity
and confidentiality of the participants were assured. This
questionnaire was evaluated in a pilot study of thirty
participants. The questionnaire was used to measure varying
criteria affecting patients’ satisfaction. In addition to the
socio-demographic characteristics (age, gender and education).
The questionnaire was distributed between participants by the
Arabic language. The questionnaire was administered by
face‑to‑face interview. the questionnaire consisted of 6
questions related to process of referral from dental clinics in
primary healthcare centers to Riyadh Specialized Dental center.
The first question ask about if the referral was paper based or
computer based , the second question measure if you request the
referral by your self or the doctor he decided to make referral
,third question ask about if the dentist explain to you the reason
of referral to Riyadh Specialized Dental center, fourth question
about ask if dentist in dental clinic of primary healthcare center
did any dental treatment before referral , fifth question ask
about if the person who responsible about the referral process
give you any communication number incase you facing any
problem while referral process , the last question ask about if
the patient feel process of referral was difficult or easy process
.also at the end the questionnaire added comments space for any
additional .
my friend , this part statistic analysis need your experience to
edit the paragraph done just example to guide you but its not
belong my study because I do not know which statistics analysis
suitable to my study ,,, than you
(here just example) Statistical analyses
The data analyses were conducted using SPSS (version 20;
Chicago, Ill., USA). A t-test was used to test the differences in
variables between two independent groups such as gender and
education. The analysis of variance (ANOVA) was used to test
the significance of the differences across more than two
independent groups, as well as with regard to sequelae, as in the
case of age and the dental centers. Finally, to create a model of
the causal relationships among the six research variables, both a
general linear model (GLM) and a stepwise regression analysis
were applied. The results were considered as significant when
they were associated with P < 0.05.
Here another examples
Statistical analysis
The recorded data were compiled and entered into a spreadsheet
computer programme (Microsoft Excel 2013) and then exported
to data editor page of SPSS version 20 (IBM SPSS Statistics 20,
Chicago, Illinois, USA). The descriptive statistics included
computation of percentages. The statistical tests applied for the
analysis were Pearson’s Chi‑square test. For all tests,
confidence level and level of
significance were set at 95% and 5%, respectively. The test was
also used to compare mean satisfaction scores from weekly
camps with monthly camps.
Here another example Data collection and analysis
Data collected were describe using SPSS (v22). Client
demographic characteristics were analyzed descriptively using
frequencies and percentages.
I need you to write :
1. The results that including diagrams + tables+ illustrations as
need ,,, I need 1000 words in this part .
2. Discussion, I need to be correlated to my study and well
elaborated to all point in the survey with logic explanation .,,, I
need 1000 words in this part .
3. Conclusion , I need good conclusion related to the results of
the study ,,, I need 500 words in this part.
4. Recommendation ,,,I need good recommendations ,,, I need
500 words in this part .
Best regards
12

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Overview Value stream mapping is a qualitative lean systems t.docx

  • 1. Overview: Value stream mapping is a qualitative lean systems tool aimed at eliminating waste (muda) in many manufacturing processes. Value stream mapping is useful because it creates a visual map of every process involved in the flow of materials and information in a product’s value chain (worth of operations). Prompt: Using the example of a value stream map in Table 6.1(in Chapter 6 of the course textbook), produce a value stream map of the company you selected to research for your final project. (You may focus on a specific product line or division within the company.) In similar chart form, be sure to include each of the eight types of waste and how they apply to your selected company. You may use the textbook information and any outside sources identified in your research so far to inform your response. The eight types of waste are as follows: 1. Overproduction 2. Inappropriate processing 3. Waiting 4. Transportation 5. Motion 6. Inventory 7. Defects 8. Underutilization of employees For more information on how to develop a flow chart, see the following video tutorials: · Create a Flow Chart WithSmartArt Graphics · Create a Flow Chart With PowerPoint
  • 2. Your value stream map should outline the three parts of the value stream mapping process: 1. Evaluation: Include a current-state value stream map, as exemplified by the instructions and process steps in Chapter 6 of the course textbook. This will require an evaluation of the present processes being investigated. Be sure to include all relevant processing steps, timeline elements, and transportation methods for delivery on incoming shipment of product. 2. Projection: Include a future-state value stream map,which projects how the value stream map would lay out after improvements are made. 3. Analysis and Recommendations: Include an implementation plan, as exemplified by the instructions and process steps in Chapter 6 of the course textbook. Be sure to completely analyze the current-state value stream map, identify instances of bottlenecks and waste (muda), and clearly explain the improvements that can be made to achieve a leaner process. The current-state and future-state value stream maps should be included in the document you submit. Outside sources identified in your research so far can be used to inform your responses. Note that this exercise will help you prepare for the tasks in the Milestone Two assignment. Guidelines for Submission: Submit a 3- to 5-page document with double spacing, 12-point Times New Roman font, and one- inch margins. Your sources should be properly cited according to APA style on a References page at the end of your report. Your value stream maps should be included in the document you submit. They may be created as tables in the document, or they may be images that you create in another application and paste into your submission.
