scholarly journals Assessment of Consumer Satisfaction to Improve Quality of Services Provided in Tertiary Care Hospital of Uttar Pradesh- A Cross-sectional Study

Author(s):  
Sumit Saxena ◽  
Kuldeep Srivastava ◽  
Anurag Srivastava ◽  
Anju Saxena

Introduction: Satisfaction of the patient play a very important decisive factor for pay-for-performance metrics and it also replicates the type of care being provided. One of the major parameters to establish patient satisfaction is to measure success of services provided in hospital. Aim: To assess the quality of care in terms of patient’s satisfaction in a tertiary care hospital of Uttar Pradesh. Materials and Methods: A community based cross-sectional study was carried out among patients attending the Outpatient Department (OPD) at Varunarjun Medical College and Rohilkhand Hospital, Uttar Pradesh, India. Total 88 people (patients or attendants) were interviewed by using a predesigned and pretested semi-structured proforma, in Hindi language. The questionnaire contained questions related to an individual’s experience with the staff and environment of health system at the end of their outpatient visit. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: The majority 37 (42.0%) belonged to age group of 34-49 years, 58 (66%) were males, 36 (40.9%) educated upto high school and 45 (51.2%) belonged to general category. In the present study, regarding hospital informatory, 28 (31.8%) respondent found good direction indicators. Waiting period was less than half-an-hour reported by 47 (53.4%) patients. Sixty-three (71.5%) patients had opportunity to ask questions about their disease and treatment. Most of the respondent 50 (56.8%) said that hospital staff listened to their questions and problems. Statistically significant association was found in- between patient satisfaction and socio-demographic variable like age, gender, education and socio-economic status (p-value <0.05). Around 68 (77.2%) respondent were not satisfied with behaviour of hospital staff (nurses and paramedical staff) whereas only 35 (39.8%) respondent were satisfied with the behaviour of treating doctor. Conclusion: Among the different domains of measurements of patient satisfaction, only few were satisfied with doctor’s and paramedical staff. Doctor's time, behaviour of paramedical staff and poor quality of services were the main reasons for dissatisfaction among dissatisfied patients.

Author(s):  
Shweta Talati ◽  
Saru Sethi ◽  
Ritin Mohindra ◽  
Pankaj Arora ◽  
Navneet Dhaliwal ◽  
...  

Introduction: Meal services plays a significant role in speedy recovery and increases patient satisfaction. Objective: Present study was done to assess the satisfaction of suspected COVID-19 patients regarding meal services at a tertiary care hospital of north India. Methodology:  This cross-sectional study in retrospective design was done to understand the factors affecting the satisfaction of suspected COVID-19 patients with respect to meal services. The data was collected for patients admitted from January 2020-June 2020 with the help of a questionnaire with graded responses i.e Yes, No or Maybe/Not applicable, gathered from participants after discharge from hospital through ‘google forms’. Results: Out of 160 participants, 159 filled up the questionnaire through ‘google form’. Majority of the participants were <30 Years old 46.5%, had university or higher education 52.8%. The study showed 96.9% patients were satisfied and 3.1% were not satisfied   with the quality of the meal services provided during the hospital stay. There was no significant association observed between taste of meals and consumption of whole meal with the quality of the meal served (p = 0.875, p = 0.855 respectively). Although significant association was observed between temperature of meal, time of meal distribution, quantity of water bottles provided, and quality of meal served (p = 0.000, p = <0.001, p = 0.000). Conclusion: Present study connotes that such types of assessments can help identify the gaps which can be worked on for achieving maximal satisfaction of patients with respect to quality of meal services in the hospital. Key words: COVID-19 patients; Meal services; Patient Satisfaction; Tertiary care hospital


