Volume 4, Issue 2 ( Journal of Clinical and Basic Research (JCBR) 2020)                   jcbr 2020, 4(2): 1-7 | Back to browse issues page


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Muyeed A, Siddiqi M N A. Influential Determinants of Patient Satisfaction with Primary Health Care Services from Community Clinics: A Micro Survey in Bangladesh. jcbr 2020; 4 (2) :1-7
URL: http://jcbr.goums.ac.ir/article-1-247-en.html
1- Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh , amuyeed@isrt.ac.bd
2- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh-2224, Bangladesh
Abstract:   (3242 Views)
Background: Assessing patient satisfaction with community clinic (CC) services can contribute to promotion of quality of care. This study aimed to investigate the satisfaction level of patients with CC services and to identify the influential determinants of patient satisfaction in a rural area of Bangladesh.
Methods: A cross-sectional study using simple random sampling without replacement was carried out in 2019 on 310 patients who have received services from CCs in Haripur upazila, Bangladesh. The patients completed a questionnaire consisting of 17 items on variables related to patient satisfaction. The items were scored using a 5-point Likert scale and patients socioeconomic and demographic characteristics were also recorded. To examine the association of patient satisfaction with other selected determinants, the Chi-square (χ2) test was performed. To assess the net effect of determinants on satisfaction level, multivariate binary logistic regression analysis was conducted.
Results: Overall mean satisfaction level was 3.70±0.982. We found that 68.9% were satisfied and 31.1% were unsatisfied with the services. Moreover, 63.92% of females and 77.48% of males were satisfied. In addition, 70% of individuals aged 15-30 years, 69.28% of those aged 31-45 years and 57.89% of patients aged 46-65+ were satisfied with the services. According to the results of the Chi-square test, gender, occupation, receiving necessary medicine, receiving essential treatments, waiting time, behavior of the CC staffs, hygienic atmosphere, internal environment, female health worker visits, and difficulties faced when taking service from CC were significantly associated with patient satisfaction.
Conclusion: Given the important role of patient satisfaction for improving quality of care, it is recommended to cogitate the influential factors when planning for public health promotion.
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Article Type: Research | Subject: Basic medical sciences

References
1. Ware JE. The measurement of patient satisfaction. Health and Medical Care Services Review. 1978;1(1):5-15. [View at Publisher] [Google Scholar]
2. Donabedian A. Evaluating the quality of medical care. The Milbank memorial fund quarterly. 1966;44(3):166-206. [View at Publisher] [DOI] [PubMed] [Google Scholar]
3. Adhikary G, Shawon MSR, Ali MW, Shamsuzzaman M, Ahmed S, Shackelford KA, et al. Factors influencing patients' satisfaction at different levels of health facilities in Bangladesh: Results from patient exit interviews. PloS one. 2018;13(5):e0196643. [View at Publisher] [DOI] [Google Scholar]
4. Larsen DE, Rootman I. Physician role performance and patient satisfaction. Social Science & Medicine (1967). 1976;10(1):29-32. [View at Publisher] [DOI] [Google Scholar]
5. Fitzpatrick R. Surveys of patient satisfaction: II--Designing a questionnaire and conducting a survey. BMJ: British Medical Journal. 1991;302(6785):1129. [DOI] [PubMed] [Google Scholar]
6. Andaleeb SS. Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social science & medicine. 2001;52(9):1359-70. [View at Publisher] [DOI] [Google Scholar]
7. Mpinga EK, Chastonay P. Satisfaction of patients: a right to health indicator? Health policy. 2011;100(2-3):144-50. [View at Publisher] [DOI] [PubMed] [Google Scholar]
8. Khamis K, Njau B. Patients' level of satisfaction on quality of health care at Mwananyamala hospital in Dar es Salaam, Tanzania. BMC health services research. 2014;14(1):400. [View at Publisher] [DOI] [PubMed] [Google Scholar]
9. Lv Y, Xue C, Ge Y, Ye F, Liu X, Liu Y, et al. Analysis of factors influencing inpatient and outpatient satisfaction with the Chinese military health service. PloS one. 2016;11(3):e0151234. [View at Publisher] [DOI] [Google Scholar]
10. Li J, Wang P, Kong X, Liang H, Zhang X, Shi L. Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China. International journal for quality in health care. 2016;28(3):346-54. [View at Publisher] [DOI] [Google Scholar]
11. Chen H, Li M, Wang J, Xue C, Ding T, Nong X, et al. Factors influencing inpatients' satisfaction with hospitalization service in public hospitals in Shanghai, People's Republic of China. Patient preference and adherence. 2016;10:469. [View at Publisher] [DOI] [PubMed] [Google Scholar]
12. Naseer M, Zahidie A, Shaikh BT. Determinants of patient's satisfaction with health care system in Pakistan: a critical review. Pakistan Journal of Public Health. 2012;2(2):52. [View at Publisher] [Google Scholar]
13. Chandra S, Ward PR, Mohammadnezhad M. Factors associated with patient satisfaction in outpatient department of Suva Sub-divisional Health Center, Fiji, 2018: a mixed method study. Frontiers in public health. 2019;7:183. [View at Publisher] [DOI] [PubMed] [Google Scholar]
14. Widayati MY, Tamtomo D, Adriani RB. Factors affecting quality of health service and patient satisfaction in community health centers in North Lampung, Sumatera. Journal of Health Policy and Management. 2018;2(2):165-75. [View at Publisher] [DOI] [Google Scholar]
15. Israr M, Awan N, Jan D, Ahmad N, Ahmad S. Patients' perception, views and satisfaction with community health center services at mardan district of Khyber Pakhtunkhwa. Am J Public Health Res. 2016;4(3):79-87. [View at Publisher] [Google Scholar]
16. Wu J, Zhang S, Chen H, Lin Y, Dong X, Yin X, et al. Patient satisfaction with community health service centers as gatekeepers and the influencing factors: a cross-sectional study in Shenzhen, China. PLoS One. 2016;11(8). [View at Publisher] [DOI] [PubMed] [Google Scholar]
17. Ferdousi MJ. Patient satisfaction with community clinic care: facility and household based survey in a sub-district in Bangladesh. Mediscope. 2014;1(1):23-8. [View at Publisher] [DOI] [Google Scholar]
18. Adhikary G, Shawon MSR, Ali MW, Shamsuzzaman M, Ahmed S, Shackelford KA, et al. Factors influencing patients' satisfaction at different levels of health facilities in Bangladesh: Results from patient exit interviews. PloS one. 2018;13(5). [View at Publisher] [DOI] [PubMed] [Google Scholar]

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