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Articles

CJPLS: VOL. 12, NO. 2, DECEMBER 2024

Patients’ Perception and satisfaction of cost of treatment and health facilities at the University of Benin Teaching Hospital and Central Hospital, Benin, South – South, Nigeria

Submitted
December 3, 2024
Published
2024-12-23

Abstract

Patients’ satisfaction is the extent to which patients perceive their health needs are met by the institution saddled with the responsibility of, meeting the health needs of the people. The quality of facilities, quality of services rendered, cost of treatment are factors that influenced the continuous utilization of health care. This study examined the perception of patients on quality of health care delivery in relation to cost of treatment, health facilities, compliance to treatment process, utilization of health care, recommendation of health for others in two government hospitals in Benin city. A descriptive cross-sectional study was carried out and patients’ views were sought and obtained by use of structured questionnaires and focus group discussions. Data were analyzed using the statistical package for social sciences (SPSS) version (21) to determine association among variables. Focus Group Discussion reports were written in summary paragraphs. Results indicated that patients’ perception of quality of health care delivery in terms of cost of treatment, facilities and service performance correlated with utilization of health services, compliance to treatment process and recommendation of health care system to others. Other factors like patient desire to get well, perceived result achieved, availability of expertise doctors and lack of better alternatives to patients were also determinants. The qualities of facilities present in each hospital and amount charged for treatment have direct and indirect impact on patients’ level of utilization of that hospital. Understanding the implication of these factors and how they affect the quality of health care delivery in public hospitals and elsewhere will go a long way in improving the quality of health care delivery.

References

  1. J. O. Ajayi, E.A. Olumide, & O. Oyediran,, Patients’ satisfaction with services provided at a general outpatients clinic Ibadan, Oyo state, Nigeria. African Journal of Medicine, vol. 34, pp. 133-140., 2005.
  2. E.D. Boron, M. Dushanet, & N. Friendman, N. Evaluation of the consumer model relationship between patients’ exception perceptions and satisfaction with care. Int J. Qual. Health care, vol. 13, no. 4, 319 – 321, 2001.
  3. H. Chaal, Strategies for enhancing consumer satisfaction in rural health services in Indian. Indian Marketing, vol. 6: 13 – 17, 2003.
  4. N. Chawla, N. & R.P. Ellis, The impact of financing and quality charges on health care demands in Nigeria. Health Policy Plan, vol. 15, pp. 76 – 89, 2000.
  5. B.L. Diprete, L. N. Franco, T. & Hazell, Quality assurance of healthcare in developing countries Bethseda MD. Quality Assurance Project. 1999.
  6. C.U. Eze, Survey of patient satisfaction with obstetric ultrasound at University of Nigeria Teaching Hospital Enugu, Nigeria. Niger. J. Health, Biomed. Sc. vol. 5, no.1, pp. 93 -97, 2006.
  7. B. Friar, SHigh tech in the old-fashioned way. Havard Business Review, 2001.
  8. P. Griffith, & R. Stephenson, Understanding users’ perspective of barrier to maternity health care in Maharashtra. Indian. Biosoc Sci. vol. 33 pp. 339 – 359, 20O1.
  9. K. Hanson, & P. Berman, Private health provisions in developing countries a preliminary analysis of levels and composition. Health policy plan, vol.13 pp. 195-211, 1998.
  10. B. Hutchson, T. Ostbye, J. Barsley, Stewart, M. & Matthews, N., Patients’ satisfaction and quality of care in walk in clinics, family practices and emergency departments; the Ontario walk - in clinic study. MAJ. vol. 168, no. 8, pp. 980 -983, 2003.
  11. Z. Iliyasu, Abubaka, I.S., Abubaka, S., Lawan, U.M. & Gajida, A.U. Patients’ satisfaction with service obtained from Aminu Kano Teaching Hospital, Kano, Nigeria. Niger J. Clin Pract. Vol. 13, pp. 371 -378, 2010.
  12. F.M. Khan, Health planning and management. A textbook of Health Awareness. New Delhi: Modern Publisher. Vol. 1, pp. 115 -171, 2005.
  13. J.P. Killingsworth, Unofficial fees in Bangladesh: price, equity and institution issues. Health Policy Plan. vol.14, pp. 152 – 163, 1999.
  14. R.Kone-Peyofo. & M. Rivaerd, Poverty and Socio - culture factor of use of maternal services in Ivory Coast. Rev Epidemiol Sante Publique. vol. .54, pp. 485 – 495, 2006.
  15. O.O. Mbonu, Medical Practice in contemporary Nigeria. AKTH Bulletin. vol. 1 no. 2, pp. 6 -16, 2007.
  16. D. Nager should hospital increase their spending on market? www.express health care mgmt. com, 2007.
  17. S. Nahar, & A. Costello, The hidden cost of free maternity care in Dhaka, Bangladesh. Health Policy Plan. vol..13 pp. 417 – 422, 1998/
  18. National Institute of Population Research and Training, Bangladesh material mortality survey 71 2001; http.//www.measured.is.com/pubs/pdf/FRI42/05
  19. T. Oladapo, C. Iyaniwura, & A. Sule-Odu,,Quality of antenatal services at the primary level in South west Nigeria. African Journal of Reproductive Health.vol. 12, pp. 71 -92, 2008.
  20. A.K. Olusina, J.U. Ohaeri, & N. O. Olatawura,, Patient and staff satisfaction with the quality of inpatient Psychiatric care in Nigeria general hospital. Soc. Psychiatr. Psychiatr Epidermiol. vol. 37, no. 6, pp. 283 – 288, 2004.
  21. N. Palmer, D.H. Mueller, L. Gilson, L.& A. Mills, A. (2024). Haines A. Health financing to promote access in low-income settings: how much do we know? Lancet. vol. 346, pp. 1356 – 1370, 2004.
  22. B.K. Paul, National health care by – passing in Bangladesh: a comparative study. Social Science and Medicine. vol. 49, pp. 677 – 689, 1999.
  23. S.R. Roy, Perception of indoor patient on service of some Thana health complexes. Banjladesh Med Res Couns Bull., vol. 21, pp. 46 – 49, 2005.
  24. R. Singh, & D. Sunaina, Management of health care service sector: a study of primary health centers. Indian Journal of Marketing. vol. 35, no. 12, pp. 31 – 38, 2005.
  25. J. Sitzia, Wood N. Patient satisfaction: a review of issues and concepts. Social Science and Medicine. Vol. 45, no. 4, 1829 – 1843, 1999.