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

2018 ◽  
Vol 09 (01) ◽  
pp. 38-42
Author(s):  
Sadia Siddiqi ◽  
Faridah Amin ◽  
Farheen Saboor

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

Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


Author(s):  
Hesteria F.A.S ◽  
I.W.G. Artawan Eka Putra ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it.Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic, knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis.Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76).Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015997 ◽  
Author(s):  
Maram B Hakoum ◽  
Nahla Jouni ◽  
Eliane A Abou-Jaoude ◽  
Divina Justina Hasbani ◽  
Elias A Abou-Jaoude ◽  
...  

ObjectivesTo provide a detailed and current characterisation of funding of a representative sample clinical trials. We also aimed to develop guidance for standardised reporting of funding information.MethodsWe addressed the extent to which clinical trials published in 2015 in any of the 119 Core Clinical Journals included a statement on the funding source (eg, whether a not-for-profit organisation was supported by a private-for-profit organisation), type of funding, amount and role of funder. We used a stepwise approach to develop a guidance and an instrument for standardised reporting of funding information.ResultsOf 200 trials, 178 (89%) included a funding statement, of which 171 (96%) reported being funded. Funding statements in the 171 funded trials indicated the source in 100%, amount in 1% and roles of funders in 50%. The most frequent sources were governmental (58%) and private-for-profit (40%). Of 54 funding statements in which the source was a not-for-profit organisation, we found evidence of undisclosed support of those from private-for-profit organisation(s) in 26 (48%). The most frequently reported roles of funders in the 171 funded trials related to study design (42%) and data analysis, interpretation or management (41%). Of 139 randomised controlled trials (RCTs) addressing pharmacological or surgical interventions, 29 (21%) reported information on the supplier of the medication or device. The proposed guidance addresses both the funding information that RCTs should report and the reporting process. Attached to the guidance is a fillable PDF document for use as an instrument for standardised reporting of funding information.ConclusionAlthough the majority of RCTs report funding, there is considerable variability in the reporting of funding source, amount and roles of funders. A standardised approach to reporting of funding information would address these limitations. Future research should explore the implications of funding by not-for-profit organisations that are supported by for-profit organisations.


2020 ◽  
Author(s):  
Jek Amidos Pardede ◽  
Masri Saragih

The use of hospital facilities may greatly improve services to the visiting patients. The standard of good services will lead to positive patient satisfaction resulting in growing patient visit rate. Normally, patients will evaluate the process and physical evidence provided by the hospital. They will assess the actual and the preferred services, as well as the money and time they have spent to get healthcare services from the hospital. If patient satisfaction toward the hospital services is good, the hospital can compete with other hospital in terms of service provision. Regarding this issue, the present study aimed to investigate the correlation between process and physical evidence toward patient satisfaction in private hospital in Medan. It was a quatitative study using cross sectional design with the total number of population was 6.051. Through performing accidental sampling technique, 100 patients were included as samples. The data of this study was collected by administering questionnaire. Data analysis using Chi Square showed that there was a correlation between process and patient satisfaction (p=0,000;p<0.005). It was also found that there was a signifiant correlation between physical evidence and patient satisfaction (p=0,000;p<0.005). Therefore, it is concluded that good process and physical evidence will result in good patient satisfaction. Consequently, the rate of patient visit will also increase. This study suggests to hospital management to improve the process and physical evidence of hospital services to the patients to meet patient satisfaction.


2019 ◽  
Vol 53 (5) ◽  
pp. 541-546
Author(s):  
Enayatollah Bakhshi ◽  
Mohammad Ali Yazdanipour ◽  
Mehdi Rahgozar ◽  
Zahra Ghorbani ◽  
Marzieh Deghatipour

