Quality Healthcare Delivery and Patients Satisfaction at Akuse Government Hospital in the Eastern Region of Ghana

Abstract

Background Q Improving health-care delivery demands a deliberate focus on service quality, which entails providing effective, safe, and people-centered care that is timely, equitable, integrated, and efficient. The degree to which health services for individuals and populations increase the likelihood of desired health outcomes is referred to as quality of care. It is essential for achieving universal health coverage since it is based on evidence-based professional expertise. Objectives The general objective of this study was to assess factors influencing patients’ satisfaction with the quality of health care delivery at Akuse Government Hospital. Methods A facility-based cross-sectional study design using a quantitative research method was adopted for the study. Cluster sampling and proportional stratified sampling was used to select 336 patients attending clinic at Akuse Government hospital in the Eastern Region. A structured questionnaire was used as the data collection tool. Stata software version 16 was used to analyze the data collected. Descriptive statistics such as frequencies, percentages, means, standard deviations, and 95% CI were computed for the various variables. Bivariate analysis using the Chi-square test was performed to test the associations between independent variables and patient satisfaction. Multiple logistic regression analysis was carried out on all related independent factors at the multivariate level. Crude Odds Ratio(cOR) and Adjusted Odds Ratio (AOR) were computed, and statistical significance was accepted at p < 0.05. Results The results of this study showed that the overall estimated proportion of patients with high satisfaction with Quality Healthcare Delivery at Akuse Government Hospital was 84.2%. The educational level (AOR=1.29;95%CI=1.644-5.594, p=0.038), insurance status (AOR = 0.56;95% CI=0.279-0.739, p=0.019), employment status (AOR = 0.20; 95% CI=0.097-0.423, p=0.001), availability of equipment (AOR = 2.47; 95% CI=1.721-3.016, p=0.025), availability of drugs (AOR=2.26;95%CI=1.607-2.648,p=0.032),environmentalcleanliness (AOR=4.32;95%CI=2.178- 8.606, p=0.001) were the factors found to be significantly associated with patients’ satisfaction with Quality Healthcare Delivery at Akuse Government hospital. Conclusion The study revealed that the proportion of patients satisfied with Quality Healthcare Delivery at Akuse Government Hospital was high. Educational level, employment status, insurance status, availability of drugs, availability of equipment and environmental cleanliness were the factors found to be significantly associated with patients’ satisfaction with quality health care delivery. The high level of patient’s satisfaction recorded in this study could be attributed to the availability of drugs, availability of laboratory equipment and the use of National Health Insurance in the facility.