  • 3. Critical Elements Proficient (100%) Needs Improvement (80%) Not Evident (0%) Value Evaluation: Current-State Value Stream Map Current-state value stream map correctly and thoroughly charts the company’s current processes Current-state value stream map is developed but may be incorrectly charted or incomplete Does not include a current-state value stream map 30 Projection: Future-State Value Stream Map Future-state value stream map is correctly and completely developed, outlining key opportunities to eliminate waste (muda) Future-state value stream map is developed but may contain flow chart errors or omissions that overlook opportunities to eliminate waste (muda) Does not include a future-state value stream map 30 Analysis and Recommendations: Implementation Plan Implementation plan identifies notable instances of waste (muda) in the company’s processes and makes creative and feasible recommendations for improvement of bottlenecks and transportation methods for deliveries/shipment of product Implementation plan identifies instances of waste (muda) in the company’s processes but overlooks some areas where inefficiencies could be addressed; recommendations for improvement are made but may not be complete or fully feasible Does not include an implementation plan 30
  • 4. Articulation of Response Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas 10 Total 100% 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 1/8 %16 %9 SafeAssign Originality Report (Current Semester - ‫ا‬M CH(‫ي‬ ‫حال‬ ‫ال‬ ‫صل‬ ‫ف‬ ‫ل‬-501: Healt… • Turnitin Plagiarism Checker %25Total Score: Medium risk MOHAMMED ALAHMARI
  • 5. Submission UUID: ef27d65e-1b30-7ac1-7cec-d3812cfcdaea Total Number of Repo… 1 Highest Match 25 % www1234.docx Average Match 25 % Submitted on 11/22/19 07:42 PM GMT+3 Average Word Count 3,666 Highest: www1234.docx %25Attachment 1 Institutional database (5) Student paper Student paper Student paper Student paper Student paper Global database (2) Student paper Student paper Top sources (3)
  • 6. Excluded sources (0) View Originality Report - Old Design Word Count: 3,666 www1234.docx 3 7 5 4 6 1 2 3 Student paper 7 Student paper 1 Student paper 13 Title PATIENTS SAISFACTION ABOUT PATIENTS REFERRAL PROCESS TO RIYADH SPECIALIZED DENTAL CENTER Part 1: Introduction: The two main branches are descriptive and inferential statistics. People who do not have any formal training in statistics are more familiar with inferential statistics than with descriptive statistics. Descriptive Statistics Definition The descriptive statistics is the type of statistical analysis which helps to describes about the data in some meaningful way. The statistics is used to describe quantitatively about the important features of the data or information. The descriptive statistics gives the summaries of the given sample as well as the observations done. These summaries or descriptions can either be graphical or quantitative. Inferential Statistics Definition Inferential statistics is the type of statistics which deals with
  • 7. making conclusions. It inferences about the predictions for the population. It also analyses the sample. Basically, the inferential statistics is the procedure of drawing predictions and conclusions about the given data which is subjected to the random variations. Inferential statistics includes detection and prediction of observational and sampling errors. This type of statistics is being utilized in order to make estimates and test the hypotheses using given data. Tool Selection To complete this project I have choose Excel. It is one of the most powerful and popular for data analysis. Excel is considered to be the best application for any statistician as it possesses an extensive catalog of statistical and graphical methods. One of the best advantage of excel is availability. Data collection: Healthcare systems and services in the Kingdom of Saudi Arabia is currently more developed compared to its state in the past four decades. The Ministry of Health widely manages the healthcare in this kingdom. It is referred as a national care systems because the ministry f H lth f d t f th i Th Mi i t f h lth l t l d f d i h lth j t ithi th t 1 2 1 3 https://lms.seu.edu.sa/webapps/mdb-sa- BBLEARN/originalityReport?attemptId=aeaaeb6d-57bc-431e- bea3- 2cff99fed3d4&course_id=_65932_1&download=true&includeDe leted=true&print=true&force=true
  • 8. 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 2/8 of Health funds most of the services. The Ministry of health plans, controls, and fund various health projects within the country. The Ministry of Health manages almost 60% of the healthcare system. The remaining percentage is covered by other government agencies and the private sectors. Some of the government agencies that also contributes to the growth of the Saudi Arabian healthcare system includes the Ministry of Interior, Ministry of Defense and Aviation and the Saudi Arabian National Guard. Some of the private sectors such as private hospitals and dispensaries are also boosting the health sector. Saudi Red Crescent Society (SRCS) is one of the individual industries that promote the provision of preventive healthcare as they are involved in pretreatment such as first aid at the accident scene. The data set, for instance, the data on comparison among attribute of the given set. The dataset consists of 400 individuals where 220 are males and 180 females. Below is the pie chart graph that graphically represent the gender composition. In terms of percentage, the males 55% are whereas the females are 45%. This is an indication that the data sample used was relatively balanced in terms of gender. Atkinson-Bonasio (2017) asserts that in research, fostering diversity achieved by gender equality assures innovation. She further states that bias and gender disparity should be examined so as to ensure a data-informed approach especially to implementing policies and interventions
  • 9. related to gender inequality. Gender: · MALE 220 · FEMALE 180 The pie chart graph that graphically represent that the 86% participation are more than 18 years old, 7% participation between 12-18 years old and 7% participation are less than 12 years old. Correct Age Range. · >18 years old =343 · 12-18 years old =29 · <12 years old =28 Applicable Educational Attainment at the Moment: · More than University/College edition (MS) 63 · University/College Graduate 201 · High School or less 136 Was the referral done by paper forms or automation? · Paper (paper referral forum) 103 · Automatic forum) 239 · Not Sure 58 Was the referral out of own choice or choice by doctor? · Doctor’s suggestion. 299 · My suggestion. 101 In the case a doctor explains about your sickness, do you have any idea what the referral is for: · YES 338 · NO 62 Did the dentist in te primary healthcare center provide any dental treatment before referral? ❏ YES 203 ❏ NOT 176 ❏ NOT SURE 21 Staff that responsible about referral did he give you any communication methods in case issues arise? ❏ YES 141 ❏ NO 202 ❏ NOT SURE 57
  • 10. Did you feel any uncomfortable feeling when conducting the experiment how does to fell thick? ❏ Easy procedures. 172 ❏ Acceptable procedures 168 ❏ Difficult, hard to follow 68 The medical education in Saudi Arabia is rapidly growing. There is numerous medical learning institution within the country. The government through the ministry of health is also offering scholarship and sponsorship to many medical students and the practitioners who want to further their education. Proper plans should be put in place to achieve the future goals of the healthcare system taking into consideration the evolving history of the state of the healthcare system. 4 3 The policies should be reviewed to adapt the ever-growing population of Saudi Arabia. Part 2: The knowledge would be useful in customer management in the formulation of strategies that elicit customer loyalty. In the modern world many hotels are realizing the benefit of customer loyalty as opposed to the traditional strategy of gaining market share (Cantallops & Salvi 2014). Customers who are loyal will tend to visit more often, stay longer, pass positive word of mouth about a destination and ready to pay a premium. The healthcare system in Saudi Arabia was established in the early 1920s. During that time, King Abdul Aziz declared the prioritization of a preventive healthcare system. It was a microsystem which was only serving the royal class. In 1926, the first medical learning institution was established. The school offered nursing skills. Another institution was later
  • 11. established which was offering health emergency courses. With the development of these institutions, there was a noticeable change in the organization of the health sector. In the 1950s, the preventive care system was now well developed. The establishment of the Ministry of Health made some remarkable improvements in the precautionary measures in the healthcare system. The ministry of health collaboration with ARAMCO Company offered some preventive care to diseases such as malaria and bilharzia in the early 1950s. In the 1970s, a health research center was established. The institution was called King Faisal Specialist Hospital and Research Center (KFSHRC). The institution was specialized in dealing with incurable diseases that could not be handled in other institution. It was a referral center. In the 1980s, there was a ministerial ordinance which unified all the health institution in the country. Even though the number of health practitioners was slowly increasing due to the established learning institution, the number of Arabian practitioners was comparatively low. In early 2000, the emergence of private sectors in health care services improved the quantity and quality of healthcare in Saudi Arabia. Health Insurance was introduced to cover comprehensive and integrated healthcare issues. In 2004, the ministry of health increased its national budget, and there were developments in the health provision, the number of health practitioners increased compared to the population that was there before 2000. Policies and Proposed Rulings Affecting the Healthcare System in Saudi Arabia Numerous policies have been put in to promote the quality of healthcare in the Kingdom of Saudi Arabia. One of the 5
