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  • 1. International Journal of Management (IJM), ISSN INTERNATIONAL JOURNAL 0976 – MANAGEMENT (IJM) OF 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME ISSN 0976-6502 (Print) ISSN 0976-6510 (Online) Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME: www.iaeme.com/ijm.asp Journal Impact Factor (2013): 6.9071 (Calculated by GISI) www.jifactor.com IJM ©IAEME SATISFACTION LEVEL OF IPD PATIENTS WITH MEDICAL SERVICES Dr. Satpal Singh1, 1 Dr. Shipra Jain(PT)2 Assistant Professor, Department of Management Studies, D.C.R.U.S.T. Murthal, Sonepat 2 Masters of Hospital Administration, D.C.R.U.S.T. Murthal, Sonepat ABSTRACT SUBJECT This dissertation report presents the methodology and result of patient experiences and satisfaction about medical care in In-patient department of NKS Hospital. OBJECTIVES The objective of study was to determine the level of patient satisfaction about medical care services provided at NKS hospital through the use of patient satisfaction questionnaire. METHODOLOGY The Patient satisfaction questionnaire was allowed to fill up by the 50 randomly selected patients from the IPD at NKS Hospital. DATA COLLECTION Data were collected through patient satisfaction questionnaire. DATA ANALYSIS For the purpose of data analysis one has used the Microsoft Excel. RESULT Results are expressed through the findings of the tables and graphs. The result suggests that although patient level of satisfaction was different for different aspect of medical care services, mostly patients were satisfied with the service and service providers. We are able to determine how the level of satisfaction is an important indicator of patient’s experiences to medical services. RECOMMENDATIONS With these results, one can manifest the level of patient satisfaction for determining the quality of care given in IPD and develop strategies to improve the patient care. Since this study shows the satisfaction level slightly above the average in the IPD of NKS Hospital so in future a 1
  • 2. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME study can be conducted on OPD to check the level of satisfaction and relate the satisfaction level with the IPD. INTRODUCTION The statement of problem identifies the gap in knowledge pertaining to the patient satisfaction as it directly relates to perception of caring nursing behaviors. In addition, the problem statement provides the researchers with a clear direction for the development of the research purpose. In addition, the authors make a clear case that additional research is warranted, especially with the extension of nursing in our country. In the literature review, the authors cite several studies describing caring knowledge in nursing, but the lack of true evidence regarding caring consequences. The purpose of this study was firstly to analyze the possibility of characterizing the patient’s responses typologically, taking into account patient evaluations of medical care; and secondly, to identify the particular healthcare dimensions that determine a patient's satisfaction or dissatisfaction. Understanding patient satisfaction with the healthcare provided by family doctors is, first and foremost, essential for improving the quality of medical care. There are basically three reasons why patient satisfaction is viewed as an important tool for measuring aspect of care. Firstly, there is convincing evidence that satisfaction is an important outcome measure. It may be a predictor of whether patients follow their recommended treatments, and is related to whether patients re-attend for treatment and change their provider of health care. Secondly, patient satisfaction is an increasingly useful measure in assessing consultations and patterns of communication. Thirdly, patient feedback is used systematically to choose between alternative methods of organizing or providing health care. PATIENT SATISFACTION AS MEASURE OF HEALTHCARE An important outcome measure. Useful in assessing consultations and patterns of communication. Used systematically, feedback enables choice between alternatives in Organising or providing healthcare. REVIEW OF LITERATURE Doris C. Vahey (2004 February) studied that high levels of nurse burnout could adversely affect patient satisfaction. This study examines the effect of the nurse work environment on nurse burnout, and the effects of the nurse work environment and nurse burnout on patients' satisfaction with their nursing care. They conducted cross-sectional surveys of nurses (N = 820) and patients (N = 621) from 40 units in 20 urban hospitals across the United States. Nurse surveys included measures of nurses' practice environments derived from the revised Nursing Work Index (NWI-R) and nurse outcomes measured by the Maslach Burnout Inventory (MBI) and intentions to leave. Patients were interviewed about their satisfaction with nursing care using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). This research concluded that improvements in nurses' work environments in hospitals have the potential to simultaneously reduce nurses' high levels of job burnout and risk of turnover and increase patients' satisfaction with their care. Mair F, Whitten P.