scholarly journals Patient satisfaction and waiting times in the primary health centres of South Chennai

2021 ◽  
Vol 8 (3) ◽  
pp. 1386
Author(s):  
Vishnu Vardhan Yenuganti ◽  
Srinivas Rao D. ◽  
Sasi Kumar P. J. ◽  
Narendranath R.
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Care Delivery ◽  
Waiting Times ◽  
Health Centre ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Physician Care

Background: Patient satisfaction and the out-patient waiting time denotes the extent to which general health care needs of the patients are met to their requirements. This study assesses the quality of health care delivery in three primary health care centres in south Chennai. The main aim was to assess the levels of patient satisfaction and its relation to various components and the waiting time among the patients visiting the primary health centres in south Chennai.Methods: This is a cross sectional study conducted in three primary health centres in the rural part of south Chennai. This study is conducted by face to face interview method using a structured questionnaire on 120 random patients visiting the OPDs of these health centres. The questionnaire included timing pattern associated with the patients visit in the health centre. The collected data is analysed using Chi-square test and is conducted to assess the relationship between different categorical variables.Results: Most of the respondents (66.6%) were highly satisfied with the service provided, treatment and physician care, facilities inside the hospital, and the care of paramedical staff. Hospital cleanliness and Physician care were found to be significant in terms of overall satisfaction, and large number of patients visiting the centre was the most quoted reason for long waiting times with a mean of 45.2 minutes.Conclusions: The longer waiting times can be effectively reduced by employing more doctors and paramedical staff wherever it is required. A proper feedback system by assessing the satisfaction and waiting time is needed in any tertiary health centre to improve the health care delivery.

scholarly journals COMPARISON OF THE EFFECTIVENESS ONLINE AND OFFLINE REGISTRATION SYSTEM ON PATIENT WAITING TIME IN PRIMARY HEALTH CARE SEMARANG USING QUEUING THEORY

2021 ◽  
Vol 3 (2) ◽  
pp. 181-186
Author(s):  
Evina Widianawati ◽  
Faik Agiwahyuanto ◽  
Trianni Trianni ◽  
Adelia Ayu Sabrina ◽  
Dimas Angga Febian
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Waiting Time ◽  
Queuing Theory ◽  
Waiting Times ◽  
Time Of Arrival ◽  
Registration System ◽  
Primary Health ◽  
Online Registration

The online registration system at Semarang's Primary Health Care has been implemented in 2018, but online registration users are still small. The purpose of this study was to compare the effectiveness of online and offline registration at waiting times using variables in queuing theory. Research at 3 health centers in the city of Semarang. By observing the time of arrival and time of admission to the patient's clinic then the patient is also given a registration service satisfaction questionnaire sheet. The data were processed using queuing theory variables as well as descriptive and inferential statistical analysis. The number of online registrants is only 12% while 88% registered offline. The total number of online registrant patient arrivals per hour is 0.85 patients and offline registrants are 6.38 patients per hour where many patients arrive at the first 105 minutes to open the Puskesmas. The utility of the online registrant registration server is 7%, while 48% offline is classified as low and the patient queue is only about 1 patient so there is no need for an additional registration server to speed up service. There was a difference between online and offline registration waiting times (p = 0.00) where online patients waited 4.91 minutes while offline patients waited 8.84 minutes. There is an effect of waiting time in the system on patient satisfaction (p = 0.00) so that to increase patient satisfaction, it is hoped that patients will register online.

scholarly journals Quality of Health Assistants in primary Health centres in Rural Maharashtra, India

2013 ◽  
Vol 6 ◽  
pp. HSI.S11226
Author(s):  
Enakshi Ganguly ◽  
Bishan S. Garg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health Care System ◽  
Job Descriptions ◽  
Continuous Training ◽  
Primary Health ◽  
Primary Health Centres ◽  
Quality Assurance Mechanism ◽  
Health Centres

Introduction Health assistants are important functionaries of the primary health care system in India. Their role is supervision of field-based services among other things. A quality assurance mechanism for these health assistants is lacking. The present study was undertaken with the objectives of developing a tool to assess the quality of health assistants in primary health centres (PHCs) and to assess their quality using this tool. Methodology Health assistants from three PHCs in the Wardha district of India were observed for a year using a tool developed from primary health care management Aavancement program modules. Data was collected by direct observation, interview, and review of records for quality of activities. Results Staff strength of health assistants was 87.5%. None of the health assistants were clear about their job descriptions. A supervisory schedule for providing supportive supervision to auxiliary nurse midwives (ANMs) was absent; most field activities pertaining to maternal and child health received poor focus. Monthly meetings lacked a clear agenda, and comments on quality improvement of services provided by the ANMs were missing. Conclusion Continuous training with sensitization on quality issues is required to improve the unsatisfactory quality.

scholarly journals Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

2018 ◽  
Vol 7 (1) ◽  
pp. 11 ◽  
Author(s):  
Risto Raivio ◽  
Eija Paavilainen ◽  
Kari J. Mattila
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Nursing Care ◽  
Health Centre ◽  
University Hospital ◽  
Primary Health ◽  
Patient Reported ◽  
Health Centres

Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.

