scholarly journals Patient Satisfaction: An Informative Tool towards Improvement of Quality Health Care in a Tertiary Care Hospital

Author(s):  
Dr Chhaya Rajguru ◽  
2021 ◽  
Author(s):  
Sadia Masood ◽  
Zanaib Samad ◽  
Sarah Nadeem ◽  
Unzela Ghulam

BACKGROUND Telemedicine is utilized to deliver health care services remotely. Recently, it is well established due to pandemics because it can help the patients get required supportive care while minimizing their hospital exposure. In the future, it will continue to be used as a convenient, cost-effective patient care modality. OBJECTIVE The objectives were to identify physicians' challenges during teleconsultations and recognize the opportunities and strengths of this modality during the pandemic in a lower-income country. METHODS This cross-sectional study was conducted in a tertiary care hospital. The self-made questionnaire was filled through an online medium and responses were recorded on a five-point Likert scale. RESULTS A total of 83 participants were enrolled in this study. Most of them were Associate professors (29.8%), Assistant professors (26.2%), the ratio of the females was (52.4%) greater than males (,47.6%). 46 (54.8%) have laid between the age group 30-40 years. Pediatricians and senior instructors faced more difficulty in using telemedicine. The ones having clinical experience of fewer than 15 years or categorized in the age of 50-60 years faced challenges while using this modality. CONCLUSIONS During the current pandemic, situation telemedicine is the only glimmer of light to provide better quality health care. Telemedicine is an innovative strategy and it is important to understand the perception of physicians about it. Incomplete and inadequate infrastructure and attitude of the physicians is the main obstacle toward successful implementation of telemedicine. Successful installation and deployment of this technology require a complete grasp of the process among physicians.


Author(s):  
Rahul Goshist ◽  
Shamim Monga ◽  
Shalini Devgan ◽  
Baltej Singh ◽  
Sanjay Gupta

Background: Many  factors  including  poor  systems  and  stress  of  the  caregivers  effects  the  quality  along  with  satisfaction  of  patients.  Patient satisfaction denotes the extent to which general health care needs of the clients are met to their requirements. Aim of the study to study the level of patient satisfaction. Methods: The structured questionnaire was administered to patients from in-patient areas. Illiterate patients were interviewed personally. The hospital had bed strength of 890 and the patients were followed in different departments till the completion of sample size. Results: More than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poormore than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poor, more than half of the patients i.e. 58.6% and 54.7% responded that the stretcher availability and behavior of paramedical staff in emergency as poor. Conclusions: Most patients rated the services of the hospital as excellent or good but a portion of patients were found to be unsatisfied in some areas i.e. cleanliness of toilets, wards, canteen and behaviors of paramedical staff. 


2020 ◽  
Vol 7 (7) ◽  
pp. 1093
Author(s):  
C. Guruprasad ◽  
Dayananda Sagar L. ◽  
Vishwanatha . ◽  
Chandrashekar H.

Background: Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Government of Karnataka initiated the Manochaitanya programme to ensure that mental health services at all primary health care centers, community health centers and taluk hospitals on every Tuesday. Its required to know the patient satisfaction in this programme.Methods: This study was conducted over a period of two years, cross-sectionally seen 102 cases from 9 PHC’s that runs psychiatric clinics every Tuesday. This population was compared with 107 from Tertiary care center. All were assessed by the Psychiatrist using ICD-10 clinically after the informed consent. After 3 follow ups they were assessed with semi structured proforma, Indian Disability Evaluation and Assessment Scale (IDEAS), Global Assessment of Functioning (GAF), Patient Satisfaction Questionnaire Short Form (PSQ-18) instruments.Results: The Patient satisfaction was found to be higher in PHCs 83.07±8.72 compared to tertiary subjects 75.27±9.51 (p<0.05). Severe mental illness was higher 48.96% in PHCs as compared to tertiary care center common mental illness 23.36%. Subjects from tertiary care centres report higher GAF score (65%) higher among tertiary care subjects than their PHC counterparts (35%).Conclusions: The patients receiving treatment in PHC’s reported more satisfaction than those who receive treatment in tertiary care center. Higher disability scores on IDEAS in PHC’s than tertiary Center due reporting of more cases of severe mental illness in PHC’s. Married patients have shown higher satisfaction as compared to single/ Divorced/ Separated patients. Alcohol Dependence Syndrome was found to be more in tertiary care hospital than in PHC’s.