( 2000 June) did a research into patient satisfaction with teleconsultation, specifically clinical consultations between healthcare providers and patients involving real time interactive video.Methodological deficiencies (low sample sizes, context, and study designs) of the published research limit the generalisability of the findings. The studies suggest that teleconsultation 2
  • 3. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME is acceptable to patients in a variety of circumstances, but issues relating to patient satisfaction require further exploration from the perspective of both clients and providers. Sitzia J. (1999 Aug) did this study to assess the properties of validity and reliability of instruments used to assess satisfaction in a broad sample of health service user satisfaction studies, and to assess the level of awareness of these issues among study authors. With few exceptions, the study instruments in this sample demonstrated little evidence of reliability or validity. Moreover, study authors exhibited a poor understanding of the importance of these properties in the assessment of satisfaction. Researchers must be aware that this is poor research practice, and that lack of a reliable and valid assessment instrument casts doubt on the credibility of satisfaction findings. Sitzia J, Wood N.( 1998 Aug) conducted the research to examine the quality of response rate reporting and to identify methodological factors influencing response rates in published patient satisfaction studies.Patient satisfaction studies generally show poor awareness of the importance of methodological issues relevant to response rate. Far more attention to this aspect is needed if findings in this field are to be accepted as valid and useful. Khayat K, Salter B.(1994 May) A survey was undertaken to investigate the use of a patient satisfaction survey and whether aspects of patient satisfaction varied according to sociodemographic characteristics such as age, sex, social class, housing tenure and length of time in education.Surveys and analyses of this kind, if conducted for a single practice, can form the basis of a marketing strategy aimed at optimizing list size, list composition, and service quality. Satisfaction surveys can be readily incorporated into medical audit and financial management. Ann Kutney-Lee, Matthew D. McHugh (2009 June)Patient satisfaction is receiving greater attention as a result of the rise in pay-for-performance (P4P) and the public release of data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. This paper examines the relationship between nursing and patient satisfaction across 430 hospitals. The nurse work environment was significantly related to all HCAHPS patient satisfaction measures. Additionally, patient-to-nurse workloads were significantly associated with patients’ ratings and recommendation of the hospital to others, and with their satisfaction with the receipt of discharge information. Improving nurses’ work environments, including nurse staffing, may improve the patient experience and quality of care. R Baker and M Whitfield(1992 June) conducted the researchto establish the validity of two patient satisfaction questionnaires (surgery satisfaction questionnaire and consultation satisfaction questionnaire developed for use in general practice. Both questionnaires classified patients in groups 1 and 2 according to the construct of satisfaction; thus the difference in median scores for every component of satisfaction in each questionnaire was significant and occurred in the direction predicted by the construct. Each questionnaire also discriminated between patients grouped according to their assessed level of continuity of care. They concluded that SSQ and CSQ are valid measures of satisfaction for these types of patients. D C Morrell and M O Roland(1986 March) An experiment was carried out in which patients who were seeking appointments for a consultation in a general practice in south London attended consulting sessions booked at 5, 7.5, or 10 minute intervals. The particular session that the patient attended was determined non-systematically. The clinical content of the consultation was recorded on an encounter sheet and on audio-tape. At the end of each consultation patients were invited to complete a questionnaire designed to measure satisfaction with the consultation. The stress engendered in doctors carrying out surgery sessions booked at different intervals of time was also measured. At surgery sessions booked at 5 minute intervals, compared with 7.5 and 10 minute intervals, the doctors spent less time with the patients and identified fewer problems, and the patients were less satisfied with the consultation. Blood pressure was recorded twice as often in surgery sessions that were booked at 10 minute intervals compared with those booked at 5 minute intervals. 3
