Determinants of Patient Satisfaction at Tertiary Care Centers in Lebanon

Abstract

Objective: To assess patient satisfaction with services provided in inpatient health care settings in Lebanon. Methods: Our cross-sectional study enrolled patients who spent a minimum of one night in any ward at accredited hospitals in various regions of Lebanon. A structured questionnaire covering multiple domains was utilized to assess patient satisfaction as well as capture demographic data and visit characteristics. Results: From the pool of 1300 patients given questionnaires, a high response rate (92.8%; 1206) was achieved. Most (60.4%) respondents had the second class medical insurance coverage; only 99 (8.2%) had a first class coverage. Patient satisfaction was influenced by age, educational level, and medical insurance coverage class. Most respondents were pleased with overall nursing care (96.6%), and physician consultations (95.4%), P = 0.001. Conclusions: Patient satisfaction with hospital care is significantly influenced by patient’s provider interactions during the episodes of care. Furthermore, the surrounding physical environment also has an influence on patient satisfaction. Also, our results showed the acceptable level of satisfaction about the healthcare system delivered in Lebanon. This could be enhanced if appropriate management decisions will be implemented to overcome weakness and barriers.

Share and Cite:

Ammo, M. , Abu-Shaheen, A. , Kobrosly, S. and Al-Tannir, M. (2014) Determinants of Patient Satisfaction at Tertiary Care Centers in Lebanon. Open Journal of Nursing, 4, 939-946. doi: 10.4236/ojn.2014.413100.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Larrabee, J.H. and Bolden, L.V. (2001) Defining Patient-Perceived Quality of Nursing Care. Journal of Nursing Care Quality, 16, 34-60. http://dx.doi.org/10.1097/00001786-200110000-00005
[2] Bot, A.G., Bossen, J.K., Herndon, J.H., Ruchelsman, D.E., Ring, D. and Vranceanu, A.M. (2014) Informed Shared Decision-Making and Patient Satisfaction. Psychosomatics. http://dx.doi.org/10.1016/j.psym.2013.12.013
[3] Guldvog, B. (1999) Can Patient Satisfaction Improve Health among Patients with Angina Pectoris? International Journal for Quality in Health Care, 11, 233-240. http://dx.doi.org/10.1093/intqhc/11.3.233
[4] Jenkinson, C., Coulter, A., Bruster, S., Richards, N. and Chandola, T. (2002) Patients’ Experiences and Satisfaction with Health Care, Results of a Questionnaire Study of Specific Aspects of Care. Quality & Safety in Health Care, 11, 335-339. http://dx.doi.org/10.1136/qhc.11.4.335
[5] Naidu, A. (2009) Factors Affecting Patient Satisfaction and Healthcare Quality. International Journal of Health Care Quality Assurance, 22, 366-381. http://dx.doi.org/10.1108/09526860910964834
[6] Booth, A.J., Harrison, C.J., Gardener, G.J. and Gray, A.J. (1992) Waiting Times and Patient Satisfaction in the Accident and Emergency Department. Archives of Emergency Medicine, 9, 162-168. http://dx.doi.org/10.1136/emj.9.2.162
[7] Bursch, B., Beezy, J. and Shaw, R. (1993) Emergency Department Satisfaction, What Matters Most? Annals of Emergency Medicine, 22, 586-591. http://dx.doi.org/10.1016/S0196-0644(05)81947-X
[8] Little, N.E. (1991) Image of the Emergency Physician. In: Henry, G.L., Ed., Emergency Medicine Risk Management, American College of Emergency Physicians, 11-16.
[9] Shrivastava, S.R., Shrivastava, P.S. and Ramasamy, J. (2014) Exploring the Dimensions of Doctor-Patient Relationship in Clinical Practice in Hospital Settings. International Journal of Health Policy and Management, 2, 159-160.
http://dx.doi.org/10.15171/ijhpm.2014.40
[10] Thompson, D.A., Yarnold, P.R., Williams, D.R. and Adams, S.L. (1996) Effects of Actual Waiting Time, Perceived Waiting Time, Information Delivery, and Expressive Quality on Patient Satisfaction in the Emergency Department. Annals of Emergency Medicine, 28, 657-665. http://dx.doi.org/10.1016/S0196-0644(96)70090-2
[11] Yarnold, P.R., Michelson, E.A., Thompson, D.A. and Adams, S.L. (1998) Predicting Patient Satisfaction: A Study of Two Emergency Departments. Journal of Behavioral Medicine, 21, 545-563.
http://dx.doi.org/10.1023/A:1018796628917
[12] Kanousi, A. (2005) An Empirical Investigation of the Role of Culture on Service Recovery Expectations. Managing Service Quality, 15, 57-69. http://dx.doi.org/10.1108/09604520510575263
