Patient Satisfaction Among the OPD Attendees of Preventive Health and Screening OPD in a Government Tertiary Care Hospital in Delhi
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Abstract
India’s National Health Policy (NHP) 2017 emphasizes patient-centered and quality healthcare across preventive, curative, palliative, and rehabilitative services. Achieving high-quality care necessitates a multidisciplinary approach involving infrastructure, human resources, and service efficiency. Patient satisfaction, a crucial indicator of healthcare quality, reflects how well care aligns with patient expectations and is assessed using validated tools to identify strengths and improvement areas. This study aimed to evaluate patient satisfaction in the Preventive Health and Screening Outpatient Department (OPD) of a government tertiary hospital in Delhi. A cross-sectional study was conducted with 290 adult patients using the Patient Satisfaction Questionnaire (PSQ-18), which assesses seven care domains. Systematic random sampling was employed, and data were analyzed using Stata 17.0 with t-tests and ANOVA. The mean satisfaction score was 4.03±0.54, with 79% of patients reporting overall satisfaction. The highest scores were noted in Technical Quality, while Time Spent with Doctor and Accessibility received lower ratings. Significant differences were observed in Technical Quality based on education (p = 0.049) and in Financial Aspects by diagnosis (p = 0.04). While satisfaction levels are high, improvements in doctor-patient communication, resource allocation, and scheduling can further enhance patient-centered care.
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Copyright (c) 2025 Dr. Ghurumourthy Dhandapani, Dr. Sneha Kumari, Dr. Jugal Kishore, Dr. Kanika Bansal, Dr. Anubhav Mondal, Dr. Aninda Debnath, Dr. Vignitha Babu, Dr. Mohit Jain, Dr. Geeta Yadav
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
[1] National Health Policy, 2017 | Ministry of Health and Family Welfare | GOI. https://mohfw.gov.in/?q=documents-11. Accessed 13 Mar. 2025.
[2] Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur. 2009;22(4):366-81. doi: 10.1108/09526860910964834
[3] Newsome, P. (1999). A Review of Patient Satisfaction: 1. Concepts of Satisfaction. British dental journal. 186. 161-5. 10.1038/sj.bdj.4800052.
[4] Vuori H. Patient satisfaction--an attribute or indicator of the quality of care? QRB Qual Rev Bull. 1987 Mar;13(3):106-8. doi: 10.1016/s0097-5990(16)30116-6
[5] Parsons T. The sick role and the role of the physician reconsidered. Milbank Mem Fund Q Health Soc. 1975;53(3):257-78. doi: 10.2307/3349493
[6] Alibrandi A, Gitto L, Limosani M, Mustica PF. Patient satisfaction and quality of hospital care. Eval Program Plan. 2023; 97:102251. doi: 10.1016/j.evalprogplan.2023.102251.
[7] Rao KD, Peters DH, Bandeen-Roche K. Towards patient-centered health services in India a scale to measure patient perceptions of quality. Int. J. Qual. Health Care. 2006 Dec 1;18(6):414-21. doi: 10.1093/intqhc/mzl049
[8] Reinhardt U, Cheng T. The world health report 2000 - Health systems: improving performance. Bulletin of the World Health Organization. 2000;78(8):1064-1064.
[9] Kishore J, Gupta S, Gedam P. Initiation of the First Preventive Health and Screening Outpatient Department in a Tertiary Teaching Hospital in India. Cureus. 2023 Apr 25;15(4):e38115. doi: 10.7759/cureus.38115. PMID: 37252578; PMCID: PMC10211396. doi: 10.7759/cureus.38115
[10] Kumar, Pankaj & Adhikari, Anjan & Ray, Moumita & Indu, Rania & Bhattacharya, Sangita & Das, Anup. (2018). Assessment of patient satisfaction in outpatient department of a tertiary care hospital in West Bengal, India: a questionnaire-based study. International Journal of Community Medicine and Public Health. 5. 3919. doi: 10.18203/2394-6040.ijcmph20183572.
