Satisfaction with Diabetes Services at Primary Care Level, Khartoum State, Sudan
American Journal of Health Research
Volume 4, Issue 5, September 2016, Pages: 127-133
Received: Jul. 22, 2016; Accepted: Aug. 24, 2016; Published: Sep. 24, 2016
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Authors
Siham Ahmed Balla, Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Kamil Mirghani Ali Shaaban, Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Haiedr Abu Ahmed Mohamed, Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Sulaf Ibrahim Abdelaziz, Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Siddik Mohamed Ahmed Shaheen, Department of Econometrics and Social Statistics, Faculty of Economic & Social Studies, University of Khartoum, Khartoum, Sudan
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Abstract
Background: Patients` satisfaction is an important source of information about outcome quality of care. The objective was to measure satisfaction with diabetes services provided to diabetic patients attending primary care health centres compared to specialized diabetes centres in Khartoum state, Sudan. Methods: A cross sectional study was carried targeting 712 diabetic patients randomly selected from 40 primary care health centres and three specialized diabetes centres in Khartoum State. A structured questionnaire was used included patients` characteristics and three point Likert scale to assess satisfaction. Ethical approval was obtained by informed consent from the patients. Data managed by statistical package for social science version 20. Factor analysis was carried to extract latent components of the scale. Multivariate analysis of variance tested the difference in satisfaction between primary care health centres and specialized diabetes centres at an acceptable level of significance less than 0.05. Results: The proportion of patients satisfied with diabetic services in primary health care centres was significantly low compared to specialized diabetes centres, 113 (24.5%) and 145 (57.8%) respectively, P=0.001. The mean satisfaction scores in primary care health centres and specialized diabetes centres were 1.85 ± 0.23 and 2.12± 0.33 respectively, P=0.001. Five factors were extracted from the satisfaction scale which contributed by 56.76% to the total variance. The mean satisfaction scores were significantly lower in primary care health centres compared to specialized diabetes centres regarding consultation session, technical capacity and referral, information and counseling and general satisfaction. Conclusion: Satisfaction with diabetes services was low in primary care health centres in Khartoum State. Capacity building regarding diabetes services at primary care level is recommended.
Keywords
Satisfaction, Diabetes Services, Factor Analysis, Multivariate, Primary Health Centres, Khartoum
To cite this article
Siham Ahmed Balla, Kamil Mirghani Ali Shaaban, Haiedr Abu Ahmed Mohamed, Sulaf Ibrahim Abdelaziz, Siddik Mohamed Ahmed Shaheen, Satisfaction with Diabetes Services at Primary Care Level, Khartoum State, Sudan, American Journal of Health Research. Vol. 4, No. 5, 2016, pp. 127-133. doi: 10.11648/j.ajhr.20160405.13
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Zaslavsky AM. Using hierarchical models to attribute sources of variation in consumer assessments of health care. Statist Med 2007; 26: 1885-900.
[2]
Murti A, Deshpande A, Srivastava N. Service Quality, Customer (Patient) Satisfaction and Behavioural Intention in Health Care Services: Exploring the Indian Perspective. Journal of Health Management 2013; 15 (1): 29-44.
[3]
Rahmqvist M, Bara Ana-C. Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Health Care. 2010; 22 (2): 86–92. Barr DA, Vergun P, Barley SR. Problems in using patient satisfaction data to assess the quality of care provided by primary care physicians. JCOM 2000; 7 (9): 19-28.
[4]
Barr DA, Vergun P, Barley SR. Problems in using patient satisfaction data to assess the quality of care provided by primary care physicians. JCOM 2000; 7 (9): 19-28.
[5]
WHO. Diabetes Fact sheet N 312. [online]. 2011 Aug [Accessed 2011 Aug]; Available from URL: http://www.who.int/mediacentre/factsheets/fs312/en/.
[6]
IDF. Diabetes Atlas 6th ed. [online]. 2013 [Accessed 2013]; Available from URL: http://www.idf.org/diabetesatlas.
[7]
Guariguata L, Whiting D, Hambleton I, Beagley J, Linnenkamp U, Shaw J. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes research and clinical practice 2014; 103 (2): 137-49.
[8]
Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. The Lancet2010 June; 375 (9733): 2254-66.
[9]
Beran D, Yudkin JS. Diabetes care in sub-Saharan Africa. The Lancet 2006 Nov; 368 (9548): 1689-95.
[10]
FMOH. Guidelines for diagnosis and management of diabetes mellitus in adults and children. In: Department NCDs. Khartoum: Marafe for advertise services; 2008.
[11]
FMOH. Annual Statistic Report for 2010. Department of Health Statistics (Khartoum); 2010.
[12]
KSMOH. Report on training of medical doctors and educators in Sudan. In: Directorate of NCDs (Khartoum) 2010.
[13]
CBS. 2008 population projection for 2011. In: Central Bearu of Statistics (Khartoum) 2010.
[14]
Bernhart MH, Wiadnyana I, Wihardjo H, Pohan I. Patient satisfaction in developing countries. Social science & medicine 1999; 48 (8): 989-96.
[15]
Koura M, Khairy A, Abdel-Aal N, Mohamed H, Amin G, Sabra A. The role of primary health care in patient education for diabetes control. The Journal of the Egyptian Public Health Association 2000; 76 (3-4): 241-64.
