scholarly journals Patient satisfaction and associated factors with services provided at outpatient departments

2019 ◽  
Vol 8 (4) ◽  
pp. 406
Author(s):  
Dereje Mesfin ◽  
Tadiwos Gintamo

<p>Asking patients what they think how they feel about the health service they have received is an important step towards improving the quality of care and, ensuring that local health services are meeting clients needs and expectations. Facility- based cross-sectional study was conducted from April 1-7, 2019 in randomly selected primary hospitals found in Guraghe zone. There were 266 randomly selected patients who attended the primary hospitals were participated in the study. Data was collected using a interviewer-administered structured questionnaire and analyzed using SPSS version 21. Multiple logistic regression analysis used to identify predictors of patient satisfaction. The overall of patient satisfaction level with the health service provided at the outpatient departments of the primary hospitals was 66.5% (95% C.I. 60.8%-72.2%). waiting time (AOR 3.65), informing patients about cause of illness (AOR, 2.46) and waiting area cleanliness (AOR 2.33) were among the significant predictors of patients satisfaction. Acknowledging the limitation of the cross-sectional study design findings of this study indicate that waiting time, telling the cause of illness, cleanliness of the waiting area are important predictors of patient satisfaction.</p>

Author(s):  
Oluwagbenga Ogunfowokan ◽  
Muhammad Mora

Background: Long patient-clinic encounter time is typical of many hospital general outpatient departments (OPD) in Nigeria.Objectives: The objectives of our study were to determine the time spent by patients at the service points in the general OPD of the National Hospital Abuja (NHA), to establish the perception of patients regarding the patient–clinic encounter time, and to describe the level of satisfaction of patients with the services received.Methods: A cross-sectional study was conducted at the general OPD of the NHA. Information relating to the time spent at the various service points amongst others were obtained from 320 randomly selected patients using a patient administered validated questionnaire.Results: Two hundred and seventy (84.4%) patients responded adequately and were analysed.The median patient–clinic encounter time was 2.7 hours (range 0.2–7.2 hours). The long patient–clinic encounter time was accounted for mainly by the waiting time to see a doctor which was a median of 1 hour (range 0–5.6 hours) and time spent at the medical records with median of 0.5 hours (range 0–5 hours). There was a significant relationship between a short waiting time as perceived by patients, clinic visit encounters where patients’ expectations were met or surpassed, and overall patient satisfaction with the clinic visit encounter (p < 0.001).Conclusion: Reduction in patient–clinic encounter time and meeting patients’ pre-visit expectations could significantly improve patient satisfaction after clinic visit encounter at the general OPD of NHA.


2009 ◽  
Vol 33 (8) ◽  
pp. 295-298 ◽  
Author(s):  
Peter Lawrence Zaki Labib ◽  
Lisa Brownell

Aims and MethodA questionnaire was distributed to patients in a psychiatric hospital in Birmingham, UK, to identify the factors that affect their satisfaction with the ward round.ResultsThe questionnaire was completed by 42 patients (53% response rate). Waiting time was the only variable to be significantly correlated with total score of patient satisfaction. Regression analysis also identified diagnosis and patients meeting their consultant before the first ward round as significant predictors of patient satisfaction.Clinical ImplicationsReducing waiting time and ensuring that the consultant meets the patient before the first ward round would make a significant improvement to the in-patient experience, without causing much disruption to standard clinical practice.


2018 ◽  
Vol 5 (2) ◽  
pp. 46-55
Author(s):  
Ni Luh Putu Devhy ◽  
A.A. Istri Dalem Hana Yundari ◽  
Ika Setya Purwanti ◽  
Diah Prihartiningsih

