Diabetic patient satisfaction on the quality of outpatient health care services

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Melika Chihaoui
Ibtissem Oueslati
Meriem Yazidi
Sana Mahjoubi
Imen Rezgani
Fatma Chaker
Ali Mrabet

Abstract

Aim: To assess the degree of satisfaction of diabetic patients with health care services and to determine the factors that influence it.

Methods: It was a cross sectional study conducted in 2018 among diabetic outpatients of the department of endocrinology of the university
hospital La Rabta. Patients general characteristics were noted. Each patient responded to a questionnaire, asked orally, in Tunisian dialect, by
two physicians, about health care services including 20 questions grouped into three items. Each question was scored from 1 to 4 according to the
degree of satisfaction. The global score as well as the scores of the items were calculated by adding the scores of the corresponding questions.

Results: 150 diabetic patients responded to the questionnaire; mean age: 58.9±12.2 years [18-88], sex-ratio: 0.51. Cronbach coefficient was 0.78.
The overall score was 62.2±6.5 [46-80]. Ninety-seven patients (64.7%) had a score ≥60. The item concerning ‘human contact and communication’
was considered good in 98% of cases. The item concerning ‘premises, cleanliness, comfort and safety’ was considered intermediate in 64%
of cases. Patients were very satisfied with the accessibility of the department inside the hospital (76.7%), the attitude of the agents during the
administrative formalities (74%) and particularly the behaviour of the doctor (96%). However, they were dissatisfied with the noise (72%) and
overcrowding (67.4%) of the waiting room. There were no statistically significant associations between the overall score and the studied data.

Conclusion: The diabetic patients were overall satisfied with the provided services. Actions must be taken to reduce overcrowding and
long waiting times.

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References

  1. République Tunisienne. Constitution de la république Tunisienne. Journal Officiel du 20 avril 2015.
  2. Santé et droits de l’Homme, Organisation mondiale de la santé, 29 décembre 2017. Disponible sur l’URL: http:// www.who.int
  3. Nguyen Thi PL, Briançon S, Empereur F, Guillemin F. Factors determining inpatient satisfaction with care. Soc Sci Med. 2002;54:493-504.
  4. Gasquet I, Villeminot S, Estaquio C, Durieux P, Ravaud P, Falissard B. Construction of a questionnaire measuring outpatients’ opinion of quality of hospital consultation departments. Health Qual Life Outcomes. 2004;2(1):43.
  5. Arab M, Tabatabaei M, Rashidian A, Rahimi A, Zarei E. The effect of service quality on patient loyalty: a study of private hospitals in Tehran, Iran. Iranian J of Public Health. 2012;41(9):71-77.
  6. Alrubaiee L, Alkaaida F. The mediating effect of patient satisfaction in the patients’ perceptions of healthcare quality – patient trust relationship. Int J Mark Stud. 2011;3(1):103-127.
  7. Säilä T, Mattila E, Kaila M, Aalto P, Kaunonen M. Measuring patient assessments of the quality of outpatient care: a systematic review. J of Eval Clin Pract. 2008;14(1):148-154.
  8. Committee on Quality of Health Care in America Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001. Disponible sur L’URL : http:// www.nap.edu
  9. Zarei A, Arab M, Rahimi A, Rashidian A, Ghazi M. Service quality of private hospitals: the Iranian patients’ perspective. BMC Health Serv Res. 2012;12(1):31.
  10. Résultats de l’enquête nationale sur “la perception des citoyens envers la sécurité, liberté et la gouvernance locale en Tunisie”. 2017 ; Institut National de Statistiques. Disponible sur l’URL: http:// www.ins.tn
  11. Santé en Tunisie, état des lieux. Dialogue sociétal sur les politiques, les stratégies et les plans nationaux de santé, 28 Août 2014. Disponible sur l’URL: http:// WWW.Hiwarsaha.tn
  12. Zemni I, Safer M, Khelil M, Kacem M, Zoghlami Ch, Ben Abdelaziz A. Patient satisfaction in a tertiary care center (Tunisia, 2015-2016). Tunis Med. 2018;96(10-11):737-45.
  13. Mtiraoui A, Alouini B. Evaluation of satisfaction of patients hospitalized at the Kairouan Hospital. Tunis Med. 2002;80(3):113-21.
  14. Linlin H, Hui D, Guangyu H, Zijuan W, Shiyang L, Yuanli L. How Perceived Quality of Care Affects Outpatient Satisfaction in China: A Cross-Sectional Study of 136 Tertiary Hospitals. Inquiry. Jan-Dec 2019;56:46958019895397.
  15. Vinagre MH, Neves J. The influence of service quality and patients’ emotions on satisfaction. Int J Health Care Qual Assur. 2008;21(1):87-103.
  16. Mehra P. Outpatient clinic waiting time, provider communication styles and satisfaction with healthcare in India. Int J of Health Care Qual Assur. 2016;29(7):759-77.
  17. Zarei E. Service quality of hospital outpatient departments: patients’ perspective. Int J of Health Care Qual Assur. 2015;28(8):778-790.
  18. Danielsen K, Bjertnaes O, Garratt A, Forland O, Iversen H, Hunskaar, H. The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway. BMC Fam Pract 2010;11(1),73.
  19. Aletras VH, Papadopoulos EA, Niakas DA. Development and preliminary validation of a Greek-language outpatient satisfaction questionnaire with principal components and 789 multi-trait analyses. BMC Health Serv Res. 2006;6(1):63.
  20. Bardy MK, Cronin JJ. Some new thoughts on conceptualizing perceived services quality: a hierarchical approach. J of Mark. 2001;65(3):34-49.
  21. Moreira AC, Silva PM. The trust-commitment challenge in service quality-loyalty relationships. Int J Health Care Qual Assur. 2005;28(3):253-66.