Patient satisfaction with primary healthcare services: are there any links with patients’ symptoms of anxiety and depression?

Patient satisfaction is an important indicator to assess and improve quality of healthcare services. In Armed Forces Medical Services, studies on patient satisfaction are scant and mainly hospital based. Hence, a study was conducted with an objective to assess patient satisfaction in seven Primary Healthcare Delivery Centers (PHDCs) in one of the operational commands in the Indian Air Force (IAF). Patient Satisfaction Questionnaire Short Form 18 (PSQ-18), a simple tool, was used for the survey. The study was unique in the sense that few centers in the survey were remotely located from tertiary care hospitals and the Medical Officers in these PHDCs were relatively inexperienced. The analysis of the survey clearly brought out distinct differences in certain dimensions of patient satisfaction across the PHDCs. In addition, utility of the Hindi translated version of PSQ-18 was ascertained. Based on the results of the study, few important conclusions were drawn; (a) patient satisfaction could be assessed using simple questionnaire such as PSQ-18, (b) the Hindi translated version of PSQ-18 can also be used as a useful tool depending on the participants’ preference, and (c) the observed dimensions affecting patient satisfaction could be addressed through specific interventions. Similar survey is recommended to be conducted across primary, secondary, and tertiary healthcare establishments in the IAF.

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The Quality of Medical Care in the Conditions of the COVID-19 Pandemic, with Particular Emphasis on the Access to Primary Healthcare and the Effectiveness of Treatment in Poland

Journal of Clinical Medicine ◽

10.3390/jcm10163502 ◽

2021 ◽

Vol 10 (16) ◽

pp. 3502

Author(s):

Magdalena Kludacz-Alessandri ◽

Renata Walczak ◽

Liliana Hawrysz ◽

Piotr Korneta

Keyword(s):

Patient Satisfaction ◽

Medical Care ◽

Primary Healthcare ◽

Treatment Effectiveness ◽

Healthcare Services ◽

Remote Healthcare ◽

Considerable Impact ◽

Restrictive Measures ◽

The Impact

Health has a significant influence on the quality of life of a society. The COVID-19 pandemic has forced many countries to implement restrictive measures to prevent its wider spread, including, inter alia, the introduction of remote healthcare in the form of teleconsultations. Therefore, there is the question of how such a change affects the quality of treatment and the primary healthcare of patients during the COVID-19 pandemic. The article aims to examine patient satisfaction with the access to primary healthcare and the effectiveness of treatment in a condition of remote medical care caused by the COVID-19 pandemic. We also analyse the impact of access to primary healthcare on the treatment effectiveness. Patient satisfaction was measured using a questionnaire assessing the quality of primary medical care. Of the 36 items studied, seven were related to the accessibility dimension and four were related to the treatment effectiveness dimension. Our results suggest that the treatment effectiveness and the access to primary healthcare services during the COVID-19 pandemic through telemedicine are quite highly rated by patients. Hence, further implementation of telemedicine in primary healthcare should improve the quality of lives of the wide society. We have also identified the access to primary healthcare has a considerable impact on the treatment effectiveness. Therefore, we recommend increasing the contact between patients and GPs via telemedicine under lockdown conditions.

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Barriers to Accessing Healthcare Services in Developing Nations

Advances in Human Services and Public Health - Transforming Public Health in Developing Nations ◽

10.4018/978-1-4666-8702-8.ch006 ◽

2015 ◽

pp. 121-132

Author(s):

Hussah Alghodaier ◽

Lubna Al-Nasser ◽

Ali Al-Shehri ◽

Mohamed Khalifa ◽

Mowafa Househ ◽

...

Keyword(s):

Patient Satisfaction ◽

Prescription Drugs ◽

Primary Healthcare ◽

Healthcare Services ◽

Critical Dimensions ◽

Patient Dissatisfaction ◽

Gulf Countries ◽

Utilization Of Healthcare ◽

Satisfaction Rates

Patient satisfaction with the healthcare services is critical to addressing the barriers to accessing healthcare. Many combined factors are responsible for the poor accessibilities to primary healthcare centers. Less availability of prescription drugs and less thoroughness of care are most frequently associated with high rates of patient dissatisfaction. The low satisfaction rates of patients need to be investigated further to promote prevention programs and increase utilization of healthcare services by patients. The purpose of this book chapter is to analyse the critical dimensions that influence patient satisfaction with primary healthcare services in six gulf countries.

