Consumer subsequent plan for selection of hospital in the perspective of hospital services and expenditure

Begum, Farhana; Alam, Shahinul

doi:10.3329/seajph.v6i1.30339

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…Similarly another study conducted among patients of public and private hospitals of Dhaka city, Bangladesh concluded that the further utilization of the hospital facility was directly influenced by the quality of services and cost of services and hence, it was necessary to improve facilities in health services and reduce the cost of services of government hospitals would not further utilize the services (Begum & Alam, 2016). A case study of West Bengal, India, the customer is king and god, customer satisfaction directly depends of the behavior of employee such as; cooperative, knowledgeable, well-mannered as well as quality of services, timely provided facilities, and affordable cost (Gangopadhyay & Ghosh, 2011).…”

Section: Resultsmentioning

confidence: 99%

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

Niraula¹,

Poudel²

2019

J. Adv. Acad. Res.

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In health care organization, the satisfaction of client is the major factor which is directly linked with the effective use and the utilization of health care service. Effective and efficient management is a means to achieve predetermined goals. Organization cannot be successful unless it satisfies the clients. This descriptive cross-sectional study includes 680 patients which were selected from 4 public and 6 private hospitals randomly chosen from province 1. A direct interview method was used to gather and collect the data from clients' and hospital authorities for the quantitative method. The client satisfaction level was tabulated on the basis of 5 points liker scale. The reliability and the validity of the satisfaction scale for quantitative research we rechecked and examined. Association of categorical variables was assessed by Chi-square test. 92% of clients reported the higher satisfaction in the different aspects of nursing services .Around 31% of patients were completely not satisfied on "information regarding precaution of radio hazard", 26.8% on "waiting time to get the report" and 28.4% on "time consumed for report". About 28% of the participants reported not to be satisfied in the hospitals of Province 1for the availability of specialist in the emergency. The present study finding shows that 41.8 % of clients had reported any type of grievance towards health care service of hospital in Province 1.The study suggested that government should have first priority to allot sufficient specialized doctor services at least in district hospital and there should be 24 hours emergency duty of doctors. Laboratory and radio-diagnosis service in the hospital should be always be in good condition and reporting of the investigation should always be accurate as well as timely to make patients' satisfied in the hospital services. The gap of satisfaction level between private and public hospital may be fulfilled by the national health insurance system and the government should prioritize and implement the health insurance program with minimum premium.

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Section: Resultsmentioning

confidence: 99%

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

Niraula¹,

Poudel²

2019

J. Adv. Acad. Res.

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“…Besides these hospitals and treatmentrelated factors, patients' sociodemographic characteristics are also associated with satisfaction levels. Older patients with previous experience of hospital visits as patients from lower socioeconomic conditions often reported a higher rate of satisfaction (4,13,16,24). However, patients' education level showed an ambiguous relationship with satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…Patients' data were collected using a semi-structured questionnaire prepared based on existing evidence (4,(16)(17)(18)(19). The primary draft of the questionnaire was prepared in English and then translated to Bangla through the back-translation method.…”

Section: Data Collection Tool and Proceduresmentioning

confidence: 99%

“…It is an essential component of convenient patient-centered care and plays a significant role in the health care delivery system. Dissatisfaction with healthcare services often results in a poor treatment outcome as these patients have an increased chance of missing appointments, non-adherence to treatment plans, and leaving hospitals against their advice (4). Despite this fact, it is reported that more than one-third of the patients are dissatisfied with the service they receive from different health care facilities (5).…”

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction level and its determinants after admission in public and private tertiary care hospitals in Bangladesh

Begum

Said²,

Hossain³

et al. 2022

Front.Health Serv.

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IntroductionPatient satisfaction is an important indicator of the quality of care provided by health care facilities. The objective of this study was to investigate the rate of satisfaction and its associated factors among the patients admitted to tertiary care hospitals in Bangladesh.MethodsThis cross-sectional study was conducted in a public and two private tertiary care hospitals in Bangladesh in December 2019, including 923 consecutive patients admitted to medical and surgical departments. Face-to-face interview using a structured questionnaire was conducted to collect patient-level data. Logistic regression models were used to determine the factors associated with patients' satisfaction.ResultsPatients' overall satisfaction level was 65% (51% in public and 75% in private hospitals) with a satisfaction rate of 63% in hospital staff courtesy, 56.5% in a hospital environment, 67% in physician care, 63% in general patient satisfaction, and 58% in patient's family care. Private hospitals (aOR 3.64, 95% CI 2.2–6.03), conservative management (aOR 3.34, 95% CI 2.10–5.33), shorter hospital stay (aOR 1.58, 95% CI 1.05–2.37) and perceived improvement after treatment (aOR 1.67, 95% CI 1.01–2.76) were associated with patients' satisfaction. In contrast, patients' accommodation on the floor (aOR 0.38, aOR 0.22–0.66) and high health care costs (aOR 0.97, 95% CI 0.95–0.99) were associated with patients' dissatisfaction with the in-patient service they received in both public and private hospitals.ConclusionAlmost two-thirds of the patients were satisfied with the inpatient service they received, though, the satisfaction rate was higher in private hospitals. Treatment modality, cost, and outcome, as well as hospital environment like accommodation, were associated with their satisfaction level.

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“…In the process, they often have to sell assets and borrow money to bear the expenses in fear of delayed or abandoned treatment [15]. Private hospitals tend to attract upper-class societies to opt for hassle-free healthcare with better management, quality services, hospitality, and privacy than public hospitals [16,17]. Nonetheless, lower-income people face nancial hardship to keep up with increasing healthcare costs despite government subsidies [18,19].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Cost and Patient Satisfaction: A Comparative Analysis Between Public and Private Hospitals in Bangladesh

Begum¹,

Said

Hossain

et al. 2021

Preprint

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Background and objective: Patient satisfaction and its relation with healthcare cost in Bangladesh remains unknown. The objective of the study was to perform a comparative analysis of satisfaction of patients in relation with healthcare cost in public and private healthcare settings in Bangladesh.Methods: This cross-sectional study was conducted at two public and two private hospitals in Dhaka city, Bangladesh. A total of 1120 respondents were included by purposive sampling. Data collection was performed with a semi-structured questionnaire. The level of satisfaction was assessed by a 5-point Likert scale. Expenditure details during hospital stay were also recorded. Informed consent was obtained, and study procedures were conducted according to the Declaration of Helsinki. SPSS 23 was used for statical test. Results: The mean age of the respondents was 50.10±21.13 (SD) years, with a male-female ratio of 1.14:1. The majority were from urban areas. The average health-care cost of patients in both the conservative and operative groups was statistically significantly higher in private hospitals than in public hospitals (p<0.001). The overall satisfaction level was higher among the patients who received care from private settings than the public (p<0.001). However, taking health care in private hospitals rather than public hospitals was independently associated with patient satisfaction when adjusted for other factors (age, sex, economic status, treatment type, duration of hospital stays, treatment outcome, and total expense).Conclusion: Despite higher expenses, the overall satisfaction level was significantly better in private health-care facilities. These findings need to be explored in further large multicenter studies.

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Consumer subsequent plan for selection of hospital in the perspective of hospital services and expenditure

Cited by 4 publications

References 9 publications

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

Patient satisfaction level and its determinants after admission in public and private tertiary care hospitals in Bangladesh

Healthcare Cost and Patient Satisfaction: A Comparative Analysis Between Public and Private Hospitals in Bangladesh

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