scholarly journals Assessment of patient satisfaction in a tertiary and secondary hospitals of east Godavari district: a comparative study

Author(s):  
Pidakala Mary Moses ◽  
G. Krishna Babu ◽  
K. V. S. Prasad ◽  
Jhansi Nadipena

Background: Satisfaction is an important element in the evaluation of services rendered by a hospital. Patient satisfaction is as important as other clinical health measures and is a primary means of measuring the effectiveness of health care delivery. It refers to the patient's state of being adequately rewarded. Patient satisfaction is a measure of success of the services being provided by the hospitals. Objective of the study was to assess the satisfaction levels of the people utilizing various services provided in secondary and tertiary health care delivery settings.Methods: Observational hospital based comparative study conducted among Inpatients aged 18 yrs and above from different wards who are discharged during the study period and are willing to participate in the study at Secondary and tertiary health care centres of East Godavari District during May 2015 to April 2016. Sample size was calculated using n-master version 2.0. Sample size calculation was based on assumption that the prevalence of patient satisfaction as 50% with mean difference of satisfaction of 15%, confidence interval of 95%, α - error of 5%, power 90%, with effect size 0.3, sample size estimated was 234 in each setting resulting in a cumulative sample size of 702.Results: It was found that 64.52% of inpatients of District Hospital, Rajahmundry, have expressed neutrality or dissatisfaction regarding overall admission services as compared to 49.14% in Government General Hospital, Kakinada and 14.52% in Area Hospital, Rampachodavaram.Conclusions: The overall patient satisfaction was observed to be around 80% for all the three hospitals.

Author(s):  
Sheloj Joshi ◽  
Mahesh Kumar Joshi

Background:  Patient satisfaction is as important as other clinical health measures and is a primary means of measuring the effectiveness of health care delivery. Patient-centered outcomes have taken central stage as the primary means of measuring the effectiveness of health care delivery. To evaluate the level of patient satisfaction with OPD services in terms of describing the experience of patients about medicine OPD services and accessibility to services among the patients who attended the medicine OPD of Jaiprakash hospital.Methods: As a cross -sectional descriptive study, we have taken patients who were registered in Medicine outpatient department of Jaiprakash Hospital of Bhopal over a period of two months. The research instrument for a data collection was a structured questionnaire for assessing the patient satisfaction. The experience and accessibility were categorized into good and poor while satisfaction into high and low using best criteria. Statistical analysis: Convenience sampling done for selection of patients registered in Medicine OPD. The data was analysed on statistical software SPSS VS.20.Results: The patients had the highest level of experience from medicine department OPD about helpfulness of nurses, about light and ventilation inside the OPD and about the good communication from the pharmacist. The poor experience was from the number of doctors in OPD and about the diagnostic place. As far as accessibility is concerned, 66% of patients had good accessibility towards medicine OPD while remaining 34% had poor accessibility towards Medicine OPD.Conclusions: Maximum number of respondents had very good experience while just small number of respondents had poor experience and majority of the patients had good accessibility regarding waiting time, service process and working hours.


2021 ◽  
Vol 32 (3) ◽  
pp. 1236-1264
Author(s):  
Kassim Said Abasse ◽  
Muhammad Abbas ◽  
Kassim Said Mohamed ◽  
Mirza Muhammad Faran Ashraf Baig ◽  
Murad Habib ◽  
...  

