Patients’ satisfaction with healthcare: Comparative study of general practice services in a tertiary and primary healthcare settings.

Authors

  • Deborah Abosede Osiya Department of Preventive and Social Medicine, University of Port Harcourt
  • Daprim Samuel Ogaji College of Health Sciences and Teaching Hospital, University of Port Harcourt https://orcid.org/0000-0002-4257-1579
  • Lucky Onotai Department of Surgery, University of Port Harcourt

DOI:

https://doi.org/10.60787/tnhj.v17i1.268

Keywords:

Patients’ satisfaction, general practice, predictors of satisfaction, Primary health Centre, Tertiary health Centre

Abstract

Background: Patient satisfaction with healthcare is reported to be predictive of their likelihood of continuing use of available healthcare, comply with medical instruction and improvement in overall coverage and effectiveness of care. This research compared the level of patients’ satisfaction with general practice care delivered at physicians-manned General Outpatient clinics at tertiary and primary health centres in Rivers State.  

Method: This comparative cross-sectional study was conducted using the Patient Satisfaction Questionnaire (PSQ-18). A total of 1290 regular patients were recruited by systematic random sampling. Non-parametric analyses such as median satisfaction scores, Chi-square, Kruskal-Wallis and Mann-Whitney U test were conducted using SPSS version 20 statistical software. A p-value <0.05 was considered statistically significant.

Result: Study showed patients who received care at the comprehensive health Centre were significantly more satisfied in domains such as patient-doctor communication (p<0.001), interpersonal manner (p<0.001), accessibility and convenience (p<0.001), technical quality (p=0.006), financial aspects of care (p<0.001) and general satisfaction (p<0.001) than their counterparts at the tertiary Centre. There was no statistically significant difference with time spent during consultations in both centres (p=0.583).  Other predictors of satisfaction were younger age, male gender, married, higher education, and those of the Moslem religious faith.  

Conclusion: Patients who sought general practice care from the health Centre were more satisfied that those who did at the tertiary Centre. We recommend increased sensitization on patients’ utilization of primary health care systems as first contact, continuing, comprehensive and efficient personal and non-personal healthcare needs.

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Author Biography

Daprim Samuel Ogaji, College of Health Sciences and Teaching Hospital, University of Port Harcourt

Senior Lecturer and Consultant in Public Health

References

Juran J, Gryna F. Quality Planning and Analysis: From Product Development through Use; (1993). McGraw-Hill, New York, NY.

Fielding P, Berman PC. Surviving in General Management: A Resource for Health Professionals: Macmillan Education; 1990.

Blumenthal D. Part I: Quality of Care: What is It? The New England Journal of Medicine. 1996;335(12):891-4.

Aldana JM, Piechulek H, Al-Sabir A. Client satisfaction and quality of health care in rural Bangladesh. Bulletin of the World Health Organization. 2001;79(6):512-7.

Turris SA. Unpacking the concept of patient satisfaction: a feminist analysis. Journal of Advanced Nursing. 2005;50(3):293-8.

Sajid M, Baig M. Quality of health care: an absolute necessity for public satisfaction. International Journal of Health Care Quality Assurance. 2007;20(6):545-8.

Lewis JR. Patient views on quality care in general practice: literature review. Social science & medicine. 1994;39(5):655-70.

Ellis R, Whittington D. Quality assurance in health care : a handbook Roger Ellis and Dorothy Whittington. London: Edward Arnold; 1993. 278.

Nathorst-Boos J, Munck IM, Eckerlund I, Ekfeldt-Sandberg C. An evaluation of the QSP and the QPP: two methods for measuring patient satisfaction. International Journal for Quality in Health Care.13(3):257-64.

Peck BM, Ubel PA, Roter DL, Goold SD, Asch DA, Mstat ASJ, et al. Do unmet expectations for specific tests, referrals, and new medications reduce patients’ satisfaction? Journal of general internal medicine. 2004;19(11):1080-7.

Grol R, Wensing M, Mainz J, Jung HP, Ferreira P, Hearnshaw H, et al. Patients in Europe evaluate general practice care: an international comparison. British Journal of General Practice. 2000;50(460):882-7.

Bowns I, Crofts D, Williams T, Rigby A, Hall D, Haining R. Levels of satisfaction oflow-risk'mothers with their current health visiting service. Journal of Advanced Nursing. 2000;31(4):805-11.

García DA, Docobo DF, Mena RJ, Cárave LBA, Vázquez MJ, Durán FI. [Levels of satisfaction and perceived quality in a day surgery unit of a tertiary referral hospital]. Revista espanola de enfermedades digestivas: organo oficial de la Sociedad Espanola de Patologia Digestiva. 2003;95(12):851-62.

Gasquet I, Dehé S, Gaudebout P, Falissard B. Regular visitors are not good substitutes for assessment of elderly patient satisfaction with nursing home care and services. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2003;58(11):M1036-M41.

Gouveia GC, Souza WVd, Luna CF, Souza-Júnior PRBd, Szwarcwald CL. Health care users' satisfaction in Brazil, 2003. Cadernos de Saúde Pública. 2005;21:S109-S18.

Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Evaluation and program planning. 1983;6(3):185-210.

Vuori H. Patient satisfaction--an attribute or indicator of the quality of care? QRB Quality review bulletin. 1987;13(3):106-8.