[11] Marshall GN, Hays RD. The Patient Satisfaction Questionnaire Short Form (PSQ-18) [Internet]. RAND Corporation; 1994 Jan [cited 2025 Mar 9]. Available from: https://www.rand.org/pubs/papers/P7865.html
[12] Gokul RV, Sahran D, Patel N, Kaur B, Aggarwal A. A Cross-sectional Study to Assess the Patient Satisfaction in the Polyclinic Complex of a Tertiary Care Teaching Hospital. Journal of Marine Medical Society. 2025 Jan;27(1):83-8. doi: 10.4103/jmms.jmms_59_24
[13] Chakraborty SN, Bhattacherjee S, Rahaman MA. A cross-sectional study on patient satisfaction in an Urban Health Care Centre of Siliguri Municipal Corporation, Darjeeling, West Bengal. Medical Journal of Dr DY Patil University. 2016 Jan 1;9(3):325-30. doi: 10.4103/0975-2870.182502
[14] Kumar V, Biswas R, Ojha V, Kaushal K. Satisfaction levels of patients attending the outpatient department of a tertiary care center of India. Eur J Clin Exp Med. 2023; 21:756-761. doi: 10.15584/ejcem.2023.4.15.
[15] Ahmad E, Itrat M. Patient Satisfaction with Medical Services Provided at Unani Medicine Hospital, Bengaluru: A Cross-Sectional Study. J Patient Exp. 2020 Dec;7(6):1432-7. doi: 10.1177/2374373520969001
[16] Iqbal A, Noureen I, Liaqat N, et al. Patient satisfaction questionnaire: a tool towards quality improvement of health care services. Esculap. 2019;15. doi:10.51273/esc19.7153.
[17] Dabaghian FH, Khadem E, Ghods R. Evaluation of patient satisfaction with medical services at traditional Iranian medicine clinics in Tehran. Patient Saf Qual Improv. 2016;4(1):313-319. doi: 10.22038/psj.2016.6287.
[18] Bhatt LD, Ghimire S, Khanal K. Patient satisfaction and their determinants in outpatient department of a tertiary public hospital in Nepal: a cross-sectional study. J Patient Rep Outcomes. 2024 Feb 28; 8:26. doi: 10.1186/s41687-024-00696-x
[19] Gomes E, Kenkre AD, Khandeparkar V. Patient satisfaction and quality of geriatric medicine OPD in a tertiary care hospital in Goa. Indian J Geriatr Care. 2022;11(3):62-67.
[20] Adhikari M, Paudel NR, Mishra SR, Shrestha A, Upadhyaya DP. Patient satisfaction and its socio-demographic correlates in a tertiary public hospital in Nepal: a cross-sectional study. BMC Health Serv Res. 2021 Feb 12;21(1):135. doi: 10.1186/s12913-021-06138-8.
[21] Sultan N, Mahajan R, Kumari R, Langer B, Gupta RK, Mir MT, et al. Patient satisfaction with hospital services in COVID-19 era: A cross-sectional study from outpatient department of a tertiary care hospital in Jammu, UT of J&K, India. J Fam Med Prim Care. 2022 Oct;11(10):6380-4. doi: 10.4103/jfmpc.jfmpc_1829_22.
[22] Lin CT, Albertson GA, Schilling LM, Cyran EM, Anderson SN, Ware L, et al. Is patients’ perception of time spent with the physician a determinant of ambulatory patient satisfaction? Arch Intern Med. 2001 Jun 11;161(11):1437-42. doi: 10.1001/archinte.161.11.1437.
[23] Gross DA, Zyzanski SJ, Borawski EA, Cebul RD, Stange KC. Patient satisfaction with time spent with their physician. J Fam Pract. 1998 Aug;47(2):133-7.
[24] Leow HT, Liew SM. A cross-sectional study on patient satisfaction and its association with length of consultation at the University Malaya Medical Centre Primary Care Clinic. Malays Fam Physician. 2022 May 25;17(2):71. doi: 10.51866/oa1339
[25] Poudel L, Baskota S, Mali P, Pradhananga P, Malla N, Rajbhandari B, et al. Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2020 May;58(225):301-5. doi: 10.31729/jnma.4917
[26] Bener A, Ghuloum S. Gender difference on patients’ satisfaction and expectation towards mental health care. Niger J Clin Pract. 2013;16(3):285-91. doi: 10.4103/1119-3077.113448
[27] Jafari Kelarijani SE, Jamshidi R, Heidarian AR, Khorshidi M. Evaluation of factors influencing patient satisfaction in social security hospitals in Mazandaran province, North of Iran. Caspian J Intern Med. 2014;5(4):232-4.
[28] Kaur R, Kant S, Goel AD, Sharma N. Patient Satisfaction Among the OPD Attendees at a Secondary Care Hospital in Northern India. J Patient Exp. 2022;9: 23743735221120497. doi: 10.1177/23743735221120497