Patient Perception And Satisfaction With Healthcare Professionals At Primary Care Facilities

Project and Seminar Material for Nursing (Science)

Project and Seminar Material for Nursing (Science)


Abstract


This study investigated patient perception and satisfaction with healthcare professionals at primary care facilities in selected health facilities in Enugu. It can be concluded from the study that perceived quality of care and satisfaction was high in all the three facilities. Perceived quality of care was highest in the clinic (100%) followed by the health centre (98.1%) and then the hospital (94.3%). Overall satisfaction also followed similar trend – clinic (100%), health centre (94.3%) and hospital (93.2%).

Nonetheless there are aspects of care that need to be improved. The clients’ assessment of certain aspects of communication and responsiveness was low among all the health facilities especially the health centre. The hospital and the health centre experienced stock out of certain essential medicines. The waiting time was less acceptable to the clients of the hospital and the health centre.

Availability of all medicines prescribed in the facility, clients’ perception of discrimination against them due to of lack of money and comfort of the waiting area are the significant predictors of the perception of quality of care. The most significant predictors of satisfaction are overall perception of quality of care and cleanliness of the facility


Chapter One


Introduction

1.1 Background of Study

Primary Health Care forms the bedrock of the health-care services of a country. It is the quality of health care available to the majority of the population that determines the health status of the country and is the best indicator for the level of social development of the country. The important conditions of Primary Health-Care Services are that they should be: Efficient with regard to cost, techniques and organization; readily accessible to those concerned; Acceptable to the community served; at a reasonable cost. Health-care services should be available in a manner and language that is suitable to the community and population it serves and accommodating of local traditions and customs, and at a price which the population can afford.

Patient satisfaction has been linked to increased patient compliance, continuity of care, better clinical outcomes, and greater service utilization and risk management. Patient satisfaction is thus a key marker for the quality of health-care delivery and an important indicator for evaluation and improvement of health-care services. Studies of Patient Satisfaction in health care originated in the USA during the 1950s, the earliest studies attempted to identify patient characteristics such as age, gender, and race to predict patient satisfaction levels (Apostle and Oder 1967;Bertakis et al. 1991). Another group of studies analysed health-care attributes such as nursing care, physician care, etc. to identify attributes that influence overall patient satisfaction (Ware et al. 1975; Ross et al. 1993; Dansky and Brannon 1996; Oswald et al. 1998). DrVeera Prasad in his comparative study of patient satisfaction said that there are five determinants of patient satisfaction.

Reliability:

The ability to perform the promised service dependably and accurately.

Responsiveness:

The willingness to help the patients and provide prompt service.

Assurance:

The knowledge and courtesy of employees and their ability to convey trust and confidence.

Empathy:

The provision of caring and individualized attention to patients.

Tangibles:

The appearance of physical facilities, equipment, personal, and communication materials.

A study was carried out to identify which attributes of a primary health-care experience access, staff care and physician care, and which aspects of each attribute are most significant in patients’ response to the services they receive. Analysis showed that among the three attributes, physician care was most influential, closely followed by the staff care, with access having least influence.However, it is the combination of all these factors that influence patient satisfaction, and need to be assessed to ensure a positive experience at the health-care facility.

Unfortunately, while several studies have been carried out which have explored the parameters of patient satisfaction in tertiary care centers and large hospitals in India, very little attention has been paid to studies of patient satisfaction at the primary care level, especially GPs running solo clinics, which form the bulk of private primary care services.

Measuring client or patient satisfaction has become an integral part of health facility management strategies across the globe (Smith and Engolbracht, 2001). The success of a health facility depends on client perceptions of health care quality because of the impact it has on client satisfaction based on services provided by health professionals. Satisfaction of clients not only ensures compliance with treatment and instructions about their illness, but also influences utilization of health facilities.

