Satisfaction with Orthopaedic Services at the University of Port Harcourt Teaching Hospital

Authors

  • Diamond TE Department of Surgery, Faculty of Clinical Sciences, University of Port Harcourt, Port Harcourt, Nigeria
  • Ogaji DS Department of Preventive and Social Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt. PMB 6173, Rivers State, Nigeria, 500102

DOI:

https://doi.org/10.60787/tnhj.v24i1.786

Keywords:

satisfaction, quality ratings, orthopedic services

Abstract

Background: Patient satisfaction is associated with continuing receipt, adherence, and patient health outcomes. Study assessed the level and factors associated with orthopaedic ppatient satisfaction with care from a tertiary health facility.

Method:  Descriptive cross-sectional study among adult recipients of orthopedics care at the University of Port Harcourt Teaching Hospital (UPTH). Consecutive patients who encountered services at the orthopaedic department from March to June 2020 completed the questionnaire on their satisfaction with services at the various stations (medical records, nurses, general practice doctor, orthopaaedic doctor, laboratory, radio imaging and pharmacy services) on a 5-point Likert’s scale - very dissatisfied, dissatisfied, indifferent, satisfied and very satisfied. Study assessed patients’ overall satisfaction, willingness to recommend facility and system responsiveness. Scale reliability was determined by the Cronbach’s alpha coefficient. Descriptive and inferential statistics were conducted and p-values ≤0.05 were considered statistically significant.

Results: A total of 430 of the 442 questionnaires distributed were returned giving a response rate of 97.3% and a Cronbach’s alpha coefficient of 0.84. Respondents’ mean age was 38.5 ±14.8 years with a range of 18-89 years.  More were first time visitors (57.7%), cases related to bone fractures (28.4%) and joint pain (26.0%). More patients (32.1%) expressed dissatisfaction with radiology services with significant disparity in level of satisfaction (χ2 = 18.87; p-value = 0.002) across service stations and likelihood of recommending facility (χ2 = 17.70; p= 0.003) among patients with various orthopaedic complaints.

Conclusion:  Patients’ satisfaction with orthoapedic services vary across service stations, primary complaints, and perception of system responsiveness. More efforts at addressing the provider-related variables may improve satisfaction ratings and increase the demand for orthopaedic care.

Downloads

Download data is not yet available.

References

Safety WP, World Health Organization. Conceptual framework for the international classification for patient safety version 1.1: final technical report January 2009. World Health Organization; 2010.

Donabedian A. An introduction to quality assurance in health care. Oxford University Press; 2002 Dec 26.

Wensing M, Elwyn G. Research on patients' views in the evaluation and improvement of quality of care. Quality & Safety in Health Care.11(2):153-7.

Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Social science & medicine. 1997 Dec 1;45(12):1829-43.

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

Ogaji DS. Patient-focused quality improvement in primary health care: opportunities with the patient evaluation scale. Journal of Community Medicine and Primary Health Care. 2017 Nov 2;29(2):84-96.

Coulter A. Evaluating the outcomes of health care. InThe sociology of the health service 2002 Sep 11 (pp. 125-149). Routledge.

Kevin, C., & Rohrich, M., (2009). Measuring quality of surgical care: is it attainable? Plast. Reconstruc. Surg, 123: 741-749

Joshi K, Sochaliya K, Purani S, Kartha G. Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat. Int J Med Sci Public Health. 2013 Jul 1;2(3):659-3.

Mohd, A., & Chakravarty, A., (2014). Patient satisfaction with services of the outpatient department. Med J Armed Forces, India 2014; 70:237-42.

Bhattacharya, A., Menon, P., Koushal, V., & Rao, K.L. (2003). Study of patient satisfaction in a tertiary referral hospital. J Acad Hosp Adm, 15:2003-6

Kulkarni, M.V., Dasgupta, S., Deoke, A. R., & Nayse, N., (2011). Study of satisfaction of patients admitted in a tertiary care hospital in Nagpur. Nat J Community Med, 2:37-9.

University of Port Harcourt Teaching Hospital, 5-year strategic plan (2021 - 2026), UPTH, Alakahia.

Cochran WG. Sampling techniques. john wiley & sons; 1977.

Okonta KE, Ogaji DS. Predictors of patient satisfaction with surgical care in a low-middle-income country. International Journal of Academic Medicine. 2021 Oct 1;7(4):233-239

Robone, S., Rice, N., & Smith, P. C., (2011). Health systems' responsiveness and its characteristics: a cross-country comparative analysis. Health Serv Res, 46(6pt2):2079-100

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

Henley B, Davis MS. Satisfaction and dissatisfaction: A study of the chronically ill aged patient. Journal of Health and Social Behavior. 1967 Mar 1:65-75.

Jackson, J. L., Chamberlin, J., & Kroenke, K., (2001). Predictors of patient satisfaction. Soc Sci Med. 52(4):609-20 Ranerup A, Noren L, Sparud-Lundin C: Decision support systems for choosing a primary health care provider in Sweden. Patient Educ Couns. 2011, 86: 342-347.

