Title: Assessment of Patients’ Satisfaction of Care and Associated Factors among Outpatients at a Private Tertiary Clinic in Ogun State, Nigeria

Authors: Akindele Emmanuel Ladele, John Omotola Ogunkoya, Oluwafemi Ayotunji Opadotun,  Solomon Chimezie Ezeugo, Oludolapo Omolabake Olaseinde, Victoria Toluwani Olubusuyi

 DOI: https://dx.doi.org/10.18535/jmscr/v10i9.09

Abstract

Background: Patient satisfaction is the extent to which the patients feel that their needs and expectations are being met by the service provided. It is a measure of the quality of care and gives providers insights into the various aspects of service delivery.

Aims/ Objectives: Aim was to assess the degree of satisfaction of care and assess the association between sociodemographic and patient satisfaction among General Outpatient Clinic attendees.

Methodology: This was a descriptive cross-sectional study carried using a validated self-administered adapted questionnaire. Data collected included age, gender, occupation, religion. Quality of care was assessed using a 5 steps likert scale. Analysis was done with SPSS Version 20. Continuous variables were assessed using mean and standard variation and categorical variables were assessed in frequencies and percentages. Association between variables was assessed with Chi-square at level of significance of p-value < 0.05.

Results: 250 respondents consisting of 122 (44.4%) males and 148 (53.8%) females took part in this study. The mean age was 31.5±14.046. Majority of respondents (n=70, 25.5%) opined that physicians were the most professional among different categories of health care staff. Most respondents (75.3%) were satisfied with the care received in the facility.14.9% strongly agreed that the cost of care is reasonable for the care provided by the facility. 74.2%  and 77.1% of respondents will continue to use the facility for their health care needs and recommend the facility to someone else. The study also showed a significant relationship between respondents’ gender and satisfaction with the care received and the desire to continue to use the facility for future health care needs by the respondents.

Conclusion: The level of patients; satisfaction of care in this study though comparable to other studies done in the developing countries, more can be done and changes be made to ensure that a developing country like Nigeria delivers quality health services to its citizenry.

Keywords: Assessment, Care, Professionalism, Satisfaction.

