Introduction: Quality healthcare is a major contributor to health disparities and inequalities in resource limited settings. Patient satisfaction remains an important and valuable method of assessing the quality of care. Aim: This study assessed patients’ satisfaction with quality of inpatient clinical care in a mission hospital in a semi urban setting. Methods: The study was a cross-sectional study carried out on 140 inpatients at a mission hospital in Afikpo, South East Nigeria. Data was collected using pretested structured questionnaires designed on a five-point likert scale with 1 indicating the lowest and 5 indicating the highest scale. Knowledge of factors contributing to quality of care and satisfaction in the following domains: patient-staff relationship, patient-staff (doctors/nurses) communication, facility convenience, technical aspect of care (availability of equipment, drugs and adequacy of staff) and overall general satisfaction were measured. Operationally, patients who rated 3 points and above were considered satisfied while ratings less than 3 points were considered dissatisfied. Results: Knowledge of factors contributing to quality of care was 4.65 ± 0.48. General satisfaction rated 4.22 ± 0.52. Specifically, the different domains had the following scores: inter personal relationship 4.28 ± 0.81, technical aspect of care (availability of drugs, equipment and medical personnel) 4.29 ± 0.57 and facility convenience 4.21 ± 0.51. Conclusions: Knowledge of factors contributing to quality of care and overall patients’ satisfaction with inpatient care were good and comparable with patients’ satisfaction with tertiary health institutions in Nigeria. Mission hospitals may serve as excellent alternatives to government hospitals in resource limited settings to promote health equity across populations.
References
[1]
Makela, M., Booth, B. and Roberts, R. (2001) Family Doctors’ Journey to Quality. Stakes, Helsinki.
[2]
Mosadeghrad, A.M. (2012) A Conceptual Framework for Quality of Care. Mater Sociomed, 24, 251-261. https://doi.org/10.5455/msm.2012.24.251-261
[3]
Andaleeb, S.S. (1998) Determinants of Customer Satisfaction with Hospitals: A Managerial Model. International Journal of Health Care Quality Assurance, 6, 181-187. https://doi.org/10.1108/09526869810231541
[4]
Oermann, M.H. (1999) Consumers’ Descriptions of Quality Health Care. Journal of Nursing Care Quality, 14, 47-55. https://doi.org/10.1097/00001786-199910000-00006
[5]
Ankita, M., Abbduwahus, A., Privor-Dumm, L. and Wonodi, C. (2015) Basket Finds a Pool Arrangement to Finance Primary Health Care Delivery and Address Finding Flow in Nigeria. International Vaccine Access Centre (IVAC). Johns Hopkins Bloomberg School of Public Health.
[6]
Onyeneho, N.G., Amazigo, U.V., Njepuome, N.A., Nwaogu, O.C. and Okeibunor, J.C. (2016) Perception and Utilization of Public Health Services in Southeast Nigeria: Implication for Health Care in Communities with Different Degrees of Urbanization. International Journal for Equity in Health, 15, Article No. 12. https://doi.org/10.1186/s12939-016-0294-z
[7]
Bakeera, S.K., Wamala, S.P., Galea, S., State, A., Peterson, S. and Pariyo, G.W. (2009) Community Perceptions and Factors Influencing Utilization of Health Services in Uganda. International Journal for Equity in Health, 8, Article No. 25. https://doi.org/10.1186/1475-9276-8-25
[8]
Oforvwe, C.E. and Ofili, A.N. (2005) Indices of Patient Satisfaction in an African Population. Public Health, 119, 582-586. https://doi.org/10.1016/j.puhe.2004.10.012
[9]
Iliyasu, Z., Abubakar, I.S., Abubakar, S., Lawan, U.M. and Gajida, A.U. (2010) Patients’ Satisfaction with Services Obtained from Aminu Kano Teaching Hospital, Kano, Northern Nigeria. Nigerian Journal of Clinical Practice, 13, 371-378.
[10]
Iloh, G., Ofoedu, J.N., Njoku, P.U., Odu, F.U., Ifedigbo, C.V. and Iwuamanam, K.D. (2012) Evaluation of Patients’ Satisfaction with Quality of Care Provided at the National Health Insurance Scheme Clinic of a Tertiary Hospital in South-Eastern Nigeria. Nigerian Journal of Clinical Practice, 15, 469-474.
[11]
Esimai, O.A. and Omoniyi-Esan, G.O. (2009) Wait Time and Service Satisfaction at Antenatal Clinics, Obafemi Awolowo University Ile-Ife. East African Journal of Public Health, 6, 309-311.
[12]
Akinyinka, M.R., Adebayo, B.I., Wright, K.O. and Adeniran, A. (2016) Client Waiting Time in an Urban Primary Health Care Centre in Lagos. Journal of Community Medicine and Primary Health Care, 28, 17-24.
[13]
Babatunde, O.A., Aiyenigba, E., Akande, T.M., Musa, O.I., Salaudeen, A.G., Babatunde, O.O., et al. (2013) Primary Health Care Consumers’ Perception of Quality of Care and Its Determinants in North-Central Nigeria. Journal of Asian Scientific Research, 3, 775-785.
[14]
Nnebue, C.C., Ebenebe, U.E., Adinma, E.D., Iyoke, C.A., Obionu, C.N. and Ilika, A.L. (2014) Clients’ Knowledge, Perception and Satisfaction with Quality of Maternal Health Care Services at the Primary Health Care Level in Nnewi, Nigeria. Nigerian Journal of Clinical Practice, 17, 594-601.
[15]
Ofili, A.N. and Ofovwe, C.E. (2005) Patients’ Assessment of Efficiency of Services at a Teaching Hospital in a Developing Country. Annals of African Medicine, 4, 150-153.
[16]
Abdosh, B. (2006) The Quality of Hospital Services in Eastern Ethiopia: Patients’ Perspective. Ethiopian Journal of Health Development, 20, 199-200. https://doi.org/10.4314/ejhd.v20i3.46854
[17]
Akande, T.M. (2002) Patients’ Perception on Communication between Patients and Doctors in a Teaching Hospital. Sahel Medical Journal, 5, 178-181. https://doi.org/10.4314/smj2.v5i4.12824
[18]
Joseph, C. and Nicholas, S. (2007) Patient Satisfaction and Quality of Life among Persons Attending Chronic Disease Clinics in South Trinidad, West Indies. West Indian Medical Journal, 56, 108-114.
[19]
Perla, L. (2002) Patients Compliance and Satisfaction with Nursing Care during Delivery and Recovery. Journal of Nursing Care Quality, 16, 60-66. https://doi.org/10.1097/00001786-200201000-00007
[20]
Singh, H., Haqq, E.D. and Mustapha, N. (1999) Patients’ Perception and Satisfaction with Healthcare Professionals at Primary Care Facilities in Trinidad and Tobago. Bulletin of the World Health Organization, 77, 356-360.
