An Empirical Study on Patients' Satisfaction with Healthcare Services of Community Clinics in Rural Bangladesh: Based on Exploratory Factor Analysis
Abstract
Analyzing patient satisfaction is crucial for assessing the performance and accessibility of health services in light of the rising demand for healthcare. The opinions of patients are becoming more and more weighted in the formulation of policies. The healthcare management in developing countries appears to have mainly disregarded patients' opinions of their countries' healthcare systems. Therefore, this study is patient-centered and aims to examine the factors influencing patients' satisfaction with healthcare services provided by community clinics in rural Kapasia, Bangladesh. A cross-sectional survey was conducted with 434 samples. Exploratory factor analysis was used to find the potential factors that might influence patient satisfaction. The results suggest that health staff explanation about medicine and dosages received the highest rating from respondents (3.86±.39) while the availability of drinking water received the lowest rating 1.93±0.68. The study has revealed that the 3 factors that affect the satisfaction of patients are health staff service attitude and basic amenities in the waiting area. To increase patient satisfaction, health administrators should prioritize the three aforementioned factors and put the right plans into action. The strategic steps required to address the demands of patients in the government healthcare sector are also discussed in the study’s conclusion.
References
Ahmad, I., Nawaz, A., Khan, S., Khan, H., Rashid, M., & Khan, M. H. (2011). Predictors of patient satisfaction. Gomal Journal of Medical Sciences, 9(2), 183–188.
Akbar, F. H., Pratiwi, R., Samad, R., & Fanissa, F. (2017). Patient Satisfaction on Health Service Center In Urban and Rural Area. Advances in Health Sciences Research (AHSR), Volume 2. https://doi.org/10.2991/hsic-17.2017.14
Alahmadi, T. A. (2004). Study of patient satisfaction in primary health care centers in different regions of Saudi Arabia. The Egyptian Journal of Community Medicine, 22(1), 49–60.
Aldana, J. M., Piechulek, H., & Al-Sabir, A. (2001). Client satisfaction and quality of health care in rural Bangladesh. Bulletin of the World Health Organization, 79(6).
Almoajel, A., Fetohi, E., & Alshamrani, A. (2014). Patient Satisfaction with Primary Health Care in Jubail City, Saudi Arabia. World Journal of Medical Sciences, 11(2), 255–264. https://doi.org/10.5829/idosi.wjms.2014.11.2.84172
Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: A study of hospitals in a developing country. Social Science & Medicine, 52(9), 1359–1370. https://doi.org/10.1016/S0277-9536(00)00235-5
Andaleeb, S. S., Siddiqui, N., & Khandakar, S. (2007). Patient satisfaction with health services in Bangladesh. Health Policy and Planning, 22(4), 263–273.https://doi.org/10.1093/heapol/czm017
Direkvand-Moghadam, A., A, H., A, D., F, S., & K, S. (2014). Effective Factors on Patients’ Satisfaction with Emergency Care Services using Factor Analysis: A Cross Sectional Study. Journal of Clinical and Diagnostic Research?: JCDR, 8(11), XC01–XC04. https://doi.org/10.7860/JCDR/2014/8236.5162
Gurung, T. (2003). Factors Influencing Patient Satisfaction in a Free Health Care System in The National Referral Hospital (NRH), Thimphu, Bhutan. [Public Health Thesis, Chulalongkorn University]. http://cuir.car.chula.ac.th/handle/123456789/71366
Islam, M. Z., Chowdhury, S. K., & Farjana, S. (2008). Attitude of Rural Community Towards Health Care Utilization at Primary. Journal of Medicine, 9(2), 69–74. https://doi.org/10.3329/jom.v9i2.1433
Kaiser, H. F. (1960). The Application of Electronic Computers to Factor Analysis. Educational and Psychological Measurement, 20(1), 141–151. https://doi.org/10.1177/001316446002000116
Karim, R. M., Abdullah, M. S., Rahman, A. M., & Alam, A. M. (2016). Identifying role of perceived quality and satisfaction on the utilization status of the community clinic services; Bangladesh context. BMC Health Services Research, 16(1), 204. https://doi.org/10.1186/s12913-016-1461-z
Kersnik, J. (2000). An evaluation of patient satisfaction with family practice care in Slovenia. International Journal for Quality in Health Care, 12(2), 143–147. https://doi.org/10.1093/intqhc/12.2.143
Lemmink, J., De Ruyter, K., & Wetzels, M. (1998). The role of value in the delivery process of hospitality services. Journal of Economic Psychology, 19(2), 159–177. https://doi.org/10.1016/S0167-4870(98)00002-6
Millar, M. (2001). Patient satisfaction with general practice in Ireland. Irish Medical Journal, 94(4), 106–109.
Mohamed, E. Y., Sami, W., & Alotaibi, A. (2015). Patients’ Satisfaction with Primary Health Care Centers’ Services , Majmaah , Kingdom of Saudi of Saudi Arabia. International Journal of Health Sciences, 9(2), 159–165. https://doi.org/10.12816/0024113
Okeke, H. C., Bassey, P., Oduwole, O. A., & Adindu, A. (2020). Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria. Calabar Journal of Health Sciences, 3, 1–8. https://doi.org/10.25259/CJHS_4_2019
Riaz, B. K., Ali, L., Ahmad, Sk. A., Islam, Md. Z., Ahmed, K. R., & Hossain, S. (2020). Community clinics in Bangladesh: A unique example of public-private partnership. Heliyon, 6(5), e03950. https://doi.org/10.1016/j.heliyon.2020.e03950
Seddiky, A., & Ara, E. (2013). Health Quality Management of Public and Private Hospitals in Bangladesh: A Study in Sylhet City. SUST Journal of Politics and Administration, 1(1), 106.
Seddiky, M. A. (2020). Decentralized Health Service Delivery System in Bangladesh: Evaluating Community Clinics in Promoting Healthcare for the Rural Poor. European Scientific Journal ESJ, 16(12). https://doi.org/10.19044/esj.2020.v16n12p253
Sitzia, J., & Wood, N. (1997). Patient satisfaction: A review of issues and concepts. Social Science & Medicine, 45(12), 1829–1843. https://doi.org/10.1016/S0277-9536(97)00128-7
Tume, S. M., Salgedo, W. B., & Jaleta, F. T. (2015). Patient Satisfaction and Associated Factors with Outpatient Medical Services in Rural Primary Healthcare Facilities, Ilubabor Zone, Oromiya Region, South West Ethiopia. International Journal of Current Research, 7(9), 20245–20251.
Yamane, T. (1973). Statistics. An introductory analysis, Third edition. Harper & Row Publicatio, NewYork. https://books.google.com.bd/books?id=sl75MgEACAAJ
Y?ld?z, Z., & Erdo?mu?, ?. (2004). Measuring Patient Satisfaction of the Quality of Health Care: A Study of Hospitals in Turkey. Journal of Medical Systems, 28(6), 581–589. https://doi.org/10.1023/B:JOMS.0000044960.53049.ba
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