Chariatte, V., Berchtold, A., Akre, C., Michaud, P., A., & Suris, J., C. (2007). Missed appointments in an outpatient clinic for adolescents, an approach to predict the risk of missing. J Adolesc Health, 43: 38–45. 10.1016/j.jadohealth.12.017

Maxwell, S., Maljanian, R., Horowitz, S., Pianka, M. A., Cabrera, Y., Greene, J., (2001) Effectiveness of reminder systems on appointment adherence rates. J Health Care Poor Underserv, 12:504–14. 10.1353/hpu.2010.0766

Ayele WM, Ewunetu A, Chanie MG. Level of satisfaction and associated factors among patients attending outpatient departments of south Wollo health facilities, Ethiopia. PLOS Global Public Health. 2022 Jul 21;2(7):e0000761.

Udonwa NE, Ogbonna UK. Patient-related factors influencing satisfaction in the patient-doctor encounters at the general outpatient clinic of the university of calabar teaching hospital, calabar, Nigeria. International Journal of Family Medicine. 2012;2012.

Olijera L, Gebresilasses S. Satisfaction with outpatient health services at Jimma hospital, South West Ethiopia. Ethiop. 2001. 15(3):179–84.

Mezemir R, Getachew D, Gebreslassie M. Patients’ Satisfaction and its determinants in Outpatient Department of Deberebirhan Referral Hospital, North Shoa, Ethiopia. 3: 191, 2014. 2014.

Tayelgn A, Desalegn T Zegeye and Yigzaw Kebede. Mothers’ satisfaction with referral hospital delivery service in Amhara Region, Ethiopia. 2011. 11:78.

Osiya, D. A., Ogaji, D. S., & Onotai, L., (2007) Patients’ satisfaction with healthcare: comparing general practice services in a tertiary and primary healthcare settings. Nigerian Health J, 17: 264-77

Okonta KE, Ogaji DS. Relationship between patient satisfaction and willingness to comply with physicians’ recommendation in referral surgical outpatient clinic in Nigeria. Journal of Patient Experience. Dec;7(6):1556-62.

Adhikary G; Shawon, M.S.R., 2020 Ali, M.W., Shamsuzzaman, M., Ahmed, S., Shackelford, K.A., et al. (2018). Factors influencing patients’ satisfaction at different levels of health facilities in Bangladesh: Results from patient exit interviews. PLoS ONE 13(5): e0196643. https://doi.org/10.1371/journal.pone.0196643

Pascoe, G. C., (1983) Patients’ satisfaction in primary health care: a literature review and analysis. Eval Program Plann. United States, 6: 185–210. Pmid: 10299618

DuPree E, Anderson R, Nash IS. Improving quality in healthcare: start with the patient. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine. 2011 Nov;78(6):813-9.

Ogaji DS, Mezie-Okoye MM. Waiting time and patient satisfaction: Survey of patients seeking care at the general outpatient clinic of the University of Port Harcourt Teaching Hospital. Port Harcourt Medical Journal. 2017 Sep 1;11(3):148.

Teshome Mulisa, Fasil Tessema, Hailu Merga, Patients’ satisfaction towards radiological service and associated factors in Hawassa University Teaching and referral hospital, Southern Ethiopia. BMC Health Serv Res. 2017; 17: 441doi: 10.1186/s12913-017-2384-z

Ahmed T, Assefa N, Demisie A, Kenay A. Levels of adult patients' satisfaction with nursing care in selected public hospitals in Ethiopia. Int J Health Sci (Qassim). 2014 Oct;8 (4):371-9.

Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M.M., & Amenta, P. (2016). Determinants of patients’ satisfaction: a systematic review. Perspect Public Health, 1–13. Pmid: 27004489

Junewicz, A., & Youngner, S. J., (2015). Patient-satisfaction surveys on a scale of 0 to 10: Improving health care, or leading it astray? Hastings Cent Rep, 45: 43–51. pmid:25753653

Fang J, Liu L, Fang P. What is the most important factor affecting patient satisfaction - a study based on gamma coefficient. Patient Prefer Adherence. 2019 Apr 10; 13:515-525. doi: 10.2147/PPA.S197015.

Marley KA, Collier DA, Meyer Goldstein S. The role of clinical and process quality in achieving patient satisfaction in hospitals. Decision Sciences. 2004 Aug;35(3):349-69.

Downloads

Published

2024-03-29

How to Cite

Diamond, T. E., & Ogaji, D. S. (2024). Satisfaction with Orthopaedic Services at the University of Port Harcourt Teaching Hospital. The Nigerian Health Journal, 24(1). https://doi.org/10.60787/tnhj.v24i1.786
Abtract Views | PDF Download | EPUB Download: 237 / 125 / 72

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.