Patient Preference and Adherence (Mar 2022)

Patients’ Satisfaction with Ophthalmology Clinic Services in a Public Teaching Hospital

  • Sakti DH,
  • Firdaus AT,
  • Utami TP,
  • Jati KDP,
  • Mahayana IT,
  • Wardhana FS,
  • Handayani N

Journal volume & issue
Vol. Volume 16
pp. 723 – 735

Abstract

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Dhimas Hari Sakti,1,2 Aufar Tirta Firdaus,1 Tiara Putri Utami,1 Krisna Dwi Purnomo Jati,1,2 Indra Tri Mahayana,1,2 Firman Setya Wardhana,1,2 Novika Handayani3 1Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; 2Department of Ophthalmology, Dr. Sardjito General Hospital, Yogyakarta, Indonesia; 3Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaCorrespondence: Dhimas Hari Sakti, Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jl. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia, Tel +62 274 560300, Email [email protected]: To evaluate patients’ satisfaction with ophthalmology health services in a teaching clinic of a tertiary public hospital.Patients and Methods: This was a cross-sectional study in ophthalmology clinic of Dr. Sardjito teaching hospital, Yogyakarta, Indonesia conducted in 2019. Patients were surveyed using the Patient Satisfaction Questionnaire-18 (PSQ-18). PSQ-18 subscale score was analyzed based on patients’ characteristics. The main outcome was the odds of reaching top satisfaction score (TSS) of 4– 5 from a Likert scale 1 to 5.Results: Our study recorded 269 participants who consisted of 138 males (51.3%) and 131 females (48.7%) with median age of 52 (18– 87) years old. Variables with higher odds of reaching TSS on “patient overall satisfaction” was public health insurance (OR: 7.959 [95% CI: 1.989– 31.852], p=0.003) while examination time (OR: 0.955 [95% CI: 0.923– 0.988], p=0.008) had lower odds. Examination waiting time (OR: 0.992 [95% CI: 0.985– 0.999], p=0.027) and examination time (OR: 0.941 [95% CI: 0.908– 0.976], p=0.001) had lower odds of reaching TSS in “general satisfaction”. Family monthly income (OR: 1.829 [95% CI: 1.038– 3.223], p=0.037) had higher odds of reaching TSS in “technical quality” while examination time (OR: 0.961 [95% CI: 0.931– 0.993], p=0.017) and education (OR: 0.549 [95% CI: 0.322– 0.934], p=0.027) had lower odds. Comorbidities (OR: 0.533 [95% CI: 0.301– 0.944], p=0.031) had lower odds of reaching TSS in “financial aspects”. Retina subspecialty clinic (OR: 3.436 [95% CI: 1.154– 10.232], p=0.027) had higher odds of reaching TSS in “time spent with doctor”. Registrar as attending physician (OR: 0.427 [95% CI: 0.205– 0.89], p=0.0230) and examination time (OR: 0.957 [95% CI: 0.924– 0.991], p=0.013) had lower odds of reaching TSS in “accessibility-convenience”.Conclusion: Examination time and examination waiting time should be shortened, specialist doctors should always see the patients whenever possible, and registrars’ technical and communication skill should be improved. Alternative funding for patients without health insurance also should be provided to increase satisfaction.Keywords: Patient Satisfaction Questionnaire-18, PSQ-18, health service quality, examination time, health survey

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