Psychiatric out Patients’ Health Service Satisfaction at Psychiatric outpatient Department in Amanuel Hospital, A.A, Ethiopia
| dc.contributor.advisor | Bekele Dessalegn | |
| dc.contributor.author | Yitbare Henok | |
| dc.date.accessioned | 2018-10-23T12:34:32Z | |
| dc.date.accessioned | 2023-11-05T09:33:00Z | |
| dc.date.available | 2018-10-23T12:34:32Z | |
| dc.date.available | 2023-11-05T09:33:00Z | |
| dc.date.issued | 2017-12 | |
| dc.description.abstract | Consumer satisfaction is playing an increasingly important role in quality of carere forms and health-care delivery more generally in United States of America and Europe.However, consumer satisfaction studies are challenged by the lack of a universally accepted definition or measure [1–6] and by a dual focus: while some researchers focus on patient satisfaction with the quality and type of health-care services received [7–10]. Others focus onpeople’s satisfaction with the health system more generally [11–14]. The importance of bothperspectives has been demonstrated in the literature. For example, satisfied patients are morelikely to complete treatment regimens and to be compliant and cooperative [14, 15Research on health system satisfaction, which is largely comparative, has identified ways to improve health, reduce costs and implement reform. Even though it is difficult to find an agreed-upon definition, patient satisfaction is “health care recipient’s reaction to salient aspects of his orher experience, expectation and preference of a service met by health care service andprovider [17] and is one desired outcome of mental health care service and core parameter forthe positive evaluation of a mental health care system [18-20]. For consumers of mental the assessment and improvement of quality of care, including adherence to treatment, intent to return for careand follow-up and continuity of outpatient care [21].The absence of a solid conceptual basis and consistent measurement tool forconsumer satisfaction has led, over the past 10 years, to a proliferation of surveys that focusexclusively on patient experience, i.e. aspects of the care experience such as waiting times,the quality of basic amenities, and communication with health-care providers, all of which help identify tangible priorities for quality improvement.The increasing importance of patient experience and the sustained interest incomparing people’s satisfaction with the health system across different countries and time2periods suggests the need to characterize the relationship between them. Research relatinglobal satisfaction ratings with patient experience has revealed strong associations betweenthe two [23]. Yet to what extent patient experience explains satisfaction with the health-care system remains unclear. The literature suggests that much of the remaining variation in health system satisfaction after adjusting for factors commonly used to measure the concept is areflection of patient experience [24, 25].Different studies showed that the global level of patient satisfaction to psychiatric services ranges from 39.3% to 91.9%. A range of factors can affect patient satisfaction,including unpleasantly built environments, staff being too busy, failure to obtain prescribededications from the hospital pharmacies, the stigma of a psychiatric treatment service, longwaiting hours, results, and payment for psychiatric services. Consequently, a dissatisfiedpatient is not psychologically and socially well becoming evident of lack of goal attainment by the service provider or the clinician.[31–33] Different studies also indicated that, other than the quality of service delivery, satisfaction is also affected by many factors such aspatients’ demographics [34,35] diagnosis and duration of disease, [36,37] treatment program,[38] and patients’ expectation of service [39] Studies on 21 European countries showed thatpatient experience accounts for only a small fraction of the unexplained variation in health system satisfaction, even after adjustments for the demographic, health and institutionalfactors with which such satisfaction is commonly associated. [21–23, 26–30]. In this study,most of the variation in satisfaction with the health-care system was explained by factors above and beyond patient experience.Reliance on psychiatric symptoms alone as a measure of service satisfaction is somehow a narrow concept; it is rather important to see how satisfied the patients are by the service they received [42]. Despite psychiatric outpatient service being given in most of referral hospitals in Ethiopia, there had been few evidences that examined patients’3satisfaction with the quality of psychiatric care based on sound theoretical frameworks andthis study also probably contributes pattern of satisfaction of psychiatric patients in Ethiopia.However the scales used to measure satisfaction level was based on scales validated and used in other countries. Hence a need to understand more patients experience based on a mental health service scale (MHSSS) scale, validated and tested in Ethiopia makes this study sound helpful [45].Patient’s responses to their experiences of using services are under-researched inthe context of mental healthcare in low income countries.Therefore, the purpose of this study is to explore the factors underlying psychiatric patients’ satisfaction with the health-care system and the extent to which satisfaction reflects their experience of care with the validated MHSSS (mental health service satisfaction scale) tool in Ethiopia, written in Amharic and English version as a measure of satisfaction among consumers of mental healthcare. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/13094 | |
| dc.language.iso | en_US | en_US |
| dc.subject | health service satisfaction,Psychiatry | en_US |
| dc.title | Psychiatric out Patients’ Health Service Satisfaction at Psychiatric outpatient Department in Amanuel Hospital, A.A, Ethiopia | en_US |
| dc.type | Thesis | en_US |