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Factors Associated With Patient Satisfaction – Evidence From A Primary Care Not For Profit Organization In Karachi, Pakistan

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018090 ◽

2018 ◽

Vol 09 (01) ◽

pp. 38-42

Author(s):

Sadia Siddiqi ◽

Faridah Amin ◽

Farheen Saboor

Keyword(s):

Patient Satisfaction ◽

Primary Healthcare ◽

Healthcare Services ◽

Easy Access ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

For Profit ◽

Not For Profit

Objective: This study was aimed to determine patient satisfaction and factors associated with patient satisfaction in a not for profit private primary healthcare service in Karachi, Pakistan. Methodology: A cross sectional survey was conducted across eight primary healthcare clinics of Sina Health, Education and Welfare trust. A total of 557 patients visiting these primary healthcare services participated in the study. The questionnaire gauged information in 2 parts: assessing demographics and patient satisfaction with services Chi square use as the test of significance. The data was analyzed on SPSS version 20. Results: Results revealed that majority (89%) of the patients were women and more than half were between 30-60 years of age. In the multivariable model, patients were more likely to be satisfied with less waiting time at pharmacy (p 0.007), listening (p 0.01), assessing (p 0.001) and counseling (p 0.007 ) skills of the doctor. Conclusion: The study highlights a successful possibility of provision of quality primary healthcare services in developing countries with easy access for the people most deserving it especially women, at an affordable cost. One of the unique reasons for satisfaction is the training of Sina doctors and staff on regular basis

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Barriers to Accessing Healthcare Services in Developing Nations

Healthcare Ethics and Training ◽

10.4018/978-1-5225-2237-9.ch057 ◽

2017 ◽

pp. 1216-1227

Author(s):

Hussah Alghodaier ◽

Lubna Al-Nasser ◽

Ali Al-Shehri ◽

Mohamed Khalifa ◽

Mowafa Househ ◽

...

Keyword(s):

Patient Satisfaction ◽

Prescription Drugs ◽

Primary Healthcare ◽

Healthcare Services ◽

Critical Dimensions ◽

Patient Dissatisfaction ◽

Gulf Countries ◽

Utilization Of Healthcare ◽

Satisfaction Rates

Patient satisfaction with the healthcare services is critical to addressing the barriers to accessing healthcare. Many combined factors are responsible for the poor accessibilities to primary healthcare centers. Less availability of prescription drugs and less thoroughness of care are most frequently associated with high rates of patient dissatisfaction. The low satisfaction rates of patients need to be investigated further to promote prevention programs and increase utilization of healthcare services by patients. The purpose of this book chapter is to analyse the critical dimensions that influence patient satisfaction with primary healthcare services in six gulf countries.

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Patient satisfaction with primary healthcare services in Lebanon

The International Journal of Health Planning and Management ◽

10.1002/hpm.2659 ◽

2018 ◽

Vol 34 (1) ◽

Cited By ~ 4

Author(s):

Randa Hemadeh ◽

Rawan Hammoud ◽

Ola Kdouh ◽

Tarek Jaber ◽

Lea Ammar

Keyword(s):

Patient Satisfaction ◽

Primary Healthcare ◽

Healthcare Services

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Funding models and expenditures with primary healthcare in Salvador, Bahia, Brazil metropolitan area

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.551 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

T Vivas ◽

M Duarte ◽

A Pitta ◽

B Christovam

Keyword(s):