References

  1. Commentary-Patient Satisfaction: What Is the Point? https://www.nursingcenter.com/journalarticle?Article_ID=459854&Journal_ID=289730&Issue_ID=420966. (Assessed Jan. 2022)
  2. J E Ware Jr., M K Snyder, W R Wright, A R Davies. Defining and measuring patient satisfaction with medical care. Evaluation and program planning 1983;6 (3-4): 247-263.
  3. Patient Engagement HIT, Patient Satisfaction and HCAHPS: What It Means for Providers. https://patientengagementhit.com/features/patient-satisfaction-and-hcahps-what-it-means-for-providers. (Assessed Jan. 2022)
  4. M Sullivan. The new subjective medicine: taking the patient’s point of view on health care and health. SocSci Med. 2003;56(7): 1595-1604. doi: 10.1016/s0277-9536(02)00159-4.
  5. S Ilioudi, A Lazakidou, M Tsironi. Importance of Patient Satisfaction Measurement and Electronic Surveys: Methodology and Potential Benefits. International Journal of Health Research and Innovation. 2013; 1(1): 67-87
  6. S SAndaleeb. Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social Science & Medicine May 2001; 52(9):1359–1370. doi: 10.1016/S0277-9536(00)00235-5.
  7. B Angelova, J Zeqiri. Measuring Customer Satisfaction with Service Quality Using American Customer Satisfaction Model (ACSI Model).International Journal of Academic Research in Business and Social Sciences. Jan 2011; 1.doi: 10.6007/ijarbss.v1i2.35.
  8. S Saad Andaleeb. Determinants of customer satisfaction with hospitals: a managerial model. International Journal of Health Care Quality Assurance Jan 1998; 11(6):181–187. doi: 10.1108/09526869810231541.
  9. F Fullam, A N Garman, T J Johnson, E C Hedberg. The Use of Patient Satisfaction Surveys and Alternative Coding Procedures to Predict Malpractice Risk. Medical Care May 2009; 47(5):553–559. doi: 10.1097/MLR.0b013e3181923fd7.
  10. M S Westaway, P Rheeder, D G Van Zyl, J R Seager. Interpersonal and organizational dimensions of patient satisfaction: the moderating effects of health status. Int J Qual Health Care Aug 2003; 15(4):337–344. doi: 10.1093/intqhc/mzg042.
  11. J Levesque, E R Bogoch, B Cooney, B Johnston, J G Wright. Improving patient satisfaction with time spent in an orthopedic outpatient clinic.Can J Surg, Dec 2000; 43(6):431–436.
  12. M OAfolabi, W O Erhun. Patients’ response to waiting time in an out-patient pharmacy in Nigeria, Trop Journal of Pharmaceutical Research 2003;2(2):207–214.
  13. World Health Organization: Density of physicians (total number per 1000 population, latest available year). http://www.who.int/gho/health_workforce/physicians_density/en/. (Assessed Jan. 2022)
  14. Ratio of Nigerian doctors to population is 1: 2753 – Federal Government. Business day Newspaper Nigeria, Mar. 04, 2020. https://businessday.ng/uncategorized/article/ratio-of-nigerian-doctors-to-population-is-1-2753-fg/.(Assessed Jan. 2022).
  15. I Omoleke. Contemporary issues and challenges of health sector in Nigeria. Research Gate. https://www.researchgate.net/publication/322934869_Contemporary_issues_and_challenges_of_health_sector_in_Nigeria. (Assessed Jan. 2022)
  16. O J Daniel. Patient Satisfaction with Health Services at the Out-patient Department Of A Tertiary Hospital In Nigeria. Nigerian Journal of Clinical Medicine.2013; 5. 10.4314/njcm.v5i1.2.
  17. Technical Assistance research Programs (TARP), Washington, DC: TARP: working paper; 1986, Feb. Membership services as a revenue center: Cost justification and marketing impact of an aggressive service program. (Assessed January 5, 2022)
  18. M Dayananda, SKM Rao. Hospital and Health Services Administration: Principles and Practices. Med J Armed Forces India. 2004 Jan;60(1):92. doi: 10.1016/S0377-1237(04)80178-3.
  19. M O. Oche, H. Adamu. Determinants of Patient Waiting Time in the General Outpatient Department of a Tertiary Health Institution in North Western NigeriaAnnals of Medical and Health Sciences Research 2013;3(4).
  20. T Adesanya, O Gbolahan, O Ghannam, M Miraldo, B Patel, R Verma, H Wong. Exploring the responsiveness of public and private hospitals in lagos, Nigeria. J Public Health Res. 2012 Feb 14;1(1):2-6. doi: 10.4081/jphr.2012.e2.
  21. T Tateke, M Woldie, S Ololo. Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia J Prim. Health Care Fam. Med. 2012 Aug. 24;4(1)384.doi: 10.4102/phcfm.v4i1.384.
  22. S T Odonkor, C Frimpong, E Duncan, C Odonkor. Trends in patients’ overall satisfaction with healthcare delivery in Accra, Ghana. African Journal of Primary Health Care & Family Medicine, 2019 Sep 17;11(1):e1-e6. doi: 10.4102/phcfm.v11i1.1884.
  23. B JLawal, S C Agbla, Q N Bola-Lawal, M O Afolabi, E Ihaji. Patients' Satisfaction With Care From Nigerian Federal Capital Territory's Public Secondary Hospitals: A Cross-Sectional Study. J Patient Exp. 2018 Dec;5(4):250-257. doi: 10.1177/2374373517752696.
  24. A Kabatooro, F Ndoboli,J Namatovu. Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre.South African Family Practice, 2016 June;58(3):87–93. doi: 10.1080/20786190.2016.1177977.
  25. I O Ajayi, E A Olumide, O Oyediran. Patient satisfaction with the services provided at a general outpatients’ clinic, Ibadan, Oyo State, Nigeria. Afr J Med Med Sci. 2005 June;34(2):133–140.
  26. J C Umeano-Enemuoh, O E Onwujekwe, B Uzochukwu, O P. Ezeoke. Patients’ Satisfaction and Quality of Care in a Tertiary Institution in Southeast Nigeria International Research Journal of Basic and Clinical Studies 2014 Feb; 2(2):14-19, doi: /10.14303/irjbcs.2014.014.
  27. Z Iliyasu, I S Abubakar, S Abubakar, U M Lawan, A U Gajida. Patients’ satisfaction with services obtained from Aminu Kano Teaching Hospital, Northern Nigeria. Niger J Clin Pract. 2010 Dec;13(4):371–378.

Corresponding Author

Dr Ogunkoya John Omotola

Division of Respiratory Medicine and Allergy, Department of Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria