Patient Satisfaction in Chamber Setting

Patient Satisfaction in bed sleeping room SettingPatient Satisfaction in Chamber Setting in Bangladesh measured by Patient-Doctor Relationship Questionnaire (PDRQ-9 Bangla)AbstractBackground Assessment of unhurried bliss is crucial but on that point is significant lagging in this sector. Patient comfort is an any-important(a) forefinger of health misgiving prize as healthful as a predictor of treatment friendship. The hot enduring-doctor kinship is considered as an integral part of the longanimous pleasure. In Bangladesh, this domain is heretofore to be explored in a large scale.Aim It was aimed to look into the uncomplaining blessedness level in chamber consideration in Bangladesh measured using the patient-doctor race incredulitynaire (PDRQ-9 Bangla).Methods PDRQ-9 is a short to date sensitive fauna for assessing the patient-doctor relationship. The info collection was make in private chamber picture by the PDRQ-9 and analyzed.Results Though the result was non completely in line with the existing literature, the PDRQ-9 was found to a useful and brief measurement cats-paw in the context of the patient-doctor relationship.Conclusion Large-scale research in this particular aspect of patient comfort in future may provide a more succinct result.Keywords PDRQ-9 Bangla, Patient Satisfaction, Chamber Practice, Doctor-Patient, Bangladesh. ledger entryBeing as old as the civilization the field of medicine is evolving rapidly 1 but at that place is a significant lagging in the assessment of patient satisfaction which is considered as equally important as opposite health measures and a significant indicator of efficiency of health care talking to 2. As stated by Lender et al. patient satisfaction may be defined as positive evaluations of distinct dimensions of health care 3. A parallel interaction is present in surrounded by patient satisfaction, continuity of care, availableness of treatment and physician, as patient prefer the avail ability and accessibility of the identical physician. The measurement of patient satisfaction is thus useful is assessing the quality of care and besides subsequent health-related behaviors and adherence to treatment, at the same age knowing the patient priorities would facilitate the improvement of patient experience 4,5. t t wherefore patient satisfaction might be considered as an indicator of institutional performance as well as patients wish to become more compliance and recommendation for others, which are all related to the socio-demographic condition, the health status of community and more over Patient-Doctor Relationship 6,7,8.Patient-Doctor Relationship, a dynamic, vital yet complex interpersonal relationship which has been put under the microscope for quite a long over the century and this mutual relationship is intermingled with the idea of patient satisfaction, compliance with treatment and eventually driving the treatment effect 9. Over the time the concept of pa tient-doctor relationship has evolved a lot and currently, patient-centeredness is the most preferred by the patients hence the health care provider focuses of patient autonomy and more emphasis over patient satisfaction 10, 11, 12. Despite being widely advocated, the practicality of patient-centered model is yet under consideration on the solid ground of time constraint in consultation as the physician has to perform the daunting task of providing comprehensive, coordinated yet satisfactory to the patient and above all make sure the accessibility of the care 13, 14. Whether being psychiatrical or non-psychiatric patient it is reported that successful and both way, a perfect relationship between patient and physician is crucial for the adherence and bettor outcome of treatment 15.For assessing the patient-doctor relationship, a brief, concise yet having excellent psychometric characteristics scale has been developed and authorized known as the 9-item patient -doctor relationship questionnaire (PDRQ-9) 14,15,16, 17,18 which essentially evaluates the alterative aspect of the patient-doctor relationship base on the perspective of the patient in the primary health care setting 14,15. PDRQ-9 gives the opportunity to quantify the communication, level of satisfaction and availability in dealing with the physician in regard to patients point of view 18. Initially validated by caravan der Feltz-Cornelis et al. this is to be reported that there is internal consistency among the items of the scale 17 and later was to validated by multiple researchers 14,15,16,18.Bangladesh, a ontogeny country having about 160 million people and achieving the health-related goal of MDG but lacking significantly in