The purpose of this paper is to identify risk factors for decayed, missing, and filled permanent teeth (DMFT) in a population of 12–15-year-old schoolchildren and to apply the marginalized zero-inflated negative binomial (MZINB) model for determination and estimation of the overall effects of the risk factors. A cross-sectional survey comprising 764 students aged between 12 and 15 years was used to analyze the association between caries in children and some background characteristics in children and their parents. Information on the samples’ social, behavioral, and demographic status was obtained through a series of closed questions. The incidence rate ratios (IRR) were used to associate some risk factors with caries. In the entire sample, the frequency of zero was 194 (25.4%). The result of the shared-parameter marginalized zero-inflated negative binomial (SP-MZINB) model showed that being a girl (IRR = 1.18; p value = 0.021), higher dental visits frequency (IRR = 1.20; p value <0.001), lower tooth brushing frequency (IRR = 0.91; p value = 0.019), higher flossing frequency (IRR = 1.11; p value = 0.001), and lower mothers’ education (IRR = 0.89; p value = 0.042) are associated with DMFT. Our results may provide better insights of the factors associated with DMFT, and health programs should focus their efforts on healthcare services, for both preventive and curative purposes. This regression model provides an appropriate fit and meaningful interpretation to handling zero-inflated count outcomes. Also, it provides direct estimates of the effects of risk factors on the overall mean that does not require postmodeling computations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emine Sen Tunc ◽  
Emre Aksoy ◽  
Hatice Nilden Arslan ◽  
Zeynep Kaya

Abstract Background Self-medication refers to taking medicine without consultation with a doctor or dentist, and it is an important health issue, especially during the COVID-19 pandemic. There are no data about parents’ SM practices for their children’s dental problems during the COVID-19 pandemic. The present study aims to evaluate parents’ knowledge, attitudes, and practices regarding self-medication for their children’s dental problems during the COVID-19 pandemic in Northern Turkey. Methods A cross-sectional survey was carried out in the pediatric dental clinic at Ondokuz Mayis University, Faculty of Dentistry, Department of Pediatric Dentistry, immediately after the COVID-19 lockdown ended. A total of 389 parents who agreed to participate in the study completed the questionnaire from July 1 to October 1. A questionnaire with 18 items was designed to collect information on the parents’ knowledge and attitudes regarding when, why, and how to use drugs and on their practices on medicating their children. The collected data were analyzed using descriptive and analytical statistics (chi-square test). Results The majority of parents (n = 273; 70.2%) practiced self-medication for their children's dental problems. Self-medication with a previously prescribed medications was usually preferred by parents (n = 179; 62.2%). Analgesics (98%) were the most commonly used medicines by parents in their self-medication for their children's dental problems. Conclusion Prevalence of self-medication practices for children's dental problems is high in Turkey during the COVID-19 pandemic. Therefore, new healthcare services, such as teledentistry, may be useful to overcome problems related to the self-medication of children during times when the ability to reach healthcare providers is limited, such as during pandemics.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Jared Otieno Ogolla

Background.This paper sought to estimate the percentage of women who deliver at home in West Pokot County and establish the factors associated with home delivery in the area.Design and Methods.The cross-sectional survey targeted 18,174 households between the months of April and July 2013. Six hundred mothers participated in the study. Association between predictors and the place where the delivery took place was analysed by chi-square test (χ2) at 95% confidence interval. Factors withPvalue < 0.05 were considered statistically significant. These factors were entered into multivariate logistic regression model after controlling for confounding to ascertain how each one influenced home delivery. Odds ratio was used to determine the extent of association.Results.Based on the mother’s most recent births, 200 (33.3%) women delivered in a health facility while 400 (66.7%) delivered at home. Factors associated with home delivering were housewives (OR: 4.5, 95% CI: 2.1–9.5;P=0.001) and low socioeconomic status of 10 km (OR: 0.5, 9.5% CI: 0.3–0.7;P=0.001).Conclusions.The findings of this study provide novel information for stakeholders responsible for maternal and child health in West Pokot County.


Author(s):  
Emma Ervin ◽  
Barbara Poppe ◽  
Amanda Onwuka ◽  
Hannah Keedy ◽  
Stephen Metraux ◽  
...  