scholarly journals How context affects implementation of the Primary Health Care approach: an analysis of what happened to primary health centres in India

2019 ◽  
Vol 3 (Suppl 3) ◽  
pp. e001381 ◽  
Author(s):  
Sudha Ramani ◽  
Muthusamy Sivakami ◽  
Lucy Gilson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Historical Review ◽  
Contextual Influences ◽  
Private Practitioners ◽  
Patient Interviews ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Care Approach

IntroductionIn this paper, we elucidate challenges posed by contexts to the implementation of the Primary Health Care (PHC) approach, using the example of primary health centres (rural peripheral health units) in India. We first present a historical review of ‘written’ policies in India—to understand macro contextual influences on primary health centres. Then we highlight micro level issues at primary health centres using a contemporary case study.MethodsTo elucidate macro level factors, we reviewed seminal policy documents in India and some supporting literature. To examine the micro context, we worked with empirical qualitative data from a rural district in Maharashtra—collected through 12 community focus group discussions, 12 patient interviews and 34 interviews with health system staff. We interpret these findings using a combination of top–down and bottom–up lenses of the policy process.ResultsPrimary health centres were originally envisaged as ‘social models’ of service delivery; front-line institutions that delivered integrated care close to people’s homes. However, macro issues of chronic underfunding and verticalisation have resulted in health centres with poor infrastructure, that mainly deliver vertical programmes. At micro levels, service provision at primary health centres is affected by doctors’ disinterest in primary care roles and an institutional context that promotes risk-averseness and disregard of outpatient care. Primary health centres do not meet community expectations in terms of services, drugs and attention provided; and hence, private practitioners are preferred. Thus, primary health centres today, despite having the structure of a primary-level care unit, no longer embody PHC ideals.ConclusionsThis paper highlights some contextual complexities of implementing PHC—considering macro (pertaining to ideologies and fiscal priorities) and micro (pertaining to everyday behaviours and practices of actors) level issues. As we recommit to Alma-Ata, we must be cautious of the ceremonial adoption of interventions, that look like PHC—but cannot deliver on its ideals.

scholarly journals Availability of personnel, facilities and services in Primary Health Care Centres in a Local Government Area in Benin City, Nigeria

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Vincent Yakubu Adam ◽  
Joy Chinyere Nwaogwugwu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Healthcare Services ◽  
Local Government Area ◽  
Benin City ◽  
Essential Drugs ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres

Background: Effective delivery of healthcare services especially at the Primary Health Care level requires availability of adequate infrastructure, basic diagnostic medical equipment, drugs and well-trained medical personnel. Quality Primary Health Care initiatives have been recognized as fundamental to improving health outcomes. This study assessed the resources available for Primary Health Care delivery in a Local Government Area in Benin City, Nigeria. Materials and Methods: This was a descriptive cross-sectional study. All the public primary health centres in Egor LGA, Benin City, Nigeria were assessed for availability of personnel, facilities/ equipment and services using an adapted observational checklist. Results: All the 10 public primary health centres were assessed. The primary health centres had inadequate skilled-manpower: only 1 (10.0%) had a medical officer, Community Health Officers and nurse/midwives were adequate in only 2 (20.0%), and none of them (0.0%) had a medical record officer and pharmacy technician. Basic equipment for examination of clients were available in 3 of the health facilities (30.0%). All 10 of the health centres (100.0%) offered basic services but not for 24 hours. Essential drugs were not regularly available in all the facilities. Conclusions: Basic healthcare services were rendered but not for 24 hours. Several challenges such as inadequate skilled health personnel, lack of basic amenities, and shortage of essential drugs affect the primary health centres. Basic hospital facilities/equipment needed to enhance 24 hours’ service delivery at the primary health centres should be provided by the Local Government.

scholarly journals Assessment of primary health centres of a district in North Karnataka according to Indian Public Health Standards 2012 guidelines: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4731
Author(s):  
Shrinivas K. Patil ◽  
Shivaswamy M. S.
Keyword(s):  
Health Centre ◽  
Simple Random Sampling ◽  
Preventive Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Building Area

Background: Primary health centre (PHC) is a basic health unit to provide an integrated curative and preventive health care to the rural population as close to the people as possible, with emphasis on preventive and promotive aspects of health care.Methods: A facility based cross-sectional study was conducted in Belagavi district of Karnataka in India. Twenty PHCs, two PHCs from each of the 10 talukas of Belagavi district were selected by simple random sampling. The study period was from 1st January 2014 to 31st December 2014. Data was collected using a predesigned and structured questionnaire for IPHS facility survey.Results: In this study, only 60% of primary health centres covered the population as per the IPHS norms. All the PHCs were providing the regular outpatient department (OPD) services, referral services, antenatal care, family planning and in-patient services. Bed occupancy rate was less than 40% in 55% of PHCs. Building area in 75% of PHCs were inadequate according to IPHS norms. Residential facility for staff was available only in half of the studied PHCs.Conclusions: IPHS guidelines were not fully being followed at PHC level in the district. Though the requirement of medical officers and pharmacists was fulfilled in almost all the PHCs, deficiency was seen in the appointing of Ayush doctors and staff nurses at PHCs. There is an urgent need of recruiting the deficient staff for efficient functioning of the PHCs.

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