Patients satisfaction with Patients satisfaction with spa facilitiesspa facilities

P. GéherP. GéherHospitaller Brothers of St. John of GodHospitaller Brothers of St. John of God

Semmelweis UniversitySemmelweis UniversityBudapest, HungaryBudapest, Hungary

Continuous quality Continuous quality improvementimprovement PersonelPersonel Treatment Treatment

methodologymethodology Facilities..Facilities..

QUALITY STANDARDS FOR QUALITY STANDARDS FOR EUROPEAN SPASEUROPEAN SPAS

J. Zalesakova; Parád, 2004

The need of quality standards in The need of quality standards in Balneology:Balneology:

the portuguese experience" the portuguese experience"

ISO 9001:2000ISO 9001:2000“Quality Management “Quality Management SystemsSystems””

It may be It may be implemented in implemented in any organization any organization no matter it’s no matter it’s dimension or dimension or activityactivity..

P. Cantista, Parád, 2004

Balneotherapy - 9813Balneotherapy - 9813

Quality – 363 609Quality – 363 609

Control – 1 818 115Control – 1 818 115

Balneotherapy + quality + control = Balneotherapy + quality + control =

AAhn JH, Size distribution, sources, and seasonality of suspended particles in southern California marine bathing waters.Environ Sci Technol. 2007:695-702.

Zotova VI, [Microbiological quality control of fresh and mineral water]Vopr Kurortol Fizioter Lech Fiz Kult. 2004:49-51.

Carpentier PH, [Incidence of erysipelas of the lower limbs in a spa resort. Efficacy of a strategy of sanitation education (La Lechere: 1992-1997)]Mal Vasc. 2001;26:97-9.

Wendt C, [Field study to obtain Legionella-free water from showers and sinks of a transplantation unit by a system of water filters]Zentralbl Hyg Umweltmed. 1995;196:515-31..

Adilov VB, [The current requirements for assessing the qualitative composition of mineral waters and peloids]Vopr Kurortol Fizioter Lech Fiz Kult. 1994;:42-3.

Artz J. [Preservation, protection and control of medicinal springs with special reference to federally recognized medicinal springs]Offentl Gesundheitswes. 1989;51:428-34.

Gafitanu E, [The preparation and control of extractive solutions of yarrow (Millefolii herba) for use of the preparations in medicated baths. I]Rev Med Chir Soc Med Nat Iasi. 1988;92:121-2.

Jedlik - grantJedlik - grant

Á. Jedlik (1800-1895), Á. Jedlik (1800-1895), physicist.physicist.

National Office for National Office for Research and Research and Technology.Technology.

2 million EUR/2006.2 million EUR/2006.

Thermal tourism in HungaryThermal tourism in HungaryMedical Spa treatment – Wellness – Medical – Medical Spa treatment – Wellness – Medical – WellnessWellness1.1 million visitors – 3.4 million night spent in spa 1.1 million visitors – 3.4 million night spent in spa hotels.hotels.28 spa hotel, 49 wellness hotel.28 spa hotel, 49 wellness hotel.Piorities (suggestions):Piorities (suggestions): Improvement of the scientific basis of spa therapy.Improvement of the scientific basis of spa therapy. Improvement of wellness facilities.Improvement of wellness facilities. Increase of the high quality hotel capacities.Increase of the high quality hotel capacities. Marketing.Marketing. Education.Education.

35

22

11 28

17

47

37

=197Thermal spa facilities in Hungary

QuestionnaireQuestionnaire

Demographic data (2)Demographic data (2)

Balneological history (17)Balneological history (17)

Spa related questions (3)Spa related questions (3)

Population:Population: Patients (Spa treatment)Patients (Spa treatment) Visitors (Wellness)Visitors (Wellness)

Demographic dataDemographic data

17 women and 3 men.17 women and 3 men.

Mean age: 60,3+/-11,61 (45-82).Mean age: 60,3+/-11,61 (45-82).

Indication for spa treatment:Indication for spa treatment:

Osteoarthritis of the spine, hip or knee.Osteoarthritis of the spine, hip or knee.

Hospitaller Brothers of St. John of Hospitaller Brothers of St. John of GodGod

Hot spring water with:• calcium, • magnesium, • hydrogen-carbonate, • sulphate, • chloride, • sodium and fluoride ions.

Spa treatmentSpa treatment

Consecutive in-patient.Consecutive in-patient.Thermal bath (32 CThermal bath (32 C00) of ) of the hospital.the hospital.3 times weekly.3 times weekly.20 minutes each 20 minutes each session.session.Other treatment Other treatment modalities allowed.modalities allowed.Informed consent, Informed consent, ethical approval by the ethical approval by the local EC.local EC.

Balneological historyBalneological history

35 % first time in 35 % first time in thermal bath.thermal bath.

Those who were Those who were treated: 2.8 spa were treated: 2.8 spa were visited.visited.

Informed patientInformed patient

All patient received All patient received information about the information about the treatment.treatment.All except one All except one received the received the information from the information from the treating physician.treating physician.25 % would get a 25 % would get a written; 75 % would written; 75 % would get a verbal get a verbal information.information.

Patients interestsPatients interests

0

2

4

6

8

10

12

Watercontent

Effect ondisease

Treatment Sideeffects

Other

The subjective effects of the The subjective effects of the treatmenttreatment

All patients considered the treatment as All patients considered the treatment as „useful”.„useful”.

A minimum of A minimum of 5.9+/- 2.515.9+/- 2.51 (5 - 10) (5 - 10) treatments produced significant subjective treatments produced significant subjective effect.effect.

No side-effect was noticed by the patients.No side-effect was noticed by the patients.

Spa therapy and health careSpa therapy and health care

20 % of the primary care physician were 20 % of the primary care physician were notnot aware about the spa treatment of aware about the spa treatment of her/his patient.her/his patient.

6/10 patient got medication for disease 6/10 patient got medication for disease treated by spa facilities.treated by spa facilities.

3 out of 17 patients seek for alternative 3 out of 17 patients seek for alternative treatments as well.treatments as well.

Dissatisfaction with spa facilitiesDissatisfaction with spa facilities

0

0,5

1

1,5

2

2,5

3

3,5

4

Auxilliary Treatment General Staff

Satisfaction with spa facilitiesSatisfaction with spa facilities

0

1

2

3

4

5

6

7

8

9

Auxilliary Treatment General Staff

Thank you for your attentionThank you for your attention