Holistic approach to improved patient satisfaction in family medicine clinic: Findings from a tertiary facility-based survey in Calabar, Nigeria

Abstract

Objectives: Patient satisfaction remains a critical tool for assessing quality of care in the emerging context of patient-centered care. The objective of this study was to assess patient satisfaction with services received at a tertiary family medicine clinic in Calabar, Nigeria. Material and Methods: This was a cross-sectional descriptive study with data collected from 208 adults by systematic random sampling using a validated self-administered patient satisfaction questionnaire-46. Data were analyzed using SPSS version 18. Results: Most respondents (188, 90.4%) were generally satisfied with overall services. Highest prevalence of satisfaction was with doctors (95.7%), while least prevalence of satisfaction was with facility (27.9%). Satisfaction with nurses and appointment each had prevalence rate of 69.2%, while 65.9% were satisfied with access to care. Proportionally, subjects who were satisfied with each of the five domains access, doctors and nurses care, appointment, and facility were also satisfied generally and vice versa (P < 0.05). Conclusion: In conclusion, a significant proportion of patients were satisfied with services received at the family medicine clinic. The level of patient satisfaction was dependent on the entire chain of service delivery. Patient satisfaction could be further improved by improving the five domains assessed, especially the condition of care environment at the clinic. Findings of this study may contribute significantly to improved patient care, add to existing local literature and further studies.

Continuous Ex-Offenders’ Reformation and Avoidance of Recidivistic Acts in Nigeria

“…to assist full integration and to principally avoid reoffending. This, as argued by Ayuk (2016), would seamlessly guarantee a rapid and positive adjustment on a continuous sequence of socioeconomic advancement of not only the ex-offender but also the safety of the society.…”

“…Descriptively, the system is akin to a sequence of very indispensable institutions of the Police, the Court, and the Prisons, which decide and navigate all suspects' fate to access real justice. It has been argued that it is not enough to discharge a convict from correctional custody or facility after serving his or her fail term, but the follow-up, which Ayuk (2016) has opined is evaluative and constitutes the hallmark of societal safety. Unfortunately, this important aspect of post-imprisonment has been jettisoned in the equation of wholistic reformative and rehabilitative process in Nigeria.…”