Pendahuluan : Rumah sakit merupakan salah satu pusat pelayanan kesehatan yang diharapkan dapat memberikan pelayanan yang bermutu kepada masyarakat. Berdasarkan penelitian tentang kepuasan pasien rawat jalan  pengguna  BPJS masih banyak yang merasakan ketidak puasannya. Penelitian Ini Bertujuan Untuk Mengetahui Bagaimanakah Gambaran Kepuasan Pasien Rawat Jalan Peserta BPJS  Kesehatan Di Rumah Sakit Umum Daerah Sanjiwani Di Kabupaten Gianyar Tahun 2018. Metode : Rancangan penelitian ini adalah  cross-sectional Study  yang dilakukan di Rumah Sakit Umum Daerah (RSUD) Sanjiwani Gianyar selama 3 bulan dari bulan Agustus – November 2018. Sampel dipilih secara consecutive sampling  sebanyak 60 orang. Data dikumpulkan menggunakan angket. Hasil : Berdasarkan hasil penelitian 30 orang ( 50%) yang menyatakan kepuasannya, dalam aspek tangible didapatkan  sebanyak 20 orang (33,3%), untuk aspek realibility didapatkan sebanyak 23 orang (38,3%), aspek responsivnes sebanyak 39 orang (65%), aspek jaminan assurance sebanyak 27 0rang (45%), sedangkan untuk aspek emphaty sebanyak 32 orang (53,3%). Diskusi : Tingkat kepuasan pasien pengguna BPJS kesehatan sudah sebagian besar puas, walaupun  demikian ada beberapa aspek yang perlu ditingkatkan seperti pada aspek realibility dan assurance. Untuk itu rumah sakit perlu menyederhanakan sistem administrasi untuk meningkatkan layanan. Kata kunci : kepuasan,  rawat jalan, BPJS kesehatan   ABSTRACT Introduction : The hospital is one of the health service centers that are expected to provide quality services to the community. Based on research on outpatient satisfaction BPJS users still feel a lot of dissatisfaction. This Research Aims To Know How The Overview Of Outpatient Satisfaction Of BPJS Health Participants In Sanjiwani General Hospital In Gianyar Regency In 2018. Methode : The design of this study was a cross-sectional study conducted at Sanjiwani Regional General Hospital (RSUD) Gianyar for 3 months from August to November 2018. Samples were selected by consecutive sampling of 60 people.Results : Based on the research results of 30 people (50%) who expressed satisfaction, in the tangible aspect obtained as many as 20 people (33.3%), for the reliability aspect obtained as many as 23 people (38.3%), the responsiveness aspect was 39 people (65%) , assurance assurance aspects are 27 people (45%), while for empathy aspects there are 32 people (53.3%). Discussion : The level of patient satisfaction of health BPJS users has been mostly satisfied, although there are several aspects that need to be improved, such as the realibility and assurance aspects. For this reason, hospitals need to simplify administration to improve services.Keywords : satisfaction, outpatient, National health insurance


2021 ◽  
Vol 8 ◽  
pp. 237437352110608
Author(s):  
RA Abdus-salam ◽  
AA Adeniyi ◽  
FA Bello

Time spent in the antenatal clinic (ANC) is a major disincentive for pregnant women and constitutes a barrier to the utilization of ANC. Long waiting time and poor patient satisfaction may contribute to poor utilization. This study assessed waiting time, patients’ satisfaction, and preference for staggered ANC appointments. A cross-sectional study was conducted; information obtained includes sociodemographic and obstetric characteristics, and time spent at ANC service points. Data were analyzed using International Business Machines (IBM) Statistical Products and Service Solutions (SPSS) software version 23. Descriptive statistics and chi-square test were conducted. Level of significance: P < .05. One hundred and twenty-two participants were interviewed. Mean age was 30.52 (±4.65) years, they were mostly multi-gravid, married, and with tertiary education. Mean time spent in ANC and waiting time were 191 min and 143 min, respectively. Waiting time was longest at doctor's consultation (59 min), laboratory services (38 min), and the cash pay-point (18 min). About 68.9% were satisfied with services and highest at doctors’ consultation. Satisfaction was associated with waiting time of <45 min. Dissatisfaction was high at the cash pay-point (28.7%), followed by the laboratory (16.4%). About 56.5% preferred staggered appointments. Time spent in ANC should be reduced and staggered appointments may be a useful strategy to reduce waiting time and patient load.