  • 12. 3 3 3 6 3 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 3/8 policies put in place in the public-private partnership health insurance. The policy ensures that there is coordination of funding the health sector promptly (Al, S. R. Y. A. 2011). . This policy has reduced the cost of healthcare hence making healthcare access affordable to many citizens. The government has put in place proper regulation that controls the interrelationship between the private and the public sectors. The policy of electronic medical recording system established in many health facilities in Saudi Arabia has also improved the provision of healthcare in the country (Courtney, K. L., Shabestari, O., & Kuo, A. 2013). . Initially, this policy was lagging behind in its implementation due to the language barrier. However, it has significantly been implemented in many hospitals and other health institutions. The implementation of electronic medical recording system has improved the administration of the health facilities. Information
  • 13. on the institutions and the service they offer are available online, and patients have the opportunity to choose the facility to attend. The patient’s information is also well recorded and monitored electronically by the practitioner. Health processing has been faster, and many patients are catered for in a short period as compared to the process that took place during manual system of recording The establishment of Evidence-based healthcare has also improved the quality of service provided by the healthcare practitioners. It has developed best clinical practice guidelines which are used to prevent, diagnose and treat most prevalent diseases. Most of the institutions locally use the clinical guidelines hence resulting in a uniform provision of healthcare services across the country. Impact of Population Growth on Current Saudi Arabian Healthcare Access and Efficiency The population of the Arabian kingdom is growing swiftly. Due to the population growth in the country, there is increased healthcare expenditure that the government undergoes (Alshahrani, S. A., & Alsadiq, A. J. 2014). . Due to the increased population, the number of inpatients has increased hence causing shortfalls of beds in the hospitals. The shortfall of beds has denied other patients the opportunity to be admitted as inpatients hence limited access to healthcare facilities. The increased population has also outnumbered the population of the health practitioner. One medical practitioner is expected to serve many patients hence delays in the provision of healthcare. 3 7
  • 14. 3 7 3 The delays have affected the efficiency of the facilities operation. The government is implementing privatization of health facilities to accommodate the growing population. Customer satisfaction is a subjective decision of the quality of service, but when patients have a selection of services or the ability to endorse a provider to others, it is a driving factor. Satisfied patients come home because they need a health care system and suggest their doctor to friends and family members when they are looking for a suitable health care provider. Unhappy patients rarely come back when they have other opportunities or attribute their unpleasant experiences to anyone else. Therefore, increasing customer satisfaction levels is very critical, especially in today's challenging medical landscape in which integrated care organizations use patient outcomes as a metric to assess their reimbursements. One of the biggest challenges in the modern practice of medicine and Healthcare is preserving the slightest issues that affect the quality of the delivery is predominantly dominated by routine practices. Excellent clinical practices not only preserve the theory that has been maintained for a long time of disease treatment but is also a culture that preserves the presence of the therapeutic issues affecting the patient and the pronation. A better relationship between the patient and the clinician has a massive impact on the medical outcome. Despite the widespread belief that has been maintained about the impact of the relationship between patients and the clinician, based on the health outcome, it has been tested based on the randomized controls and different trials. Many empirical practices have examined the effect of
  • 15. patient-clinician relationship and whether the impact that it has on the outcome is observable in nature. The main challenges that this affects cannot be assessed casually. Nonetheless, these studies show a trend that can be used in the study and how important this relationship is. There are various observational studies that suggest that the connection aspects may hold the significant potential affecting the outcomes. Relationship between the patient and the clinician has various components including emotional component and information part of the component. This can also be termed as the emotional care and perspective of cognitive care. Emotional care refers to the mutual trust and empathy that a patient has with the clinician, and the respect acceptance and gratitude the clinician receives from the patient. Cognitive care involves information gathering and how information is shared between the patient and the patient and the clinician. Ideas involved here include the location and management of expectation. Investigating the emotional component of the existing relationship with a major objective in where studies. However, most of these studies involve the two sides of Cognitive and emotional health care. Consequently, it becomes crucial to focus on other studies that show the measure of care and how communication can contribute to the development of the health status of the patient. The connection between patient satisfaction and healthcare outcomes have also led to the development of different programs by healthcare professionals to meet an important element of the profession. Patients are likely to get a positive based outcome when they are comfortable with people who are treating them. This is because it makes them satisfied and they are willing to take long-term procedures that have been defined by the clinicians. Clinicians advise patients to maximize the opportunity that has been given to them and that they have to work towards achieving better
  • 16. health conditions continuously. Through developing Trust, the patients open up about the suffering and the signs and symptoms of the disease that they are suffering from. This makes it easier for definitions within the tracks because of the relationship that we have formed with the clinician. There are times that patients have to record themselves and goes to the procedures of treatment of their own. This is the dedication that can only be improved when the patient understands the value of the treatment. To understand the value, they have to build a rapport with a clinician. Th i li i f i li i i l i hi 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 4/8 The implication of a patient-clinician relationship Communication and the relationship between the clinician and patient give a potential of massively improving the quality of care that is delivered. A better relationship has a massive implication in the overall health of the patient. Young people who have long-term conditions are always in danger of getting disengaged biro activities that are involved in. For example, continuous use of telemedicine where doctors keep in touch with their patients. This technology is crucial especially when it comes to the relationship between clinician and the people they
  • 17. treat. It allows the patient to have contact continuously and to communicate effectively with them clinician so that they can see the progress that they have made (banka et al., 2015). In most cases, patients fail to realize the importance of stay in touch and contact with their clinicians. Telemedicine requires patients to get recovered quickly so that they can resume their normal activities. Professions that require instant and continuous monitoring by the clinicians, establishing a better relationship is crucial as it gives them an advantage over the others that do not have a good relationship. Part 3 and part 4: Conclusion and recommendation: Clinical participants have seen the benefits of having a confusing relationship with the clinicians. The reason why they value relationship is that they feel empowered by the clinicians. When the clinicians ask the patient about how they are feeling and the suggestions for what they feel should be the right procedures for the treatment, they feel that the position empowers them. This implies that they have improved Trust that has developed between the clinician and the patient is based on professionalism expressed by the clinicians .in return, it goes a long way towards the treatment of the patient. The positive outcome also comes as a result of the reduced harm and improved access to clinical advice. There are times that the patient may want to be advised on issues that are outside the treatment plan defined by the inclination. It is sometimes difficult to define boundaries especially if there is a focus on confidentiality. Confidentiality has been a mistaken issue and an ethical concern to numerous clinicians. For the patients, it is an idea that comes from the trust that they have with their clinicians. There is confidential information that they would not want to share weekly editions in case they do not have to confide in them (Mayer et al., 2016). Better interaction and
