சுகாதார கல்வி ஆராய்ச்சி மற்றும் மேம்பாட்டு இதழ்

Comparative Assessment of Clients Satisfaction with Doctors Services in Teaching and Mission Hospitals in South East Nigeria

Abstract

Ofoegbu Cosmas Chiedozie and Emelumadu Obiageli Fidelia

Background: Patients’ satisfaction is an individual’s positive assessment regarding a variegated aspect of healthcare and the perception about the quality of services offered in that health facility. Patients who are not satisfied with healthcare services in a certain health facility are very likely to stop seeking treatment in that facility.
Objective: To determine satisfaction level of pregnant mothers with the antenatal services provided by the doctors.
Methods: Using an interviewer administered questionnaire, information on clients’ satisfaction was obtained from 500 women attending antenatal care clinic through exit interview. Systematic random sampling was used to select anticipants. Data were entered in to the IBM SPSS software, and analyzed. Results were presented as proportions in percentages. P value <0.05 at 95% confidence interval was considered significant.
Study design: This was a comparative cross sectional study.
Settings: The study sites were; Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State University Teaching Hospital Awka, St Charles Borromeo Specialist Hospital, Onitsha and Regina Ceali Specialist Hospital, Awka all in Anambra state.
Participants: The study population comprised of 500 pregnant women attending antenatal clinics of the teaching and mission hospitals in Anambra state.
Main outcome measures: Patient expectations of quality care, patient satisfaction.
Results: More clients from teaching hospitals (93.4%) were satisfied with the attention they obtained from the doctors compared with mission hospitals respondents (92%) though this different was not statistically significant (χ2=4.101, P=0.417). Ninety three percent (93%) of the total respondents were satisfied with the attention they obtain from the doctors. Satisfaction with time spent with the doctor and doctor’s explanation what the clients want to know was higher among teaching hospitals respondents (97.7% and 95.6%) compared with mission hospitals respondents (90.7% and 89.4%). However, the differences were not statistically significant. Majority of the respondents from teaching and mission hospitals were satisfied with time spent with the doctors (95.4%) and doctor’s explanation (93.4%).
Conclusion: Periodic patient satisfaction survey on different sections of the antenatal clinic should be institutionalized to provide feedback for continuous quality improvement.