Thesis defence & last presentation of my MPH journey. Alhamdulillah, it was published on "Public Health in Practice".
https://www.sciencedirect.com/science/article/pii/S2666535220300367
The document discusses the roles and responsibilities of nursing services in a hospital. It outlines the organization of nursing which focuses on patient care and education. Nursing services are categorized into nursing care, administration, and education. The roles involve ensuring quality care, staff management, monitoring performance, and maintaining standards. Different nursing approaches and methods like functional, team, and patient care are explained.
The document discusses the key steps and considerations for planning and designing a hospital building. It begins by outlining emerging issues like changing patient expectations and advancements in medicine. Some strategic essentials for planning include assessing needs, designing for flexibility, and creating a healing environment. The planning process involves steps like conducting a feasibility study, developing an architects' brief, and creating a detailed project report. Key aspects of design include following the function of each department and developing a master plan addressing site layout, access points, and future expansion. Thorough space programming and consideration of impacting factors like regulations and financing are also important.
This document discusses marketing techniques and management systems for hospitals. It covers identifying customer needs, developing programs and services to satisfy customers, and performing SWOT and PEST analyses. Various marketing strategies are presented, including the four Ps of marketing (product, place, price, promotion), addressing variables like patients, physicians, employers and lack of patient knowledge. The importance of marketing and management for hospital revenue generation is emphasized.
Hospital administration & Hospital AdministratorNc Das
This document outlines the key aspects of hospital administration. It discusses how hospital administration has evolved from poor houses to complex medical institutions. An effective hospital administrator must balance internal management with community expectations by maintaining positive relations with staff, patients, and other health organizations. The document then provides details on the administrative setup of Dr. RML Hospital, including the roles and responsibilities of the medical superintendent and other positions. It also describes the important skills, roles, and responsibilities required of a successful modern hospital administrator.
- Government health spending in India is very low at just over 1% of GDP, well below what is needed to meet the country's health needs. This has forced many people to rely on private healthcare, leading to high out-of-pocket costs that push many into poverty.
- Reforms are needed such as increasing public health spending to 3-5% of GDP, regulating the private sector, and implementing a universal health coverage program. However, challenges remain due to India's large population, infrastructure weaknesses, and need to balance fiscal priorities.
- Initiatives have been launched such as the National Rural Health Mission and health insurance programs, but more focus is needed on primary care, community participation, and direct
Many event organizers would like to facilitate more meetings and connections between attendees, employees, and exhibitors, but managing this process can quickly become a full time job. The Cvent Appointments solution is a flexible tool to create groups of event participants, and control how they can view and request meetings with each other. It's perfect for planners running a conference with exhibitors or a hosted buyer program, client sit-downs with customer success representatives, an 'ask the experts' series, or even informal attendee networking sessions.
This document provides an overview of NGOs (non-governmental organizations) and their role in health in India. It discusses the history and types of NGOs in India, their characteristics, strengths and weaknesses. It describes how NGOs help provide health services, implement health insurance schemes, and support primary healthcare. Key points are that NGOs have a long history in India, there are over 31 lakh registered NGOs currently, and they play an important role in filling gaps in health services, especially for poor communities.
- Male 1
- Female 1
Nurse 1
Lab Technician 1
ANM 2
Health Worker (F) 2
Health Assistant (M) 1
Total 11 14
SIHFW: an ISO 9001: 2008 certified Institution 37
Urban Health Services
- Urban Health Centers
- Dispensaries
- Maternity Homes
- Special Clinics
- Mobile Units
- School Health
- Environmental Sanitation
- Health Education
- Slum Health Programs
- Referral Services
SIHFW: an ISO 9001: 2008 certified Institution 38
The document discusses the roles and responsibilities of nursing services in a hospital. It outlines the organization of nursing which focuses on patient care and education. Nursing services are categorized into nursing care, administration, and education. The roles involve ensuring quality care, staff management, monitoring performance, and maintaining standards. Different nursing approaches and methods like functional, team, and patient care are explained.
The document discusses the key steps and considerations for planning and designing a hospital building. It begins by outlining emerging issues like changing patient expectations and advancements in medicine. Some strategic essentials for planning include assessing needs, designing for flexibility, and creating a healing environment. The planning process involves steps like conducting a feasibility study, developing an architects' brief, and creating a detailed project report. Key aspects of design include following the function of each department and developing a master plan addressing site layout, access points, and future expansion. Thorough space programming and consideration of impacting factors like regulations and financing are also important.
This document discusses marketing techniques and management systems for hospitals. It covers identifying customer needs, developing programs and services to satisfy customers, and performing SWOT and PEST analyses. Various marketing strategies are presented, including the four Ps of marketing (product, place, price, promotion), addressing variables like patients, physicians, employers and lack of patient knowledge. The importance of marketing and management for hospital revenue generation is emphasized.
Hospital administration & Hospital AdministratorNc Das
This document outlines the key aspects of hospital administration. It discusses how hospital administration has evolved from poor houses to complex medical institutions. An effective hospital administrator must balance internal management with community expectations by maintaining positive relations with staff, patients, and other health organizations. The document then provides details on the administrative setup of Dr. RML Hospital, including the roles and responsibilities of the medical superintendent and other positions. It also describes the important skills, roles, and responsibilities required of a successful modern hospital administrator.
- Government health spending in India is very low at just over 1% of GDP, well below what is needed to meet the country's health needs. This has forced many people to rely on private healthcare, leading to high out-of-pocket costs that push many into poverty.
- Reforms are needed such as increasing public health spending to 3-5% of GDP, regulating the private sector, and implementing a universal health coverage program. However, challenges remain due to India's large population, infrastructure weaknesses, and need to balance fiscal priorities.
- Initiatives have been launched such as the National Rural Health Mission and health insurance programs, but more focus is needed on primary care, community participation, and direct
Many event organizers would like to facilitate more meetings and connections between attendees, employees, and exhibitors, but managing this process can quickly become a full time job. The Cvent Appointments solution is a flexible tool to create groups of event participants, and control how they can view and request meetings with each other. It's perfect for planners running a conference with exhibitors or a hosted buyer program, client sit-downs with customer success representatives, an 'ask the experts' series, or even informal attendee networking sessions.
This document provides an overview of NGOs (non-governmental organizations) and their role in health in India. It discusses the history and types of NGOs in India, their characteristics, strengths and weaknesses. It describes how NGOs help provide health services, implement health insurance schemes, and support primary healthcare. Key points are that NGOs have a long history in India, there are over 31 lakh registered NGOs currently, and they play an important role in filling gaps in health services, especially for poor communities.
- Male 1
- Female 1
Nurse 1
Lab Technician 1
ANM 2
Health Worker (F) 2
Health Assistant (M) 1
Total 11 14
SIHFW: an ISO 9001: 2008 certified Institution 37
Urban Health Services
- Urban Health Centers
- Dispensaries
- Maternity Homes
- Special Clinics
- Mobile Units
- School Health
- Environmental Sanitation
- Health Education
- Slum Health Programs
- Referral Services
SIHFW: an ISO 9001: 2008 certified Institution 38
This document summarizes the key changes between the 4th and 5th editions of the NABH accreditation standards. The 5th edition has reduced the total number of standards from 105 to 100 and objective elements from 683 to 651. It introduces a new graded scoring system of 1 to 5 and defines criteria for accreditation including minimum scores across standards and chapters. Core elements related to patient safety must now be met to achieve accreditation.
The document discusses the challenges and opportunities facing the US healthcare system in light of the Patient Protection and Affordable Care Act (PPACA). It notes the fragmented and episodic nature of care prior to reforms, and the goals of PPACA to introduce new models like accountable care organizations (ACOs) and health insurance marketplaces. However, it also acknowledges the uncertainties created by reform and ongoing tests of new programs. The document advocates for a coordinated, team-based approach leveraging emerging technologies like telehealth to improve outcomes across domains and overcome common challenges in a sustainable way.
This is an overview on the organization andd function of the medical records department in a hospital. It would be of help to administrators and planners, as well as for teachers.
The document describes several nursing orientation programs across different specialties. A general orientation program involved an 8-week preceptorship with 9 new graduates, which resulted in a 47% increase in retention. A second program included general, unit-based, and nurse residency components, leading to a current 13% turnover rate. An ICU orientation was 16 weeks with a structured schedule and resulted in a 40% reduction in orientation time and 95% 1-year retention. A PCU program was 10 weeks with teams of 3 nurses and preceptors and increasing patient loads, intended to ease the transition to the unit. Overall the programs aimed to smoothly transition new nurses and improve retention rates.
The document discusses the Indian healthcare system and its key challenges. It notes that the system faces substantial challenges in providing quality healthcare due to factors such as a fast growing population, changing disease profiles, a multilayered healthcare landscape, lack of infrastructure, shortage of manpower, low public expenditure on health, and inaccessibility of services - especially in rural areas. It also examines the disease burden in India and initiatives by the government to improve the system. However, it concludes that India still lags in key healthcare indicators and there is need for improved healthcare planning, resources, and financing to address the country's growing healthcare challenges.
This document discusses the changing role of hospitals over time. Originally focused solely on curative care, hospitals now provide a broader range of services including preventive care, health promotion, rehabilitation, health education, training, research, and community outreach. The role of hospitals has expanded from solely focusing on inpatient care to also providing outpatient, ambulatory, and community-based services. Hospital administration has also evolved to balance internal management with external community relations and feedback between clinical and administrative departments. The changing healthcare landscape requires hospitals to effectively manage costs while continuing to meet diverse patient and community needs.
Health sector reforms aim to improve the efficiency, equity and effectiveness of healthcare delivery. Key reforms implemented in India include decentralization through expansion of comprehensive primary healthcare centers, increasing healthcare financing and expenditures, expanding health insurance coverage, reorganizing the existing health system, improving health infrastructure and human resources, implementing digital health initiatives, and encouraging public-private partnerships. Challenges remain in strengthening implementation and ensuring equitable access across states, but ongoing reforms indicate progress toward more accessible and comprehensive healthcare nationwide.
The document provides an overview of India's healthcare system, including its various components and the roles of the public and private sectors. Some key points:
- The healthcare system comprises sectors like hospitals, insurance, pharmaceuticals, medical tourism, diagnostics, and equipment/supplies.
- The private sector accounts for around 80% of healthcare delivery and has grown significantly due to various factors like reduced government funding and policies encouraging privatization.
- Medical tourism in India is a growing market valued at $3 billion in 2012 due to lower costs compared to other countries.
- The diagnostics sector is highly fragmented but growing at 20% annually with increased healthcare spending and insurance penetration.
- Foreign direct investment
Health care organizations provide medical services and are structured in different ways. Hospitals are large facilities that provide inpatient and outpatient care using doctors, nurses, and other medical staff. Other types of health care organizations include clinics, private practices, nursing homes, and home health agencies that deliver more specialized or localized care. The structure and services of a health care organization depend on its goals and the needs of the community or patients it serves.
PUBLIC PRIVATE PARTNERSHIP IN HEALTH SECTORfarhad240669
This document discusses public-private partnerships (PPPs) in the health sector in Bangladesh. It defines PPPs as contractual agreements between public agencies and private sectors to deliver public services by sharing risks and rewards. The document outlines the goals, objectives, concepts, and principles of PPPs. It discusses global PPP contexts and scenarios in Bangladesh. It examines PPP approaches, targeted outcomes and benefits, challenges, risks, and opportunities of PPPs in the health sector. The key points are accelerating investments, improved quality, timely delivery, reduced costs, and innovative solutions through PPPs in health infrastructure and services.
Project report on Time and motion study and OPD questionnaire survey.DR RITA SINGH
Association between waiting time and consultation time in Outpatient department and OPD pharmacy and OPD patient satisfaction: A time and motion study and OPD questionnaire Survey
This document discusses plans to build the Metro Health Village, a new hospital and health care campus in West Michigan. It will reinvent the health care experience by designing a patient-centered facility focused on quality, efficiency, access, collaboration and sustainability. The new campus is expected to improve care, reduce costs, shorten drive times for patients, and have a positive economic and environmental impact on the community. Construction is underway on the $150 million project, which will include a new 448,000 square foot hospital building set to open in 2006. The Metro Health Village aims to enhance health care in the region while preserving Metro Health's commitment to personalized care, especially for underserved populations.
This document provides descriptions of the various departments within a hospital. It discusses departments such as casualty, cardiology, critical care, general surgery, maternity/neonatal/paediatrics, gynaecology, anaesthetics, ears nose and throat, neurology, ophthalmology, orthopaedics, psychiatry, outpatient, inpatient, diagnostic imaging, nutrition and dietetics, medical social work, housekeeping, catering, administration, medical records, maintenance, IT, human resources, and finance. The document aims to give an overview of the functions and services provided by each department within a hospital.