  • 18. focus on the relationship between the two of them can be shown through relentless Focus on their objectives. This basic interaction creates dependency, and it also promotes autonomy between the patient and their clinicians. Participation of the patient is an important element that put confidentiality and communication into a simple context. The other implication for quality of patient relationship with the clinician is the extensive healthcare plan that can be designed by both parties. Poor connection and interaction imply that there will be less adherence by the clients who eventually performs poorly when it comes to adherence. This is because the clinicians do not have a well- defined relation that can allow them to convince the client’s only patients to continue with other medical practices of adherence. What technology has played a massive role in the relationship between the patient and the clients, physical relationships between the patient and the cognition is still crucial as it implies them long-term relationship long-term patient. Despite technology having taken most of the clinical relationship between the patient and the client, it will always be crucial that people get into contacts and promote autonomy among themselves. This goes beyond the concerning issues of confidentiality and consent. It has issues to do with safeguarding professionalism and promoting ethical obligations that all the nurses and clinicians have to preserve. On the other hand, a different perspective on a general area in the Eastern Saudi Arabia region was given focus on research by Al Fraihi & Latif (2016). The study aimed at examining patient impressions and preferences of outpatient care in hospitals using a quality of service difference model and shaping factors such as these. It then stated that the proposed system is empirically validated, and significant quality service disparities of all 5 measurements need to be given priority and
  • 19. resolved through concentrated health board development efforts. The research data showed that by following the suggested standards, the proposed model for service quality dimensions suit well. The preferences of patients surpassed beliefs in all aspects of customer satisfaction, suggesting statistically meaningful differences in service quality (t=26.3, p<0.000). Findings showed that the compassion factor applied to the expectations of most patients (4.7 ± 0.5) and perceptions (3.7 ± 0.8) scores, and less to expectations (4.5 ± 0.6) and perceptions (3.2 ± 0.8) scores. Prompt services reported the highest quality of service difference, while privacy analysis showed the lowest quality of service gap in reports. The Saudi healthcare marketplace is making positive steps day by day in all health-related sectors. It is comparatively young to the western healthcare system, but it has abundant opportunity for expansions. The government is prioritizing health care delivery, and we can expect to see supplementary modifications to the governing controls, to realize the objective of enlarged private sector participation and investment. In many healthcare organizations, the basis of good health depends on the attitude and the feedback that they get from the patients. This means that the patients have to talk well about the services that they have received from the organizations. 7 To achieve these levels of better recommendations for the services, there has to be a better relationship. The better relationship results to better trust and an insightful relationship that the client or the patient agrees with. Suh relationship is important for healthcare institutions. In addition to this, it comes easier for hospitals to deliver based on the demands of the
  • 20. patients. When the clinician has a good relationship with the patients, it gives the hospital an edge based on a better relationship. Research is done by banka et al., (2015) shows various methods that can be used to improve patient satisfaction and how important it is to give feedback to the health care organization. This research talks about patience outcome that has improved in recent times because of continuous focus on relationship definitions. When the patients are satisfied, they are also likely to 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 5/8 Source Matches (27) Student paper 100% Student paper 100% Student paper 90% accept all the initiatives by the doctor to treat them and to give them the recommendations. Ethics in medicine dictate that the patients appreciate having to accept the treatment procedures that have been defined by a medical professional. As such, the patients have to accept all the initiatives by the clinician before
  • 21. they have been administered with any treatment. The satisfaction that patients get from the trust that they have with the clinicians is important because it promotes adherence and honesty together independence from the clients and patients — adherence as an important component in treatment. A patient must accept the treatment procedures and adhere to the well- defined prescription. When the patients fail to follow the prescriptions that have been done to him by the doctor, they are less likely to have a successful treatment plan. A clinician is also not allowed to enforce the treatment plan on a patient (banka et al., 2015). They have to get their consent before they use the prescriptions that are important and will help the patient. Research is done by Borger et al., 2017 shows that patient satisfaction is a factor that makes a massive contribution towards the mobility of them patience and has a massive impact on the outcome. REFERENCE Al, S. R. Y. A. (2011). Customer Satisfaction with Paid Medical Services in Public Hospitals in the Kingdom of Saudi Arabia International Journal of Excellence in Healthcare Management .- 2010, Vol. 4, No. 1, pp. 1-34. Dubai: Hamdan Bin Mohammed e-University. Alshahrani, S. A., & Alsadiq, A. J. (2014). Economic Growth and Government Spending in Saudi Arabia. Washington: International Monetary Fund. Courtney, K. L., Shabestari, O., & Kuo, A. (2013). Enabling Health and Healthcare through ICT. Amsterdam: IOS Press. Khouja, Tumader. (2013). Reform of financing healthcare services in the GCC: focus on establishing health insurance system in KSA. Age Range > 18 years old 12-18 years old < 12 years old 343 29 28
  • 22. Applicable Educational Attainment at the Moment More than University/College edition (MS) University/College Graduate High School or less 63 201 136 3 3 3 5 3 3 3 3 1 Student paper The two main branches are descriptive and inferential statistics. People who do not have any formal training in statistics are more familiar with inferential statistics than with descriptive statistics. Descriptive Statistics Definition The descriptive statistics is the type of statistical analysis which helps to describes about the data in some meaningful way. Original source
  • 23. The two main branches are descriptive and inferential statistics People who do not have any formal training in statistics are more familiar with inferential statistics than with descriptive statistics Descriptive Statistics Definition The descriptive statistics is the type of statistical analysis which helps to describes about the data in some meaningful way 1 Student paper The statistics is used to describe quantitatively about the important features of the data or information. The descriptive statistics gives the summaries of the given sample as well as the observations done. These summaries or descriptions can either be graphical or quantitative. Inferential Statistics Definition Original source
  • 24. The statistics is used to describe quantitatively about the important features of the data or information The descriptive statistics gives the summaries of the given sample as well as the observations done These summaries or descriptions can either be graphical or quantitative Inferential Statistics Definition 2 Student paper Inferential statistics is the type of statistics which deals with making conclusions. It inferences about the predictions for the population. Original source Inferential statistics Inferential statistics is the type of statistics which deals with making conclusions It inferences about the predictions of the population
  • 25. 2019/ 11/ 22 Originality Report riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 6/8 Student paper 100% Student paper 70% Student paper 63% Student paper 65% Student paper 70% Student paper 66% Student paper 71% Student paper 83% Student paper 75% Student paper 70%
  • 26. Student paper 100% 1 Student paper It also analyses the sample. Basically, the inferential statistics is the procedure of drawing predictions and conclusions about the given data which is subjected to the random variations. Inferential statistics includes detection and prediction of observational and sampling errors. This type of statistics is being utilized in order to make estimates and test the hypotheses using given data. Original source It also analyses the sample Basically, the inferential statistics is the procedure of drawing predictions and conclusions about the given data which is subjected to the random variations Inferential statistics includes detection and
  • 27. prediction of observational and sampling errors This type of statistics is being utilized in order to make estimates and test the hypotheses using given data 3 Student paper Healthcare systems and services in the Kingdom of Saudi Arabia is currently more developed compared to its state in the past four decades. Original source Introduction Healthcare services and systems in Saudi Arabia have grown compared to other countries in the past four decades 4 Student paper The remaining percentage is covered by other government agencies and the private sectors.