[16]
Stewart A. Basic statistics and epidemiology: a practical guide. New York: Radcliffe Publishing Oxford; 2010. p. 90-3.
[17]
Asch SM, Kerr EA, Keesey J, Adams JL, Setodji CM, Malik S, et al. Who is at greatest risk for receiving poor-quality health care?. New Engl J Med 2006; 354 (11): 1147-56.
[18]
Escarce JJ, Kapur K, Solomon MD, Mangione CM, Lee PP, Adams JL, et al. Practice Characteristics and HMO Enrollee Satisfaction with Specialty Care: An Analysis of Patients with Glaucoma and Diabetic Retinopathy. Health Serv Res 2003; 38 (4): 1135-55.
[19]
Idvall E, Hamrin E, Sjöström B, Unosson M. Patient and nurse assessment of quality of care in postoperative pain management. Quality and Safety in Health Care 2002; 11 (4): 327-34.
[20]
Pouwer F, Snoek FJ. Patients' Evaluation of the Quality of Diabetes Care (PEQD): development and validation of a new instrument. Quality and Safety in Health Care 2002; 11 (2): 131-6.
[21]
Rocha KB, Rodríguez-Sanz M, Pasarín MI, Berra S, Gotsens M, Borrell C. Assessment of primary care in health surveys: a population perspective. The European Journal of Public Health 2012; 22 (1): 14-9.
[22]
Campbell JL, Ramsay J, Green J. Age, gender, socioeconomic, and ethnic differences in patients' assessments of primary health care. Quality in Health Care 2001; 10 (2): 90-5.
[23]
Salomon L, Gasquet I, Mesbah M, Ravaud P. Construction of a scale measuring inpatients' opinion on quality of care. Int J Qual Health Care 1999; 11 (6): 507-16.
[24]
Erci B, Çiftçioğlu S. Psychometric evaluation of the primary health-care satisfaction scale in Turkish women. Int J Qual Health Care 2010; 22 (6): 500-506.
[25]
Rocha KB, Rodríguez-Sanz M, Pasarín MI, Berra S, Gotsens M, Borrell C. Assessment of primary care in health surveys: a population perspective. The European Journal of Public Health 2012; 22 (1): 14-9.
[26]
Salisbury C, Wallace M, Montgomery AA. Patients’ experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ 2010; 341: c5004. Available from URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954274/.
[27]
Balla SA, Shaaban KMA, Abdelaziz SI, Abdeldafia NMA. Structural Quality of Diabetes Services at Primary Health Care in Khartoum State 2013: Health centres versus specialized diabetes centres. Medicine Science and Healthcare Journal 2015; 10 (8): 41-50. Available from URL: http://oaspjournal.org/AllIssue/allissue.php/?jID=4&vol=10&issue=8.
[28]
Barr DA, Vergun P, Barley SR. Problems in using patient satisfaction data to assess the quality of care provided by primary care physicians. JCOM 2000; 7 (9): 19-28.
[29]
Alazri MH, Neal RD. The association between satisfaction with services provided in primary care and outcomes in Type 2 diabetes mellitus. Diabetic Medicine 2003; 20 (6): 486-90.
[30]
Sung NJ, Markuns JF, Park KH, Kim K, Lee H, Lee JH. Higher quality primary care is associated with good self-rated health status. Family Practice 2013; 30 (5): 568-75.
[31]
Kumari R, Idris M, Bhushan V, Khanna A, Agarwal M, Singh S. Study on patient satisfaction in the government allopathic health facilities of Lucknow district, India. Indian J Community Med 2009; 34 (1): 35-42.
[32]
Chandwani HR, Jivarajani PJ, Jivarajani HP. Community perception and client satisfaction about the primary health care services in a tribal setting of Gujarat–India. Internet J Health 2009; 9 (2). Available from URL: https://ispub.com/IJH/9/2/8795.
[33]
Margolis SA, Al-Marzouqi S, Revel T, Reed RL. Patient satisfaction with primary health care services in the United Arab Emirates. Int J Qual Health Care 2003; 15 (3): 241-249.
[34]
Marcinowicz L, Rybaczuk M, Grebowski R, Chlabicz S. A short questionnaire for measuring the quality of patient visits to family practices. Int J Qual Health Care 2010; 22 (4): 294-301.
[35]
Zolnierek KBH, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care 2009; 47 (8): 826–83.
[36]
Matthews SM, Peden AR, Rowles GD. Patient–provider communication: Understanding diabetes management among adult females. Patient Education and Counseling 2009; 76 (1): 31-7.
[37]
Sheikh MA, Hakeem R, Asar F, Shaikh AH. Diabetes education and care in a developing country: Observations from Karachi, Pakistan. Primary care diabetes 2015; 9 (1): 48-53.
[38]
De Coninck C, Frid A, Gaspar R, Hicks D, Hirsch L, Kreugel G, et al. Results and analysis of the 2008–2009 Insulin Injection Technique Questionnaire survey. Journal of Diabetes 2010; 2 (3): 168-79.
[39]
Saltiel-Berzin R, Cypress M, Gibney M. Translating the Research in Insulin Injection Technique Implications for Practice. The Diabetes Educator 2012; 38 (5): 635-43.
[40]
Rubin RR, Peyrot M, Kruger DF, Travis LB. Barriers to Insulin Injection Therapy: Patient and Health Care Provider Perspectives. The Diabetes Educator 2009; 35 (6): 1014-22.
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