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Sauti Za Wananchi "voice of the people": patient satisfaction on the medical wards at a Kenyan Referral Hospital.

Stone GS, Jerotich TS, Cheriro BR, Kiptoo RS, Crowe SJ, Koros EK, Muthoni DM, Onalo PT - Pan Afr Med J (2014)

Bottom Line: Women who shared a hospital bed found privacy to be "below average" to "poor" Most men (72.7%) felt information about costs was insufficient.Patients rated food and environmental quality favorably while also frequently suggesting these areas could be improved.Inconsistencies were noted between patient ratings and free response answers.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Division of General Medicine, Center for Global Health and Disaster Response, Massachusetts General Hospital, Boston, Massachusetts ; Harvard Medical School, Boston, Massachusetts ; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana ; School of Medicine, Department of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.

ABSTRACT

Introduction: Patient satisfaction is one indicator of healthcare quality. Few studies have examined the inpatient experiences in resource-scarce environments in sub-Saharan Africa.

Methods: To examine patient satisfaction on the public medical wards at a Kenyan referral hospital, we performed a cross-sectional survey focused on patients' satisfaction with medical information and their relationship with staffing and hospital routine. Ratings of communication with providers, efforts to protect privacy, information about costs, food, and hospital environment were also elicited.

Results: Overall, the average patient satisfaction rating was 64.7, nearly midway between "average" and "good" Higher rated satisfaction was associated with higher self-rated general health scores and self-rated health gains during the hospitalization (p=0.023 and p=0.001). Women who shared a hospital bed found privacy to be "below average" to "poor" Most men (72.7%) felt information about costs was insufficient. Patients rated food and environmental quality favorably while also frequently suggesting these areas could be improved.

Conclusion: Overall, patients expressed satisfaction with the care provided. These ratings may reflect modest patients' expectations as well as acceptable circumstances and performance. Women expressed concern about privacy while men expressed a desire for more information on costs. Inconsistencies were noted between patient ratings and free response answers.

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Information about hospital costs: the distribution of ratings for women and men
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Figure 0003: Information about hospital costs: the distribution of ratings for women and men

Mentions: Costs: Forty-four (48.9%) patients rated the information provided about hospital costs as “too little”. Only 12 (26.7%) women rated the information as “too little” compared to 32 (72.7%) men (p < 0.005) (Figure 3).


Sauti Za Wananchi "voice of the people": patient satisfaction on the medical wards at a Kenyan Referral Hospital.

Stone GS, Jerotich TS, Cheriro BR, Kiptoo RS, Crowe SJ, Koros EK, Muthoni DM, Onalo PT - Pan Afr Med J (2014)

Information about hospital costs: the distribution of ratings for women and men
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4247904&req=5

Figure 0003: Information about hospital costs: the distribution of ratings for women and men
Mentions: Costs: Forty-four (48.9%) patients rated the information provided about hospital costs as “too little”. Only 12 (26.7%) women rated the information as “too little” compared to 32 (72.7%) men (p < 0.005) (Figure 3).

Bottom Line: Women who shared a hospital bed found privacy to be "below average" to "poor" Most men (72.7%) felt information about costs was insufficient.Patients rated food and environmental quality favorably while also frequently suggesting these areas could be improved.Inconsistencies were noted between patient ratings and free response answers.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Division of General Medicine, Center for Global Health and Disaster Response, Massachusetts General Hospital, Boston, Massachusetts ; Harvard Medical School, Boston, Massachusetts ; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana ; School of Medicine, Department of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.

ABSTRACT

Introduction: Patient satisfaction is one indicator of healthcare quality. Few studies have examined the inpatient experiences in resource-scarce environments in sub-Saharan Africa.

Methods: To examine patient satisfaction on the public medical wards at a Kenyan referral hospital, we performed a cross-sectional survey focused on patients' satisfaction with medical information and their relationship with staffing and hospital routine. Ratings of communication with providers, efforts to protect privacy, information about costs, food, and hospital environment were also elicited.

Results: Overall, the average patient satisfaction rating was 64.7, nearly midway between "average" and "good" Higher rated satisfaction was associated with higher self-rated general health scores and self-rated health gains during the hospitalization (p=0.023 and p=0.001). Women who shared a hospital bed found privacy to be "below average" to "poor" Most men (72.7%) felt information about costs was insufficient. Patients rated food and environmental quality favorably while also frequently suggesting these areas could be improved.

Conclusion: Overall, patients expressed satisfaction with the care provided. These ratings may reflect modest patients' expectations as well as acceptable circumstances and performance. Women expressed concern about privacy while men expressed a desire for more information on costs. Inconsistencies were noted between patient ratings and free response answers.

Show MeSH