Resumé
Background: Institutionalised Medical Check-up (IMC) is to ensure optimal health. While the efforts are in the right direction, the uneven demand and perceptions of poor health service delivery that plague the general public may influence the uptake of this service. The study investigated the experience and satisfaction of the staff of College of Medicine, University of Ibadan with IMC.
Method: Self-developed validated semi-structured questionnaire was administered on a cross-section of 301 staff of College of Medicine, University of Ibadan.
Result: Respondents’ age was 43.9±15.7 years, 36.5% were from the service departments, 32% were senior non-teaching staff and only 11% teaching staff. Majority (69.4%) participated to know their health status while 38.9% did it to satisfy the establishment. Majority (89.7%) completed the IMC, 84% collected all their results and 67.7% returned for a feedback. Overall, 40.9% of respondents were satisfied with the medical check-up; 70% of these were least satisfied by time spent, while provider-client interaction had the highest satisfied respondents (88.0%). Majority (88.4%) of respondents recommended that the IMC should continue. Educational level of respondents was significantly inversely associated with level of satisfaction (p=0.0222), with secondary education and below (65%) showing higher level of satisfaction.
Conclusion: Client satisfaction among staff in relation with the University of Ibadan medical check-up was low. Respondents with higher education were less satisfied with the service. Incorporation of effective communication and continuous health education into standard of healthcare and health system review could increase participation and effectiveness of Institutionalised Medical Check-up.
Keywords: Institutionalised medical check-up, Experience, Satisfaction, University staff
Résumé
Contexte: L’examen médical institutionnalisé (EMI) vise à assurer une santé optimale. Tandis que les efforts vont dans la bonne direction, la demande inégale et les perceptions de la mauvaise manière de prestation des services de santé qui affectent le grand public peuvent influencer l’utilisation de ce service. L’étude a examiné l’expérience et la satisfaction avec l’EMI, du personnel du Collège de Médecine de l’Université d’Ibadan.
Méthode: Un questionnaire semi-structuré, validé, auto-développé, a été administré à 301 membres du personnel du Collège de Médicine de l’Université d’Ibadan.
Résultat: L’âge des répondants était de 43,9 ± 15,7 ans, 36,5% provenaient des départements de service, 32% étaient des cadres non enseignants et seulement 11% du personnel enseignant. La majorité (69,4%) a participé pour connaître leur état de santé, tandis que 38,9% l’ont fait pour satisfaire l’établissement. La majorité (89,7%) a rempli l’EMI, 84% ont recueilli tous leurs résultats et 67,7% sont revenus pour un feedback. Dans l’ensemble, 40,9% des répondants étaient satisfaits du bilan médical. 70% d’entre eux étaient moins satisfaits par le temps passé, alors que l’interaction fournisseur-client avait les répondants les plus satisfaits (88,0%). La majorité (88,4%) des répondants ont recommandé que l’EMI soit maintenu. Le niveau de formation des répondants était significativement inversement associé au niveau de satisfaction (p = 0,0222), avec l’enseignement secondaire et inférieur (65%) affichant un niveau de satisfaction plus élevé.
Conclusion: Le niveau de satisfaction des clients vis-à-vis de la visite médicale à l’université d’Ibadan était faible. Les répondants avec des niveaux d’études supérieures étaient moins satisfaits du service. L’intégration d’une communication efficace et d’une éducation sanitaire continuée dans les normes de santé et la révision du système de santé pourrait accroître la participation et l’efficacité de l’examen médical institutionnalisé.
Mots - clés: Examen médical institutionnalisé, Expérience, Satisfaction, Personnel universitaire
Correspondence: Mr. A.T. Desmennu, Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: adeyimikaades@hotmail.com.
Referencer
Thompson S and Tonelli M. General health checks in adults for reducing morbidity and mortality from disease [editorial]. Cochrane Database of Systematic Reviews 2012.
Adejoro L. Why Nigerians don’t go for Medical Check-up. Daily times, Nigeria.
Health care Commission-North West London Hospitals NHS Trust. (2004/2005). Out-patient survey report.
Larsen DE and Rootman, R. Physician’s role performance and patient satisfaction. Social Science Medicine 1976; 10: 29 – 32.
Donabedian A. The quality of care: How can it be assessed? Journal of American Medical Association 1988; 260: 1743–1748.