2017 ◽  
Vol 4 (10) ◽  
pp. 3280
Author(s):  
Priti Prasad Shah

Background: Patient satisfaction is a mean of measuring the effectiveness of health care delivery.    It can suggest proportion to the problem areas and a reference point to take management decisions. It can serve as a mean of holding physician accountable. Patient satisfaction data can be used to document health care quality for accrediting organizations and consumer groups. They can also measure specific initiative or changes in service delivery.  They can increase loyalty of patients by demonstrating you care their perceptions and looking for ways to improve. The purpose of our study is to carry out evaluation of hospital services by getting a patient satisfaction survey. Main aim is to identify potential problems in the services.Methods: A hospital based inpatient satisfaction survey study done on 200 patients. A Predesigned structured questionnaire was based on relevance of questions to healthcare services on various aspects of inpatient care.  The interviewer based questionnaires were filled after obtaining verbal informed consent from all subjects. 200 valid responses were analyzed using MS office excel. Data analysis of study is done using the SPSS (Statistical Package for the Social Science) Version 17 for window.Results: Results of our study is very positive and suggest that patients were satisfied with the attitude of doctors, nurses and paramedical staff and it was appreciated. As in D Y Patil Medical College and Hospital most facilities are free for the patients, so we got better feedback for the facilities and satisfaction for this study. Satisfied patients are more likely to continue using the health care services and maintain their relationship with specific health care providers.Conclusions: Patient satisfaction survey can be a driving force for changes in health care delivery with institutions and individuals. These initiatives can promote improvement in practice and also respond to patient expressed needs.


2010 ◽  
Vol 2 (2) ◽  
pp. 215-221 ◽  
Author(s):  
Sanjeev Y. Tuli ◽  
Lindsay A. Thompson ◽  
Kathleen A. Ryan ◽  
Ganga L. Srinivas ◽  
Donald J. Fillipps ◽  
...  

Abstract Objective To evaluate the impact of advanced access scheduling in a pediatric residency clinic on resident and patient satisfaction, medical education, practice quality, and efficiency. Methods Residents were assigned to either the advanced access template (10 appointments available to patients and 2 physician overbooks) or the prior template (5 available and 8 overbooks). Outcomes included resident and patient satisfaction, appointment availability, and continuity of care and clinic costs. Results Patient satisfaction improved in 7 areas (P < .001). Residents in either template did not report an impact on medical education experiences. Significant increases were realized with appointment availability and the number of patients seen. Continuity also increased as the overflow/acute visits decreased (P < .001). Overall costs per visit decreased 22%. Because of the significant improvements in access, continuity, and efficiency, all residents were switched to the advanced access template after completion of the study. Conclusions Improvement in access to the primary physician has a significant impact on patient satisfaction with health care delivery. This model optimizes the limited time that residents have in continuity clinic, and it has implications for health care delivery quality improvement.


2003 ◽  
Vol 51 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Chung Yul Lee ◽  
Kobkul Phanchareanworakul ◽  
Won Jung Cho ◽  
Nantawan Suwonnaroop ◽  
Margaret J Storey ◽  
...  