Turhal and others (2002) made a comment that ―in the last 20 years the old way of treating patients in the “disease centred” approach has changed to “patient centred” style. Now patients have more influence toward the care they receive and they are given opportunity to change the way care is delivered to them. Health care in Nigeria has over the years been characterized by poor provider-client relationship which has made clients and some health providers to raise serious concerns. Provision of high quality client-centred care is therefore one of the greatest challenges of the Ministry of Health (MOH). As a result of the concerns raised by clients and health providers, the issue of improving quality of health care attracted serious attention in 1989 during the Regional Directors’ conference. Subsequent to the conference, improving the quality of health care attracted attention of both policy makers and health care professional groups and efforts have been made to identify key issues for improving the quality of health care throughout the country.


1.2 Statement of the problem

Health facilities at all levels of care are required to provide quality health care that meets the expectations of their clients. This is however, not so throughout the country. Provider-client relationship has been very poor resulting in growing concern among clients about the quality of care. The MOH (2007) in its national health policy document identifies complaints from users about the abusive and humiliating treatment by the health providers and shortages of equipment, consumables supplies and some essential drugs as some of the challenges of the health services. The national health policy document reveals that some health facilities are efficient, delivering high quality services and being responsive to the needs of their clients, but many are not.

To monitor and improve the quality of care by health professionals in the health facilities, the Nigerian Health Services recommends client satisfaction surveys by health facilities at least twice in a year.

Even though, some client satisfaction surveys have been conducted, annual reports show that it has not been able to do it twice a year. It is therefore not known how sustainable quality improvement efforts have been throughout the year.The health centres and clinics in the country have not been conducting client satisfaction surveys.The level of quality of care by professionals is therefore not known in these facilities, hence this study on patient perception and satisfaction with healthcare professionals at primary health care facilities.


1.3 Justification

Client satisfaction data is an important tool for quality improvement.This study describes client perception and satisfaction with health care professionals as a means of measuring quality of health care in Enugu. In addition to evaluating client perception and satisfaction with services provided by health professionals, it also elicits which service areas are priorities for improvement. It will also help bridge the gap between clients‘ expectations and the actual service they receive. Seeking clients’ opinions of the current level of service will ensure client focus in service delivery. This is necessary in ensuring high level of quality of service delivery.

This study will also help the health facilities to initiate policies and programs that can lead to improved client-provider relationship which will result in increased utilization and revenue generation. It will also serve as a baseline study, since no such study describing the quality of care across the various levels of care has been done in the area.


1.4 Research Objectives

The general objective of this study is to describe patient perception and satisfaction with healthcare professionals at primary health care facilities in Enugu. The specific objectives are:

  1. To describe and compare the perceived quality of care at the various levels of care in Enugu
  2. To determine the level of client satisfaction with health care professionals in the health facilities
  3. To identify the predictors of perception of quality of care and client satisfaction in the health facilities

1.5 Research Questions

The following research questions guided the study;

  1. What is the perceived quality of care at the various levels of care in Enugu?
  2. What is the level of client satisfaction with health care professionals in the health facilities?
  3. What are the predictors of perception of quality of care and client satisfaction in the health facilities?

1.6 Limitation to Study

The major limitations of the study were

  1. Interviews and FGDs were held on the health facility premises. This might cause clients to have the tendency to give higher ratings for fear of victimization even though they were assured of confidentiality.
  2. Interviewing caretakers of patients less than 15 years of age rather than the patients themselves might not give the true picture since their views may be different from that of the patients themselves.
  3. Only one health centre and one clinic were sampled due to resource constraints.

Chapter Five


Conclusions and Recommendations

5.1 Discussion of Findings

Results from the study shows that more patients were satisfied with the attention received in the clinic as opposed attention received by patients in the hospitals and health centre. Patients from the clinic attested to have better communication with the health workers compared to the communication received from clients in the hospital and health centres. Health workers in clinic had better explanatory ways for the diagnosis, treatment and counsel/instructions. Responses on competency reveals that health workers from clinics, hospitals and health centres were perceived competent for duty discharged to the patients. The overall rating of the quality of care and satisfaction was quite high for all the health facilities. Evidence from patients who attended the clinic said the quality of care was either good or very good and they were either satisfied or very satisfied with the care they received. Their satisfaction influenced their referral willingness as patients agreed that they would recommend the facilities to their friends and relatives.