Author(s):  
Ravi Pachori ◽  
Jiratithigan Sillapasuwan

Background: Undernutrition makes children in particular much more vulnerable to disease and death; around 45% of deaths among children up to 5 years of age are linked to undernutrition and these mostly occur in low and middle-income countries. Malnutrition increases health care costs, reduces productivity, and slows economic growth, which can perpetuate a cycle of poverty and ill-health. Objective of the study was to assess the prevalence of underweight (weight-for-age), sociodemographic profile and to determination of differences exist by gender.Methods: The present study was hospital based descriptive cross-sectional study conducted from June 2019 to December 2019. The sample size calculated was 410, and accounting for 10% nonresponsive, the sample size calculated was 451. The data obtained were compiled and entered in MS-excel 2010 and analysed by using institutional SPSS (22.0).Results: Male children 230 (51.0%) was observed higher proportion as compared to female children 221 (49.0%) and same preponderance difference was found among underweight children. Literate fathers belong to 332 (73.6%) children and illiterate fathers belong to 96 (53.0%) underweight children. literate mother belongs to highly significant 283 (62.8%) children and illiterate mothers belong to highly significant 105 (58.0%) underweight children. Majority of father occupation belongs to other type job 294 (65.2) whereas labour occupation mostly belongs to underweight children 109 (60.2%) highly significant and most of the housewives belong to normal children 361 (80.1%) and underweight children 119 (65.8%) highly significant.Conclusions: Health education on nutrition to parents would be beneficiary for underweight children.


2021 ◽  
Vol 71 (2) ◽  
pp. 629-33
Author(s):  
Nadia Ramzan ◽  
Samreen Misbah ◽  
Shehla Baqai ◽  
Syed Fawad Mashhadi ◽  
Imtenan Sharif ◽  
...  

Objective: The study was conducted to assess the maternal health related quality of life and its affecting factors in postpartum period. Study Design: Analytical cross-sectional study. Place and Duration of Study: The study was done in a tertiary care hospital, Rawalpindi, from Mar to Jun 2019.Methodology: By using non-probability purposive sampling technique, sample of 268 women in post-partum period were interviewed. A validated short form-36 (SF-36) Questionnaire was administered to women aged 15-49 years, who had spontaneous vaginal delivery or cesarean section, and were within six weeks up to six months of postpartum period. Data was analyzed by using SPSS-22. A p-value of ≤0.05 was taken as significant. Results: Highest median scores were reported in physical functioning 75 (55, 90) and social functioning 75 (75, 62). Lowest median scores were reported in energy fatigue 37 (31, 50) body pain 45 (22, 62) and general health 45 (30, 60). Health-related quality of life scores showed significant difference (p-value <0.05) among subgroups of time since delivery, mode of delivery, education of women, husband’s education and antenatal visits. Conclusion: The study showed that health related quality of life score of postpartum women was moderately affected; where in physical and social functioning domains strongly contributes in better quality of life. Energy/fatigue, body pain and general health are the weakest domains adversely affecting quality of life. Women in subacute postpartum phase, with cesarean section, lower educational status and less than 04 antenatal visits are associated with poorer HRQOL.


Author(s):  
Novonil Deb ◽  
Poulami Roy

Background: Dunning Kruger (DK) effect refers to overestimation of one’s ability which is attributed to their inadequacy of metacognitive skills i.e., the low-performing individuals are often nescient of their incompetence which leads them to reach fallacious conclusions and make regrettable choices. Objectives of the study were to assess the degree of DK effect among the first-year medical students and to compare the associated socio-economic variables.Methods:  A descriptive cross-sectional study was conducted among the interested first-year medical students of North Bengal medical college and hospital from March 2021 to April 2021 using a questionnaire. Responses were recorded in Microsoft excel 2017, analysed, and presented in form of tables and charts following principles of descriptive statistics.Results: The overall prevalence of DK effect was found to be 78.38% among the first-year medical students. Higher prevalence was observed among females (80.28%) as compared to males (75%). Students having low study hours (79.13%), no academic achievements (77.5%), and greater hours of sleep (79.74%) manifested more predisposition to DK effect.Conclusions: In our research, we have noticed a higher DK effect among the first-year medical students, which might hamper the quality of treatment and patient care in the future. Proper orientation and counselling methods are required to overcome this phenomenon.


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