Author(s):  
Pankaj Kumar ◽  
Anjan Adhikari ◽  
Moumita Ray ◽  
Rania Indu ◽  
Sangita Bhattacharya ◽  
...  

Background: Feedback is an important and integral part of any system. Perception of the beneficiaries in any healthcare setup provides impact for refining the system. The assessment of the patients’ satisfaction on different issues regarding healthcare services provides insight about the drawbacks of different healthcare systems. This could assist to upgrade the quality of services through different interventional measures. Present study evaluated the patient satisfaction in outpatient departments (OPD) of a tertiary care hospital, Kolkata, West Bengal.Methods: A total of 500 patients, attending different OPD in a tertiary care hospital were randomly selected for an observational, questionnaire based interview study, initiated in 2016. Some predictors for patients’ satisfaction like ‘outpatient department services’, ‘waiting time’, ‘cleanliness’, ‘privacy’ and ‘any problem faced during health checkup’, ‘overall satisfaction’ were evaluated.Results: Present study showed 78% of the study population was satisfied with the service received and 81% opined that clean environment was effectively maintained in the hospital premises and different outpatient departments. 83%, 84% and 75% of the patients were satisfied regarding the registration process, services received from the doctors and pharmacy, respectively. However, waiting time was too long and privacy was not maintained properly.Conclusions: Present study regarding patients’ satisfaction towards quality health care concluded that optimal care can be provided by combining both medical and social aspects, influencing the psychological factors of the patients. A separate system should be developed on assessment of “need of the patient” as well as guiding the patient for proper use of the health facilities.


2017 ◽  
Vol 9 (1) ◽  
pp. 33-38
Author(s):  
Tehmina P Syed ◽  
Zakia Sheikh ◽  
Farah Hameed

ABSTRACT Introduction Patient satisfaction is one of the most frequently reported outcome measures for quality of health care. In recent years, effective counseling has become a very important tool to involve patient participation in decision-making. The objective of this study was to assess the patient satisfaction by the counseling of a health care provider before emergency cesarean section (C-section) in a tertiary care hospital. Materials and methods A descriptive cross-sectional questionnaire study of 53 women, who had their first babies by C-section or had C-section first time with previous normal deliveries, in Hamdard University hospital in 3 months. Data analysis Questionnaires were distributed among patients on their second postoperative day after emergency C-section. A good total response rate for patient satisfaction survey is in the 40 to 60% range. Statistical Package for the Social Sciences version 20 was used to analyze the data, patient satisfaction was analyzed by using descriptive statistics (%, frequency), and independent sample t-test and analysis of variance were applied to assess the satisfaction level for demographic indicators. Results Out of 53 women, 38 (71.7%) were satisfied with the counseling while 15 (28.3%) were dissatisfied; 35 (66%) were primigravida while 17 (32%) were multigravida. The majority was in the age group of 25 to 30 (41%) years; 21 (39.6%) were undergraduate, out of them 12 (55.2%) were satisfied; 32 (60.3%) were graduate, out of them 26 (82%0) agreed; 46 (86%) participants know their counselor; and 44 (83%) reported good attitude. A safe atmosphere was created by the counselor in 38 (71.7%) cases, and 24 (45%) participants reported that the counselor used medical jargons. Privacy was not maintained in 39.6%, and 18 (33.9%) reported negative feelings like anxiety and depression after their counseling. Conclusion Patient satisfaction is an important quality outcome indicator to measure success of the health care services. Evaluation of patient care is vital to provide opportunity for improvement like strategic framing of health plans. How to cite this article Syed TP, Sheikh Z, Hameed F. Assessment of Patient Satisfaction after Counseling by a Health Care Provider before Emergency Cesarean Section in a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2017;9(1):33-38.


