Satisfaction of the citizens of the Republic of Slovenia with healthcare services

Authors

DOI:

https://doi.org/10.14528/snr.2019.53.1.318

Keywords:

consumer satisfaction, health system, healthcare workers, relationship, trust, communication

Abstract

Introduction: Measurement of patient satisfaction with health services is an important development indicator of any healthcare system. Patient satisfaction is a significant and widely used indicator for measuring the quality of health services. The article focuses on the satisfaction of the citizens of the Republic of Slovenia with the current health system.
Methods: Non-experimental descriptive sampling research method and a structured survey questionnaire as a metrics tool were used. The snowball sampling method was used. In total, 693 people responded to an online questionnaire, of which 488 answers were valid. The data were analysed using descriptive statistics, correlational analysis, factor analysis and linear regression analysis.
Results: The respondents mostly value a friendly and respectful attitude of healthcare workers, and their availability to give first aid. However, the respondents negatively evaluated the time spent waiting for the medical examination in the waiting room, telephone unavailability, indifference to patients' personal situation and the short examination time with a doctor. Therefore, the most important variables that influence patient satisfaction are: the time spent waiting to be examined in the waiting room, sufficient time that doctors allocate to one patient, interest in personal matters, confidence in professional decisions made by the medical staff, patient involvement in their treatment and a sense of complete trust.
Discussion and conclusion: Within the healthcare system, healthcare professionals can have a significant impact on patient satisfaction. A focus on high quality treatment and respectful communication increases the patients' trust in the healthcare system and in the professional decisions made by healthcare professionals, which may significantly impact the success of treatment.

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Author Biographies

Špela Selak, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia

PhDr.

Mitja Vrdelja, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia

Lect., Msc

Boris Miha Kaučič, College of Nursing in Celje, Mariborska cesta 7, 3000 Celje, Slovenia

Sen. Lect., PhDr.

Branko Gabrovec, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia

Assist. Prof., PhDr.

References

Adang, E.M. & Borm, G.F., 2007. Is there an association between economic performance and public satisfaction in health care. The European Journal of Health Economics, 8, pp. 279–285. https://doi.org/10.1007/s10198-007-0045-6 PMid:17356855

Aiken, L.H., Cimiotti, J.P., Sloane, D.M., Smith, H.L., Flynn, L. & Neff, D.F., 2011. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), pp. 1047–1053. https://doi.org/10.1097/MLR.0b013e3182330b6e PMid:21945978; PMCid:PMC3217062

Aiken, L.H., Sermeus, W., Van den Heede, K., Sloane, D.M., Busse, R., McKee, M., et al., 2012. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344, p. 1717. https://doi.org/10.1136/bmj.e1717 PMid:22434089; PMCid:PMC3308724

Aiken, L.H., Sloane, D.M., Ball, J., Bruyneel, L., Rafferty, A.M. & Griffits, P., 2018. Patient satisfaction with hospital care and nurses in England: an observational study BMJ Open, 8, art. ID e019189. https://doi.org/10.1136/bmjopen-2017-019189 PMid:29326193; PMCid:PMC5781188

Akbar, F.H., Pratiwi, R., Samad, R. & Fanissa, F., 2017. Proceedings of the health care science international conference. Advances in Health Sciences Research, 2, pp. 92–99.

Al-Refaie, A., 2011. A structural model to investigate factors affect patient satisfaction and revisit intention in Jordanian hospitals. International Journal of Artificial Life Research, 2(4), pp. 43–56. https://doi.org/10.4018/jalr.2011100105

Bleich, S.N., Özaltin, E. & Murray, C.K., 2009. How does satisfaction with the health-care system relate to patient experience. Bulletin of the World Health Organization, 87(4), pp. 271–278. https://doi.org/10.2471/BLT.07.050401 PMid:19551235; PMCid:PMC2672587

Browne, K., Roseman, D., Shaller, D. & Edgman-Levitan, S., 2010. Analysis & commentary: measuring patient experience as a strategy for improving primary care. Health Affairs (Millwood), 29(5), pp. 921–925. https://doi.org/10.1377/hlthaff.2010.0238 PMid:20439881

Busse, R., Valentine, N., Lessof, S., Prasad, A. & van Ginneken, E., 2012. Being responsive to citizens' expectations: the role of health services inresponsiveness and satisfaction. In: J. Figueras, M. McKee, eds. Health systems, health, wealth and societal wellbeing: assessing the case for investing in health systems. 8th ed. Maidenhead (UK): OpenUniversity Press, pp. 175–208. PMid:25063330

Cencič, M., 2009. Kako poteka pedagoško raziskovanje: primer kvantitativne empirične neeksperimentalne raziskave. Ljubljana: Zavod Republike Slovenije za šolstvo.

Friese, C.R., Lake, E.T., Aiken, L.H., Silber, J.H. & Sochalski, J., 2008. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research, 43(4), pp. 1145–1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x PMid:18248404; PMCid:PMC2517272

Gorenak, I. & Goričan, A. 2011. Zadovoljstvo bolnikov v primarnem zdravstvu primer Zdravstvenega doma Šmarje Pri Jelšah. Zdravstveno varstvo, 50, pp. 175–184.