The document discusses the Australian Refined Diagnosis Related Group (AR-DRG) patient classification scheme. It describes AR-DRG as grouping patients according to their clinical characteristics and resource use based on ICD-10-AM codes. The AR-DRG grouper applies demographic and clinical edits, and each AR-DRG has 4 alphanumeric characters determining a patient's length of stay and hospital payment.
The document discusses outpatient departments (OPDs) in hospitals. It defines an OPD and provides reasons for their establishment, including rising healthcare costs and limited hospital beds. OPDs provide about 30-35% of hospital revenue. Key points made include:
- OPDs see over 50% of inpatients and act as screening points for treatment need. On average, 500 outpatients are seen per hospital bed per year.
- Common problems faced by OPDs include insufficient doctors and facilities, long wait times, and lack of privacy. Queuing theory principles and appointment systems can help minimize wait times.
- Proper design, staffing, equipment and management of patient flow are needed to improve OPD efficiency
Different Departments Required in a Hospital Rhea Shivan
This presentation though long is a brief presentation on the different departments required for a hospital to run. Apt info for those having hospital administration as a paper
The document discusses indenting, which is a document sent from one department to another, such as from the kitchen to the store, listing the ingredients and quantities needed. An indent specifies the requirements in terms of description, quality, specifications, units and quantity. It allows the store to procure the required items and dispatch them to the requesting department. Indents help control ingredients, waste, pilferage and ensure proper quantities and quality are received. Factors like menu items, number of guests and types of dishes affect indenting. Certain ordering is followed when listing food items on an indent.
Planning and organizing: Hospital, unit and ancillary servicesShweta Sharma
The document discusses planning and organizing hospitals, units, and ancillary services. It covers topics like the introduction and definition of hospitals, features and types of hospitals, functions of hospitals, aims of hospital planning, guiding principles in planning, divisions of a hospital, hospital planning team, and steps in hospital planning. The key aspects covered are types of hospitals based on objective, administration, length of stay, medical staff, bed capacity, care provided, and teaching affiliation. [/SUMMARY]
The document discusses the organization and management of inpatient services in a hospital. It outlines the objectives of providing inpatient care, which include providing high quality medical and nursing care, making necessary equipment and supplies available, and ensuring patient comfort. It also discusses planning and organizing the physical facilities of inpatient wards including location, size, patient housing areas, and auxiliary areas. Factors influencing patient care and the roles and responsibilities of the ward sister in management are also summarized.
This document discusses medical tourism, which involves traveling abroad for medical treatment. It provides an overview of the scope and components of medical tourism, including treatment types, wellness, and reproduction services. India is highlighted as a major destination for medical tourism due to its high-quality care at low costs compared to other countries. Challenges and opportunities for India's medical tourism industry are examined through a SWOT analysis. The roles of the Indian government and private sector in promoting medical tourism are also outlined.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
The document provides background information on a study about patient satisfaction levels at tertiary level hospitals in Dhaka City, Bangladesh. It outlines the study objectives which are to assess and compare patient satisfaction levels regarding hospital services and identify other factors influencing satisfaction. The methodology section describes the study design as cross-sectional, conducted from May to December 2015 at Holy Family Red Crescent Medical College Hospital. A sample of 170 admitted medicine patients was surveyed using purposive sampling and structured questionnaires. Preliminary results on patient demographics and satisfaction with hospital reception are presented.
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
This document summarizes the key changes between the 4th and 5th editions of the NABH accreditation standards. The 5th edition has reduced the total number of standards from 105 to 100 and objective elements from 683 to 651. It introduces a new graded scoring system of 1 to 5 and defines criteria for accreditation including minimum scores across standards and chapters. Core elements related to patient safety must now be met to achieve accreditation.
The document discusses the challenges and opportunities facing the US healthcare system in light of the Patient Protection and Affordable Care Act (PPACA). It notes the fragmented and episodic nature of care prior to reforms, and the goals of PPACA to introduce new models like accountable care organizations (ACOs) and health insurance marketplaces. However, it also acknowledges the uncertainties created by reform and ongoing tests of new programs. The document advocates for a coordinated, team-based approach leveraging emerging technologies like telehealth to improve outcomes across domains and overcome common challenges in a sustainable way.
This is an overview on the organization andd function of the medical records department in a hospital. It would be of help to administrators and planners, as well as for teachers.
The document describes several nursing orientation programs across different specialties. A general orientation program involved an 8-week preceptorship with 9 new graduates, which resulted in a 47% increase in retention. A second program included general, unit-based, and nurse residency components, leading to a current 13% turnover rate. An ICU orientation was 16 weeks with a structured schedule and resulted in a 40% reduction in orientation time and 95% 1-year retention. A PCU program was 10 weeks with teams of 3 nurses and preceptors and increasing patient loads, intended to ease the transition to the unit. Overall the programs aimed to smoothly transition new nurses and improve retention rates.
The document discusses the Indian healthcare system and its key challenges. It notes that the system faces substantial challenges in providing quality healthcare due to factors such as a fast growing population, changing disease profiles, a multilayered healthcare landscape, lack of infrastructure, shortage of manpower, low public expenditure on health, and inaccessibility of services - especially in rural areas. It also examines the disease burden in India and initiatives by the government to improve the system. However, it concludes that India still lags in key healthcare indicators and there is need for improved healthcare planning, resources, and financing to address the country's growing healthcare challenges.
This document discusses the changing role of hospitals over time. Originally focused solely on curative care, hospitals now provide a broader range of services including preventive care, health promotion, rehabilitation, health education, training, research, and community outreach. The role of hospitals has expanded from solely focusing on inpatient care to also providing outpatient, ambulatory, and community-based services. Hospital administration has also evolved to balance internal management with external community relations and feedback between clinical and administrative departments. The changing healthcare landscape requires hospitals to effectively manage costs while continuing to meet diverse patient and community needs.
Health sector reforms aim to improve the efficiency, equity and effectiveness of healthcare delivery. Key reforms implemented in India include decentralization through expansion of comprehensive primary healthcare centers, increasing healthcare financing and expenditures, expanding health insurance coverage, reorganizing the existing health system, improving health infrastructure and human resources, implementing digital health initiatives, and encouraging public-private partnerships. Challenges remain in strengthening implementation and ensuring equitable access across states, but ongoing reforms indicate progress toward more accessible and comprehensive healthcare nationwide.
The document provides an overview of India's healthcare system, including its various components and the roles of the public and private sectors. Some key points:
- The healthcare system comprises sectors like hospitals, insurance, pharmaceuticals, medical tourism, diagnostics, and equipment/supplies.
