La satisfaction des patients dans un centre de soins tertiaires (Tunisie, 2015-2016)

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Published Nov 15, 2018
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Vol. 96 No. 10 (2018): Issue Oct 2018

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Zemni Imen
Safer Mouna
Khelil Mohamed
Kacem Meriem
Zoghlami Chokri
Ben Abdelaziz Ahmed

Abstract

Introduction: Patient satisfaction is one of the most commonly used indicators in healthcare service quality evaluation. The aim of the study was to measure overall and specific patient satisfaction rates and to identify determinants of satisfactionin Sahloul University hospital during 2015 and 2016.
Methods: This is a cross-sectional study which included a random sample of patients hospitalized in Sahloul University Hospital between 2015 and 2016. The survey was conducted through an original self-administered questionnaire. Four specific dimensions of satisfaction were explored: administrative, technical, logistic and relational. Overall and specific satisfaction rates were calculated and then patient satisfaction associated factors were identified through a multivariate analysis using a logistic regression model.
Results: A total of 1897 patients were included in the study with a mean age of 42.4 years (SD =20.5 years) and a sex ratio of 0.94.Overall patient satisfaction rate was about 67%. Items of satisfaction concerned mainly the relational dimension: the respect of the patient intimacy and the quality of information given. Those of dissatisfaction were mainly logistic: The physical environment in the hospital room, the cleanliness of toilets and waiting times.Determinants of patient satisfaction were mainly related to the quality of access and reception, the accommodation conditions, the technical care, the quality of information and the respect of patient intimacy.
Conclusion: This study is a pioneering action to measure the quality of care in Tunisia. It highlighted the causes of patient dissatisfaction at Sahloul University Hospital. Appropriate measures to correct these deficiencies should be undertaken.

Keywords:

Patient Satisfaction; Quality of health care; Tertiary Care Centers; Questionnaire; Tunisia.

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References

  1. Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health 2017;137:89-101.
  2. Shan L, Li Y, Ding D,Wu Q, Liu C, Jiao M et al. Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care. PloS one 2016;11:e0164366.
  3. Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur 2009;22:366-81.
  4. Edlund MJ, Young AS, Kung FY, Sherbourne CD, Wells KB. Does satisfaction reflect the technical quality of mental health care? Health Serv Res 2003;38:631-45.
  5. Linder-Pelz S. Toward a theory of patient satisfaction. Soc Sci Med 1982;16:577-82.
  6. Merkouris A, Ifantopoulos J, Lanara V, Lemonidou C. Patient satisfaction: a key concept for evaluating and improving nursing services. Journal Nurs Manag 1999;7:19-28.
  7. Hamida AB, Fakhfakh R, Miladi W, Zouari B, Nacef T. La transition sanitaire en Tunisie au cours des 50 dernières années. East Mediterr Health J 2005;11:181.
  8. Bougmiza I, Ghardallou M, Zedini C,Lahouimel H, Nabli-Ajmi T, Gataa R et al. Evaluation of the satisfaction of hospitalized patients in a gynecology obstetric department in Sousse, Tunisia. Pan Afr Med J 2011;8:44.
  9. Richard F, Filali H, Lardi M, de Brouwere V. Accouchement à l'hôpital au Maroc ou comment concilier des logiques différentes. Rev Epidemiol Sante Publique 2003; 51:39-54.
  10. Chougrani S, Ouhadj S. .Les questionnaires de sortie et la place des usagers dans le projet qualité à l'Établissement hospitalier universitaire d'Oran. Sante Publique2014; 26:499-508.
  11. Haute Autorité de Santé. Satisfaction des patients hospitalisés . (Accessed 27 September, 2017, at https://www.has-sante.fr/portail/jcms/c_2624388/fr/satisfaction-des-patients-hospitalises-donnez-votre-avis-en-quelques-clics.)
  12. Oates J, Weston WW, Jordan J. The impact of patient-centered care on outcomes. Fam Pract 2000;49:796-804.
  13. Aharony L, Strasser S. Patient satisfaction: what we know about and what we still need to explore. Med Care Rev 1993;50:49-79.
  14. Majeed Alhashem A, Alquraini H, Chowdhury RI. Factors influencing patient satisfaction in primary healthcare clinics in Kuwait. Int J Health Care Qual Assur 2011;24:249-62.
  15. Al-Abri R, Al-Balushi A. Patient satisfaction survey as a tool towards quality improvement. Oman Med J 2014;29:3.
  16. Jenkinson C, Coulter A, Bruster S. The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 2002;14:353-8.
  17. Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care 2011;23:503-9.
  18. Boyer L, Francois P, Doutre E, Weil G, Labarere J. Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care 2006;18:359-64.
  19. Tokunaga J, Imanaka Y. Influence of length of stay on patient satisfaction with hospital care in Japan. Int J Qual Health Care 2002;14:493-502.
  20. E-satis : enfin une mesure nationale de satisfaction des patients hospitalisés. 22 September 2017, at http://www.france-assos-sante.org/bons-points-mauvais-points/e-satis-enfin-une-mesure-de-satisfaction-des-patients-hospitalises.)
  21. Heidegger T, Husemann Y, Nuebling M,Morf D, Sieber T, Huth A et al. Patient satisfaction with anaesthesia care: development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria. Br J Anaesth 2002;89:863-72.
  22. Diab HS. Assessment of patients' satisfaction in Ain Shams University Hospitals. EgyptJ Bronchology 2015;9:211.
  23. Soufi G, Belayachi J, Himmich S,Ahid S, Soufi M, Zekraoui A et al. Patient satisfaction in an acute medicine department in Morocco. BMC Health Serv Res 2010;10:149.
  24. Quintana JM, Gonzalez N, Bilbao A,Aizpuru F, Escobar A, Esteban C et al. Predictors of patient satisfaction with hospital health care. BMC Health Serv Res 2006;6:102.
  25. Younsi M. Performance of Tunisian public hospitals: A comparative assessment using the Pabón Lasso Model. Int JHospital Research 2014;3:159-66.
  26. Cheng S-H, Yang M-c, Chiang T-l. Patient satisfaction with and recommendation of a hospital: effects of interpersonal and technical aspects of hospital care. Int J Qual Health Care 2003;15:345-55.
  27. Gotlieb JB. Understanding the effects of nurses on the process by which patients develop hospital satisfaction. Holist Nurs Pract 2002;17:49-60.
  28. Bouaiti E, Zidouh S, Boufaress A, Kessouati J, Mrabet M, Belyamani L. Facteurs déterminants de la satisfaction des patients consultant aux urgences de l'hôpital militaire d'instruction Mohamed V de Rabat, Maroc. Rev Epidemiol Sante Publique 2016;64:S140-S1.
  29. Aldana JM, Piechulek H, Al-Sabir A. Client satisfaction and quality of health care in rural Bangladesh. Bull World Health Organ 2001;79:512-7.
  30. Rahmqvist M, Bara A-C. Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Health Care 2010;22:86-92.