The hypothesis test carried out showed that the readiness of the hospital staff to listen to the problems of the patients was positively associated with unit visited and health insurance status. Also telling clients about their diagnosis was positively associated with the unit visited. ANC/PNC patients were 7 times more likely to be told about their diagnosis than generalOPD clients. The quality of care is significantly associated with adequacy of medicines prescribed. Patients’ satisfaction was significantly associated with examining the client, adequacy of medicines prescribed and quality of care. However, involving clients in making decision about their health care or treatment is negatively associated older age. Finally, health provider characteristics influencesthe perception of overall care quality and overall satisfaction.


5.2 Conclusions

This study investigated patient perception and satisfaction with healthcare professionals at primary care facilities in selected health facilities in Enugu. It can be concluded from the study that perceived quality of care and satisfaction was high in all the three facilities. Perceived quality of care was highest in the clinic (100%) followed by the health centre (98.1%) and then the hospital (94.3%). Overall satisfaction also followed similar trend – clinic (100%), health centre (94.3%) and hospital (93.2%).

Nonetheless there are aspects of care that need to be improved. The clients’ assessment of certain aspects of communication and responsiveness was low among all the health facilities especially the health centre. The hospital and the health centre experienced stock out of certain essential medicines. The waiting time was less acceptable to the clients of the hospital and the health centre.

Availability of all medicines prescribed in the facility, clients’ perception of discrimination against them due to of lack of money and comfort of the waiting area are the significant predictors of the perception of quality of care. The most significant predictors of satisfaction are overall perception of quality of care and cleanliness of the facility.


5.3 Recommendations

To the health facilities

  1. All the health facilities should improve on communication with clients
    1. Clients should be informed about their diagnosis
    2. Prescribers should explain the treatment to the clients
    3. Prescribers should give information to the clients about other types of treatment for their conditions
    4. Clients should give instructions about their illness
    5. Time should be given to clients to ask questions
    6. Clients should be involved in making decision about their treatment.
  2. All the health facilities should improve on provider/client relationship to avoid the perception of being treated badly because of sex, lack of money and social class
  3. The hospital and the health centre should endeavour to improve on availability of medicines.
  4. The hospital and the health centre should also endeavour to reduce the waiting time and client satisfaction surveys should be conducted regularly.

Get Complete Project Material

5,000 5000

The Complete Material Will Be Sent to You in Just 2 Steps

Quick & Simple…


Step One Purchase

Make Payment (Through Transfer) of ₦5,000 to Any of the Account Below

Access Bank PlcAcc No: 0811003731
Samphina Academy
Current Account
Zenith BankAcc No: 1225513212
Samphina Academy
Current Account

Or CLICK HERE To Pay With Debit Card


FOR STUDENTS OUTSIDE NIGERIA
CLICK HERE To Purchase Material ($15)
FOR GHANIAN STUDENTS
Make Payment of 120 GHS to 0553978005 | Douglas Cloud Osabutey | MTN MoMo

Step Two Purchase

Send the Following Details on WhatsApp ( 08143831497) After Payment

  1. Payment Details

  2. TOPIC: Patient Perception And Satisfaction With Healthcare Professionals At Primary Care Facilities

The Complete Material Will Be Sent To You On WhatsApp After Receiving Your Details
T & C Apply


  Contact Our Help Desk


Need a Different Topic? Perform a Quick Search



List of Related Works

Click on Any Topic to Preview the Content

samphina.academy

Samphina Academy

Samphina Academy is an Online Educational Resource Center that is aimed at providing students with quality information and materials to aid them in succeeding in their academic pursuit.