BATI AFRİKA’DA NİJER-TÜRKİYE DOSTLUK HASTANESİ’NDE “HASTA MEMNUNİYETİ” ÜZERİNE YAPILMIŞ ARAŞTIRMA

Year 2024, , 317 - 332, 19.02.2024

Gülsüm Yıldırım , Nuran Akyurt , İlkay Güler , İde Sina

https://doi.org/10.33715/inonusaglik.1396991

Abstract

Nijer’in başkenti Niamey’de bulunan Nijer-Türkiye Dostluk Hastanesi’nde Haziran-Ağustos 2020 aylarında, hasta memnuniyet anketi yapılmıştır. Türkiye Sağlık Bakanlığı’nın hastanelerde kalite yönetim süreçlerinde uygulanan ayaktan ve yatan hasta hizmetleri memnuniyet anketleri kullanılmıştır. Anketlerin geçerlilik ve güvenilirlik testi için Cron-bach Alfa değeri kullanılarak ayaktan hasta memnuniyet anketi için %76.3, yatan hasta için %73.8 (>70) olarak tespit edilmiştir. Anlamlılık düzeyi p<0.05 olarak değerlendirilmiştir. Ayaktan hastalarda hastane hizmetlerine ilişkin anket cevaplarının “hastane sağlık hizmetleri memnuniyeti” puan ortalaması 17.7±3.45, “hastane temizlik hizmetleri memnuniyeti” puan ortalaması 4.24±0.60, “Türkiye hakkındaki genel görüş” puan ortalaması 6.06±1.52 ve “toplam memnuniyet” puan ortalaması 28.05±4.53’dir Yatan hasta memnuniyet anketlerinde katılımcıların “oda hizmetleri memnuniyeti” ortalaması 3.57±1.03, “yemek hizmetleri memnuniyeti” ortalaması 5.78±1.57, “hastane sağlık hizmetleri memnuniyeti” ortalaması 14.91±4.11, “Türkiye hakkında genel görüş” memnuniyet ortalaması 6.10±1.60 ve “toplam memnuniyet” ortalaması 30.36±5.98’dir. Eğitim düzeylerine göre katılımcıların “hastane sağlık hizmetleri memnuniyeti” ve “toplam memnuniyet” alt boyutunda “Independent Student-t” testi kullanılarak 0.035 ve 0.013 olarak istatistiksel olarak anlamlı farklılıklar saptanmıştır (p<0.05). Eğitim düzeyi yüksek olanların, düşük olanlara oranla hastane sağlık hizmet puanı ve toplam memnuniyet puanının yüksek olduğu sonucuna ulaşılmıştır.

Keywords

Afrika, Ayaktan hasta memnuniyeti, Nijer, Nijer-Türk Dostluk Hastanesi, Yatan hasta memnuniyeti

Research Conducted on "Patient Satisfaction" at Niger-Türkiye Friendship Hospital in West Africa

Abstract

A patient satisfaction survey was conducted between June and August 2020 at the Niger-Turkey Friendship Hospital, in Niamey, capital city of Niger. Outpatient and inpatient services satisfaction surveys implemented by the Turkish Ministry of Health in the quality management processes of hospitals were used. Cron-bach Alpha values to test the validity and reliability of the surveys, were calculated as 76.3% and 73.8%(>70) for outpatient and inpatient surveys respectively. The significance level was evaluated as p<0.05. For the outpatient surveys, the average satisfaction score of "hospital health services" is 17.7±3.45, “hospital cleaning services” is 4.24±0.60, "general opinion about Turkey" is 6. 06±1.52 and "total" is 28.05±4.53. For the inpatient surveys, the average satisfaction score of "room services" is 3.57±1.03, "food services" is 5.78±1.57, “hospital health services” is 14.91±4.11, “general opinion about Turkey” is 6.10±1.60 and “total” is 30.36±5.98. Statistically significant differences were calculated as 0.035 and 0.013 using “Independent Student-t” test in the "hospital health services satisfaction" and "total satisfaction" sub-dimensions of the participants according to their education levels (p <0.05). It was concluded that those with higher education levels had higher “hospital health service” and “total” satisfaction scores than those with lower education levels.

Keywords

Africa, Inpatient satisfaction, Niger, Niger-Turkish Friendship Hospital, Outpatient satisfaction