  • 28. Original source MOH, other government agencies and private sectors 3 Student paper The medical education in Saudi Arabia is rapidly growing. Original source Nevertheless, medical education is rapidly growing in the country 5 Student paper The healthcare system in Saudi Arabia was established in the early 1920s. Original source Healthcare System in Saudi Arabia 3
  • 29. Student paper With the development of these institutions, there was a noticeable change in the organization of the health sector. Original source Due to the establishment of these institutions, there was a noticeable improvement in the health sector 3 Student paper The ministry of health collaboration with ARAMCO Company offered some preventive care to diseases such as malaria and bilharzia in the early 1950s. Original source The ARAMCO with the assistance of the Ministry of health gave preventive care to diseases such as bilharzia and malaria (Al, S
  • 30. 3 Student paper In early 2000, the emergence of private sectors in health care services improved the quantity and quality of healthcare in Saudi Arabia. Health Insurance was introduced to cover comprehensive and integrated healthcare issues. Original source In 2000, there was the emergence of private sectors which improved the quality and quantity of health care in the Kingdom of Saudi Arabia Later, health insurance to cover integrated and comprehensive health issues was introduced 6 Student paper Policies and Proposed Rulings Affecting the Healthcare System in Saudi
  • 31. Arabia Original source Healthcare system policies in Saudi Arabia 3 Student paper One of the policies put in place in the public-private partnership health insurance. Original source One of the policies that are currently undergoing is the public-private partnership health insurance 3 Student paper L., Shabestari, O., & Kuo, A. Original source L., Shabestari, O., & Kuo, A 2019/ 11/ 22 Originality Report
  • 32. riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 7/8 Student paper 83% Student paper 100% Student paper 80% Student paper 63% Student paper 100% Student paper 94% Student paper 100% Student paper 100% Student paper 100% Student paper 100% 7
  • 33. Student paper Impact of Population Growth on Current Saudi Arabian Healthcare Access and Efficiency The population of the Arabian kingdom is growing swiftly. Due to the population growth in the country, there is increased healthcare expenditure that the government undergoes (Alshahrani, S. Original source Impact of population growth on current Saudi Arabian healthcare access and efficiency The population of the Kingdom is growing swiftly Due to the population growth in the country, there is increased healthcare expenditure that the government undergoes Due to the increased population, the number of inpatients has increased hence causing shortfalls of beds in the hospitals 3
  • 34. Student paper A., & Alsadiq, A. Original source A., & Alsadiq, A 7 Student paper . Due to the increased population, the number of inpatients has increased hence causing shortfalls of beds in the hospitals. The shortfall of beds has denied other patients the opportunity to be admitted as inpatients hence limited access to healthcare facilities. Original source Due to the population growth in the country, there is increased healthcare expenditure that the government undergoes Due to the increased population, the number of inpatients has increased hence causing shortfalls of
  • 35. beds in the hospitals The shortfall of beds has denied other the opportunity to be admitted as inpatients hence limited access to healthcare facilities. (Alshahrani, & AAlsadiq, 2014) 3 Student paper The increased population has also outnumbered the population of the health practitioner. Original source Also, the increased population has unfortunately outnumbered the number of qualified health practitioners 7 Student paper The Saudi healthcare marketplace is making positive steps day by day in all health-related sectors. It is comparatively young to
  • 36. the western healthcare system, but it has abundant opportunity for expansions. The government is prioritizing health care delivery, and we can expect to see supplementary modifications to the governing controls, to realize the objective of enlarged private sector participation and investment. Original source The Saudi healthcare marketplace is making positive steps day by day in all health-related sectors It is comparatively young to the western healthcare system, but it has abundant opportunity for expansions The government is prioritizing health care delivery, and we can expect to see supplementary modifications to the governing controls, to realize the objective of enlarged private sector participation and investment 3
  • 37. Student paper Customer Satisfaction with Paid Medical Services in Public Hospitals in the Kingdom of Saudi Arabia International Journal of Excellence in Healthcare Management .- 2010, Vol. Original source Customer Satisfaction with Paid Medical Services in Public Hospitals in The Kingdom of Saudi Arabia International Journal of Excellence in Healthcare Management 3 Student paper Hamdan Bin Mohammed e- University. Original source Hamdan Bin Mohammed e- University 3 Student paper
  • 38. A., & Alsadiq, A. Original source A., & Alsadiq, A 5 Student paper Economic Growth and Government Spending in Saudi Arabia. Original source Economic Growth and Government Spending in Saudi Arabia 3 Student paper International Monetary Fund. Original source International Monetary Fund 2019/ 11/ 22 Originality Report
  • 39. riginalityReport/ultra?attemptId=aeaaeb6d-57bc-431e-bea3- 2cff99fed3d4&course_id=_65932_1&includeDeleted=true&print =true&download=true… 8/8 Student paper 100% Student paper 100% Student paper 87% 3 Student paper L., Shabestari, O., & Kuo, A. Original source L., Shabestari, O., & Kuo, A 3 Student paper Enabling Health and Healthcare through ICT. Original source Enabling Health and Healthcare through ICT
  • 40. 3 Student paper Reform of financing healthcare services in the GCC: focus on establishing health insurance system in KSA. Original source Reform of financing health care services in the GCC focus on establishing health insurance system in KSA Title PATIENTS SAISFACTION ABOUT PATIENTS REFERRAL PROCESS TO RIYADH SPECIALIZED DENTAL CENTER My friend, I wrote all my notices need to be corrected inside this file for each part ,,, I need you to using same layout here include 12 font size (time new roman) ,,,space 1.5 between lines,,,,thank you
  • 41. Data Collection I wrote the result of data after I collected from questioner so I put the answer for each question beside the choices as number,,,,also my friend I needed a spelling and grammar check for this questionnaire in this part ,,,thank you The result beside every question All sample was 400 participants Please Select Gender: · MALE 220 · FEMALE 180 Please Select Correct Age Range of Yours: · >18 years old 343 · 12-18 years old 29 · <12 years old 28 Please Select Applicable Educational Attainment At the Moment: · More than University/College edition (MS) 63 · University/College Graduate 201 · High School or less 136 Part Two: Was the referral done by paper forms or automation? · Paper (paper referral forum) 103 · Automatic forum) 239 · Not Sure 58 Was the referral out of own choice or choice by doctor? · Doctor’s suggestion . 299 · My suggestion . 101
  • 42. In the case a doctor explains about your sickness, do you have any idea what the referral is for: · YES 338 · NO 62 Did the dentist in te primary healthcare center provide any dental treatment before referral? ❏ YES 203 ❏ NOT 176 ❏ NOT SURE 21 Staff that responsible about referral did he give you any communication methods in case issues arise? ❏ YES 141 ❏ NO 202 ❏ NOT SURE 57 Did you feel any uncomfortable feeling when conducting the experiment how does to fell thick? ❏ Easy procedures. 172 ❏ Acceptable procedures 168 ❏ Difficult, hard to follow 68 My friend, you need to read the introduction, literature review , objectives, material and methods before start doing the results to understand the topics and the date and information be Consistent, thank you INTRODUCTION In evaluating the performance of healthcare services, customer satisfaction is an important measure. Nevertheless, it is influenced not only by performance of the healthcare services rendered, but also by the willingness of the health professionals to communicate effectively with the clients and the preferences of a health care environment for the patient. Polls of patient