- The private sector accounts for around 80% of healthcare delivery and has grown significantly due to various factors like reduced government funding and policies encouraging privatization.
- Medical tourism in India is a growing market valued at $3 billion in 2012 due to lower costs compared to other countries.
- The diagnostics sector is highly fragmented but growing at 20% annually with increased healthcare spending and insurance penetration.
- Foreign direct investment
Health care organizations provide medical services and are structured in different ways. Hospitals are large facilities that provide inpatient and outpatient care using doctors, nurses, and other medical staff. Other types of health care organizations include clinics, private practices, nursing homes, and home health agencies that deliver more specialized or localized care. The structure and services of a health care organization depend on its goals and the needs of the community or patients it serves.
PUBLIC PRIVATE PARTNERSHIP IN HEALTH SECTORfarhad240669
This document discusses public-private partnerships (PPPs) in the health sector in Bangladesh. It defines PPPs as contractual agreements between public agencies and private sectors to deliver public services by sharing risks and rewards. The document outlines the goals, objectives, concepts, and principles of PPPs. It discusses global PPP contexts and scenarios in Bangladesh. It examines PPP approaches, targeted outcomes and benefits, challenges, risks, and opportunities of PPPs in the health sector. The key points are accelerating investments, improved quality, timely delivery, reduced costs, and innovative solutions through PPPs in health infrastructure and services.
Project report on Time and motion study and OPD questionnaire survey.DR RITA SINGH
Association between waiting time and consultation time in Outpatient department and OPD pharmacy and OPD patient satisfaction: A time and motion study and OPD questionnaire Survey
This document discusses plans to build the Metro Health Village, a new hospital and health care campus in West Michigan. It will reinvent the health care experience by designing a patient-centered facility focused on quality, efficiency, access, collaboration and sustainability. The new campus is expected to improve care, reduce costs, shorten drive times for patients, and have a positive economic and environmental impact on the community. Construction is underway on the $150 million project, which will include a new 448,000 square foot hospital building set to open in 2006. The Metro Health Village aims to enhance health care in the region while preserving Metro Health's commitment to personalized care, especially for underserved populations.
This document provides descriptions of the various departments within a hospital. It discusses departments such as casualty, cardiology, critical care, general surgery, maternity/neonatal/paediatrics, gynaecology, anaesthetics, ears nose and throat, neurology, ophthalmology, orthopaedics, psychiatry, outpatient, inpatient, diagnostic imaging, nutrition and dietetics, medical social work, housekeeping, catering, administration, medical records, maintenance, IT, human resources, and finance. The document aims to give an overview of the functions and services provided by each department within a hospital.
The document discusses the Australian Refined Diagnosis Related Group (AR-DRG) patient classification scheme. It describes AR-DRG as grouping patients according to their clinical characteristics and resource use based on ICD-10-AM codes. The AR-DRG grouper applies demographic and clinical edits, and each AR-DRG has 4 alphanumeric characters determining a patient's length of stay and hospital payment.
The document discusses outpatient departments (OPDs) in hospitals. It defines an OPD and provides reasons for their establishment, including rising healthcare costs and limited hospital beds. OPDs provide about 30-35% of hospital revenue. Key points made include:
- OPDs see over 50% of inpatients and act as screening points for treatment need. On average, 500 outpatients are seen per hospital bed per year.
- Common problems faced by OPDs include insufficient doctors and facilities, long wait times, and lack of privacy. Queuing theory principles and appointment systems can help minimize wait times.
- Proper design, staffing, equipment and management of patient flow are needed to improve OPD efficiency
Different Departments Required in a Hospital Rhea Shivan
This presentation though long is a brief presentation on the different departments required for a hospital to run. Apt info for those having hospital administration as a paper
The document discusses indenting, which is a document sent from one department to another, such as from the kitchen to the store, listing the ingredients and quantities needed. An indent specifies the requirements in terms of description, quality, specifications, units and quantity. It allows the store to procure the required items and dispatch them to the requesting department. Indents help control ingredients, waste, pilferage and ensure proper quantities and quality are received. Factors like menu items, number of guests and types of dishes affect indenting. Certain ordering is followed when listing food items on an indent.
Planning and organizing: Hospital, unit and ancillary servicesShweta Sharma
The document discusses planning and organizing hospitals, units, and ancillary services. It covers topics like the introduction and definition of hospitals, features and types of hospitals, functions of hospitals, aims of hospital planning, guiding principles in planning, divisions of a hospital, hospital planning team, and steps in hospital planning. The key aspects covered are types of hospitals based on objective, administration, length of stay, medical staff, bed capacity, care provided, and teaching affiliation. [/SUMMARY]
The document discusses the organization and management of inpatient services in a hospital. It outlines the objectives of providing inpatient care, which include providing high quality medical and nursing care, making necessary equipment and supplies available, and ensuring patient comfort. It also discusses planning and organizing the physical facilities of inpatient wards including location, size, patient housing areas, and auxiliary areas. Factors influencing patient care and the roles and responsibilities of the ward sister in management are also summarized.
This document discusses medical tourism, which involves traveling abroad for medical treatment. It provides an overview of the scope and components of medical tourism, including treatment types, wellness, and reproduction services. India is highlighted as a major destination for medical tourism due to its high-quality care at low costs compared to other countries. Challenges and opportunities for India's medical tourism industry are examined through a SWOT analysis. The roles of the Indian government and private sector in promoting medical tourism are also outlined.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
The document provides background information on a study about patient satisfaction levels at tertiary level hospitals in Dhaka City, Bangladesh. It outlines the study objectives which are to assess and compare patient satisfaction levels regarding hospital services and identify other factors influencing satisfaction. The methodology section describes the study design as cross-sectional, conducted from May to December 2015 at Holy Family Red Crescent Medical College Hospital. A sample of 170 admitted medicine patients was surveyed using purposive sampling and structured questionnaires. Preliminary results on patient demographics and satisfaction with hospital reception are presented.
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
A study on patient satisfaction with special reference to government hospital...Tapasya123
In this study researchers analyse the satisfaction level of patients regard to facilities
available in government hospitals. A sample of 100 patients is taken from Pandit Brij
Sundar Shama Government General Hospital (GGH) at Bundi District in the state
of Rajasthan in India. Four dimensions of perceived quality were identified—Admission
Procedure, Diagnostic Services, Behaviour of the staff, Cleanliness. The developed
scale is used to evaluate perceived quality at a range of various types of facilities
for patients. Perceived quality at public facilities is only marginally favourable, leaving
much scope for improvement. Better staff and physician relations, interpersonal skills,
good diagnostic and cleanliness service can improve the level of satisfaction among
employees.
