Das Aritrik, Bhandari Yukti, Singh Suraj P, Sharma Priyanka, Kumar Mukesh, Khongsit Aereosonva, Khokhar Anita, Tiwari Poornima, Pardeshi Geeta
Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, India.
Senior Resident, Department of Community Medicine, ABVIMS and RML Hospital, John Snow India Pvt. Ltd., New Delhi, India.
J Family Med Prim Care. 2023 Jul;12(7):1285-1290. doi: 10.4103/jfmpc.jfmpc_1730_22. Epub 2023 Jul 14.
The COVID-19 pandemic has posed challenges to the provision of routine health services. As we continue providing non-COVID services, it is essential that the community perceives them to be satisfactory and safe to ensure optimum uptake. The objective of the study was to determine the satisfaction and perceived safety among patients availing services at an urban health training center (UHTC) during the COVID-19 pandemic in South Delhi.
UHTC, Aliganj caters to a population of over 6000, in an urbanized village of South Delhi. A pre-designed, semi-structured questionnaire incorporating the North Indian OPD Satisfaction Scale along with questions on sociodemographic details and perception of safety was used. Systematic random sampling was used to select the patients from the study population which included those above 18 years attending UHTC from November-December 2020. Exit interviews were done by a trained independent interviewer to reduce bias. Data were analyzed in SPSS using Chi-square and Fisher's Exact tests.
Out of 218 patients, 161 (73.7%) were satisfied, 174 (79.8%) felt safe to visit UHTC during the pandemic and 143 (65.6%) felt both satisfied and safe. Patients were dissatisfied with screening for COVID-19 (29.5%), amenities (47.1%), cleanliness (51.8%), and waiting and registration (62.9%).
The majority of patients were satisfied and found the UHTC services safe. A large proportion of patients found location, doctor-patient interaction, and COVID-appropriate behavior at the center to be satisfactory, but there was scope to improve waiting and registration, cleanliness, and effectiveness of screening for COVID.
新冠疫情给常规医疗服务的提供带来了挑战。在我们继续提供非新冠服务时,至关重要的是社区认为这些服务令人满意且安全,以确保最佳的利用率。本研究的目的是确定在南德里新冠疫情期间,在城市健康培训中心(UHTC)接受服务的患者的满意度和感知安全性。
位于阿里根杰的UHTC服务于南德里一个城市化村庄中超过6000人的人口。使用了一份预先设计的半结构化问卷,其中纳入了北印度门诊满意度量表以及关于社会人口学细节和安全感知的问题。采用系统随机抽样从研究人群中选取患者,研究人群包括2020年11月至12月在UHTC就诊的18岁以上人群。由一名经过培训的独立访谈员进行出院访谈以减少偏差。在SPSS中使用卡方检验和费舍尔精确检验对数据进行分析。
在218名患者中,161名(73.7%)表示满意,174名(79.8%)在疫情期间觉得去UHTC就诊安全,143名(65.6%)既感到满意又觉得安全。患者对新冠病毒筛查(29.5%)、便利设施(47.1%)、清洁程度(51.8%)以及候诊和挂号(62.9%)不满意。
大多数患者感到满意并认为UHTC的服务安全。很大一部分患者对中心的位置、医患互动以及新冠防控措施感到满意,但在候诊和挂号、清洁程度以及新冠筛查的有效性方面仍有改进空间。