regard to conceptual similarity in health services between physician and patients, hence there exists violence against the doctor and lack of compliance with treatment and eventually patient satisfaction 1,9,19-20. exclusively unfortunately, there is little to be found in terms of literature regarding the patient satisfaction and patient-doctor relationship. So the authors aimed to look into the patient satisfaction level in public hospital and private chamber setting in Bangladesh measured using the patient-doctor relationship questionnaire (PDRQ-9 Bangla).MethodsSetting The data collection procedure was carried out in 3 different hospitals by 3 different physicians.Instrument The Bangla mutation of 9 item based Patient-Doctor Relationship Questionnaire (PDRQ-9) was used as the tool for questioning patients which have 5 points Likert-type scale from 1 not at all appropriate, to 5 totally appropriate.Design and Subject The select was carried out in the outpatient division of capital of Bangladesh Medical College and some private chambers in the city of Dhaka over the pointedness of January 2016 to December 2016 from 214 patients with the Bangla version of Patient-Doctor Relationship Questionnaire (PDRQ-9) with purposive sampling. The filling out of the questionnaire was totally voluntary and completed by the participant themselves and assistance weas provided to respondents who were not able to commiserate any question. Patients who were willing to participate and able to visualise Bangla were included in the study and patients who were not willing were excluded. After proper collection of data, the analysis was done by SPSS 16 and Microsoft Excel 2010.Data Collection Method Self-reporting PDRQ-9 Bangla questionnaire and providing assistance when the patient could not understand the questionnaire.ResultsTable 1 VM1Demographic VariablesAgeCompleted yearspctGenderGenderPercent14-2529.3Male40.226-3526.9Female59.836-4520.7ReligionReligionPercent46-5510.7Islam9356-6511.7Sanatan7 compressed SD (Range)37 9.92married Situation billetPercentResidenceAreaPercentUnmarried19.9Urbane57.8Married78.7suburban14.3Widow0.5Village28Divorced0.5Educational QualificationStatusPercentOccupationStatusPercentBelow SSC40.9Student32.2SSC16.2Se rvice Holder16.4HSC18.8Business7.5Graduation/ Equivalents12.3Housewife23.8Post kickoff11.7Others7.9Monthly Family IncomeTakaPercentFamilyFamily TypePercent1.73Nuclear52.85000-1000010.98Joint Family45.810000-1500015.0315000-2000012.1420000-2500013.2925000-3000024.283000021.97Demographic Picture of the Respondents. In this study, authors considered age, gender, religion, residence, educational qualification, monthly income, marital status, occupation and family type as demographic variables. Age of the respondents was found Mean SD (Range) 37 9.92 (14-65) years 40.2 % respondents were male and 59.8% female 57.8% resided in urban area where as 14.3% in suburb and 28 % in village 78.7% were married and 19.9% were unmarried 52.8% belonged to nuclear family and 45.8% were from joint family (Table 1).Table 2 Level of satisfaction in regards to item wise responses (n=214)StatisticsQ-1Q- 2Q- 3Q- 4Q-5Q- 6Q- 7Q- 8Q-9Mean4.294.354.504.174.444.234.314.283.86Median555444.5554 stylus555555555Std . conflict0.990.990.850.973.530.911.021.061.17Minimum111111111Maximum555555555The level of satisfaction among the Respondents. Among the 9-items of the PDRQ-9, there was a usual trend of the mean(a) being about 4.17 to 4.50. The net mean was found in the 9th question I find my physician easily accessible which was 3.86. I trust my physician the 3rd item had the highest mean of 4.50. The Standard deviation for the items was approximately 0.99 to 3.53. 5th question My physician is dedicated to help me had the highest standard deviation of 3.53 (Table 2).Table 3 Distribution of responses of PDRQ-9 Bangla itemsnot at all appropriatesomewhat appropriateappropriatemostly appropriatetotally appropriate supplyItemF (%)F (%)F (%)F (%)F (%)F (%)Q 14 (1.87)11 (5.14)26 (12.15)51 (23.83)122 (57.01)214 (100)Q 22 (.93)16 (7.48)20 (9.35)43 (20.09)133 (62.15)214 (100)Q 33 (1.40)3 (1.40)24 (11.21)37 (17.29)147 (68.69)214 (100)Q 44 (1.87)10 (4.76)30 (14.02)71 (33.18)99 (46.26)214 (100)Q 52 (.93)1 5 (7.01)22 (10.28)71 (33.18)103 (48.13)214 (100)Q 62 (.93)6 (2.80)40 (18.69)59 (27.57)107 (50)214 (100)Q 73 (1.40)17 (7.96)19 (8.88)47 (21.96)128 (59.81)214 (100)Q 86 (2.80)14 (6.54)20 (9.35)49 (22.90)125 (58.41)214 (100)Q 98 (3.74)19 (8.88)58 (27.10)39 (18.22)90 (42.06)214 (100)Distribution of responses. Among all the 9 items and 5 responses, there was an overall magnetic dip of answering the 5th option totally appropriate by the respondents as translucent by the