Grol, R., Wensing, M., Mainz, J., Ferreira, P., Hearnshaw, H., Hjortdahl, P., et al., 1999. Patients' priorities with respect to general practice care: an international comparison. Family practice, 16(1), pp. 4–11. https://doi.org/10.1093/fampra/16.1.4 PMid:10321388

Gupta, D., Patel, K. & Lis, C.G., 2015. Self-rated health supersedes patient satisfaction with service quality as a predictor of survival in prostate cancer. Health and Quality of Life Outcomes, 13, p. 137. https://doi.org/10.1186/s12955-015-0334-1 PMid:26337960; PMCid:PMC4560081

Kersnik, J., 2003. Bolnik v slovenskem zdravstvu: monografija o zadovoljstvu bolnikov in organizaciji pritožnega sistema. Ljubljana: Združenje zdravnikov družinske medicine SZD.

Kodeks etike medicinskih sester in zdravstvenih tehnikov Slovenije, 2014. Uradni list Republike Slovenije št. 52/2014.

Kutney-Lee, A., McHugh, M.D, Sloane, D.M., Cimiotti, J.P., Flynn, L., Felber Neff, D., et. al. 2009. Nursing: a key to patient satisfaction. Health Affairs, 28(4), pp. 669–677. https://doi.org/10.1377/hlthaff.28.4.w669 PMid:19525287; PMCid:PMC2718727

Lipovec Čebron, U., 2011. Reformiranje zdravstvenega sistema Slovenije: med »jugonostalgičnimi« in »lustracijskimi« težnjami. Etnolog, 21(72), pp. 179–201.

Mihailović, N., Kocić, S.S., Trajković, G. & Jakovljević, M., 2017. Satisfaction with health services among the citizens of Serbia. Frontiers in Pharmacology, 8, p. 50. https://doi.org/10.3389/fphar.2017.00050

Prekash, B., 2010. Patient satisfaction. Journal of Cutaneous and Aesthetic Surgery, 3(3), pp. 151–155. https://doi.org/10.4103/0974-2077.74491

Rechel, B., Ahmedov, M., Akkazieva, B., Katsaga, A., Khodjamurodov, G. & McKee, M., 2012. Lessons from two decades of health reform in Central Asia. Health Policy and Planning, 27(4), pp. 281–287. https://doi.org/10.1093/heapol/czr040 PMid:21609971

Repolusk, A. 2013. Zadovoljstvo uporabnikov zdravstvenih storitev osnovnega zdravstvenega varstva na primarni ravni: magistrsko delo. Celje: Mednarodna fakulteta za družbene in poslovne študije.

Robida, A., 2007. Nacionalna anketa o izkušnjah pacientov v bolnišnici. Ljubljana: Ministrstvo za zdravje Republike Slovenije.

Senić, V. & Marinković, M., 2013. Patient care, satisfaction and service quality in health care. International Journal of consumer studies, 37(3), pp. 312–319. https://doi.org/10.1111/j.1470-6431.2012.01132.x

Sofaer, S. & Firminger, K., 2005. Patient perceptions of the quality of health services. Annual Review of Public Health, 26, pp. 513–559. https://doi.org/10.1146/annurev.publhealth.25.050503.153958 PMid:15760300

Statistični urad Republike Slovenije, 2017. Socialnoekonomske značilnosti prebivalstva. Available at: https://www.stat.si/StatWeb/News/Index/7128 [5. 12. 2018].

Verčič, D. & Vrdelja, M., 2018. Izhodišča za strateške načrte komuniciranja na področju obvladovanja nalezljivih bolezni s cepljenjem. In: A. Kraigher, ed. Cepljenje: stališča in odnos ključnih javnosti do cepljenja v Sloveniji. Ljubljana: Nacionalni inštitut za javno zdravje, pp. 123–129.

Vrdelja, M., Kraigher, A., Verčič, D. & Kropivnik, S., 2018. The Growing Vaccine Hesitancy: exploring the Influence of the Internet. European Journal of Public Health, 28(5), pp. 934–939.

Vuković, M., Gvozdenović, B.S., Gajić, T., Jakovljević, M. & McCormick, B.P., 2012. Validation of a patient satisfaction questionnaire in primary health care. Public health, 126(8), pp. 710–718. https://doi.org/10.1016/j.puhe.2012.03.008 PMid:22831911

World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Xesfingi, S. & Vozikis, A., 2016. Patient satisfaction with the healthcare system: assessing the impact of socio-economic and healthcare provision factors. BMC Health Services Research, 16, p. 94. https://doi.org/10.1186/s12913-016-1327-4 PMid:26979458; PMCid:PMC4793546

Žnidaršič, A. & Selak, 2018. Izvedba raziskave od postavitve raziskovalnega problema in ciljev, vzorčenja do sestave vprašalnika in izvedbe anketiran : metodološki pogovori. Javno zdravje, 2(1), pp. 60–71. https://doi.org/10.26318/JZ-02-08

Published

2019-06-21

How to Cite

Zupanc Terglav, B., Selak, Špela, Vrdelja, M., Kaučič, B. M., & Gabrovec, B. (2019). Satisfaction of the citizens of the Republic of Slovenia with healthcare services. Slovenian Nursing Review, 53(2), 112–118. https://doi.org/10.14528/snr.2019.53.1.318

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Original scientific article