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Assessment of Patient Satisfaction With Primary Health Care at the Family Medicine Centre of Aga Khan University Hospital, Nairobi

Thesis Info

Author

Juma, Alvin M.

Department

Family Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2018

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728036728

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Background: Patient satisfaction is one of the key indicators by which the quality of healthcare service is evaluated. The World Conference of Family Doctors African Chapter's (WONCA-Africa) encourages Family Medicine practices to regularly assess their patients' satisfaction as one of the criteria for benchmarking and auditing the quality of primary care in Africa. The Kenyan government, in a quest to improve primary care provision, has formulated policy to make family physicians essential players in coordinating and enhancing standards of primary care. Objective: This study aimed to assess patient satisfaction with the quality of primary health care services provided by family physicians at the Family Medicine Clinic Aga Khan University Hospital Nairobi. Methods: A cross-sectional, descriptive, quantitative study using a modified version of the post-consultation General Practice Assessment Questionnaire (GPAQ-R) was conducted. A total of 317 patients were selected through systematic random sampling. Level of satisfaction was calculated by averaging summing the total scores of different domains in the questionnaire. The cut off for the level of satisfaction was 82 points out of a possible 128 points. Exploratory Factor analysis derived factors affecting overall satisfaction. The correlation of the independent variables with overall satisfaction was analysed using the Chi-Square test. Results: Of the 310 study respondents, 93% were satisfied with the care provided. The overall mean patient satisfaction score (standard deviation) was 103.14 (14.2). Factors that mostly contributed to overall patient satisfaction were effective communication (variance 31 %) and timeliness of care (variance 8 %). Patients with long-standing conditions were more satisfied than those with acute conditions. (99.01 % v 90 %, p=0.006). Conclusion and recommendation: Patients were highly satisfied with the care provided at the Family Medicine Clinic. Communication and timeliness of care contributed to overall satisfaction. Patients' with chronic conditions were found to be satisfied with the care provided. Additional research that incorporates a care provider's perspective may be required to better elucidate enablement and empathy as factors that affect patient satisfaction. Furthermore, we recommend a study that addresses financial accessibility, infrastructure and clinical competencies of care providers in the assessment.
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ڈیجیٹل بچے

 ڈیجیٹل بچے

محمد علی صدیقی

"انٹرنیٹ اور موبائیل نے نوجوان نسل کو کہاں پہنچا دیا ہے سمجھ میں نہیں آتا۔ آنے والا کل نہ جانے کیسا ہو۔!!۔" مینیجنگ کمیٹی کے صدر نے فکرمند لہجے میں کہا۔

"اتنی مایوسی ٹھیک نہی" میں نے کہا۔

میں کچھ اور بھی کہنے والا تھا کہ ایک ٹیچر درجہ چہارم کی ایک بچی کو لے کر آفس میں داخل ہوئیں اور بولیں

"سر یہ آپ سے کچھ کہنا چاہتی ہے۔"

"ہاں۔ کہو" میں نے ان کی طرف متوجہ ہوتے ہوئے کہا۔

"سر۔۔۔ کلاس میں ایک لڑکا مجھے بھابھی بلاتا ہے۔"

وہ اپنی مسکراہٹ چھپانے کی ناکام کوشش کر رہی تھی۔ مجھے کچھ عجیب سا لگا۔ میں نے اس بچے کو بلا کر وارننگ دی اور ٹیچر سے کہا

"آپ لوگ یہ شکایتیں خود ہی سن لیا کریں۔ آفس میں نہ لایا کریں۔"

"ہم تو سنتے ہی رہتے ہیں سر۔ میں نے سوچا کہ آج آپ بھی سن لیں" ٹیچر نے تھکے ہوئے لہجے میں کہا، " کل کے۔جی کا ایک بچہ اپنے ساتھ بیٹھی بچی سے پوچھ رہا تھا کہ کیا وہ اس سے پیار کرتی ہے۔ بچی کی شکایت پر میں نے ان دونوں کو الگ الگ بٹھا دیا لیکن کچھ ہی دیر بعد دونوں پھر ایک ساتھ بیٹھے باتیں کرتے نظر آئے۔"

میں نے ٹیچر کو جانے کا اشارہ کیا اور صدر کی طرف دیکھا۔ ان کے چہرے پر ایک معنی خیز مسکراہٹ کھیل رہی تھی۔

 

دینی مدارس اور مفکرین کی آراء

This article attempts to focus on Maddrassas education setting, its importance, introduction and correspondence with human resource development. The role of this development to create a sound and balanced environment in the society with moral and spiritual values. Firstly the paper addresses education and its functions in general then education from Islamic perspective like teaching especially spirituality and morality. Secondly the role of Madaris in Islamic cultural and traditional awareness through the righteous opinion oflearned scholars

What are the Policies and Practices of Maintaining Discipline in a Private Secondary School in Karachi, Pakistan

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