Are the mothers admitted for childbirth in a tertiary care hospital satisfied with the health care services? A mixed methods study from Mangaluru, Karnataka state, India
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Abstract
Context
Patient Satisfaction is the strongest determinant of hospital functioning and is an indirect or proxy indicator of the quality of doctor.
Aims
The study aims to assess maternal satisfaction with healthcare services during childbirth during hospital stay, explore factors influencing satisfaction, and assess the perceptions of both mothers and their bystanders regarding the healthcare services provided.
Methods and material
It is a sequential explanatory mixed method study conducted in the Obstetrics and Gynaecology department in a tertiary college hospital among 291 pregnant women admitted for childbirth. Quantitative data obtained using expert validated questionnaire was entered in an Excel sheet and analyzed using IBM SPSS Version 23. Descriptive statistics were reported as median (IQR) for continuous variables and as frequencies and proportions for categorical variables. Normality was tested using Shapiro Wilk test and to test significant difference in satisfaction scores across the variables Mann Whitney U test was used. For the qualitative phase, in-depth interview was conducted to explore factors determining patient satisfaction in healthcare services.
Results
Quantitative results showed that mothers were satisfied with the admission process, support given during breastfeeding, immunization and vaccination, health education and very satisfied with the privacy, doctors and nursing services, overall cleanliness. Qualitative results revealed the admission process was time consuming, overall cleanliness was poor, guidance on breast feeding and immunization and service provided by doctors and nurses are good.
Conclusion
The study concluded that while mothers were generally satisfied with healthcare services, particularly with support during breastfeeding, immunization, and doctor and nursing services, there were concerns about the admission process and overall cleanliness.
研究旨在评估产妇在住院期间对分娩医疗服务的满意度，探讨影响满意度的因素，并评估产妇及其旁观者对所提供医疗服务的看法。通过专家验证问卷获得的定量数据被输入 Excel 表格，并使用 IBM SPSS Version 23 进行分析。连续变量以中位数（IQR）表示，分类变量以频率和比例表示。使用 Shapiro Wilk 检验法检验正态性，并使用 Mann Whitney U 检验法检验各变量满意度得分的显著差异。定性结果显示，母亲对入院流程、母乳喂养期间的支持、免疫接种、健康教育表示满意，对隐私、医生和护理服务、整体清洁度表示非常满意。定性结果显示，入院程序耗时，整体清洁度较差，母乳喂养和免疫接种指导以及医生和护士提供的服务良好。结论研究得出结论，虽然母亲们普遍对医疗保健服务感到满意，尤其是母乳喂养期间的支持、免疫接种以及医生和护理服务，但对入院程序和整体清洁度表示担忧。
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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