Patients’ Satisfaction with Public Health Care Services in Bangladesh: Some Critical Issues
DOI:
https://doi.org/10.18034/mjmbr.v3i1.405Keywords:
Patient satisfaction, Public health care, ServicesAbstract
This paper attempts to explore the experiences of Bangladeshi patient with public health care services, clients self-perception of health, understanding their expectation and demands of health care towards government health practitioners and service providers. The study points out the issues and difficulties they faced in treatment or getting other services and presents some recommendations to improve the public hospital services.The study was undertaken using the interpretivist paradigm and based on qualitative research method with various data collection procedures, such as interview, focus group discussion (FGD), documentation survey, etc. were employed to collect necessary information. The data highlight a continuous cycle of marginalisation resulting from the interplay of health service providers and their business counter-parts e.g. private pharmaceutical companies, diagnostic centres which reduce the opportunity of protecting patients’ consumer rights at large scale. Therefore, the study suggests that policy makers and service providers should be more responsive to initiate effective policy measures and programmes to combat marginalisation and exclusion of that poor patient groups.
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References
Aldana, J. M., Piechulek H, and Al- Sabir A. (2001) ‘Client satisfaction and quality of health care in rural Bangladesh’ Bulletin of the World Health Organization, 2007: 79.
Andaleeb S. S., Siddiqui N. and Khandakar S. (2007) ‘Patient satisfaction and quality of hospital services in Bangladesh, Health Policy and Planning, 22: 263.
Ashrafun L. and Uddin M.J. (2011) ‘Factors determining inpatient satisfaction with hospital care in Bangladesh’, Asian Social Science, 7(6): 15-19.
Atkin, K. and Chatto, S. (2006) ‘Approaches to conducting qualitative research in ethnically diverse populations’, in Nazroo, J. (ed) Health and social research in multiethnic societies, London: Routledge.
Bangladesh Demographic and Health Survey Report (2004) Ministry of Planning, Planning Commission, Dhaka.
Bangladesh Ministry of Planning (1998) cited in Andaleeb S. et al. (2007) ‘Patient satisfaction and quality of Hospital services in Bangladesh, Health Policy and Planning, 22: 263- 273.
Bryman, A. and Burgess, R. (1994) Analysing Qualitative Data, London: Routledge.
Bulmer, C. (1998) ‘Clinical decisions: defining meaning through focus groups’, Nursing Standard, 12 (20), 34-6.
Calnan et al., 1994; Epstein, Laine, Farber, Nelson and Davidoff, 1996, cited in Ashrafun L. and Uddin M. J. (2011) ‘Factors determining inpatient satisfaction with hospital care in Bangladesh, Asian Social Science, 7(6): 15-19.
CIET Canada and Ministry of Health and Family Welfare, Government of Bangladesh (2004) cited in Andaleeb S. et al. (2007) ‘Patient satisfaction with health services in Bangladesh’, Health Policy and Planning, 22: 263- 273.
Dagger T., Sweeny J. C. (2006) ‘The effects of service evaluation on behavioural intentions and quality of life’, Journal of Service Research, 19: 33-48
Denzin, N. K. and Lincoln, Y.S. (2003) Handbook of Qualitative Research, 2nd edition, Thousand Oaks, CA: Sage.
General Economic Division (2005) Bangladesh: Unlocking the Potential, Planning Commission, Government of the People’s Republic of Bangladesh.
HEU (2003a) Public health services utilization study, Dhaka: Health Economics Unit, Ministry of Health and Family Welfare, Government of Bangladesh.
Hossen, A and Westhues, A (2011) ‘Improving access to government health care in rural Bangladesh: the voice of older adult women’, Health Care for Women International, Rutledge, 32(12): 1088-1110.
International Monetary Fund (2013) Bangladesh: poverty reduction strategy paper, IMF Country Report N0. 13/63, Washington, D.C.
Islam, M. Z. and Jabbar, M. A. (2008) ‘Patients satisfaction of health care services provided at outpatient department of Dhaka Medical College Hospital’, Ibrahim Med. Coll. J., 2 (2): 55-57.
Kirby (2002), Wilkinson and Marmot (1998) cited in Hossen, A and Westhues, A (2011) ‘Improving access to government health care in rural Bangladesh: the voice of older adult women’, Health Care for Women International, Routledge, 32(12): 1088-1110.
Marshall C., Gretchen, B. and Rossman (1999) Designing Qualitative Research (3rd edition), London: Sage Publications.
Miles M., Huberman A. (1994) Qualitative data analysis: An expanded source book, Thousand Oaks CA: Sage Publications.
Ministry of Health and Family Welfare, 2003; cited in Andaleeb S. et al. (2007) ‘Patient satisfaction with health services in Bangladesh, Health Policy and Planning, 22: 263- 273.
Nyer P. (1999) Cathartic complaining as a means of reducing consumer dissatisfaction, Journal of Consumer Satisfaction, Dissatisfaction and Complaining Behaviour, 12: 15- 25.
Oja Pl., Kouri TT, Pakarinen AJ (2006) cited in Andaleeb S. et al. (2007) ‘Patient satisfaction with health services in Bangladesh’, Health Policy and Planning, 22: 263.
Rahman et al., (2002) cited in Aldana, J. M. et al. (2001) ‘Client satisfaction and quality of health care in rural Bangladesh’ Bulletin of the World Health Organization, 2007: 79.
Rahman MS, Ashaduzzaman ASM and Rahman MM (2005) Poor people’s access to health services in Bangladesh: focusing on the issues of inequality, Network of Asia- Pacific Schools and Institutes of Public Administration and Governance (NAPSIPAG), Annual Conference, Beijing.
Richardo B, Hussmann K, Munoz R, and Zaman S. (2004) Comparative advantage of public and private providers in health care service in terms of cost, pricing, quality and accessibility, Dhaka: Health Economics Unit, Ministry of Health and Family Welfare, GOB.
Sen and Acharya’s study (1997) cited in Aldana, J. M. et al. (2001) ‘Client satisfaction and quality of health care in rural Bangladesh’ Bulletin of the World Health Organization, 2007: 79.
Siddiqui A. M. A. H. (2003) Health in Poverty Reduction Strategy: Bangladesh Perspective (Report of the DORP: Searching Micro Situation) Development Organization of the Rural Poor, Dhaka
Strauss L. and Corbin, J. (1990) Basics of Qualitative Research: Grounded Theory Procedures and Techniques, Newbury Park: Sage.
Thomas, D. (2003) A general inductive approach for qualitative data analysis (on line) Available from: http://www.health.auckland.ac.nz/hrmas/resources/qualdatanalysis.html [Accessed on 27-04-2008]
WHO, 2006, UNDP, 2009 cited in International Monetary Fund (2013) Bangladesh: Poverty Reduction Strategy Paper, IMF Country Report N0. 13/ 63, Washington, D.C.
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