Evaluation of waiting time and associated factors influencing patient satisfaction levels in an outpatient department: A case study of government hospital in Sierra Leone

Main Article Content

Abdulai Alpha Jalloh
Laurine Chikodiri Nwosu
Semra Baysan

Abstract

The issue of waiting time has received little attention in the delivery of healthcare services in Sierra Leone. The time spent waiting in the hospital has been considered a major indicator in measuring healthcare quality and patient satisfaction with services. However, long waiting time have constituted a substantial impediment to maximizing healthcare quality. This quantitative study employed data collected from 347 patients in an outpatient department using an online survey. The data collected was analyzed using SPSS version 20. Correlation and regression analyzes were conducted to test the relationship and impact among the variables. The findings revealed an overall dissatisfaction with the waiting time to see a doctor, the behavior and professional competency of medical staff, and the service delivery. Furthermore, significant values were obtained for the correlation and effect between the constructs (p<0.05). Therefore, it is recommended that training on effective communication skills should be provided to address perceptions of ill behaviors from hospital staff and aid better working relationships among caregivers, patients and families. The government and hospital administrators should also introduce an online appointment booking system to minimize waiting time.

Downloads

Download data is not yet available.

Article Details

How to Cite
Jalloh, A. A., Nwosu, L. C., & Baysan, S. (2023). Evaluation of waiting time and associated factors influencing patient satisfaction levels in an outpatient department: A case study of government hospital in Sierra Leone. Science, Engineering and Health Studies, 17, 23050015. Retrieved from https://li01.tci-thaijo.org/index.php/sehs/article/view/259517
Section
Health sciences

References

Adhikary, G., Shawon, M. S. R., Ali, M. W., Shamsuzzaman, M., Ahmed, S., Shackelford, K. A., Woldeab, A., Alam, N., Lim, S. S., Levine, A., Gakidou, E., and Uddin, M. J. (2018). Factors influencing patients’ satisfaction at different levels of health facilities in Bangladesh: Results from patient exit interviews. PLOS ONE, 13(5), e0196643.

Ammo, M. A., Abu-Shaheen, A. K., Kobrosly, S., and Al-Tannir, M. (2014). Determinants of patient satisfaction at tertiary care centers in Lebanon. Open Journal of Nursing, 4(13), 939–946.

Bar-dayan, Y., Leiba, A., Weiss, Y., Carroll, J. S., and Benedek, P. (2002). Waiting time is a major predictor of patient satisfaction in a primary military clinic. Military medicine, 167(10), 842–845.

Chipidza, F. E., Wallwork, R. S., and Stern, T. A. (2015). Impact of the doctor-patient relationship. The Primary Care Companion for CNS Disorders. 17(5), 10.4088/PCC.15f01840.

Cochran, W. G. (1973). Experiments for nonlinear functions (R.A. Fisher Memorial Lecture). Journal of the American Statistical Association, 68(344), 771–781.

Daud, K. A. M., Khidzir, N. Z., Ismail, A. R., and Abdullah, F. A. (2018). Validity and reliability of instrument to measure social media skills among small and medium entrepreneurs at Pengkalan Datu River. International Journal of Development and Sustainability, 7(3), 1026–1037.

Diab, H. S. (2015). Assessment of patients’ satisfaction in Ain Shams University Hospitals. Egyptian Journal of Bronchology, 9, 211–220.

Enuameh, Y. A. K., Okawa, S., Asante, K. P., Kikuchi, K., Mahama, E., Ansah, E., Tawiah, C., Adjei, K., Shibanuma, A., Nanishi, K., Yeji, F., Agyekum, E. O., Yasuoka, J., Gyapong, M., Oduro, A. R., Quansah Asare, G., Hodgson, A., Jimba, M., and Owusu-Agyei, S. (2016). Factors influencing health facility delivery in predominantly rural communities across the three ecological zones in Ghana: A cross-sectional study. PLOS ONE, 11(3), e0152235.

Geta, E. T., and Edessa, A. M. (2020). Satisfaction with waiting time and associated factors among outpatients at Nekemte referral hospital, Western Ethiopia. Rehabilitation Science, 5(2), 18–25.

