Evaluation of Patient Satisfaction with Tuberculosis Services in Southern Nigeria

Abstract

OBJECTIVEKnowing tuberculosis (TB) patients’ satisfaction enables TB program managers to identify gaps in service delivery and institute measures to address them. This study is aimed at evaluating patients’ satisfaction with TB services in southern Nigeria.MATERIALS AND METHODSA total of 378 patients accessing TB care were studied using a validated Patient Satisfaction (PS-38) questionnaire on various aspects of TB services. Factor analysis was used to identify eight factors related to TB patient satisfaction. Test of association was used to study the relation between patient satisfaction scores and patient and health facility characteristics, while multilinear regression analysis was used to identify predictors of patient satisfaction.RESULTSHighest satisfaction was reported for adherence counseling and access to care. Patient characteristics were associated with overall satisfaction, registration, adherence counseling, access to care, amenities, and staff attitude, while health system factors were associated with staff attitude, amenities, and health education. Predictors of satisfaction with TB services included gender, educational status, if tested for HIV, distance, payment for TB services, and level and type of health-care facility.CONCLUSIONPatient- and health system–related factors were found to influence patient satisfaction and, hence, should be taken into consideration in TB service programing.

Caregivers/Patients Perception and Satisfaction with Outpatient HIV Services at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria

“…[1,2] It can be defined as the degree of congruence between patients' expectations and their perceptions concerning the care received; in other words, it embodies the patient's perceived needs, expectations, and experiences of healthcare. [3,4] Patient satisfaction has emerged as an increasingly important health outcome and is currently used for the following purposes: (i) to compare different health-care programs or systems; (ii) to identify which aspects of a service need to be changed to improve patient satisfaction;…”

“…Traditionally, decisions about health services were made on the basis of the health authorities and health providers views on what they think is the best interest of the patient [4]. This was informed by the perception that the general public lack the requisite technical knowledge to make informed decisions themselves.…”

“…This was informed by the perception that the general public lack the requisite technical knowledge to make informed decisions themselves. However, even though patients may lack the ability to judge specific technical aspects of health services, they serve as the best source of accurate information regarding clarity of explanations, helpfulness of information that they receive, barriers to accessing care or their relationship with healthcare providers [4,9].…”

Satisfaction Level of Tuberculosis Patients Regarding their Access to TB Care and Prevention Services, Delivered through Public Private Mix Model in Pakistan

“…Patient satisfaction surveys are planned to examine patients' need and expectation by collecting patient's opinion on healthcare services and their delivery [13]. Patient satisfaction is perceived gratification of the patient's needs and desires in response to healthcare services [14].…”

Satisfaction Level of Tuberculosis Patients Regarding Their Access to TB Care and Prevention Services, Delivered Through a Public–Private Mix Model in Pakistan

“…Patient satisfaction surveys are planned to examine patients' needs and expectations by collecting their opinions on healthcare services and their delivery [13]. Patient satisfaction is the perceived gratification of the patient's needs and desires in response to healthcare services [14].…”