  • 4. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME There was no evidence that patients who attended sessions booked at shorter intervals received more prescriptions, were investigated or referred more often to hospital specialists, or returned more often for further consultations within four weeks. There was no evidence that the doctors experienced more stress in dealing with consultations that were booked at 5 minute intervals than at consultations booked at 7.5 and 10 minute intervals, though they complained of shortage of time more often in surgery sessions that were booked at shorter intervals. Vinagre, M. H. and Neves, J. (2008)."The influence of service quality and patients' emotions on satisfaction." International Journal of Health Care Quality Assurance 21(1): 87-103. PURPOSE: The purpose of this research is to develop and empirically test a model to examine the major factors affecting patients' satisfaction that depict and estimate the relationships between service quality, patient's emotions, expectations and involvement. DESIGN/METHODOLOGY/APPROACH: The approach was tested using structural equation modeling, with a sample of 317 patients from six Portuguese public healthcare centres, using a revised SERVQUAL scale for service quality evaluation and an adapted DESII scale for assessing patient emotions. FINDINGS: The scales used to evaluate service quality and emotional experience appears valid. The results support process complexity that leads to health service satisfaction, which involves diverse phenomena within the cognitive and emotional domain, revealing that all the predictors have a significant effect on satisfaction. RESEARCH LIMITATIONS/IMPLICATIONS: The emotions inventory, although showing good internal consistency, might be enlarged to other typologies in further research--needed to confirm these findings. PRACTICAL IMPLICATIONS: Patient's satisfaction mechanisms are important for improving service quality. ORIGINALITY/VALUE: The research shows empirical evidence about the effect of both patient's emotions and service quality on satisfaction with healthcare services. Findings also provide a model that includes valid and reliable measures Watrous, J. and Hobson, A. (1994)."A systems approach to gathering and analyzing patient and family complaints and suggestions." Journal for Healthcare Quality 16(6): 14-6. Most medical facilities' leaders are concerned with satisfying the patients who use their healthcare organization. Whereas many facilities have identified specific individuals whose job it is to hear patient complaints, the authors promote the view that all staff members play important roles in patient advocacy. Management's role is to determine how to collect and analyze the complaints and suggestions voiced by patients throughout their healthcare experience. This article presents one method. Wensing, M. and Elwyn, G. (2002)."Research on patients' views in the evaluation and improvement of quality of care." Quality & Safety in Health Care 11(2): 153-7. The identification of methods for assessing the views of patients on health care has only developed over the last decade or so. The use of patients' views to improve healthcare delivery requires valid and reliable measurement methods. Four approaches are recognised: inclusion of patients' views in the information to those seeking health care, identification of patient preferences in episodes of care, patient feedback on delivery of health care, and patients' views in decision making on healthcare systems. Outcome measures for the evaluation of the use of patients' views should reflect the aims in terms of processes or outcomes of care, including possible negative consequences. Rigorous methodologies for the evaluation of methods have yet to be implemented. VanderVeen, L. and Ritz, M. (1996). "Customer satisfaction: a practical approach for hospitals." Journal for Healthcare Quality 18(2): 10-5. A California hospital developed a program to better serve and satisfy its customers. This article details the hospital's plan to implement the program with the collection and use of data to measure success, promote staff accountability, and, ultimately, demonstrate improved customer satisfaction as measured by fewer complaints. The various activities initiated to promote staff education and recognize employees also are briefly addressed. 4
