{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:37:16Z","timestamp":1774600636510,"version":"3.50.1"},"reference-count":33,"publisher":"Emerald","issue":"3","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BPMJ"],"published-print":{"date-parts":[[2019,9,2]]},"abstract":"<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title>\n<jats:p>The purpose of this paper is to find determinants of the effectiveness of the business improvement processes that create value for services offered to patients in healthcare industries. The words patients and customers are used interchangeably throughout without any distinction. The features that distinguish medical services of different types and their inter-related factors are examined. The aim is to come up with a model of value vs cost that can help healthcare managers examine and use this exercise as an example of improvement micro-projects to help reduce cost and eliminate the patient\u2019s dissatisfaction gaps.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title>\n<jats:p>The list of factors or attributes influencing the creation of value of a given medical process or a single procedure is described. The factors in the value creation are examined that will help in the categories for the risk analysis to determine the value-added benefits for the patient outcome. The cost analysis is approached from two angles to include: the cost of the service, and the costs of poor quality of service.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Findings<\/jats:title>\n<jats:p>The model describes the value for the patient satisfaction depending on the quality level or grade of the treatment or procedures used and the cost factor. The analysis is done at several levels with special reference to case examples. A search for various analogous models in similar service providing situation used in business process management of other process types is highlighted and discussed.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title>\n<jats:p>The model is an interesting generic illustration for considering value vs cost in all patient care strategies. It enables the position of various medical procedures that can be applied to the same disease in order to keep the variations as minimum as possible within the quality control specification limits. The importance in different aspects of check-points or hold points for inspection is also discussed.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/bpmj-03-2019-0123","type":"journal-article","created":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T06:11:50Z","timestamp":1568700710000},"page":"798-815","source":"Crossref","is-referenced-by-count":10,"title":["A model for determining the value of patient satisfaction in healthcare"],"prefix":"10.1108","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4858-5381","authenticated-orcid":false,"given":"Jan M.","family":"Myszewski","sequence":"first","affiliation":[]},{"given":"Madhav","family":"Sinha","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"issue":"7","key":"key2020061715100385300_ref001","first-page":"1","article-title":"Integrating Kano model and Herzberg two factor theory to unveil the third quality factor of patient satisfaction in a multispecialty outdoor medical 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