Introduction: In many developing countries, accreditation programs, which have been implemented as a regulatory tool to ensure quality of service and efficient use of resources. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. The care in the Out Patient Department (OPD) indicates the quality of services of any hospital. Combined Military Hospital (CMH) Bogra, is the largest tertiary level military hospital in North Bengal. Objective: To assess the satisfaction levels of patients‘ in CMH Bogra related to health care services. Materials and Methods: A cross sectional study was carried out among 367 patients attending outpatient department of CMH Bogra. The patients were selected randomly from out patient department. The study was conducted from 01 May 2015 to 31 October 2015. All patients were interviewed using pre-structured questionnaire, which included various variables related to patient satisfaction. Results: A total number of 367 respondents were interviewed. Majority (48.2%) of the respondents were from the age category of 26-35 years. Maximum attending population consisted of Army personnel. Overall satisfaction level of patients on hospital services was good. Requirement of separate waiting room for the JCO’s and training of the hospital staffs on behaviour with the patients were found important. Conclusion: Patient satisfaction surveys have evolved as a powerful management and marketing tool. It is being widely used by various hospitals to capture the “Voice of the Consumer”. Among the respondents, 95% of expressed overall satisfaction. This bears a testimony to the efforts of the hospital management towards improvement of services. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 61-68
Introduction: Foetal growth and development is a complex process that involves the interrelationship among the mother, placenta and fetus. Both high and low birth weight infants are associated with the highest prevalence of diabetes. Women with diabetes are at greater risks, because of their pregnancy related complications. Objective: To compare the characteristics of groups of LGA (large for gestational age) babies born to prediabetic mothers (DM) and gestational diabetic mothers (GDM) with control infants born to apparently healthy non-diabetic mothers (NDM). Materials and Methods: This was a prospective cohort study of 251 newborn-mother pairs (n: DM=86; GDM=86 and NDM=79) recruited from the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka. Detailed anthropometric measurements of infants were taken at birth in the hospital. LGA babies had birth weights greater than the 90th percentile for their gestational age for sex and SGA (small for gestational age) babies usually had birth weights below the 10th percentile for babies of the same gestational age for sex. Results: Only 10(11.6%) babies were found LGA in the GDM group as opposed to 3 each for DM and NDM group. There was a significant group difference in the incidences of SGA babies. Around 16% to 18% were there in the DM and GDM groups, as opposed to much higher rate (30.4%) in the NDM group. Conclusion: Newborns from both DM and GDM groups showed greater values compared to that of the NDM group in all anthropometric measures except length and head circumference suggesting intrauterine growth acceleration in them. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 117-123
Background: The growth of infants born to diabetic mothers is at greater risks because of their pregnancy related complications.Objectives: This study concerns comparison of BMI changes in different periods of infants born to pre-diabetic mothers (DM) and gestational diabetic mothers (GDM) with control infants born to apparently healthy non-diabetic mothers (NDM).Materials & Methods: This study comprising 251 newbornmother pairs (n: DM=86; GDM=86 and NDM=79) recruited from the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka.Results: BMI at birth was significantly higher for DM (BMI: 13.3±0.2 vs.12.6±0.2; p=0.003) and GDM (BMI: 13.7±0.2 vs.12.6±0.2; p<0.001) groups compared to the NDM group. On paired t tests, BMI increased significantly during 0-3 month period and 3-6 months periods in all groups (DM, GDM and NDM). At 0 month, compared to babies in the NDM group, mean BMI z-scores were significantly higher for the DM (-0.095±1.2 vs. -0.73±1.4; p=0.003) and GDM (0.16±1.4 vs.-0.73±1.4; p<0.001) groups. On paired-samples t tests, BMI Z-scores decreased from birth to 3 month of age in DM and GDM groups, but this decrease was significant for the GDM group only. In subsequent periods, BMI z-scores increased in all groups but the increment was more evident in GDM and NDM groups.Conclusion: At 0 month (birth), compared to babies in the NDM group, mean BMIs were significantly higher for the DM and GDM groups which became normalised by 3rd month when they got rid of maternal metabolic influences. The changes in BMI Z-score during 9-12 months period were significantly positive for NDM group compared to others.KYAMC Journal Vol. 8, No.-2, Jan 2018, Page 13-17
Introduction: Patient satisfaction Survey has become a regulatory Tool to ensure quality of services and efficient use of resources. To endure quality service In-patient departments, doctors’ care undoubtedly a useful measure in CMH (Combined Military Hospital) where the number of patient flow is increasing day-by-day. Objective: To find out the perceptions and expectations of the patients from the doctors in a tertiary level military hospital. Materials and Methods: In this descriptive cross sectional study 372 respondents were selected among the admitted patients of CMH Bogra. Respondents were randomly selected from all wards and were interviewed with a semi-structured questionnaire from May 2015 to December 2015. Results: Out of 372 respondents, 68.8% were in age group between 25 to 50 years and majority (69%) of them were army personnel. Overall patients’ highly satisfaction levels on doctor’s services were doctors’ attitude (66%), patients’ privacy maintenance (61%), regular Ward visit (70%), counselling (59%) and importance of patients’ opinion (62%). Requirement of increased number of doctors and initiation of professional development program (PDP) for physicians were found important. Conclusion: In Military Hospital, doctors are more accountable to their work. Therefore a management approach must be higher with more complicated expectation levels. This study showed a higher level of indoor patient satisfaction with doctors care at CMH Bogra. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 76-84
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