Keywords:
This document provides background information on a study being conducted at Jimma University Medical Center in Ethiopia. It discusses factors that influence patient satisfaction, including tangibles like quality of equipment, reliability of services, responsiveness, assurance, empathy, and access in terms of cost and time. Previous studies on patient satisfaction in Ethiopia and other countries found varying levels of satisfaction, from 22% to 93%, with issues like disrespectful treatment, long wait times, and lack of drug availability influencing satisfaction. The significance of studying patient satisfaction is that it allows patients' voices to be heard to improve healthcare planning and measure hospital quality.
This document discusses patient satisfaction in healthcare. It begins by introducing patient satisfaction as a concept that considers a patient's needs, expectations of care, and healthcare experiences. Several theories of patient satisfaction are mentioned. The literature review highlights factors that can affect patient satisfaction, including provider characteristics like communication skills and patient characteristics like socioeconomic status. Ensuring patient satisfaction is important for compliance, care-seeking behaviors, and quality improvement. The document then describes a study conducted in Pakistan that assessed patient satisfaction in an outpatient department, finding high satisfaction with doctors, facilities, and a willingness to return. It recommends further studies in other care settings and obtaining ongoing patient feedback.
This document outlines concepts related to health care quality assessment. It describes key definitions, such as quality referring to services that increase health outcomes and are consistent with current knowledge. It also discusses perspectives on quality from practitioners, patients, and communities. Additionally, the document outlines different levels of quality analysis from national policies to individual care provision and lists examples of common quality indicators assessed in the US, such as patient satisfaction, mortality rates, and adherence to treatment protocols.
Patients' satisfaction towards doctors treatmentmustafa farooqi
This document provides an introduction, literature review, and proposed framework for a study on patient satisfaction towards doctor treatment at state hospitals in Multan, Pakistan. The study aims to examine if patients are satisfied with the healthcare process, doctor treatment and behavior, and information/communication. The conceptual framework identifies background variables, independent variables related to doctor treatment, and dependent variables of patient satisfaction. The literature review discusses several prior studies that examined factors influencing patient satisfaction like doctor competence, communication, and attitudes. The theoretical framework discusses social identity theory and satisfaction theory in understanding patient attitudes and expectations.
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
The study found that:
1) Ward in-charges' leadership characteristics were average, scoring 69.2% on assessments, indicating a need for continued nursing education.
2) Ward in-charges' performance on managerial activities was below average, at 48.28%, showing room for improvement in nursing management quality.
3) Nursing care status was satisfactory, at a 72.32% assessment score.
4) Environmental sanitation levels were also satisfactory, scoring 65.9% on evaluations.
5
This document provides an overview of the healthcare industry and its components. It discusses how the industry is divided into sectors like hospital activities, medical and dental practice activities, and other human health activities. The healthcare industry consumes over 10% of GDP in most developed nations. For management purposes, the industry is often divided into healthcare equipment and services, and pharmaceuticals, biotechnology, and related life sciences. Key providers and professionals within the industry include physicians, nurses, dentists, pharmacists, and other allied health workers.
Health care demand is influenced by factors like education, income, and how health is viewed as both a consumption good and investment. Medical care includes goods and services that maintain, improve, or restore well-being. Characteristics of medical services include intangibility, inseparability of production and consumption, inability to maintain inventories, and inconsistent quality and composition across patients. Information asymmetry between providers and patients can influence treatment decisions, so providers should ensure patients have sufficient knowledge.
The document discusses partnering with patients in healthcare to improve safety and quality. It notes that health services are required to partner with patients at the individual, service, and organizational levels. The overarching aim of partnering is to improve patient experience and care. Common partnering strategies include collecting feedback through surveys, complaints, and patient narratives. The research aims to assess the effectiveness of these feedback methods and develop a method to analyze feedback data and link it to service improvements. Interviews with health staff revealed challenges and opportunities around various feedback methods and using data to drive quality improvements.
This study aims to identify the key aspects that contribute to patient satisfaction in an acute medical care setting. A literature review found that patient satisfaction is important for medical institutions and can be increased through follow-up surveys, staff job satisfaction, communication between patients and medical professionals, and ensuring safety standards. The study will use a quasi-experimental design and longitudinal cohort study to examine the relationship between patient care experiences and their willingness to recommend the facility. Analysis of prevalence rates and associations will help identify areas to focus on to maximize patient satisfaction and the medical center's revenue.
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Assessment of level of patient satisfaction on medical services at Government Unani & Ayurvedic Medical College Hospital
1. Thesis
Assessment of level of patient satisfaction on medical services
at Government Unani & Ayurvedic Medical College Hospital
2. Presented By:
Dr. Sumaiya Akter Snigdha
ID- 1612846080
Department of Public Health
North South University
Supervised By: Guided By:
Dr. Mohammad Delwer Hossain Hawlader
Ph.D., MPH, MBBS
Associate Professor,
Department of Public Health
• Ms. Segufta Dilshad
EMPH,MDS,BBA
Lecturer
Department of Public Health
• Dr. Shaikh Abdus Salam
MPH, MBBS
Core Faculty
Department of Public Health
3. Operational Definitions
• Patient satisfaction- Patient satisfaction is defined as a degree of congruency
between patient expectations of ideal care and their perceptions of real care
received.
• Expectation- Expectation is a strong belief that something will happen or be
the case in the future.
• Perception- The way in which something is regarded, understood, or
interpreted.
• Experience – It is an event or occurrence which leaves an idea, feeling, or
opinion about something or someone.
4. Operational Definitions
• Doctor- A person with a medical degree whose job is to treat people who are
ill or hurt.
• Traditional medicine- Traditional medicine comprises medical aspects of
traditional knowledge that developed over generations within various societies.
The terms complementary/alternative medicine are used interchangeably with
traditional medicine.
• Unani Medicine- Unani is an Arabic spelling of Ionian, means Greek and
Unani medicine is the traditional system of medicine originated from the
ancient Greek medicine.
• Ayurvedic Medicine- Ayur means life and veda means knowledge/science;
Ayurveda means “Science of life”. It is a system of medicine with historical
roots in the Indian subcontinent.