2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem

Abstract Background Asking patients/clients what they perceive about the care and treatment they have received is an important step towards improving the quality of care, and ensure local health services are meeting patients’ needs. In the past globally, maternal satisfaction during the birthing process has been well documented, whereas little is known about the partners’ birth experiences. This study was conducted to evaluate and compare the birth satisfaction of mothers and partners who took intrapartum care in the study area. Methods Comparative cross-sectional study design was conducted from Dec 2018 to January 2019 in Gondar university referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the parents’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was used to identify predicting factors for mothers’ and partners satisfaction. Results The overall satisfactions of mothers in this study were 47.6% whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.020). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73)], perception [OR =0.02, 95%CI (0.003,0.09)], waiting time [OR = 0.111, 95%CI (0.003, 0.091)],visiting mode [OR = 0.012, 95%CI (0.001,0.083)], pregnancy status [OR = 0.04, 95%CI (0.01, 0.33)], fatal outcome [OR=0.001, 95%CI (0.000,0.008)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.00, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife/client [OR = 0.08, 95%CI (0.019, 0.354)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.611, 95%CI (3.001, 37.52)], mode of delivery of his wife/client [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion This finding would alert the health care system to design a client-friendly approach and provide insights to hospital administrators in formulating a policy that would enhance the support of first-time father give to their partner/wife during labor and delivery.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Demiss Mulatu Geberu ◽  
Gashaw Andargie Biks ◽  
Tsegaye Gebremedhin ◽  
Tesfaye Hambisa Mekonnen

Abstract Background Knowing the factors for patient satisfaction is an important and direct indicator of quality of health care which is essential for providers to fill their gaps. Although few studies have been conducted on patient satisfaction in Ethiopia; but there is limited evidence for comparing patient satisfaction and associated factors in the public and private wing of the health services. Thus, this study aimed to investigate factors of patient satisfaction in adult outpatient departments in the private wing and regular services at public hospitals of Addis Ababa, Ethiopia. Methods A comparative institution based cross-sectional study was conducted from March to April 2018. A total of 955 systematically selected patients were interviewed by using an interviewer-administered structured questionnaire. Binary logistic regression analysis was performed. In the multivariable logistic regression analysis p value < 0.05 and adjusted odd ratio (AOR) with 95% confidence interval (CI) were used to identify the associated factors. Results The overall patient satisfaction was 89.3% (95% CI: 87.2–91.2). At the regular and private wings of outpatient departments it was 88.3% (95% CI: 85.4–91.2) and 90.4% (95% CI: 87.6–93), respectively. At regular service OPD, patient satisfaction was affected by female sex (AOR: 7.78; 95% CI: 2.89–20.93), long waiting time (AOR: 0.22; 95% CI: 0.07–0.73), information on the prevention of recurrent illnesses (AOR: 14.16; 95% CI: 4.58–43.83), and information on drug use and side effects (AOR: 0.22; 95% CI: 0.08–0.63). In private wing, it was affected by being in the age group of 38 to 47 years (AOR: 22.1; 95% CI: 2.39–203.6), attended elementary school (AOR: 4.69; 95% CI: 1.04–21.26), availability of drugs (AOR: 0.14; 95% CI: 0.04–0.58), and the accessibility of latrines (AOR: 6.56; 95% CI: 1.16–37.11). Conclusions Patient satisfaction at the private wing and regular adult OPDs’ of public hospitals had no statistically significant difference. Female sex and information on the prevention of recurrent illnesses were factors positively affected patient satisfaction at regular services, whereas at private wing OPDs’ age, attended elementary school, and accessibility of latrines were factors that positively affected patient satisfaction.


2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sungwoo Choi ◽  
Sangun Nah ◽  
Hae-Dong Jang ◽  
Ji Eun Moon ◽  
Sangsoo Han

AbstractLow back pain (LBP) is a very common health problem worldwide, and has a major impact on quality of life. This is a cross-sectional study using data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) to investigate the health and nutritional status of Korean people, conducted in 2013, 2014, and 2015. The total of 8,473 patients included in the analysis. A 357 (19.34%) subjects in the chronic LBP group and 1,697 (25.61%) subjects in the no chronic LBP group reported no stress (P < 0.001). The numbers of subjects reporting mild, moderate, and severe stress in the two groups were 934 (50.6%) vs. 3,785 (57.11%), 432 (23.4%) vs. 910 (13.73%), and 123 (6.66%) and 235 (3.55%), respectively (all P < 0.001). Multiple logistic regression analysis with full adjustment for other variables indicated higher OR for severe stress (OR 2.82, P < 0.001) than moderate (OR 2.54, P < 0.001) and mild (OR 1.55, P < 0.001) stress. We confirmed that there was a significant association between chronic LBP and degree of stress. Therefore, the degree of stress should be assessed in clinical treatment of chronic LBP patients.


PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e85263 ◽  
Author(s):  
Dana S. Forcey ◽  
Jane S. Hocking ◽  
Sepehr N. Tabrizi ◽  
Catriona S. Bradshaw ◽  
Marcus Y. Chen ◽  
...  

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