James AW. Hospital management in the tropics and subtropics. New York NY; Sheridan Medical Books. 1990.
Sixma HJ, Spreeuwenberg PM and van der Pasch MA. Patient satisfaction with the general practitioner: A two level analysis. Medical Care 1998; 36:212-229.
Asadi- lari M, Tamburini M, and Grichy D. Patients’ needs, satisfaction and health related quality of life: Towards a comprehensive model. Biomedical digital libraries 2004; 2:32.
Iloh G, Ofoedu JN, Njoku PU, et al. Evaluation of patients’ satisfaction with quality of care provided at the National Health Insurance Scheme clinic of a tertiary hospital in South- Eastern Nigeria. Nigeria Journal of Clinical Practices 2012; 15: 469-474.
Aiken LH, Sermeus W, Heede KV, et al. 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 2012; 344:e1717
Aharony L and Strasser S. Patient satisfaction: what we know about and what we still need to explore. Med Care Rev 1993; 50: 49–79.
University of Ibadan Annual Report (2012)
Ibrahim NA and Odusanya OO. Knowledge of risk factors, beliefs and practices of female healthcare professionals towards breast cancer in a tertiary institution in Lagos, Nigeria. BMC Cancer 2009. 4; 9:76
Akhigbe AO and Omuemu V O. Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. Biomedical central- Cancer 2009 9:203
Awodele O, Adeyomoye AA, Oreagba IA, et al. Knowledge, attitude and practice of breast cancer screening among nurses in Lagos University Teaching Hospital, Lagos Nigeria. Nigerian Quarterly Journal of Hospital Medicine 2009; 19(2):114-118.
Salomon K, Clift A, Karlsdottír M and Rottenberg J. Major depressive disorder is associated with attenuated cardiovascular reactivity and impaired recovery among those free of cardiovascular disease. Health Psychology 2009; 28:157–165
World Health Organisation (WHO). World Health Statistics 2011, WHO Geneva
National Population Commission (NPC) [Nigeria]. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria: National Population Commission and ICF Macro.
Ajuwon GA. Use of the Internet for health information by physicians for patient care in a teaching hospital in Ibadan, Nigeria. Biomedical Digital Libraries 2006; 3:12
Iliyasu ZS, Abubakar S, Lawan S and Gajida A. Patients’ satisfaction with services obtained from Aminu Kano Teaching Hospital, Kano and Northern Nigeria. Nigeria Journal of Clinical Practices; 2010; 13 (4): 371 – 378
Olusina AK, Ohaeri JU and Olatawura MO. Patient and staff satisfaction with the quality of in-patient psychiatric care in a Nigerian general hospital. Social Psychiatry and Psychiatric Epidemiology 2004; 37(6): 283-288.
Eze CU. Survey of patient satisfaction with obstetric ultrasound at University of Nigeria Teaching Hospital Enugu, Nigeria. Nigerian Journal of Health and Biomedical Sciences 2006; 5(1): 93-97.
Abdosh B. The quality of hospital services in eastern Ethiopia: Patients’ perspective. Ethiop Journal of Health Development 2006; 20: 199-200.
Butler D, Oswald SL and Turner DE. The effects of demographics on determinants of perceived health care quality. The case of users and observers. Journal of Management in Medicine 1996; 10:8-20.
Mira JJ and Aranaz J. La satisfaction del paciente como una medida del resultado de la atencion sanitaria. Medicina Clinica (Barc) 2000; 114, 26-33
Hall JA and Dornan MC. Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels. Social Science and Medicine 1998, 27: 637-644
Hutchinson PL, Do M and Agha S. Measuring client satisfaction and the quality of family planning services: a comparative analysis of public and private health facilities in Tanzania, Kenya and Ghana. BMC Health Services Research 2011; 11:203.
Reeder LG. The patient-client as a consumer: some observations on changing professional-client relationship. Journal of Health and Social Behaviour 1972; 3 (4): 406-412.
Wilson P and McNamara JR. How perceptions of a simulated physician-patient interaction influence intensed satisfaction and compliance. Social Science and Medicine 1982; 16 (19): 1699 – 1704.
Bush T, Cherkin D and Barlow W. The impact of physician attitudes on patient satisfaction with care for low back pain. Archives Family Medicine 1993; 2(3):301-305