Blumenthal D. Quality of care—what is it? New England Journal of Medicine. 1996;335(12):891-4.

Hekkert KD, Cihangir S, Kleefstra SM, van den Berg B, Kool RB. Patient satisfaction revisited: a multilevel approach. Social science & medicine. 2009;69(1):68-75.

Rosenthal GE, Shannon SE. The use of patient perceptions in the evaluation of health-care delivery systems. Medical care. 1997;35(11):NS58-NS68.

Federal Republic of Nigeria. The Revised National Health Policy. Federal Ministry of health. Abuja 2005.

Ofovwe C, Ofili A. Indices of patient satisfaction in an African population. Public Health. 2005;119(7):582-6.

Iliyasu Z, Abubakar I, Abubakar S, Lawan U, Gajida A. Patients' satisfaction with services obtained from Aminu Kano Teaching Hospital, Kano, Northern Nigeria. Nigerian Journal of Clinical Practice. 2010;13(4).

Ogunfowokan O, Mora M. Time, expectation and satisfaction: patients' experience at National Hospital Abuja, Nigeria: original research. African Primary Health Care and Family Medicine. 2012;4(1):1-6.

Afemikhe JA. Health Care Provision and Patients’ Satisfaction with Tertiary Health Facilities in Benin City, Nigeria. Journal of Health Management. 2011;13(2):141-54.

Iloh GU, Ofoedu J, Njoku P, Okafor G, Amadi A, Godswill-Uko E. Satisfaction with quality of care received by patients without national health insurance attending a primary care clinic in a resource. Poor environment of a tertiary hospital in eastern Nigeria in the Era of scaling up the Nigerian formal sector health In. Annals of medical and health sciences research. 2013;3(1):31-7.

Ogaji D, Etokidem A. Setting agenda for quality improvement in a public hospital in Nigeria using the consumers’ judgement. IOSR Journal of Business and Management. 2012;1(4):1-6.

Abiodun AJ. Patients' satisfaction with quality attributes of primary health care services in Nigeria. Journal of Health Management. 2010;12(1):39-54.

Oladapo OT, Iyaniwura CA, Sule-Odu AO. Quality of antenatal services at the primary care level in southwest Nigeria. African Journal of Reproductive Health. 2008;12(3):71-92.

Udonwa N, Gyuse A, Etokidem A, Ogaji D. Client views, perception and satisfaction with immunisation services at Primary Health Care Facilities in Calabar, South-South Nigeria. Asian Pacific Journal of Tropical Medicine. 2010 APR 2010;3(4):298-.

Ehiri JE, Oyo-Ita AE, Anyanwu EC, Meremikwu MM, Ikpeme MB. Quality of child health services in primary health care facilities in south-east Nigeria. Child: Care, Health & Development. 2005;31(2):181-91.

Jekel JF, Katz DL, Elmore JG, Wild D. Epidemiology, biostatistics and preventive medicine: Elsevier Health Sciences; 2007.

Marshall GN, Hays RD. The patient satisfaction questionnaire short-form (PSQ-18). Rand Santa Monica, CA; 1994.

SPSS I. IBM SPSS statistics base 20. Chicago, IL: SPSS Inc. 2011.

Ogaji DS, Giles S, Daker-White G, Bower P. Systematic review of patients’ views on the quality of primary health care in sub-Saharan Africa. SAGE Open Medicine. 2015;3:2050312115608338.

Hall JA, Dornan MC. Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels. Social science & medicine. 1988;27(6):637-44.

World Health Organization. Quality of care: a process for making strategic choices in health systems. 2006.

Steffen GE. Quality medical care: a definition. Jama. 1988;260(1):56-61.

Roter DL, Stewart M, Putnam SM, Lipkin M, Stiles W, Inui TS. Communication patterns of primary care physicians. Jama. 1997;277(4):350-6.

Korsch BM, Gozzi EK, Francis V. Gaps in doctor-patient communication I. Doctor-patient interaction and patient satisfaction. Pediatrics. 1968;42(5):855-71.

Federal Republic of Nigeria. National guidelines for the development of primary health care system in Nigeria. National Primary Health Care Development Agency. fourth edition. Abuja: NPHCDA; 2012.

Federal Republic of Nigeria. Inventory of health facilities in Nigeria. Federal Ministry of Health. Abuja 2012.

Chander V, Bhardwaj A, Raina S, Bansal P, Agnihotri R. Scoring the medical outcomes among HIV/AIDS patients attending antiretroviral therapy center at Zonal Hospital, Hamirpur, using Patient Satisfaction Questionnaire (PSQ-18). Indian Journal of Sexually Transmitted Diseases and AIDS. 2011;32(1):19.

Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Social Science & Medicine. 1990;30(7):811-8.

Larsen DE, Rootman I. Physician role performance and patient satisfaction. Social Science & Medicine (1967). 1976;10(1):29-32.

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Published

2017-03-31

How to Cite

Osiya, D. A., Ogaji, D. S., & Onotai, L. (2017). Patients’ satisfaction with healthcare: Comparative study of general practice services in a tertiary and primary healthcare settings. The Nigerian Health Journal, 17(1), 264. https://doi.org/10.60787/tnhj.v17i1.268
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