Public Health ◽

Metropolitan Area ◽

Primary Healthcare ◽

Healthcare Services ◽

Ministry Of Health ◽

Healthcare Budget ◽

Health Budget ◽

The Public ◽

Before And After ◽

The Government

Abstract Background The government investments in quality primary healthcare are the basis to strengthening the health systems and monitoring the public expenditure in this area is a way to assess the effectiveness and efficiency of the public health policies. The Brazil Ministry of Health changed, in 2017, the method of onlending federal resources to states and cities seeking to make the public funds management more flexible. This change, however, suppressed mandatory investments in primary healthcare. This research aims to determine the difference of expenditures on primary healthcare in Salvador, Bahia, Brazil metropolitan area before and after this funding reform, seeking to verify how it can impact the quality of primary healthcare services and programs. Methods This is an ecological time-series study that used data obtained in the Brazil Ministry of Health budget reports. The median and interquartile range of expenditures on primary healthcare (set as the percentage of total public health budget applied in primary care services and programs) of the 13 cities in the Salvador metropolitan area were compared two years before and after the reform. Results The median of expenditures on primary healthcare in Salvador metropolitan area was 25.5% (13,9% - 32,2%) of total public health budget before and 24.8% (20.8% - 30.0%) of total public health budget after the reform (-0.7% difference). Seven cities decreased the expenditures on primary healthcare after the reform, ranging from 1.2% to 10.8% reduction in the primary healthcare budget in five years. Conclusions Expenditures on primary healthcare in Salvador metropolitan area decreased after the 2017 funding reform. Seven of 13 cities reduced the government investments on primary healthcare services and programs in this scenario. Although the overall difference was -0.7%, the budget cuts ranged from 1.2% to 10.8% in the analyzed period and sample. More studies should assess these events in wide areas and with long time ranges. Key messages Public health funding models can impact the primary healthcare settings regardless of the health policy. Reforms in the funding models should consider the possible benefits before implementation. Funding models and methods that require mandatory investments in primary healthcare may be considered over more flexible ones.

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Effective supervision model for improved primary healthcare services: case of Egypt

The International Journal of Health Planning and Management ◽

10.1002/hpm.3098 ◽

2020 ◽

Author(s):

Madiha Said Abdel‐Razik ◽

Fayrouz El‐Aguizy ◽

Ghada Wahby ◽

Ahmed Samir Elsayad ◽

Eman Moawad Elhabashi

Keyword(s):

Primary Healthcare ◽

Healthcare Services ◽

Supervision Model ◽

Effective Supervision

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What was the impact of a participatory research project in Australian Indigenous primary healthcare services? Applying a comprehensive framework for assessing translational health research to Lessons for the Best

BMJ Open ◽

10.1136/bmjopen-2020-040749 ◽

2021 ◽

Vol 11 (2) ◽

pp. e040749

Author(s):

Shanthi Ann Ramanathan ◽

Sarah Larkins ◽

Karen Carlisle ◽

Nalita Turner ◽

Ross Stewart Bailie ◽

...

Keyword(s):

Learning Community ◽

Primary Healthcare ◽

Health Research ◽

Return On Investment ◽

Health Centre ◽

Healthcare Services ◽

Secondary Outcome ◽

Cost Consequence ◽

Comprehensive Framework ◽

The Impact

ObjectivesTo (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from LFTB and (3) assess the feasibility and outcomes from a retrospective application of FAIT.SettingThree Indigenous primary healthcare (PHC) centres in the Northern Territory, Australia; project coordinating centre distributed between Townsville, Darwin and Cairns and the broader LFTB learning community across Australia.ParticipantsLFTB research team and one representative from each PHC centre.Primary and secondary outcome measuresImpact reported as (1) quantitative metrics within domains of benefit using a modified Payback Framework, (2) a cost-consequence analysis given a return on investment was not appropriate and (3) a narrative incorporating qualitative evidence of impact. Data were gathered through in-depth stakeholder interviews and a review of project documentation, outputs and relevant websites.ResultsLFTB contributed to knowledge advancement in Indigenous PHC service delivery; enhanced existing capacity of health centre staff, researchers and health service users; enhanced supportive networks for quality improvement; and used a strengths-based approach highly valued by health centres. LFTB also leveraged between $A1.4 and $A1.6 million for the subsequent Leveraging Effective Ambulatory Practice (LEAP) Project to apply LFTB learnings to resource development and creation of a learning community to empower striving PHC centres.ConclusionRetrospective application of FAIT to LFTB, although not ideal, was feasible. Prospective application would have allowed Indigenous community perspectives to be included. Greater appreciation of the full benefit of LFTB including a measure of return on investment will be possible when LEAP is complete. Future assessments of impact need to account for the limitations of fully capturing impact when intermediate/final impacts have not yet been realised and captured.

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