Statistical Assessment of the Messina et al. Study

Statistical Assessment of the Messina et al. Study



      In research, the inquiry in regards to results being deciphered with supreme sureness by setting up a cause and effect relationship keeps on measuring the quality of research. For likelihood of a relationship, statistical methodologies furnish us with an assortment of techniques which can convey some level of certainty . Straightforward contrasts on the basis of averages may not appropriately show degrees of certainty. Statistical estimations mull over viewpoints, for example, sample sizes and the range of variation amongst components and variables being contemplated. Statistical importance recognises the presence of a relationship as well as serves to decide how solid the relationship is by utilising an assortment of devices including tests for statistical importance and measures of .


Statistics must exhibit the helpfulness of thoughts and ideas that are introduced by the researchers. This suggests it ought to try to find out connections which the specialist at first by studying and examining it. The Messina et al. article (2009) was dependant on the development of a relationship between the satisfaction of the patients and the affirmations from the patients acrss the teaching and non-teaching hospitals. The main tool that was utilized for the accumulation of the information in order to quantify the fulfillment of patients was a poll which was produced taking into account distinguishing proof of client and patient are groups and in addition a thought of the literature in regards to present fulfilment of clients.


The second method that was made use for the same ambition was an overview of the foundations, confirmation forms, housing, meals, tests, individual issues, release and other related aspects. The satisfaction of the patients in the above-mentioned article was measured with the help of the Likert scale that had a maximum of 5 points where 1 stood for very poor, 2 stood for poor, 3 for average, 4 for good and finally, 5 for very good. The analysts who were involved in this were responsible for scaling up the results to 100.


In this research study, certain measurement tools that have a lot of clarity were utilized and these included the means, medians, standard deviation, etc., to ensure that there is a legitimate way of analyzing certain aspects in these hospitals. Such aspects also include the mean scores assocated with the satisfaction of the patients and the affirmation of the in-house patients. When it was determined that the main motivation source behind the study was the relationship between the number of patients and their associated satisfaction level, the study reveals that there is a large negative relationship between these two aspects(Messina, Scotti, Caney & Zipp, 2009).


It has been observed that the statistical tests performed have a great impact on the practicality, helpfulness and the workable solutions of the thoughts discussed in this particular research paper. There were certain insights which revealed that that there were contrasts between the satisfaction level of the patients who were admitted in the teaching and non-teaching hospitals. In terms of the teaching hospitals, it was understood that there was a positive relationship between the number of patients and their associated satisfaction level whereas the same relationship in the non-teaching hospitals were not only negative but also statistically insignificant. Now in the scenario where the elements of the teaching and non-teaching hospitals were combined, it can be understood that the satisfaction would have gone down when the numbers increased. Thus, it can be concluded here that it has been observed that there is a positive association between the number of patients and their associated satisfaction level in the teaching hospitals.


​Patient fulfillment mean points in teaching hospitals were observed to be less and subsequently demonstrating a positive correlation amongst’s fulfillment and admission volume. The distinctions may likewise have emerged as an aftereffect of size and multifaceted nature of the hospitals having teaching facilities versus the non-teaching hospitals where the assistants were observed to be more caring and responsible towards the patients and thus increasing the satisfaction level amongst the patients. In case of the teaching hospitals, it has been observed that the services offered are quite complex and may need more supervision in order to ensure that it provides quality care to its patients. The credit for the same may be extented towards the other teaching hospitals for which the sustenance of new health care suppliers are important whereas for the non-teaching hospitals, it has been observed that the provision of quality care is monitored more closely.


Permitting training to proceed inside health settings is helpful to health education studies inferable from the direct handle of practical angles. Notwithstanding, such health facilities may not adhere to a meaningful boundary between how to keep up gauges of care and in the meantime show up as a teaching basis for learners. Hence, certain administrations might be harmed inside the doctor’s facility attributable to the assortment of functions and the actual reason that the goal is not legitimately adjusted towards giving patients medicinal services. This far reaching obligation influences different elements in the hospitals with respect to the satisfaction of the patients. Thus, it can be clarified from here that there are differences in terms of the facts between the teaching and non-teaching hospitals, as identified in the same research paper.


It has also been noted that the hospitals having the teaching facilities focused more towards the training of the students and thus the service provided by the students may not be the best. When the students are offering health care services, there might be gaps in the provision of quality health care and thus the patients might be in danger as well, due to the availbility of a weak health care arrangement. It could lead to the patients developing a perspective that the hospital is not monitoring the quality care being provided and may see it as poor provision of health care against what they are paying for. Thus, it has a negative impact on the perspectives and observations made by the paitents (Messina, Scotti, Caney & Zipp, 2009).


It has also been observed that the goals that are beig pursued by the non-teaching hospitals are focused more towards the needs of the patients and thus the model that they operate in allows the hospitals to provide customized care services to the patients and make the patients’ well being their center of focus. This defines why the fulfillment scores are so different and higher in non-teaching hospitals when contrasted with teaching hospitals. The duration of stay may likewise be higher in teaching hospitals when contrasted with non-teaching hospitals. Moreover, the admission rates are higher in teaching hospitals. These two features influence patient fulfillment as in a perfect world patients might not want to be confined for many days or even be conceded in surroundings that are crowded. These two variables contrarily affect patients satisfaction.


The statistical tests conducted helps in understanding the efficiency of the study and helps in clear differentation between the two sects of hospitals. The estimations got in view of the two variables were planned to decide the circumstances and end results relationship between them keeping in mind the end goal to figure out if there was a relationship between satisfaction in patients regarding admission stages in two distinct hospitals (teaching and non teaching) in view of the distinctions which both hospitals put forward.


​The importance  of such discoveries is particularly advantageous to health care associations that are in rivalry in the commercial center. Certain components involving  nature of care provided is a major ground for effective operation. Therefore, familiarity with these achievement elements by health care suppliers is in this way fundamental for sustained survival and operation in the business sector.






Messina, D. J., Scotti, D. J., Caney, R., & Zipp, G. P. (2009). The Relationship Between Patient   Satisfaction and Inpatient Admissions Across Teaching and Nonteaching Hospitals.             Journal of Healthcare Management. 54(3). 177-190.



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