2018 ◽  
Author(s):  
Jacqueline Sly ◽  
Beth Clarke ◽  
Andreina Sanabria

BACKGROUND From the 1991 Institute of Medicine (IOM) Landmark Report, The Computer Based Patient Record: An Essential Technology for Health Care (Dick, Steen, & Detmer, 1997) which called for computer based patient records, to the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, health care has been integrating technology into our delivery systems and transforming the landscape of health care delivery (Wager, Lee, & Glaser, 2017). Telemedicine (also called telemonitoring, telehealth, remote monitoring, eHealth) has brought about new methods of care delivery. These methods will hopefully demonstrate cost effective outcomes as well as new levels of quality. Under the influence of The Centers for Medicare and Medicaid Services, The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was enacted which pushes the health care industry to improve quality and value. By the end of 2018, it is expected that 50% of alternative payment models will have quality and value tied to them and 90% of fee-for-service will do the same. It is feasible that telehealth could be the link to new health care delivery and payment models. This paper evaluates some of the most recent literature regarding telemedicine to elucidate quality within the domains of cost-effectiveness, hospitalization, mortality, patient adherence, and patient satisfaction. OBJECTIVE To evaluate the effectiveness of telemedicine strategies with respect to cost-effectiveness of care, hospitalizations, mortality, patient adherence, and satisfaction. METHODS The Google Scholar search engine was used to find articles published between 2015 and 2018 so that preliminary observations could be made regarding the telemedicine literature. Once this was done, a logical search process was used to locate articles using two research databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE). The titles and abstracts of the records identified were independently screened by four investigators. Five reviewers screened 58 abstracts to determine relevance and significance relative to the research objectives. The final group analysis was 29 articles. Main outcome measures included economic, clinical, and satisfaction outcomes. RESULTS Our results showed that examining telemedicine interventions that were either patient or provider driven appeared to improve outcomes related to patient adherence, patient satisfaction, cost-effectiveness, and had a favorable effect in terms of decreasing hospitalizations. Only two articles that were reviewed addressed mortality, so the investigators could not describe results on its effect. Although there are barriers to adherence there is much progress in the field of telemedicine that aids in outcomes, both positive and negative. CONCLUSIONS The literature is clear that telemedicine is linked to improved outcomes when applied with a sound strategic plan. Patients who adhere to telemedicine interventions appear to show significantly better satisfaction, quality of life, reduced hospitalizations, and related health care costs. When providers take greater responsibility and initiative with telemedicine interventions, this contributes to those patient outcomes. Our review of the literature suggests that the quality of the implementation strategy was linked with better outcomes. Telemedicine appears to hold promise as a cost effective, convenient tool for both patients and providers.


Author(s):  
Priti Agarwal ◽  
Romy Biswas

Background: Patient satisfaction is a means of measuring the effectiveness of health care delivery. This serves as a means of improvement among health care providers to give an acceptable level of patient satisfaction. Aims and Objectives: To assess the level of satisfaction and reasons of dissatisfaction among patients regarding health care services in a rural hospital of Darjeeling District, West Bengal.Methods: A cross-sectional survey was done on 110 patients with the help of PSQ-18 questionnaire. The samples were drawn by systematic random sampling            .Results: The overall mean satisfaction score was 3.57 and S.D. ±0.69. The mean score was highest in general satisfaction domain which was found to be 3.76 with S.D ± 1.08 and lowest in time spent with doctor where mean score was 2.92 and S.D. ±1.07. 69.3% of the patients were satisfied with the services offered by the hospital. The time spent by the doctor with the patient was less and this was the major reason of dissatisfaction.Conclusions: More than half of the patients were satisfied with the services provided by the hospital. The findings of the study can facilitate the development of targeted, objectively prioritized programs for the improvement and advancement of health care delivery systems. 


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sonali Banwait ◽  
Madhu Gupta

Introduction: Patient satisfaction is an important goal of health-care services and involves various aspects health-care delivery. Dissatisfaction expressed by patients’ compromises health-care delivery taking a toll on the both human resources and infrastructure. Perioperative care is an important aspect of healthcare delivery. Various validated questionnaires have been constructed to evaluate patient satisfaction. We undertook a study to measure perioperative patient satisfaction using Leiden perioperative care patient satisfaction questionnaire. Objectives : The aim of this study was to assess perioperative patient satisfaction using a validated and structured questionnaire. Methods We conducted this prospective cross-sectional observational study with Leiden perioperative satisfaction questionnaire translated to Hindi. The questionnaire had a total of 39 questions covering various dimensions such as information provided, side effects, fear and concern, staff-patient relationship, professional competence, and services received. Results: Our results showed almost equal satisfaction among males and females. Demographic factors did not play a major role in patient satisfaction. Vomiting was the most common side effect observed in both general and regional anesthesia followed by hunger, which resulted in dissatisfaction. However, staff-patient communication and relationship with regard to information received by patient and fear and concern about surgery and anesthesia resulted in dissatisfaction. Conclusions: Our study highlighted the communication barrier between health-care professionals and patients resulting in dissatisfaction. Thus, health-care providers need to be more sensitive to the emotional and mental health if the patients in the perioperative period.


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