Green, L. V. (2016). Queueing theory and modeling. In Handbook of Healthcare Delivery Systems (Yih, Y., Ed.), pp. 1–22, Boca Raton, FL: CRC Press.

Gupta, R., and Falk, T. H. (2017). Latent factor analysis for synthesized speech quality-of-experience assessment. Quality and User Experience, 2, 2.

Hardavella, G., Aamli-Gaagnat, A., Frille, A., Saad, N., Niculescu, A., and Powell, P. (2017). Top tips to deal with challenging situations: Doctor-patient interactions. Breathe, 13, 129–135.

Hussain, A., Asif, M., Jameel, A., and Hwang, J. (2019). Measuring OPD patient sasfaction with different service delivery aspects at public hospitals in Pakistan. International Journal of Environmental Research and Public Health, 16(13), 2340.

Irfan, S. M., and Ijaz, A. (2011). Comparison of service quality between private and public hospitals: Empirical evidences from Pakistan. Journal of Quality and Technology Management, 7(1), 1–22.

Konlan, K. D., Saah, J. A., Doat, A.-R., Amoah, R. M., Abdulai, J. A., Mohammed, I., and Konlan, K. D. (2021). Influence of nurse-patient relationship on hospital attendance. A qualitative study of patients in the Kwahu Government Hospital, Ghana. Heliyon, 7(2), e06319.

Manaf, N. H. A., and Nooi, P. S. (2007). Patient satisfaction as an indicator of service quality in Malaysian public hospitals. The Asian Journal on Quality, 8(3), 113–122.

Nhung, P. T. M, (2019). Assessment of patient waiting consultation time in a primary healthcare clinic -- The outpatient department of Cho Ray hospital. Master’s thesis. University of Northern Colorado, USA.

Oche, M. O., and Adamu, H. (2013). Determinants of patient waiting time in the general outpatient department of a tertiary health institution in North Western Nigeria. Annals of Medical and Health Sciences Research, 3(4), 588–592.

Pearse, J. (2005). Review of Patient Satisfaction and Experience Surveys Conducted for Public Hospitals in Australia (Research paper), pp. 6–10. Health Policy Analysis Pty Ltd.

Rathi, R., Kaswan, M. S., Garza-Reyes, J. A., Antony, J., and Cross, J. (2022). Green lean six sigma for improving manufacturing sustainability: Framework development and validation. Journal of Cleaner Production, 345, 131130.

Sæther, S. M. M., Heggestad, T., Heimdal, J.-H., and Myrtveit, M. (2020). Long waiting times for elective hospital care – breaking the vicious circle by abandoning prioritisation. International Journal of Health Policy and Management, 9(3), 96–107.

Schneider, A., Hommel, G., and Blettner, M. (2010). Linear regression analysis. Deutsches Ärzteblatt International, 107(44), 776–782.

Sun, J., Lin, Q., Zhao, P., Zhang, Q., Xu, K., Chen, H., Hu, C. J., Stuntz, M., Li, H., and Liu, Y. (2017). Reducing waiting time and raising outpatient satisfaction in a Chinese public tertiary general hospital-an interrupted time series study. BMC Public Health, 17(1), 668.

Tuzkaya, G., Sennaroglu, B., Kalender, Z. T., and Mutlu, M. (2019). Hospital service quality evaluation with IVIF-PROMETHEE and a case study. Socio-Economic Planning Sciences, 68, 100705.

Umar, I., Oche, M. O., and Umar, A. S. (2011). Patient waiting time in a tertiary health institution in Northern Nigeria. Journal of Public Health and Epidemiology, 3(2), 78–82.

Ward, P. R., Rokkas, P., Cenko, C., Pulvirenti, M., Dean, N., Carney, A. S., and Meyer, S. (2017). ‘Waiting for’ and ‘waiting in’ public and private hospitals: A qualitative study of patient trust in South Australia. BMC Health Services Research, 17, 333.

Xie, Z., and Or, C. (2017). Associations between waiting times, service times, and patient satisfaction in an endocrinology outpatient department: A time study and questionnaire survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 1–10.