5. Operational Definitions
• General satisfaction- General satisfaction refers only the main features or
elements; not exact or detailed level of satisfaction. It focuses simply on are
patients satisfied on medical services or not?
• Technical quality- It can have two meanings a. The characteristics of a
product or service that bear on its ability to satisfy stated or implied needs; b. A
product or service free of deficiencies.
• Interpersonal manner- It refers the way of behaving towards others.
• Accessibility- The quality of being easy to approach, reach, enter, speak with,
or use.
• Convenience- The state of being able to proceed with something without
difficulty.
6. Introduction
• Health is the root of all happiness.
• Sound health is a basic physiological need and fundamental right for any
human being.
• The Bangladeshi traditional medicine is an unique conglomerate of different
ethnomedical influences.
• Over the last 2500 years, there have been very strong traditional systems of
medicine such as Chinese, Ayurvedic, and the Unani, born and practiced.
7. Introduction
• Due to the geographic location and sociocultural characteristics of the country,
it involves traditionally rooted elements influenced by local indigenous people
and close-by Ayurveda and Unani medicine.
• Patient satisfaction is defined as a degree of congruency between patient
expectations of ideal care and their perceptions of real care received.
• Periodic monitoring is necessary for identifying the lacunas in the health care
delivery system, to correct the existing work deficiency timely and thereby
improving the quality of services.
8. Justification
• Patient satisfaction has been an area of special interest for researchers involved
in health system research for almost half a century. Countless number of
studies on this important topic has been published since then.
• There are multiple reasons to study the concept of patient satisfaction. It is
considered as an important outcome of the quality of healthcare.
• Patient’s feedback on quality of health care services is very important for health
care organizations because it helps the health care organizations for improving
their service policies, enhancing decision making, meeting patient’s
expectations, framing strategies for better management, monitoring
performance of service providers etc.
9. Justification
• The rising strength of consumerism and quality consciousness in the society
with a shift from doctor-to-patient relationship to modern provider-client
attitude has highlighted the importance of recording patient views on
healthcare delivery.
• Its importance increases further as contemporary consumers are more aware
due to advancements in information technology. Their expectations from
health organizations have increased and priorities changed.
• Getting views of the patients on the care services is a much realistic tool to
evaluate and improve the health care services.
10. Justification
• So, it is important to assess the level
of patient satisfaction on medical
services at Government Unani &
Ayurvedic Medical College Hospital
which could be helpful to influence
the outlook of the policy makers of
our country.
12. Research Question
What is the level of patient satisfaction on medical services at
Government Unani & Ayurvedic Medical College Hospital?
13. Literature Review
• Patient satisfaction has variable definitions in the literature; according
to some authors, this parameter represents the attitude of patients
towards different aspects of health care.
• The study of Mummalaneni and Gopalakrishna, examines socio
demographic factors such as age, gender, occupation, employment
status, education and income and reveals that income is the only socio-
demographic factor found to have an influence on patient satisfaction.
14. Literature Review
• According to the literature, doctor-patient relationship is the most
significant parameter affecting patient satisfaction. Good doctor–
patient relationship was important for the patient satisfaction. Respect
& politeness, communication skills and technical competence were
strong predictors of patient satisfaction.
• Length of waiting time and administrative procedures were common
predictors for poor patient satisfaction with health care services.
15. Literature Review
• In 2012 Arshad et al. reported that the major dissatisfaction in an out-
patients department was the long waiting time and overcrowded
registration.
• The different attributes of satisfaction from environment are:
comfortable environment, cleanliness, facilities & services, building
and convenient location of the hospital. According to some studies,
the patients were satisfied with the cleanliness of the hospital and
waiting area conditions and the patients had good experience from
availability of doctors in wards and good convenience from duration
of service hours.
16. Literature Review
• Marshall GN, Hays RD. RAND Corporation, developed a Short-Form
Patient Satisfaction Questionnaire (PSQ-18) is derived from the 80-
item Patient Satisfaction Questionnaire (PSQ), which examines
satisfaction with medical care includes 7 subscales: general
satisfaction, technical quality, interpersonal manner, communication,
financial aspects of care, time spent with doctor, and accessibility &
convenience of care.
18. General Objective
To assess the level of
patient satisfaction on
medical services at
GUAMCH
Specific Objectives
To describe the socio-demographic and
economic characteristics associated with patient
satisfaction among the study population on
medical services at Government Unani &
Ayurvedic Medical College Hospital.
To describe the interpersonal manner,
communication and time spent of service
provider among the study population on
medical services at Government Unani &
Ayurvedic Medical College Hospital.
To assess the satisfaction on technical quality,
financial aspects, accessibility and convenience
of medical services among the study population
at Government Unani & Ayurvedic Medical
College Hospital.
19. List of Variables
Independent Variable Dependent variable
A. Socio-demographic and economic characteristics:
1. Age.
2. Gender.
3. Educational status.
4. Occupation.
5. Marital status.
6. Place of residence.
Patient Satisfaction
(Storngly satisfied, satisfied, uncertain, dissatisfied,
strongly dissatisfied)
B. Technical quality
Lab test
Clinical examination
Availability of medicines
Free medicine facility
C. Interpersonal manner & Communication.
Respect
Explanation of conditions
Emotional support
20. Independent Variable Dependent variable
D. Financial aspects.
Cost
Extra payment
Patient Satisfaction
(Storngly satisfied, satisfied, uncertain, dissatisfied,
strongly dissatisfied)
E. Time spent with doctors.
Plenty of time
F. Accessibility & convenience.
Availability of doctors
Timeliness
Appropriateness
23. Data
Collection
tools
Face to face
interviewing
method
Two-part
questionnaires
Bangla
Total score
range 18-90
Five-point
Likert scale
Second part
based on
PSQ-18
First part:
Socio-
demographic
characteristics
PSQ-18
Developed by Marshall GN, Hays
RD. RAND Corporation
Derived from the 80-item Patient
Satisfaction Questionnaire(PSQ)
Total 18 items
7 subscales
24. Data Management & Analysis Plan
• Scoring of PSQ-18
• After data collection, all interviewed questionnaires will be checked
for its completeness and internal consistency and then double entered
on SPSS 20 version. Data analysis will be performed using T-test, Chi-
square, ANOVA and Pearson’s correlation coefficient on SPSS 20
Version. The data will be presented in percentages, tables, graphs and
charts.
25. • Only investigators has the access on data and hard copies will be preserved for next
three years.
• Double entry on SPSS.
Quality Control & Quality Assuarance
• Ethical Approval will be obtained from Research Committee of NSU and
GUAMCH.
