Inpatient Satisfaction Survey of a Tertiary Hospital in Imphal West, Manipur based on National Quality Assurance Guidelines (NQAS) Guidelines: A Cross Sectional Study

Jalina Laishram, Kh Sonarjit Singh, Irengbam Homendro, Yaipharembi Huyam, Brogen Singh Akoijam
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Abstract

Background: Patient satisfaction is an essential component of quality improvement of hospital services and patient safety. The NQAS guidelines developed by NHSRC, implemented in government hospitals all over India provides a comprehensive and objective measure against set criteria. There are no published studies conducted on patient satisfaction in tertiary hospitals of Manipur with the NQAS guidelines as study tool, thus the present study. Objective: To assess patients’ satisfaction among inpatients of a tertiary hospital in Imphal West, Manipur. Materials and methods: A cross sectional study was conducted among 424 inpatients admitted in a tertiary care hospital. Data were collected by interview using a questionnaire of 18 attributes scored on a 5-point Likert scale, adapted from the NQAS guidelines. The individual attribute score and the overall score is calculated to identify the attribute with poor score that needs improvement. A score of ≥75% or <75% was used as cut off for satisfied/unsatisfied patient satisfaction, respectively.  Results: The overall satisfaction during the treatment as an in-patient was found to be 96%. The highest scoring attribute was regularity of doctors’ attention at 95.8%. The lowest scoring attribute was unavailability of all prescribed drugs from the hospital at 37%. Six out of 18 attributes assessed had a poor patient satisfaction score. Conclusions: Most of the patients were satisfied with the overall care received. Patients were found to be unsatisfied in the attributes pertaining to waiting time at the registration/admission counter, cleanliness of bathrooms & toilets, hospital food, etc.
根据国家质量保证指南 (NQAS) 对曼尼普尔省因帕尔西部一家三级医院进行的住院病人满意度调查:横断面研究
背景:患者满意度是提高医院服务质量和患者安全的重要组成部分。印度国家医疗卫生服务委员会(NHSRC)制定的 NQAS 指南在全印度的政府医院实施,该指南根据既定标准提供了一个全面、客观的衡量标准。目前还没有以 NQAS 指南为研究工具对曼尼普尔三级医院的患者满意度进行公开研究,因此本研究应运而生。研究目的评估曼尼普尔邦英帕尔西部一家三级医院住院患者的满意度。材料与方法:对一家三级医院的 424 名住院患者进行了横断面研究。数据收集采用访谈方式,问卷包含 18 个属性,以 5 分制李克特量表计分,改编自 NQAS 指南。通过计算单项属性得分和总得分,找出得分较低且需要改进的属性。得分≥75%或<75%分别作为患者满意/不满意的分界线。 结果住院治疗期间的总体满意度为 96%。得分最高的因素是医生的定期关注,占 95.8%。得分最低的是医院无法提供所有处方药,占 37%。在评估的 18 项属性中,有 6 项的患者满意度得分较低。结论大多数患者对所接受的整体护理感到满意。患者对挂号/入院柜台等候时间、浴室和卫生间清洁度、医院食物等方面不满意。
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