[13] Malhotra, N.K., Ulgado, F.M., Agarwal, J., Shainesh, G. and Wu, L. (2005) Dimensions of Service Quality in Developed and Developing Countries: Multi-Country Cross-Cultural Comparisons. International Marketing Review, 22, 256-278. http://dx.doi.org/10.1108/02651330510602204
[14] Kueh, K. and Ho Voon, B. (2007) Culture and Service Quality Expectations Evidence from Generation Yconsumers in Malaysia. Managing Service Quality, 17, 656-680. http://dx.doi.org/10.1108/09604520710834993
[15] Tsoukatos, E. and Rand, G.K. (2007) Cultural Influences on Service Quality and Customer Satisfaction: Evidence from Greek Insurance. Managing Service Quality, 17, 467-485. http://dx.doi.org/10.1108/09604520710760571
[16] Eiriz, V. and Figueiredo, J.A. (2005) Quality Evaluation in Health Care Services Based on Customer-Provider Relationships. International Journal of Health Care Quality Assurance, 18, 404-412.
http://dx.doi.org/10.1108/09526860510619408
[17] Entwistle, V.A., Sheldon, T.A., Sowden, A.J. and Watt, I.S. (1996) Supporting Consumer Involvement in Decision Making: What Constitutes Quality in Consumer Health Information? International Journal for Quality in Health Care, 8, 425-437. http://dx.doi.org/10.1016/S1353-4505(96)00062-2
[18] Ware Jr., J.E. (2003) Conceptualization and Measurement of Health-Related Quality of Life: Comments on the Evolving Field. Archives of Physical Medicine and Rehabilitation, 84, 43-51. http://dx.doi.org/10.1053/apmr.2003.50246
[19] Uzun, Ö. (2001) Patient Satisfaction with Nursing Care at University Hospital in Turkey. Journal of Nursing Care Quality, 16, 24-33. http://dx.doi.org/10.1097/00001786-200110000-00004
[20] Davies, A.R. and Ware Jr., J.E. (1991) GHAA’s Consumer Satisfaction Survey and User’s Manual. 2nd Edition, Group Health Association of America, Washington DC.
[21] Arahoney, L. and Strasser, S. (1993) Patient Satisfaction: What We Know about and What We Still Need to Explore. Medical Care Research and Review, 50, 49-79. http://dx.doi.org/10.1177/002570879305000104
[22] Linder-Pelz, S. and Struening, E.L. (1985) The Multidimensionality of Patient Satisfaction with a Clinic Visit. Journal of Community Health, 10, 42-54. http://dx.doi.org/10.1007/BF01321358
[23] Wiggers, J.H., Donovan, K.O., Redman, S. and Sanson-Fisher, R.W. (1990) Cancer Patient Satisfaction with Care. Cancer, 66, 610-616. http://dx.doi.org/10.1002/1097-0142(19900801)66:3<610::AID-CNCR2820660335>3.0.CO;2-T
[24] Baker, R. (1990) Development of a Questionnaire to Assess Patients’ Satisfaction with Consultations in General Practice. British Journal of General Practice, 40, 487-490.
[25] Zineldin, M. (2006) The Quality of Health Care and Patient Satisfaction: An Exploratory Investigation of the 5Q Model at Some Egyptian and Jordanian Medical Clinics. International Journal of Health Care Quality Assurance, 19, 60-92. http://dx.doi.org/10.1108/09526860610642609
[26] Yarnold, P.R., Michelson, E.A., Thompson, D.A. and Adams, S.L. (1998) Predicting Patient Satisfaction: A Study of Two Emergency Departments. Journal of Behavioral Medicine, 21, 545-563.
http://dx.doi.org/10.1023/A:1018796628917
[27] Al-Mailam, F.F. (2005) The Effect of Nursing Care on Overall Patient Satisfaction and Its Predictive Value on Return-to-Provider Behavior: A Survey Study. Quality Management in Health Care, 14, 116-120.
http://dx.doi.org/10.1097/00019514-200504000-00007
[28] Ware Jr., J.E., Snyder, M.K., Wright, W.R. and Davies, A.R. (1983) Defining and Measuring Patient Satisfaction with Medical Care. Evaluation and Program Planning, 6, 247-263. http://dx.doi.org/10.1016/0149-7189(83)90005-8
[29] Veenstra, M. and Hofoss, D. (2003) Patient Experiences with Information in a Hospital Setting: A Multilevel Approach. Medical Care, 41, 490-499. http://dx.doi.org/10.1097/01.MLR.0000053229.70474.A3
[30] Hall, J.A. and Dornan, M.C. (1990) Patient Sociodemographic Characteristics as Predictors of Satisfaction with Medical Care: A Meta-Analysis. Social Science & Medicine, 30, 811-818. http://dx.doi.org/10.1016/0277-9536(90)90205-7
[31] Quintana, J.M., González, N., Bilbao, A., Aizpuru, F., Escobar, A., Esteban, C., San-Sebastián, J.A., de-la-Sierra, E. and Thompson, A. (2006) Predictors of Patient Satisfaction with Hospital Health Care. BMC Health Services Research, 6, 102.
[32] Mummalaneni, V. and Gopalakrishna, P. (1995) Mediators versus Moderators of Patient Satisfaction. Journal of Health Care Marketing, 15, 16-26.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.