• Informed written consent of the study subject will be obtained.
• The information will dealt with highest confidentiality and used only for this study.
Privacy of the respondents will be strictly maintained.
• It will be ensured to the respondent that this study is not harmful for him/her.
Ethical Considerations
26.
27. Variable Mean(SD) N(%)
Age 2.05(1.06) 18-25 years of age group 64(38.8%)
26-35 years of age group 49(29.7%)
36-45 years of age group 34(20.6%)
46-55 years of age group 15(9.1%)
56 or Above years of age group 3(1.8%)
Gender 1.64(0.48) Male 60(36.4%)
Female 105(63.6%)
Education level 2.14(0.89) No education 10(6.1%)
Upto class 5 26(15.8%)
Class 6-SSC/Equiv. 60(36.4%)
HSC/Equiv. &/or Higher 69(41.8%)
Occupation 1.64(1.19) Unemployed 11(6.7%)
Job 98(59.4%)
Business 23(13.9%)
Student 6(3.6%)
Housewife 27(16.4%)
Marital status 1.4(0.72) Married 89(53.9%)
Unmarried 53(32.1%)
Others(divorced/widowed) 23(13.9%)
Place of residence 0.87(0.34) Dhaka 144(87.3%)
Outside Dhaka 21(12.7%)
Table 1: Socio-demographic characteristics of respondents, (n=165)
28. Chief Complaints Frequency(N) Percentage(%)
Gastro-intestinal
disorders
41 24.8%
Hair and skin
disorders
36 21.8%
Menstrual disorders 32 19.4%
Musculo-skeletal
disorders
23 13.9%
Headache 10 6.1%
Metabolic and
endocrine disorders
8 4.8%
Others 15 9.1%
Table-2: Chief complaints of respondents, (n=165)
Figure 1: Frequency and percentages of Chief complaints of
respondents.
29. Subscales Minimum -Maximum Scores Mean(±SD)
General Satisfaction
Item 3: The medical care I have been receiving is just about perfect.
Item 17: I am dissatisfied with some things about the medical care I receive.
2-10 7.76((±2.15)
Technical Quality
Item 2: I think my doctor’s office has everything needed to provide complete medical care.
Item 4: Sometimes doctors make me wonder if their diagnosis is correct.
Item 6: When I go for medical care, they are careful to check everything when treating and examining me.
Item 14: When I go for medical care, they are careful to check everything when treating and examining me.
4-20 15.38((±3.8)
Interpersonal Manner
Item 10: Doctors act too business like and impersonal towards me.
Item 11: My doctors treat me in a very friendly and courteous manner.
2-10 7.64((±1.98)
Communication
Item 1: Doctors are good about explaining the reason for medical tests.
Item 13: Doctors sometimes ignore what I tell them.
2-10 7.67((±2.04)
Financial Aspects
Item 5: I feel confident that I can get the medical care I need without being set back financially.
Item 7: I have to pay for more of my medical care than I can afford.
2-10 7.30((±1.85)
Time Spent with Doctor
Item 12: Those who provide my medical care sometimes hurry too much when they treat me.
Item 15: Doctors usually spend plenty of time with me.
2-10 7.62(±2.05)
Accessibility & Convenience
Item 8: I have easy access the specialists I need.
Item 9: Where I get medical care, people have to wait too long for emergency medical treatment.
Item 16: I find it hard to get an appointment for medical care right away.
Item 18: I am able to get medical care whenever I need it.
4-20 15.73(±3.9)
Total Patient Satisfaction Score 18-90 69.1(±16.9)
Table-4: Mean and standerd deviation of subscale score and total satisfaction score
30. Figure: Distribution of total patient satisfaction questionnaire/PSQ-18 scores
Here, bar chart represents the
distribution of total scores of 18-items
patient satisfaction questionnaires was
answered by 165 respondents. Total
score range 18-90. Minimum score is 18
and maximum 90. Highest 20.61%
respondents scored 73, that indicates
satisfaction whereas satisfaction level
start from score 72 and range 72-89.99.
Here, Score between 54-71.99 indicates
uncertain and score between 36-53.99
indicates dissatisfaction, score between
18-35.99 indicates strongly dis-
satisfaction on medical services.
31. Level of patient satisfaction
Strongly
dissatisfied,
N(%)
Dissatisfied
N(%)
Uncertain,
N(%)
Satisfied
N(%)
Strongly
Satisfied,
N(%)
Patient Satisfaction 5(3%) 23(13.9%) 2(1.2%) 124
(75.15%)
11(6.67%)
Subscales
General satisfaction 8(4.8%) 20(12.1%) 7(4.2%) 94(57%) 36(21.8%)
Technical quality 5(3%) 23(13.9%) 2(1.2%) 115
(69.7%)
20(21.8%)
Interpersonal
manner
5(3%) 23(13.9%) 2(1.2%) 98(59.3%) 31(18.8%)
Communication 7(4.2%) 21(12.7%) 8(4.8%) 102
(61.8%)
27(16.4%)
Financial aspects 5(3%) 29(17.6%) 15(9.1%) 103
(62.5%)
13(7.9%)
Time spent with
doctors
5(3%) 23(13.9%) 14(8.4%) 97(58.8%) 26(15.8%)
Accessibility &
Convenience
5(3%) 21(12.7%) 3(1.8%) 114(69%) 21(12.7%)
Table-5: Level of patient satisfaction on medical services,(n=165)
Figure: Total Patient satisfaction on five point likert scale
33. Interpretation:
A Chi-square test of independence was calculated to see the association between
sociodemographic characteristics and patient satisfaction on medical services,
(n=165).
A significant association was found between patient satisfaction and education
level, χ²(12) =26.205, p =0.01. Respondents of “HSC/equiv. &/higher” group
of education level had higher (30.9%) patient satisfaction than other groups of
education level.
A significant association was found between patient satisfaction and occupation,
χ²(16) =87.2, p=0.000. 98 (59.4%) respondents were job holder and 76 (46.1%)
were satisfied on medical services than others.
34. Table-7: Factors associated with patient satisfaction on medical services by multiple linear regression, (n=165)
Coefficientsa
Model Unstandardized
Coefficients
Standardized
Coefficients
t Sig. 95.0% Confidence
Interval for B
R
squared
value
B Std.