  • 5. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME Turnbull, J. E. and Luther, K. M. (1996). "Patient satisfaction report paves way to improved care." QRC Advisor 13(1): 1-7. In this article, the second in a two-part series, we show how a datadriven clinical model was implemented to improve care using patient satisfaction reports. Last month, we outlined the essential components of a data-driven clinical model and summarized two research paradigms that provide the theoretical foundation for such a model. Trumble, S. C., O'Brien, M. L., O'Brien, M. and Hartwig, B. (2006). "Communication skills training for doctors increases patient satisfaction." Clinical Governance 11(4): 299-307. Purpose - The purpose of this paper is to examine changes in patients' satisfaction after their doctor has participated in a brief educational intervention on medico legal risk management. Design/methodology/approach - Questionnaire completed by ambulatory patients, measuring satisfaction with their doctor's communication skills before and three months after the doctor participated in a three hour workshop on medico legal risk management. 75 obstetrician/ gynecologists (O&Gs) and 99 general practitioners (GPs) were each rated by 60 of their patients following a consultation in their clinical rooms. Findings - Patient satisfaction as evidenced by change to "complete satisfaction" with doctor's communication skills and overall satisfaction with the clinical encounter. Practical implications - Participants had high initial patient satisfaction ratings and these were found to have improved across all parameters three months after the educational intervention. Originality/value - The educational intervention was successful in improving doctors' communication skills as evidenced by enhanced patient satisfaction in all key areas, including those most frequently associated with patient complaint, litigation and adverse outcome. Triolo, P. K., Hansen, P., Kazzaz, Y., Chung, H. and Dobbs, S. (2002). "Improving patient satisfaction through multidisciplinary performance improvement teams" Journal of Nursing Administration 32(9): 448-54. Hospitals today are challenged by high patient census, rising acuity, and workforce issues that can result in a serious decline in overall patient satisfaction. This article discusses how one hospital tackled the issue of declining patient satisfaction scores on five "troubled" patient care units through a performance improvement strategy that included MD-RN partnerships, co-mentoring, and unit staff development and involvement in the problem-solving process. The result was a steady improvement in patient satisfaction over a 6-month period. METHODOLOGY STUDY DESIGN A survey was conducted on 50 randomly selected populations in the In-Patient Department of NKS Hospital. Patient Satisfaction Questionnaire was used as tool for collecting data from the randomly selected sample. The questionnaire was allowed to be filled up by individual subject in order to prevent any kind of bias. SAMPLE DESIGN Fifty patients were randomly selected from the Indoor Department of NKS hospital. All were receiving treatment for their underlying medical condition. DATA COLLECTION For present study, primary data are collected by personal interviews, observation and a set of questionnaire to be filled by Patients/Attendants. A number of questions concerning to various factors associated with Medical Care in I.P.D. Department are framed with a view to assess the level of satisfaction in admitted patients and these questions are in proper sequence. Most of the questions are of multiple choices and close ended type and filled by using survey method 5
  • 6. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME PROCEDURE Each subject was allowed to fill the Patient Satisfaction Questionnaire in the standard way. Prior to filling of questionnaire clear instruction was given regarding the allocation of answers. OBJECTIVE OF STUDY To determine the level of patient satisfaction in the IPD of NKS Hospital. Its purpose is to analyze the level of patient satisfaction about the medical services. To determine what factors are most likely to influence satisfaction with inpatient medical care. To explore the extent to which satisfaction is a meaningful indicator of patients’ experience of healthcare services. DATA ANALYSIS & INTERPRETATION Among 50 randomly selected patients, all completed the questionnaire with a response rate of 100%. All the results were analysed by using Patients Satisfaction Questionnaire through the use of tables, graphs TABLE NO.1 SR. NO. 1 S.A A. N.O. D. S.D. Doctor’s explain the reasons for medical tests 2 9 22 13 4 TOTAL PTS. 50 5 16 11 15 3 50 3 Doctor’s consultation room is well equipped to provide comprehensive medical care…. Perfectness of medical care 9 19 8 8 6 50 4 