  • 43. outcomes have been used in the assessment of medical care worldwide with increased frequency. They were used to evaluate the quality of service in the hospital environment, in objective measures, and to examine the relation between satisfaction with diagnosis and compliance, enforcement, and consistency. Such surveys were also used by dental healthcare professionals around the world to address the needs of clients and increase the quality of their services. Customer satisfaction is a subjective decision of the quality of service, but when patients have a selection of services or the ability to endorse a provider to others, it is a driving factor. Satisfied patients come home because they need a health care system and suggest their doctor to friends and family members when they are looking for a suitable health care provider. Unhappy patients rarely come back when they have other opportunities or attribute their unpleasant experiences to anyone else. Therefore, increasing customer satisfaction levels is very critical, especially in today's challenging medical landscape in which integrated care organizations use patient outcomes as a metric to assess their reimbursements. The need to fix healthcare efficiency in Saudi Arabia has risen dramatically over the past few years, mainly due to the 2.7 percent growth in the Saudi community annually. To provide adequate care across each of its provinces, the 2013 budget for Saudi Arabia included funding for 19 new hospitals, in addition to the 102 currently under construction.There have been issues, though, that the pace of the development of medical care capacity might sacrifice the performance of health services. Researchers regarded certification as the gold standard for medicine and might lead to quality management and development, thereby positively affecting medical outcomes. Customer satisfaction is an important thing to consider in any dentist clinic or health facility. Many studies were conducted in Riyadh, Madinah and Qassim in Saudi Arabia to determine customer satisfaction. Current health care, however, depends heavily onto the patient's co-contribution to the service
  • 44. provision system. Contentment relies not only on the dental procedures, but also in the medical team's cooperation. Dentists, managers, engineers and receptionists are included in this group. We all should work along with one another with an aim to gain patient confidence, as this will represent the desire of patients to respond with patient outcomes is the most essential thing that each health center has to accomplish. Customer satisfaction with oral health facilities is the balance that occurs here between patient's view of the treatment obtained / after serving with patient perceptions prior to service. If the perceptions of the patient are encountered, this means that somehow the delivery has delivered quality medical care that makes an excellent quality and will also result in increased satisfaction. Patient satisfaction is a useful metric that can be used to determine the quality treatment of the provider and its compliance with the medications. Most patients evaluated during a primary healthcare visit would need dental treatment, including accurate care and treatment that can only be given by a dental staff. Wherever practicable, the primary healthcare group must endorse the strong relationships of patients by transferring to their specific dentists clients who have a daily source of dental treatment. Nevertheless, it can be assumed that many clients seen in the primary healthcare environment do not yet have a connection with a specialist and will need referrals services support. The basic principle of the Dental Health Service Structure (the Framework) is that references to dental treatment should be as seamless as references to any other medical or surgical professional — the burden of coordinating care transitions shouldn't even be on the person. For co-located medical services, primary healthcare services have an extensive consultation network "installed-in." But, functional testing experience indicates that there are many possibilities for policies with non-located dental services to enhance referral procedures and standardize care. In addition, most co-located dental practices are capable of absorbing either
  • 45. the amount or form of referrals that patient care can produce. The referral program among dental clinics in primary healthcare centers and advanced dental facilities will help patients reach the qualified clinic by strengthening referral services and concentrating on coordinated treatment between primary healthcare centers and advanced dental clinics. Patient engagement between primary healthcare centers and specialist dental centers with prescription steps. LITERATURE REVIEW Patient satisfaction is one of the quintessential parts of public health output since it gives a feedback that is vital on what healthcare institutions should work on next to improve their services such as investing in more facilities, getting more focus on specialist expertise, among others. When there is a negative feedback, this obviously creates more ideas on improving the service to future and existing customers. A research by Mohebifar et. al. (2016) revealed that negative gap in the feedback dimensions shows that the institution must further invest in improving their services. In the research, academic hospital in Qazvin, Iran served as the subject of the research. Results show that a significant difference in service levels in all five parameters (p<0.05) between value and efficiency. When looking at the difference, the measurements "Reliability" (2.36) and "Assurance" (2.24) had the best quality gap and the weakest gap was "Responsiveness" (1.97). Reliability and certainty were also found in Quadrant (1), empathy was found in Quadrant (2), and tangibles and accessibility were relevant in Quadrant (4). To ensure the highest level of quality of hospital services and recognize existing deficiencies, patients ' perceptions of different quality metrics need to be measured and examined and contrasted to their service quality standards. Applying tactical methods can also help managers improve the quality of services
  • 46. and satisfaction of customers by stressing the expectations of relevance and success identified by service users in each general area. In addition, outcome-makers can use the effects of matrix analysis to effectively allocate scarce resources by putting greater emphasis on areas that require special attention. Such an analysis is important in today's health sector to cut costs. Funds should be dedicated either to boost the performance dimensions of maintaining a good function quadrant like consistency or to address the main shortcomings of focus in this quadrant from the viewpoint of patients. It is also revealed that the research that represents the value and at the same time appropriate quality of these measurements is deemed to be in region of consistency and security. Findings also indicated that perceived service quality was mainly measurable, stating that the highest mean of patient standards was linked to physical environment, facilities, payment system, and cleanliness. While negative customer satisfaction plagues most healthcare institutions, some of those in the KSA have moderate to satisfactory patient outcomes. Dental services in the King Abdulaziz University Dental Hospital was the focus of the research by Naguib et. al (2016). In the research, they concluded that while there is an overall high rate on patient outcomes, loopholes still persist within the system. Overall, patients were pleased with the care they provided (84.1%), with particular appreciation of physicians and staff supervisors being respectful (73.4%, 61.0%, in both), and expressing their views (54.3% and 60.0%, in both). Discontent with the nature of the patient relationship (48.2 percent) and professionalism (49.6 percent) were observed, and the majority of patients reported to be extremely unhappy with the review system (69.0 percent) and medical communication difficulty (72.0 percent). There is a stark difference between reviewing a private health facility and a university health facility is that the professionals running. While this is in no way disparaging the
