Patients' satisfaction and opinions of their experiences during admission in a tertiary care hospital in Pakistan – a cross sectional study

Imam, Sardar Zakariya; Syed, Khezar; Ali, Syed Ahad; Ali, Syed U; Fatima, Kiran; Gill, M; Hassan, Muhammad; Hashmi, Saad Hasan; Siddiqi, Maham T; Khan, H. M.; Jameel, Omar

doi:10.1186/1472-6963-7-161

Cited by 30 publications

(45 citation statements)

References 8 publications

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“…There is evidence that if the consent process is communicated properly patient satisfaction levels during and after surgery are higher (19,20). Taking consent at the appropriate time and in the correct manner can resolve many issues after surgery (21,22). This was evident from the results of our study, in which a majority of the patients (86.5%) and their relatives (78.4%) wanted to have detailed information about the surgery.…”

Section: Discussionsupporting

confidence: 68%

Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan

Jahan

Roshan

Nanji

et al. 2014

East Mediterr Health J

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Efforts have been made in Pakistan to create ethical guidelines for research and medical practice. This study explored the perceptions of and factors affecting the process of obtaining informed consent to surgery among inpatients and families at a tertiary-care hospital in Karachi. A random sample of 400 post-surgery adult patients answered a pre-tested, structured questionnaire. Overall, 233 patients (58.3%) had signed the surgery consent form themselves, while 167 relatives (41.7%) had signed on behalf of the patient. Perceived factors significantly associated with patients not signing the consent form themselves were: language used (adjusted OR = 4.6), medical terminology used (aOR = 2.7), insufficient time allocation (aOR = 3.8), cultural/traditional reasons (aOR = 1.5) and low education (aOR = 2.4). Inappropriate timing for taking consent and not being informed/asked about consent were not statistically significant factors. Health-care practitioners should encourage patients to sign the consent form themselves. ‫باكستان‬ ‫ـهم.‬ ‫بأنفسـ‬ ‫ـة‬ ‫املوافقـ‬ ‫ـتامرة‬ ‫اسـ‬ ‫ـى‬ ‫عـ‬ ‫ـع‬ ‫التوقيـ‬ ‫ـى‬ ‫عـ‬ ‫ـرىض‬ ‫املـ‬ ‫ـجعوا‬ ‫يشـ‬ ‫وأن‬ ‫ـبقة،‬ ‫املسـ‬ ‫ـة‬ ‫املوافقـ‬ ‫ـة‬ ‫عمليـ‬ ‫يف‬ ‫ـر‬ ‫تؤثـ‬ ‫ـي‬ ‫التـ‬ ‫ـل‬ ‫بالعوامـ‬ ‫ـم‬ ‫علـ‬ ‫ـى‬ ‫عـ‬ ‫ـة‬ ‫الصحيـ‬ ‫ـة‬ ‫الرعايـ‬ Facteurs influant sur le processus d'obtention d'un consentement éclairé pour une intervention chirurgicale chez des patients et des parents dans un pays en développement : résultats du PakistanRÉSUMÉ Des efforts récents ont été réalisés au Pakistan en vue de créer des lignes directrices pour l'éthique en recherche et pratique médicales. La présente étude a évalué les perceptions relatives au processus d'obtention d'un consentement éclairé pour une intervention chirurgicale et les facteurs d'influence chez des patients hospitalisés et leur famille dans un hôpital de soins tertiaires à Karachi. Un échantillon aléatoire de 400 patients adultes postopératoires a répondu à un questionnaire prétesté et structuré. Au total, 233 patients (58,3 %) avaient signé eux-mêmes le formulaire de consentement à une intervention chirurgicale, tandis que 167 parents (41,7 %) avaient signé pour le patient. Les facteurs perçus comme fortement associés aux patients qui n'avaient pas signé eux-mêmes le formulaire de consentement étaient les suivants : la langue utilisée (OR ajusté = 4,6), la terminologie médicale utilisée (OR ajusté = 2,7), l'insuffisance du temps alloué (OR ajusté = 3,8), des raisons culturelles/traditionnelles (OR ajusté = 1,5) et un faible niveau d'études (OR ajusté = 2,4). Un moment inopportun pour demander le consentement et l'absence d'information/d'interrogation à ce sujet n'étaient pas des facteurs statistiquement significatifs. Les professionnels de santé doivent encourager les patients à signer eux-mêmes le formulaire.