Abstract Introduction The effects of homelessness on pregnant women are substantial. We aim to identify key characteristics of a group of women identified as homeless and pregnant in order to understand their history of housing, family composition, health, and demographics as a first step for future intervention. Methods We present cross-sectional survey data on a sample of 100 women reporting homelessness and pregnancy in the prior year in Columbus, Ohio, identified through social service and housing not for profit agencies. Our analysis uses data collected from a survey of health behaviors, housing, employment status, and demographics. Continuous measures are described with means and standard deviations, and categorical variables are described with percentages. Results The majority (81%) of the women identified as African American. Over 95% of the women were single, and 74 women reported a prior pregnancy. Almost half of the women reported being behind on rent at least one time in the last 6 months, and 43% indicated that they had lived in more than three places in the last year. Approximately 34% of the sample reported cigarette use during pregnancy, while 12% and 30% reported alcohol and illicit drug use, respectively. Discussion Women who were pregnant and experiencing homelessness in our study reported a multitude of complex and severe problems ranging from high rates of substance use, longstanding housing insecurity and financial stress. Programs hoping to successfully support women will need to address a variety of service needs while recognizing the resilience of many women.


2021 ◽  
Vol 14 (1) ◽  
pp. 181-188
Author(s):  
Content P. Nyakutombwa ◽  
Wilfred N. Nunu ◽  
Nicholas Mudonhi ◽  
Nomathemba Sibanda

Introduction: Patient satisfaction with health care services is vital in establishing gaps to be improved, notably in public health facilities utilised by the majority in Low and Middle-Income Countries. This study assessed factors that influenced patient satisfaction with United Bulawayo Hospitals and Mpilo Hospital services in Bulawayo in Zimbabwe. Methods: A cross-sectional survey was conducted on 99 randomly selected respondents in two tertiary hospitals in Bulawayo. Chi-squared tests were employed to determine associations between different demographic characteristics and patient satisfaction with various services they received. Multiple Stepwise Linear regression was conducted to assess the strength of the association between different variables. Results: Most of the participants who took part in the study were males in both selected hospitals. It was generally observed that patients were satisfied with these facilities' services, symbolised by over 50% satisfaction. However, patients at Mpilo were overall more satisfied than those at United Bulawayo Hospitals. Variables “received speciality services,” “average waiting times,” and “drugs being issued on time” were significant contributors to different levels of satisfaction observed between Mpilo and United Bulawayo Hospitals. Conclusion: Generally, patients are satisfied with the services and interactions with the health service providers at United Bulawayo Hospitals and Mpilo Hospitals. However, patients at Mpilo were more satisfied than those at United Bulawayo Hospitals. There is generally a need to improve pharmaceutical services, outpatient services, and interaction with health service provider services to attain the highest levels of patient satisfaction.


2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711377
Author(s):  
David Lehane ◽  
Philip Oliver ◽  
Caroline Mitchell ◽  
Christopher Burton

BackgroundProfessional interpreters are considered to be the gold standard when meeting the needs of patients with limited English proficiency (LEP) in primary care. The models by which CCGs supply interpreting services (IS) vary. Many CCGs use external commercial IS, while other CCGs commission ‘not for profit’ services such as the Advocacy and Interpreting Service in Tower Hamlets, the Sussex Interpreting Service, and the decommissioned Sheffield Community Access and Interpreting Service. Research on comparative costs and needs of the LEP population is lacking.AimTo compare the costs of interpreting services between CCG’s in England.MethodA cross-sectional study involving CCGs in England. A standardised request was sent to 195 CCGs inviting comment on how much the CCG spent (2017–2018) on IS. The data were plotted against a number of demographic variables (https://fingertips.phe.org.uk) and analysed using regression analysis.ResultsSurvey response rate: 86% of CCGs (n = 169). Of those CCGs who responded, 39% (n = 66) did not hold IS cost data. NHS England spent £2 951 348.16 for IS services for the year 2017–2018. A positive correlation was noted with increased cost of interpreting services when plotted against increasing percentage BME or percentage birth to non-UK parents. However, there were wide variations around correlation of best fit indicating variation in spending between CCGs for similar populations.ConclusionInter CCG variation in correlations between demographic variables and expenditure suggests further research is needed to determine how to optimise and resource safe and equitable IS across the UK population.


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