  • 47. efforts of both those that work in the aforementioned type of facilities, the expertise differs due to the number of hours or rather years spent mastering their profession. In the study, it was discussed that some of the employees and/or interns have only completed high school education and some have previous experience in non-medical settings. This requires close inspection as receptionists in the dentistry team are tactical. Not only do they provide all the "face" of care as they are the very first people to meet the patient, they provide patients with appropriate flow and recommendations and a frame of reference for patients looking for information. The care patients get with particular gratification of being friendly and expressing their views with respect to doctors and staff supervisors. It clearly reflects the level of competence of the staff of the institution and ultimately offers a high level of patient faith in the work performed at the subjected institute. Nevertheless, the study highlighted a concern raised by patients about "listening carefully" to them by the supervising staff and appearing at the meetings on schedule. The research provides significant discovery that the institution as a whole has to resolve healthcare issues in order to boost its facilities. Interacting with patients is the foundation of effective patient service; thus, these results should be used by the hospital to find a way to create a medical environment conducive to good doctor-patient interaction. It is possible to follow many approaches, including increasing the number of nurses, expanding the medical session duration and creating a more effective referral system. On the other hand, a different perspective on a general area in the Eastern Saudi Arabia region was given focus on research by Al Fraihi & Latif (2016). The study aimed at examining patient impressions and preferences of outpatient care in hospitals using a quality of service difference model and shaping factors such as these. It then stated that the proposed system is empirically validated, and significant quality service disparities of all 5 measurements need to be given priority and
  • 48. resolved through concentrated health board development efforts. The research data showed that by following the suggested standards, the proposed model for service quality dimensions suit well. The preferences of patients surpassed beliefs in all aspects of customer satisfaction, suggesting statistically meaningful differences in service quality (t=26.3, p<0.000). Findings showed that the compassion factor applied to the expectations of most patients (4.7 ± 0.5) and perceptions (3.7 ± 0.8) scores, and less to expectations (4.5 ± 0.6) and perceptions (3.2 ± 0.8) scores. Prompt services reported the highest quality of service difference, while privacy analysis showed the lowest quality of service gap in reports. The surroundings of the hospital plays a key role in increasing the quality of care, an appealing ambulatory environment and finding appropriate ambulatory facilities as one of the most significant reasons for people coming to the clinic. The disparity in the measurable aspect is a wake-up call for hospital management to significantly improve the outpatient services ' surroundings. The three most important service quality deficiencies are linked to ambulatory setting, service timeliness, and outpatient service consistency. The expectations in this study are higher than the attitudes of the quality of service offered, suggesting potential for improvement in all configurations of quality. A difference in one aspect can have a stimulating effect on other aspects of quality of service, leading to a reduction in those dimensions. Such a conclusion can also add to the fact that the correlation between customer satisfaction and quality of service dimensions should be extended. Consideration should also be given to the opinions of patients and service providers in future research. It should be noted that one method can not only gather the preferences but also the aspirations of patients for the quality of service. On a general note, a certain study by Ali (2016) notes the general scene of dental care satisfaction amongst patients. Two
  • 49. notes were the focal point of the study: (1) assess the degree of patient outcomes between clinical and non-clinical dental care given in specialized dental centers and (2) examine the factors correlated with the overall degree of fulfillment. It was then revealed that the participants were generally pleased, but they noted internal differences. The strongest satisfaction was with the quality of the dentists exhibited, followed by the services of the dental associates, and the poorest satisfaction with the physical attributes and accessibility of the center. Data shows further that the incremental regression analysis showed that the determination factor (R2) was 40.4%. Customer satisfaction with dentists ' results accounted for 42.6 percent of customer satisfaction, while their medical satisfaction clarified 31.5 percent of user satisfaction. The findings of this study indicated that, except for availability and the physical outer of the reception / waiting rooms, the satisfaction level with dental care services was significantly higher for much of the areas tested. In relation to the study, in terms of accessibility, there is a need for solutions, especially when scheduling an appearance and the accompanying wait period. Such initiatives will promote quality, patient-focused service delivery to enhance the dental center's reputation, warrant increased use and help improve patients' oral health, thus improving their well-being and standard of living. On the other hand, there has been countless studies involving observance of patient satisfaction across countries across the world. One of those studies was a focus on patient satisfaction in Malaysia, particularly in the city of Johor Bahru. In the study conducted by Rafidah & Suhaila (2017), they revealed that using two random sampled hospital facilities, they concluded that while these two were both government hospitals, Hospital A gave a better experience than Hospital B. In the study, they suggested that for hospitals to be more patient-friendly, proper funding should be seen, and the expertise should be more
  • 50. recognizable in a world where the population is continuously evolving over time. Similarly, Bhat et. al. (2019) conducted the same approach of observing dental health care programs and/or facilities to measure patient satisfaction, but this time it’s done in a rural are in Udaipur, India. Data on the study showed that for the issue of camp overall performance, the highest mean satisfaction rating (4.97 ± 0.59) was observed, while waiting time for care, treatment efficiency, and clarification of referral need showed the lowest mean score. The average monthly community satisfaction scores (4.55 ± 0.52) are substantially higher than the weekly camps (4.38 ±0.55) (P= 0.013). Programs for dental education are a significant part of public dental health programs. These programs help health professionals penetrate the poorer sections of society to provide oral health services. The study results showed that the patient satisfaction ratings for various aspects of weekly and monthly dental outreach programs were adequate to nice. In addition, more satisfaction scores were recorded in monthly dental camps compared to weekly camps. On one note, Akbar et. al. (2018) conducted a general study on patient satisfaction amongst recipients of dental care in North Mamuju in Indonesia. Data showed that the aspects of empathy indicates the 43 (100 percent) respondents pleased while insurance aspects did not satisfy the 4 (14.0 percent) respondents. Empathy dimensions are based on the dimensions that are most fulfilled. Empathy is an important component, particularly with regard to cognitive involves the understanding of emotions, information, and ability to communicate in order to help alleviate distress or patient concerns. Patient satisfaction is based on the most pleased physical properties of the physical attributes to address the dentists ' appearance queries as well as the most dissatisfied respond to questions about the treatment room's cleanliness and neatness. Dimensions in this situation the most prominent dentists