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Section: Discussionsupporting

confidence: 68%

Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan

Jahan

Roshan

Nanji

et al. 2014

East Mediterr Health J

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“…For example dissatisfaction with instructions related to treatment reflects a distrust of doctors. Education needs to be directed at helping doctors gain the trust of patients [31].…”

Section: ‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫mentioning

confidence: 99%

Knowledge, perceptions and practices towards medical ethics among physician residents of University of Alexandria hospitals, Egypt

Mohamed¹,

Ghanem²,

Kassem³

2012

Easter Mediterr Health J

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This cross-sectional study was conducted to assess the knowledge, perceptions and practices towards medical ethics of physician residents at university hospitals in Alexandria, Egypt. A self-administered structured questionnaire was used for knowledge and perceptions and a checklist for observations of doctor -patient interactions in the outpatient setting. Only 18.0% of the 128 participating residents had obtained their knowledge from their medical education and 29.9% were dissatisfied with the roles played by the ethics committee. Most of the residents had satisfactory knowledge and 60.2% had satisfactory perceptions regarding ethical issues. The lowest perception score was in the domain of disclosing medical errors. Only 48.0% of the residents were compliant with the principles of medical ethics in practice and 52.0% of patients were dissatisfied with their treating physicians. The study identified areas of unsatisfactory knowledge and practices towards ethical issues so as to devise means to sensitize residents to these issues and train them appropriately.

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“…12 Imam et al, study very few patients reported any degree of dissatisfaction with the cleanliness of the wards or the washrooms. 15 Our study suggests that it is below satisfaction level because 80.5% surgical patients claimed that the cleanliness of the bathrooms was poor.…”

Section: Discussionmentioning

confidence: 78%

In patient satisfaction survey- how does it help our health care delivery system (the patient, the health care giver and the organization)?

Shah

2017

Int Surg J

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Background: Patient satisfaction is a mean of measuring the effectiveness of health care delivery. It can suggest proportion to the problem areas and a reference point to take management decisions. It can serve as a mean of holding physician accountable. Patient satisfaction data can be used to document health care quality for accrediting organizations and consumer groups. They can also measure specific initiative or changes in service delivery. They can increase loyalty of patients by demonstrating you care their perceptions and looking for ways to improve. The purpose of our study is to carry out evaluation of hospital services by getting a patient satisfaction survey. Main aim is to identify potential problems in the services.Methods: A hospital based inpatient satisfaction survey study done on 200 patients. A Predesigned structured questionnaire was based on relevance of questions to healthcare services on various aspects of inpatient care. The interviewer based questionnaires were filled after obtaining verbal informed consent from all subjects. 200 valid responses were analyzed using MS office excel. Data analysis of study is done using the SPSS (Statistical Package for the Social Science) Version 17 for window.Results: Results of our study is very positive and suggest that patients were satisfied with the attitude of doctors, nurses and paramedical staff and it was appreciated. As in D Y Patil Medical College and Hospital most facilities are free for the patients, so we got better feedback for the facilities and satisfaction for this study. Satisfied patients are more likely to continue using the health care services and maintain their relationship with specific health care providers.Conclusions: Patient satisfaction survey can be a driving force for changes in health care delivery with institutions and individuals. These initiatives can promote improvement in practice and also respond to patient expressed needs.

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Patients' satisfaction and opinions of their experiences during admission in a tertiary care hospital in Pakistan – a cross sectional study

Abstract: Background: It is often felt that developing countries need to improve their quality of healthcare provision. This study hopes to generate data that can help managers and doctors to improve the standard of care they provide in line with the wishes of the patients.

Cited by 30 publications

References 8 publications

Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan

Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan

Knowledge, perceptions and practices towards medical ethics among physician residents of University of Alexandria hospitals, Egypt

In patient satisfaction survey- how does it help our health care delivery system (the patient, the health care giver and the organization)?

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