Sometimes doctors make me wonder if their diagnosis is correct 0 9 22 13 6 50 5 Cost of medical care is affordable financially 15 17 9 7 2 50 6 3 9 28 6 4 50 7 Doctor’s examine patients carefully to check everything when treating Patients have to pay more for medical care than they can afford 2 5 17 17 9 50 8 Availability of medical specialists on patient’s need 15 23 2 6 4 50 9 Waiting time is too long for emergency treatment 0 5 6 23 16 50 10 Doctors act too businesslike and impersonal toward patients 0 6 9 22 13 50 11 Doctors are friendly and courteous towards patients 17 24 7 2 0 50 12 Sometimes healthcare professionals hurry too much when they treat patients. Is it hard to get an appointment for medical care on patient’s need and right away dissatisfaction with some things & departments while getting the medical care Patients get medical care & immediate attention of healthcare professionals whenever patients need it 13 6 5 19 17 50 0 0 3 28 19 50 9 8 10 14 9 50 11 27 5 7 0 50 2 13 14 15 QUESTION ASKED FROM PATIENTS S.D. - STRONGLY DISAGREE, D - DISAGREE, N.O. - NO OPINION, A - AGREE, S.A. STRONGLY AGREE 6
  • 7. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME Graph 1: SHOWING THE SATISFACTION LEVEL AMONG PATIENTS IN I.P.D. DEPARTMENT PATIENT SATISFACTION IN I.P.D. DEPARTMENT STRONGLY AGREE 4 3 AGREE 2 6 6 7 13 15 NO OPINION 4 9 6 6 STRONGLY DISAGREE 0 2 4 8 13 DISAGREE 16 13 9 7 17 2 19 0 7 5 9 14 17 8 24 11 23 28 17 22 19 22 28 17 6 9 9 9 6 5 5 3 4 5 6 8 5 9 2 10 22 16 1 27 19 23 7 8 6 9 10 3 0 11 12 13 14 15 GRAPH 1 From the data analysis from above table and graph, the following result is concluded concluded: The level of patient satisfaction is low in doctor’s explanations for medical test in NKS hospital. The level of satisfaction is average for the availability of medical facilities. evel The level of satisfaction is high for perfectness of medical care in NKS Hospital. The level of patient satisfaction is below average in NKS Hospital. The level of satisfaction for the cost of medical services is high in NKS Hospital. The level of patient satisfaction was average for alertness of medical practitioners in NKS Hospital. The patients level of satisfaction for affordability of treatment is average in NKS Hospital. The level of satisfaction is high for accessibility of medical services in NKS Hospital. evel The level of satisfaction is high for waiting time to get emergency medical services in NKS Hospital. The level of satisfaction for attitude of medical professional is high for NKS hospital. high The level of satisfaction is high for behaviour of medical professional towards them in NKS Hospital. The level of satisfaction is high for time spent with doctors in NKS Hospital. The level of patient satisfaction is low for convenience to get service in NKS Hospital. convenience 7
  • 8. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME The level of satisfaction is high for dissatisfaction related to some medical services in NKS Hospital. The level of satisfaction is high for opening hours in NKS Hospital. CONCLUSION Initially, researchers focused on patient satisfaction as an intermediate condition in order to reach desirable clinical outcomes such as patient compliance with recommended treatment. Gradually, patient satisfaction was shifted to a final outcome for evaluating and improving health and care services. So, the goal of the study was to conduct a patient’s satisfaction survey to determine the patient’s level of satisfaction in different aspect of medical care & to explore the extent to which satisfaction is meaningful indicator of patient’s experience of healthcare services. This study was conducted by an analysis of primary data from the NKS Hospital, New Delhi, INDIA. The database contained patient responses to self-administered satisfaction questionnaires and information about medical care services characteristics. The result suggests that although patient level of satisfaction was different for different aspect of medical care services, mostly patients were satisfied with the service and service providers. We are able to determine how the level of satisfaction is an important indicator of patient’s experiences to medical services. RECOMMENDATIONS In comparable settings, if care providers wish to improve the quality of health services from a patients’ perspective, they should give priority to provide reasons and explanation for the treatment and medical test to the patients and family members. Further studies are recommended to discover complementary predictors in formation of overall satisfaction. Since this study shows the satisfaction level slightly above the average in the IPD of NKSHospital so in future a study can be conducted on OPD to check the level of satisfaction and relate the satisfaction level with the IPD. REFERENCES 1. 