  • 51. physical appearance and linked to satisfaction and expected quality of service. Positive and important contribution on customer satisfaction on the measurements of comfort (physical appearance) is one direct evidence that there is comfort in the reception area facilities and the patient will specifically assess the neatness and sanitation. Satisfaction is based on the measurements of the most satisfied respondents in the health services who responded to the question of the benefits offered by the services and many are not satisfied with the efficacy of the medical services. The efficiency of its service waiting lists until diagnosis as it takes a long time for each patient to do care. The hospital must effectively introduce the correct repair service system in a dynamic global world. This brings up the question of what and how to increase the quality of service and the experience of the customer. Hence it is very important to understand how to improve access performance for all aspects in line to customer preferences and expectations. Doctors ' actions has an important role to play in patient satisfaction, accompanied by medication accessibility, hospital facilities, staff conduct, and medical information. The patient's main reason for returning to a health facility is an appreciation of doctors, clinics, patient, nurse, and community contacts. It is therefore very important to examine factors that can increase patient satisfaction that are useful in improving service quality, particularly in health facilities. OBJECTIVES The objectives of the study are as follows: 1. Analyze whether the patient would leave the primary healthcare office with a referral to a particular dentist or dentistry office that has a consultation arrangement with the primary healthcare practice. Directions should clarify what to
  • 52. do, what to anticipate, and who to keep in touch with if there are issues. 2. Study if an approved collection of details must be sent to the doctor from the primary healthcare clinic, so the dentist knows the purpose for the consultation and has adequate information about the medical condition of the person to be able to provide proper treatment, including prescribing antibiotics, in a safe manner. 3. Analyze if the doctor should deliver a consulting note detailing the patient's view, what was accomplished, and any long term treatment options to the primary healthcare clinician. 4. Investigate whether all appointments should be recorded as structured data in the EHR so that they could be documented by the primary healthcare staff and so that the referral system can be controlled to ensure that clinicians are constantly referred to as having active disease. To achieve these goals, the primary healthcare practice must monitor and endorse the appointment until the dentist receives a consulting notice. This method is referred to as "locking the circuit," and is the benchmark for efficient collaboration of care. In addition, an essential component of caring cooperation is to have a system in place to help people find and book appointments, and to receive full help when needed. Methods should provide the same degree of dental consultation aid as they do for all other inpatient and outpatient appointments. My friend this part need edit and paraphrase sure must be free plagiarism,, I put some question inside the text need to do correction to be correlated to my study and my results .( I need
  • 53. here 1000 words if you can expanded ) thank you . MATERIALS AND METHODS A cross-sectional study was conducted at the dental clinics of Riyadh Specialized Dental Center (as tertiary dental healthcare center) from October to November 2019. The sample consisted of 400 participants who were randomly selected . Of the questionnaires distributed 440 and 400 patients responded; the response rate was 90%. Study sample The required sample size was determined on the basis of a pilot study which was conducted on 30 participants, in which 26% of them showed good satisfaction levels. Using formula for estimating sample size for single population, proportion with 95% confidence level and 0.05 degree of accuracy, a sample size of 271 was obtained. Allowing 10% of non‑responders, the final sample size comes around 298. This part need to modification according my study ,,,thank you The Research Ethics Committee of the ministry of health , approved this study. also the informed consent was get from each participant . After explaining the purpose and details of the study, a written informed consent was obtained from all the participants who were willing to participate. The questionnaire was designed so that patients would evaluate the dental center services. The questionnaire explored nonclinical dental services.We define patient satisfaction as ‘positive evaluations of specific aspects of healthcare facility ’.In our context, it refers to a measurement that obtains ratings from patients about referral procedd for dnebtal clinics in primary healthcare centers to Riyadh Specialized Dental Center (as tertiary dental healthcare center). A self-administered revised questionnaire was used to assess patients’ satisfaction with referral process from dental clinic in the primary care centers to Riyadh Specialized Dental Center. A questionnaire was designed from cues of questions used in previous results, and formulated in a manner that would help us better understand our patients’ concerns and needs. The questionnaire was distributed by dental records department,
  • 54. appointment department , inside dental clinics of Riyadh Specialized Dental Center also in the patients waiting areas to patients as they arrived for their appointment. The anonymity and confidentiality of the participants were assured. This questionnaire was evaluated in a pilot study of thirty participants. The questionnaire was used to measure varying criteria affecting patients’ satisfaction. In addition to the socio-demographic characteristics (age, gender and education). The questionnaire was distributed between participants by the Arabic language. The questionnaire was administered by face‑to‑face interview. the questionnaire consisted of 6 questions related to process of referral from dental clinics in primary healthcare centers to Riyadh Specialized Dental center. The first question ask about if the referral was paper based or computer based , the second question measure if you request the referral by your self or the doctor he decided to make referral ,third question ask about if the dentist explain to you the reason of referral to Riyadh Specialized Dental center, fourth question about ask if dentist in dental clinic of primary healthcare center did any dental treatment before referral , fifth question ask about if the person who responsible about the referral process give you any communication number incase you facing any problem while referral process , the last question ask about if the patient feel process of referral was difficult or easy process .also at the end the questionnaire added comments space for any additional . my friend , this part statistic analysis need your experience to edit the paragraph done just example to guide you but its not belong my study because I do not know which statistics analysis suitable to my study ,,, than you (here just example) Statistical analyses The data analyses were conducted using SPSS (version 20; Chicago, Ill., USA). A t-test was used to test the differences in variables between two independent groups such as gender and education. The analysis of variance (ANOVA) was used to test the significance of the differences across more than two
  • 55. independent groups, as well as with regard to sequelae, as in the case of age and the dental centers. Finally, to create a model of the causal relationships among the six research variables, both a general linear model (GLM) and a stepwise regression analysis were applied. The results were considered as significant when they were associated with P < 0.05. Here another examples Statistical analysis The recorded data were compiled and entered into a spreadsheet computer programme (Microsoft Excel 2013) and then exported to data editor page of SPSS version 20 (IBM SPSS Statistics 20, Chicago, Illinois, USA). The descriptive statistics included computation of percentages. The statistical tests applied for the analysis were Pearson’s Chi‑square test. For all tests, confidence level and level of significance were set at 95% and 5%, respectively. The test was also used to compare mean satisfaction scores from weekly camps with monthly camps. Here another example Data collection and analysis Data collected were describe using SPSS (v22). Client demographic characteristics were analyzed descriptively using frequencies and percentages. I need you to write :
  • 56. 1. The results that including diagrams + tables+ illustrations as need ,,, I need 1000 words in this part . 2. Discussion, I need to be correlated to my study and well elaborated to all point in the survey with logic explanation .,,, I need 1000 words in this part . 3. Conclusion , I need good conclusion related to the results of the study ,,, I need 500 words in this part. 4. Recommendation ,,,I need good recommendations ,,, I need 500 words in this part . Best regards 12