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尼日利亚中北部一家三级医院家庭医学诊所服务提供满意度的决定因素

Factors Determining Satisfaction with Service Delivery at Family Medicine Clinics of a Tertiary Hospital in North Central Nigeria.

作者信息

Akafa Tensaba Andes, Iseko Kingsley Iyoko

机构信息

Department of Community/Family Medicine, Faculty of Basic Medical Sciences, College of Health Sciences Federal University Wukari, Taraba State, Nigeria.

Limi Hospital, Abuja, Nigeria.

出版信息

Niger Med J. 2024 May 23;65(2):132-141. doi: 10.60787/nmj-v65i2-393. eCollection 2024 Mar-Apr.

Abstract

BACKGROUND

Patients' satisfaction with service delivered at the healthcare facility is a critical index of quality of care in the health industry. Hence, it is paramount to ascertain patients' satisfaction to improve service delivery.

METHODOLOGY

The study was a cross-sectional design conducted among 104 patients aged 18 to 65 years who were on follow-up for chronic diseases at the Family Medicine Clinics. Data was collected from the participants via interviewer administered questionnaire. Statistical significance was determined using paired samples t-test, Chi-square, and logistic regression was set at a p-value of ≤ 0.05.

RESULTS

The study used104 patients with chronic diseases. The mean age of the study population (N = 104) was 51.83± 9.37years. The ages ranged from 21-69 years.65 (62.5%) were females; male to female ratio was 1:1.7. The majority of them had formal education 59 (56.7%). There were no statistically significant differences in the socio-demographic characteristics. Waiting time was found to be the most significant predictor of patient satisfaction in this study (P=0.003; O. R=3.17, CI=1.03-1.15). The overall satisfaction score with service delivery in the study area was 71.4%.

CONCLUSION

Patients recorded a high level of satisfaction with service delivery 71.4% for the care received at the study site, particularly during their experiences with the physicians, pharmacists, lab scientists, nurses, and record officers, and the neatness of the clinic's environment. The results indicate that good communication has a positive effect on patients' level of satisfaction. Henceforth, service providers should employ patient-centered communication to improve quality of care.

摘要

背景

患者对医疗机构提供服务的满意度是医疗卫生行业护理质量的关键指标。因此,确定患者的满意度对于改善服务提供至关重要。

方法

本研究采用横断面设计,对104名年龄在18至65岁之间、在家庭医学诊所接受慢性病随访的患者进行调查。通过访员管理的问卷从参与者那里收集数据。使用配对样本t检验确定统计学显著性,卡方检验和逻辑回归的p值设定为≤0.05。

结果

本研究纳入了104名慢性病患者。研究人群(N = 104)的平均年龄为51.83±9.37岁。年龄范围为21 - 69岁。65名(62.5%)为女性;男女比例为1:1.7。他们中的大多数人接受过正规教育,有59人(56.7%)。社会人口学特征方面没有统计学显著差异。在本研究中,等待时间被发现是患者满意度的最显著预测因素(P = 0.003;O.R = 3.17,CI = 1.03 - 1.15)。研究区域服务提供的总体满意度得分为71.4%。

结论

患者对在研究地点接受的护理服务交付满意度较高,为71.4%,特别是在与医生、药剂师、实验室科学家、护士和记录员的接触过程中,以及诊所环境的整洁方面。结果表明良好的沟通对患者的满意度水平有积极影响。今后,服务提供者应采用以患者为中心的沟通方式来提高护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/11240198/5d53fcf0b61e/nmj-65-132-f1.jpg

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