Error
Beta Lower
Bound
Upper
Bound
(Constant) 54.709 7.137 7.665 .000 40.612 68.806
R = 0.312
Adjusted
R²=0.097
Age .069 1.333 .004 .051 .959 -2.565 2.702
Gender -.260 2.830 -.007 -.092 .927 -5.849 5.329
Education level 4.929 1.529 .261 3.224 .002 1.909 7.949
Occupation 2.620 1.183 .185 2.215 .028 .284 4.956
Marital status -.776 1.871 -.033 -.415 .679 -4.471 2.920
Places of residence 1.063 3.968 .021 .268 .789 -6.775 8.900
a. Dependent Variable: Total_score
35. Interpretation:
A multiple linear model was performed to predict level of patient satisfaction based
on sociodemographic characteristics of respondents. A significant regression
equation was found (F(6, 158) = 2.841, p=0.012), with an R² of 0.097. Respondents
predicted
Level of patient satisfaction = 54.709+0.069(Age)-
0.26(Gender)+4.929(Education level) +2.62(Occupation)-0.776(Marital
status)+1.063(Places of residence)
The p value less than 0.05 indicates significant association. Education level and
occupation were significantly associated with patient satisfaction, p= 0.002 and p
=0.028 respectively. We can interpret that, respondents level of patient satisfaction
increase by 4.292 for each unit change of education level and respondents who were
job holder satisfied more than others.
36. Discussion
• According to the results of this study, 75.15% respondents were satisfied on medical
services at Government Unani & Ayurvedic Medical College Hospital whereas 13.9%
were dissatisfied, 6.67% were strongly satisfied, 3% were strongly dissatisfied and 1.2%
were uncertain. The level of patient satisfaction in the current study was much higher than
in many studies such as Hashem Dabaghian F, Khadem I, Ghods R.[66] 66.5%, Asraf et
al.[67] (61% patient satisfaction).
• Seven subscales of PSQ-18 questionnares show different values. 36 (21.8%) respondents
were strongly satisfied on medical services measured by two questions of “General
Satisfaction” subscale. The main areas of patient dissatisfaction were “Financial
Aspects” 29 (17.6%) (e.g lack of free medicine supply, high cost of traditional
medicine, extra expenditure of pathology lab or radiology tests etc), “Interpersonal
manner” 23 (13.9%) (e.g. clear explanation of patients condition), “Communication” 21
(12.7%) (e.g. lack of attention), “Time spent with doctors” 23 (13.9%) (e.g. busy with
another work, in a hurry).
37. Discussion
• Chi-squre test of independence was performed to see the association between
sociodemographic characteristics and patient satisfaction on medical services.
Sociodemographic factor “Age” was categorized into five groups where 18-25
years of age group shows highest patient satisfaction 47 (28.5%) and there is no
significant association found between age and patient satisfaction, (p =0.582).
Kurubaran Ganasegeran, Wilson Perianayagam[68] found (p =0.001), significant
association between age and patient satisfaction.
• The result reflects that, among 165 respondents, female participants were more
105 (63.6%) than males 60 (36.4%). Female oriented health services such as
Gynae & Obstetics, Pediatrics were easily available and accessible. The p value
was found 0.038, <0.05, indicates significant association between patient
satisfaction and gender. Kurubaran Ganasegeran, Wilson Perianayagam [68], Male
patients perceived a signifcantly higher service satisfaction (60.0± 6.9) compared
to females (58.0 ± 5.7) (p =0.005).
38. Discussion
• The study shows that respondents of “HSC/equiv. &/higher” group of
education level had higher patient satisfaction than other groups of
education level. Kurubaran Ganasegeran, Wilson Perianayagam [68],
Patients with high school education exhibited higher service satisfaction
(60.4 ± 8.1) than tertiary graduates (58.4 ± 5.1) (p =0.004). The chi square
test of independence indicates significant association between patient
satisfaction and education level of respondents.
• 98 (59.4%) respondents were job holder and 76 (46.1%) were satisfied on
medical services, there is significant association between patient satisfaction
and occupation, p =0.000 . 65 (39.4%) respondents were satisfied on health
services and were married. p =0.002, indicates a significant association
between patient satisfaction and marital status.
39. Discussion
• Due to easy accessibility and convenience, respondents who live in Dhaka 144 (87.3%)
visit more to seek health services and there is no significant association between patient
satisfaction and place of residence of respondents, p=0.252.
• A multiple linear model was performed to predict level of patient satisfaction based on
sociodemographic characteristics of respondents. A significant regression equation was
found (F(6, 158) = 2.841, p=0.012), with an R² of 0.097. Respondents predicted
Level of patient satisfaction = 54.709+0.069(Age)-0.26(Gender)+4.929(Education level)
+2.62(Occupation)-0.776(Marital status)+1.063(Places of residence)
• The p value less than 0.05 indicates significant association. Education level and
occupation were significantly associated with patient satisfaction, p= 0.002 and p =0.028
respectively.
• We can interpret that, respondents level of patient satisfaction increase by 4.292 for each
unit change of education level and respondents who were job holder satisfied more than
others.
40. Conclusion
• The study reflects that, majority 75.15% of respondents were satisfied
on medical services but major dissatisfaction indicates that respondents
were depriving from some basic services or needs such as lack of free
medicine supply, high cost of traditional medicine, extra expenditure of
pathology lab or radiology tests, staffs busy with another work etc.
Gender, education level, occupation were important correlates of patient
satisfaction. The results shows the present conditions of medical
services at Government Unani & Ayurvedic Medical College Hospital
which could be used to influence the outlook of the policy makers of
our country
41. Limitation & Recommendation
Limitations:
• Study has few limitations.
• Study was done on the outpatient population only.
• The results cannot be generalized to inpatient populations.
• The study describes only medical expectations where non-medical
expectations (such as reception, waiting area, cleanliness etc.) has
huge influence on overall patient satisfaction.
42. Limitation & Recommendation
• Recommendations:
• Major dissatisfaction lies on “financial aspects”, pathology lab and radiology
department should be run and maintain properly.
• Adquate medicine supply should be established so that treatment cost could be
reduced.
• To improve technical quality and communication skill, training program should be
organized.
• The sample size calculated for this study could not be achieved and may affect the
results of the study.
• A larger and representative sample is recommended in future studies to avoid
possible selection bias.
• Regular surveys using different methods are recommended annually to find out
lacunas on medical services and take measures immediately.
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Patient Satisfaction in Malaysia’s Busiest Outpatient Medical Care. The Scientific World Journal,
2015, pp.1-6.
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(PSQ-18). P-7865, 1994. http://www.rand.org/pubs/papers/P7865. Accessed 10 10, 2011.
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