Author(s):  
Shivani Shekhawat ◽  
Swati Garg ◽  
Drishti Jain ◽  
Urvashi Sharma

Background: Patient satisfaction is an important measure of quality of services in a healthcare organization. Other than the medical care issues, the satisfaction and experience involves personal relationships, attention to pain and health education, and the status of hospital environment. Patient's opinion is an important because dissatisfaction suggests opportunities for improvement of health services in the hospital. This study was done with the aim to assess the satisfaction levels in inpatients of a tertiary care hospital and to compare interdepartmental satisfaction scores in the same hospital.Methods: This cross-sectional survey was done in inpatients of the department of general medicine, general surgery and obstetrics & gynaecology wards of Mahatma Gandhi Medical College & Hospital, Jaipur for two consecutive days. A total of 150 adult female patients were included in the study. Structured questionnaire was developed from previously used survey tools, and validated in present patients group, and patient satisfaction was checked.Results: The demographic data of patients showed that majority of respondents were belonged to age group 20-30 years (50.7%) followed by less than 20 years (20%), more than 40 years (15.3%) and 30-40 years (12%). About 29.33% respondents were uneducated followed by primary level (25.33%), senior secondary level (24%) and graduation (21.33%). 90% respondents belonged to Hindu religion. 36.6% of the respondents were either technicians or doing a clerical job. Almost equal numbers (33.3%) were unemployed and 30% belonged to the labour class. Only 15 patients (10%) were either professionals or on managerial posts.Conclusions: This study highlighted overall patient satisfaction was good regarding the quality of health care services of Mahatma Gandhi Medical College and Hospital. Areas where patient satisfaction was found to be lowest were patience shown by the nursing staff while communicating with patients and hospital ambiance in terms of peacefulness, both of these are important aspects of health care and there is imperative need to address these problems effectively and urgently in order to improve quality of care.


2019 ◽  
Vol 10 (02) ◽  
pp. 207-211
Author(s):  
Rajneesh K. Patel ◽  
Amit Kumar Choubey ◽  
Brijesh K. Soni ◽  
Rajeev Sivasankar ◽  
Vikash Chauhan

ABSTRACT Introduction: Emergency head computed tomography (CT) is rising exponentially during off working hours due to evidence-based medicine, patient’s expectation and desires, easy availability and apprehension of medico-legal cases, thereby raising health-care cost. There is huge gap in demand and supply of radiologist, especially during off working hours. There is need to know the pattern of emergency head findings. Materials and Methods: A retrospective analysis of all emergent noncontrast CT head during off working hours in the Department of Radiodiagnosis of a Tertiary Care Hospital, Mumbai, India, which were performed from June 2017 to May 2018. CT findings of 308 patients were analyzed. Results: About 63.6% of total head CT showed no significant abnormality. The most common abnormality was intracranial hemorrhage which was just 9.1% followed by acute infarct which was 6.2%. Extradural hemorrhage, subdural hemorrhage, and subarachnoid hemorrhage was only 1% each of total head CT findings. No significant abnormality was detected in 74.65%, 70.21%, 89.13%, 31.37%, 100%, and 69.09% in cases of head injury, seizure, giddiness/dizziness/syncope, cerebrovascular accident, transient ischemic attack, and altered sensorium, respectively. Conclusion: Pattern analysis of emergent head CT reveals that most of the emergent CT head shows no significant abnormality. There is a need for stringent guidelines for emergent head CT, training of emergency physician as well as CT technician for common findings to bridge the radiologist demand-supply gap for providing effective health care in peripheral hospitals.


2021 ◽  
pp. 32-34
Author(s):  
Sravanthi GNS ◽  
Ravi Madhusudhana

Background: Health care quality assurance was gained importance since the 18th century and patient's satisfaction about the surgery and anaesthesia plays an important role in this. And hence proper assessment of the patient satisfaction for the anaesthesia is essential to alter and deliver the needed service. Objective: Toevaluate the patient's satisfaction including pre-op visit, intra-op awareness, post-op pain management and impression on anaesthetic team. Methodology: This was a cross sectional study conducted among 214 patient receiving regional anaesthesia in a tertiary care hospital, Pondicherry. Results: The overall satisfaction about the information about the anaesthesia was seen among 61.7% of the participants. 67.3% and 89.7% of the study participants had overall satisfaction about the pain and post-operative nausea and vomiting therapy. 72% of the study participants were satised with the department and 64.9% would recommend anaesthesia service to others. Conclusion: The satisfaction of the patient plays a pivotal role in the overall quality of health care. The perception of anaesthesia has shown to be poor in studies and hence steps to alleviate such fears should be addressed properly.


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