References

• Agyapong, A., Afi, J. D., Kwateng, K.O. (2018). Examining The Effect Of Perceived Service Quality Of Health Care Delivery In Ghana On Behavioural Intentions Of Patients: The Mediating Role Of Customer Satisfaction. International Journal Of Healthcare Manahement. Vol. 11, NO. 4, 276–288, https://doi.org/10.1080/20479700.2017.1326703
• Changole, J., Bandawe, C., Makanani, B., Nkanaunena, K., Taulo, F., Malunga, E., Kafulafula, G. (2010). Patients’ Satisfaction With Reproductive Health Services At Gogo Chatinkha Maternity Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi. www.mmj.medcol.mw. Vol. 6, MMJ 22(1).
• Dunsch, F., Evans D.K., Macis M., Wang, Q. (2018). Bias in patient satisfaction surveys: a threat to measuring healthcare quality. BMJ Glob Health. 2018;3:e000694, doi:10.1136/ bmjgh-2017-000694.
• Field, J., Bell, G.A., Hirschhorn, L.R., Kibira, Simon P.S., Kim, J.H., Makumbi, F., Nabiwemba, E., Schwarz, D., Wabwire-Mangen, F., Ratcliffe, Hannah L. (2022). Person-centered care in Uganda: analysis of responsiveness, patient satisfaction, patient-reported health outcomes, and trust among adults. IJQHC Comminications.2(1), 1-9. Doi: https://doi.org/10.1093/ijcoms/Iyac005
• Ford, R. C., Bach, S.A., Fottler, M.D. (1997). Methods of Measuring Patient Satisfaction In Health Care Organizations. JSTOR Health Care Manage. 22(2), 74-89.
• https://khgmacilveyurtdisisaglikdb.saglik.gov.tr/TR-42950/yurt-disi-hastaneler-birimi.html, Erişim Tarihi: 23/11/2023.
• Kurji, K., Kiage, D., Rudnisky, C. J., Damji, K.F. (2013). Improving Diabetic Retinopathy Screening In Africa: Patient Satisfaction With Teleophthalmology Versus Ophthalmologist-Based Screening. Middle East Afr J Ophthalmol. doi: 10.4103/0974-9233.106388: 10.4103/0974-9233.106388, Vol. 20(1): 56–60.
• Lari, M. A., Tamburini, M., Gray, D. (2004). Patients' needs, satisfaction, and health related quality of life: Towards a comprehensive model. Health and Quality of Life Outcomes. 2:32 doi:10.1186/1477-7525-2-32
• Lochoro, P. (2004). Measuring Patient Satisfaction In UCMB Health Institutions. Health Policy and Development Journal. Vol. 2, No. 3, pp.243-248.
• MacKeith, N., Chinganya O. J. M., Ahmed Y. and Murray S.F., (2003). Zambian Women's Experiences of Urban Maternity Care: Results from a Community Survey in Lusaka. African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive, Vol. 7, No. 1, 92-102.
• Myburgh, N.G., Solanki, G. C., Smith, M.J., Lalloo, R. (2005). Patient Satisfaction With Health Care Providers In South Africa: The Influences Of Race And Socioeconomic Status. International Journal for Quality in Health Care. Vol. 17, No. 6, 473–477, 10.1093/intqhc/mzi062.
• Nunu,. N. W., Munyewende, P.O. (2017). Patient satisfaction with nurse-delivery primary health care services in Free State and Gauteng provinces, South Africa: A comparative study. Afr J Prm Health Care Fam Med. Vol. 9(1), a1262. https://doi.org/10.4102/. phcfm.v9i1.1262
• Olivier, J., Tsimpo, C., Gemignani, R., Shojo, M., Coulombe, H., Dimmock, F., Nguyen, M.C., Hines, H., Mills, E.J., Dieleman, J.L., Haakenstad, A., Wodon, Q., (2015). Understanding the roles of faith-based health-care providers in Africa: review of the evidence with a focus on magnitude, reach, cost, and satisfaction. www.thelancet.com. Vol. 386.
• Rai, A., Shrestha, S., Ayer, A., Agrawal, N., Vikram, M. (2023). Satisfaction With Dental Care Among The Dental OPD Atendees At A Teriatry Care Hospital In Eastern Nepal. European Journal of Biomedical AND Pharmaceutical Sciences. ISSN 2349-8870, Vol: 10(2), P: 457-463.
• Sağlık Bakanlığı (2019). Sağlıkta Verimlilik, Kalite ve Akreditasyon Dairesi Başkanlığı Sağlıkta Kalite Standartları Anket Uygulama Rehberi, 2. Versiyon - 1. Baskı: Ankara.
• Sağlık Bakanlığı (2007). 21 Hedefte Türkiye Sağlıkta Gelecek. T.C. Sağlık Bakanlığı Refik Saydam Hıfzısıhha Merkezi, Hıfzısıhha Mektebi. Ankara.
• Sinyiza, F. W., Kaseka, P. U.,Okapi Chisale, M. R., Chimbatata, C. S., Mbakaya, B. C., Kamudumuli, P. S., Wu, T.‐S. J., Kayira, A. B. (2022). Patient satisfaction with health care at a tertiary hospital in Northern Malawi: results from a triangulated cross-sectional study. BMC Health Services Research. Vol: 22:695. https://doi.org/10.1186/s12913-022-08087-y
• Sülkü, S.N.(2011). Performansa Dayalı Ek Ödeme Sisteminin Kamu Hastanelerinin Verimliliği Üzerine Etkileri. Maliye Dergisi. Sayı 160, Ocak -Haziran 2011, s: 242-268.
• Wiegers, T.A.(2009). The quality of maternity care services as experienced by women in the Netherlands. BMC Pregnancy and Childbirth. 9:18 doi:10.1186/1471-2393-9-18
• Wouters, E., Heunis, C., Rensburg, D.V., Meulemans, H. (2008). Patient Satisfaction With Antiretroviral Services At Primary Health-care Facilities In The Free State, South Africa – A Two-Year Study Using Four Waves Of Cross-Sectional Data. BMC Health Services Research. Vol. 8:210, doi:10.1186/1472-6963-8-210.
• Wudu, M.A. (2021). Predictors of Adult Patient Satisfaction with Inpatient Nursing Care in Public Hospitals of Eastern Amhara Region, Northeastern Ethiopia, 2020. Patient Preference and Adherence. 2021:15 177–185.
• Zhang, H., Wang, W., Haggerty, J., Schuster, T. (2020). Predictors of patient satisfaction and outpatient health services in China: evidence from the WHO SAGE survey, Family Practice. Department of Family Medicine, McGill University, Montréal, Canada. P: 465–472, doi:10.1093/fampra/cmaa011.