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Title: Assessment of Patient Satisfaction Regarding Health Reform in KPK, Pakistan
Authors: Farid, Neelam
Keywords: Social Sciences
Rural Sociology
Issue Date: 2021
Publisher: The University of Agriculture, Peshawar
Abstract: The study titled “An assessment of patient satisfaction regarding health reforms introduced by KP government”. A total of 384 sampled respondents (admitted patients Male/Female) who visited the OPD for surgical and medical treatment were selected through random sampling technique from the three public teaching hospitals namely, Khyber Teaching Hospital, Hayatabad Medical Complex, and Lady Reading Hospital in district Peshawar, Khyber Pakhtunkhwa. A conceptual framework consisted of eight independent variables namely, provision of free medicines, availability of services, access to medical services, staff presence, corruption, gender discrimination, space availability, monitoring and rules and regulation violation and a dependent variable i-e patient satisfaction was tabulated and analyzed through X 2 test statistics. In addition, a reliability test was carried out on the entire variables and explored a Cronbach Alpha of (0.86). Furthermore, exploratory factor analysis was also carried out to check the validity and stability of measurement tool and found an adequacy score of 0.932 which was above the recommended threshold value of .7. This value also augmented the confirmative factor threshold level. The study further explored that all age groups (up to 25 and above 65) who received treatment in public teaching hospitals, 76% belonged to joint family set up. It was also disclosed that majority of the respondents were illiterate (57.8%) with 75% from rural background and almost half of the population had monthly family income below Rs15,000/. In bi-variate analysis, both dependent and independent variables were indexed, and a significant association was found between patient ‘s satisfaction & provision of free medicines, presence of staff, gender discrimination and rules and regulation violation. In addition to the above, the study further explored that patients’ satisfaction was found in significant association with people kept in dark about medicinal availability in hospitals. Critical patients are served with unhygienic beds in emergency wards; frequent utilization of rough and dirty bed sheets; defective infra structure and substandard policies leading to poor health care system; women having less access to medical services including provision of free medicines; and minimal time is spent on proper investigation of diseases by doctors. During multi-variate analysis, the study further intimated that rules regulations and patient ‘s satisfaction was found in significant association with nuclear family, while controlling family type. Furthermore, while controlling age group, gender discrimination with reference to patient ‘s satisfaction was found significant The study concluded that all out efforts were made to nab corruption through a strong vigilance-based monitoring system; however, prevalence of poor policies had eroded the smooth transmission of services to the needy segments as policies were framed without taking inputs from local representatives. The qualitative study further concluded the inferences that most of the facilities existed in urban hospitals. Lack of these facilities in rural areas work as a catalyst in pushing the rural people to cities for getting treatment. In order to reduce the burden on tertiary hospitals, tehsil or district level hospitals need to be upgraded with equipment and trained personnel. Rules & regulation must be uniform for all the sampled hospitals. Lastly, regular assessment & evaluation should be made possible by the third party for maximum result yielding.
Gov't Doc #: 25252
Appears in Collections:PhD Thesis of All Public / Private Sector Universities / DAIs.

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