2. 3. 4. 5. 6. 7. G. Cohen .Age and health status in a patient satisfaction survey ;Social Science & Medicine, Volume 42, Issue 7, Pages 1085-1093. Rydman RJ, Zalenski RJ, Roberts RR, Albrecht GA, McCarren M, Misiewicz VM, Kampe LM: Patient satisfaction with an emergency department chest pain observation unit. Ann Emerg Med January 1997;29:109-115.]Medical Care: Young, Gary J. JD, PhD*†; Meterko, Mark PhD*‡; Desai, Kamal R. PhD*†Patient Satisfaction With Hospital Care: Effects of Demographic and Institutional Characteristics March 2000 Volume 38 - Issue 3 - pp 325-334. B. Svensson1,2,*, L. Hansson Patient satisfaction with inpatient psychiatric care Act a Psychiatrica Scandinavica; Volume 90, Issue 5, pages 379–384, November 1994. Bruce, Tammy A. MSN, RN; Bowman, Josie M. DSN, RN; Brown, Sylvia T. EdD, RN Factors that Influence Patient Satisfaction in the Emergency Department Journal of Nursing Care Quality: December 1998 - Volume 13 - Issue 2 - pp 31-37. Jesse M. Pines MD, MBA, MSCE, Sanjay Iyer, Maureen Disbot RN, MSN, CCRN, Judd E. Hollander MD, Frances S. Shofer PhD, Elizabeth M. Datner MD The Effect of Emergency Department Crowding on Patient Satisfaction for Admitted Patients Academic Emergency Medicine; Volume 15, Issue 9, pages 825–831, September 2008. http://dx.doi.org/10.1016/S0277-9536(97)00128-7, How to Cite or Link. 8
  • 9. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 5, Issue 2, February (2014), pp. 01-09 © IAEME 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Woodring, Sharon BSN, RN; Polomano, Rosemary C. PhD, RN, FAAN; Haagen, Brigette F. DNSc, APRN, BC; Haack, Marsha M. MSN, RN; Nunn, Richard R. RN; Miller, Gary L. CTRS; Zarefoss, Mary Anne BSN, RNC; Tan, T Ling MD, FAPA Development and Testing of Patient Satisfaction Measure for Inpatient Psychiatry Care Journal of Nursing Care Quality: April/May/June 2004 - Volume 19 - Issue 2 - pp 137-148. C Jenkinson1, A Coulter2, S Bruster3,N Richards4, T Chandola5Patients’ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of careQualSaf Health Care2002;11:335-339 doi:10.1136/qhc.11.4.335. Kingsley Poolea, Nicholas Morana, Gail Bella, Juliet Solomona, Sally Kendallb, Mark McCarthya, David McCormickc, LinaNashefd, Anthony Johnsone, JosemirSandera, SimonShorvon Patients’ perspectives on services for epilepsy: a survey of patient satisfaction, preferences and information provision in 2394 people with epilepsy Volume 9, Issue 8, December 2000, Pages 551–558. Aiello, Angelo; Garman, Andrew; Morris, Scott B. Patient Satisfaction With Nursing Care:A Multilevel Analysis Quality Management in Health Care: July/August/September 2003 Volume 12 - Issue 3 - p 187-190. HossainZiaei, MarziehKatibeh*, ArmenEskandari, MonirMirzadeh, Zahra RabbanikNKS, Mohammad Ali Javadi. Determinants of patient satisfaction with ophthalmic services; Bina Journal of Ophthalmology. (2009; 14 (3): 289-297). Ray Fitzpatrick. Surveys of patient satisfaction: I-Important general considerations; BMJ 1991; VOLUEME 302:887-9. José M Quintana*1, Nerea González1, Amaia Bilbao2, Felipe Aizpuru3, Antonio Escobar4, Cristóbal Esteban5, José Antonio San-Sebastián6, Emilio de-la-Sierra7 and Andrew Thompson8. Predictors of patient satisfaction with hospital health care; BMC Health Services Research 2006, 6:102; August 2006. Celia O. Larson,1 *F Eugene , C. Nelson.T David Gustafson§And Paul B. Bataldenj. The Relationship Between Meeting Patients' Information Needs and their Satisfaction with Hospital Care and General Health Status Outcomes; International Journal for Quality In Health Cart, Vol. 8, No. 5, pp. 447-456, 1996. C Jenkinson, A Coulter, S Bruster, N Richards, T Chandola. Patients’ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care; QualSaf Health Care 2002;11:335–339. Dr. Satpal Singh and Dr. Naveen Antil, “A Study of Hospital Acquired Infection: On Nosocomial Infection Management”, International Journal of Advanced Research in Management (IJARM), Volume 5, Issue 1, 2014, pp. 42 - 52”. ISSN Print: 0976 – 6324, ISSN Online: 0976 – 6332. Dr. Satpal Singh and Dr. Seema, “Medical Record Department: An Analytical Study” International Journal of Management (IJM), Volume 5, Issue 1, 2014, pp. 14 - 22, ISSN Print: 0976-6502, ISSN Online: 0976-6510. Dr. Satpal Singh and Dr. Sahil, “Study on Medical Tourism Global Competition in Healthcare and a Study on Satisfaction Level Among Foreign Patient’s”, International Journal of Marketing & Human Resource Management (IJMHRM), Volume 5, Issue 1, 2014, pp. 9 - 21, ISSN Print: 0976 – 6421, ISSN Online: 0976- 643X. Dr. Satpal Singh and Dr. Pankaj, “Health Care Quality Assurance: Emergency Department of a Tertiary Care Hospital”, International Journal of Advanced Research in Management (IJARM), Volume 5, Issue 1, 2014, pp. 31 - 41”. ISSN Print: 0976 – 6324, ISSN Online: 0976 – 6332. 9