frequency ranging from 42.06% to 68.69% which were the highest for all the 9-items. Not at all appropriate had the lowest frequency ranging around 0.93% to 3.74%. Other three options had all most equal distribution though a greater tendency for the mostly appropriate was observed (Table 3).DiscussionPatient-Doctor Relationship is a strong indicator of patient satisfaction as well as the predictor of treatment adherence and quality of health care. Patient satisfaction, on the other hand, depends largely on the availabilit y of care and caregiver. Patient-Doctor Relationship Questionnaire-9 (PDRQ-9) is a brief and excellent tool for assessing the quality of patient-doctor relationship on the regards of patients experience and therefore a useful pecker for measuring patient satisfaction. Originally developed by Van Der Feltz-Cornelis et al. in 2004 it was based on support Alliance Questionnaire of Luborsky (HAQ), a scale that measures the therapeutic alliance in psychotherapy 17. Later, numerous attempts were taken to validate PDRQ-9 in different languages. In Adan et al. validated the Spanish version and Mergen et al. in 2012 validated the Turkish version, in 2014 Zenger et al. validated the German version of PDRQ-9 and in 2016 Arafat validated the Bangla version which was the tool for this particular study 16, 17, 18, 21, 22.On demographic basis Age of the respondents was found Mean SD (Range) 37 9.92 (14-65) years which was close plenty to the Bangla validation study where Age of the respondents was found as mean SD (range) 35.6 10.71 and also with Nigerian version where mean age was 40.12 but not consistent with the German validation where Mean age was 50.58 for men and 50.87 for women and also in this particular study 52.8% respondents belonged to nuclear family and 45.8% were from joint family which also aligned with the Bangla validation study where 52% had nuclear family and 48% belonged to joint family environment 16, 18. 40.2 % respondents were male and 59.8% female which was not in line with the Bangla version where 62% were male and 38% were female but was close to the Nigerian validation where male finish frequency was 47.6% and the female was 52.4%15, 18.The origin of the respondents which in this study was 57.8% from an urban area where as 14.3% from suburb and 28 % from the village, but in the Bangla test copy version 64% lived in town, 16% in mini town, and 20% in the village 18.On the 9-items the Mean was found 4.29, 4.35, 4.50, 4.17, 4.44, 4.23, 4.31, 4 .28 and 3.86 respectively which were not consistence with either the legitimate Dutch or later validated Spanish, Turkish, Nigerian or Bangla version 15,17, 18, 22 but the German verification study showed means of the 9-items which were almost similar to this study16. It was seemed to be found that the respondents chose to answer mostly appropriate in this particular study.However, as observed by Arafat SMY most of the people in Bangladesh has the perception that, the role of the physicians here are motivated by financial gain only and thus not fully justify which often lead to violence against doctor as well as the health services providers which do not completely fit with the result of this particular study 9. Also, the doctor leads a hectic aliveness in this country and the overwhelming number of patients per physician also make it difficult to provide quality and patient-centered care 1. The overall result of the study might not reflect the picture on basis of the currently a vailable literature in this context.Limitations of the StudyThe majority of the data was collected from private chamber setting which might have been the cause of a result not in line with the other articles. Moreover, in some respondents assistance was provided to fill out the questionnaire.ConclusionThe result from the analysis indicated a better level of satisfaction among the patients which was not quite in line with the premeditated concept of the authors as it did not fall in line with the available data. Despite this fact, the Bangla validated the version of PDRQ-9 was found as a very helpful as an instrumental role for assessing the relationship between patient and doctor in a very short time and both in public and private health care facility. As the scale bears only patients perspective it was very proficient for measuring patient satisfaction. In a developing country like Bangladesh, future large-scale studies to substantiate the findings of this particular study and fur ther evaluate the patient satisfaction on the basis of patient-doctor relationship may provide a clearer picture.References 1. Andalib A, Arafat SMY. 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