Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh
This article was published in the BMJ [© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) and the definite version is available at: https://doi.org/10.1186/s13033-019-0303-x The...
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10361-164822022-03-29T21:01:29Z Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh Nuri, Nazmun Nahar Sarker, Malabika Ahmed, Helal Uddin Hossain, Mohammad Didar Beiersmann, Claudia Jahn, Albrecht Brac James P. Grant School of Public Health Quality of care Patient satisfaction Mental health Specialized hospital Bangladesh This article was published in the BMJ [© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) and the definite version is available at: https://doi.org/10.1186/s13033-019-0303-x The Journal's website is at: https://ijmhs.biomedcentral.com/articles/10.1186/s13033-019-0303-x#citeas Abstract Background: A person’s perception of health service quality depends on his or her expectations and priorities. If the perception of care is good, then it eventually enhances future health service utilization, adherence to treatment and desired outcomes. Understanding a patient’s perspective is key for delivering a better quality patient-centred health care service. This study explored experience and perception of patients and their attendants of mental health care services at the National Institute of Mental Health (NIMH) which is the only national level mental health institute in Bangladesh. NIMH is located in the capital city and provides specialized mental health care services for the whole population. Methods: A facility-based cross-sectional study was conducted using a mixed-method design at the NIMH. A total of 40 respondents (patients, or their attendants if the patient was minor or unable to respond due to lack of mental stability) visiting the outpatient department (OPD) of NIMH were selected by purposive sampling. For each of the ten ICD 10 categories (10th revision of International Classifcation of Diseases by the World Health Organization [WHO]) for mental disorders, four patients were chosen. Finally, 13 patients and 27 attendants (on behalf of 17 minor patients and 10 adult patients unable to respond) participated in the interview. Results: The respondents rated 34 short statements clustered around four dimensions of care (accessibility, interpersonal communications, condition of the waiting and consultation rooms, and general quality of OPD services) and we interpreted those scores as follows: 7.6–10 very satisfed/very good quality, 5.1–7.5 satisfed/good quality, 2.6–5.0 dissatisfed/poor quality and 1.0–2.5 completely dissatisfed/very poor quality. For accessibility and interpersonal communications, the patients perceived care as very good (average scores on a Likert scale of 1–10 were 8.3 and 7.6, respectively). The respondents considered the condition of the waiting and consultation rooms and general quality of OPD care as good (average scores 5.8 and 7.1, respectively). NIMH had serious lack of resources in terms of functional medical equipment and physicians appointed, which negatively impacted on the service quality. Conclusions: Patients receiving services from the NIMH OPD had a positive perception of the quality of care in general. But, at an individual level, some respondents expressed dissatisfaction. Our fndings are informative for quality improvement and client-oriented care service planning at NIMH, Bangladesh. Published 2022-03-29T06:10:30Z 2022-03-29T06:10:30Z 2019 2019-06-22 Journal Article Nuri, N. N., Sarker, M., Ahmed, H. U., Hossain, M. D., Beiersmann, C., & Jahn, A. (2019). Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh. International Journal of Mental Health Systems, 13(1) doi:10.1186/s13033-019-0303-x http://hdl.handle.net/10361/16482 https://doi.org/10.1186/s13033-019-0303-x en_US https://ijmhs.biomedcentral.com/articles/10.1186/s13033-019-0303-x#citeas International Journal of Mental Health Systems application/pdf BMC |
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Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
Quality of care Patient satisfaction Mental health Specialized hospital Bangladesh |
| spellingShingle |
Quality of care Patient satisfaction Mental health Specialized hospital Bangladesh Nuri, Nazmun Nahar Sarker, Malabika Ahmed, Helal Uddin Hossain, Mohammad Didar Beiersmann, Claudia Jahn, Albrecht Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| description |
This article was published in the BMJ [© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) and the definite version is available at: https://doi.org/10.1186/s13033-019-0303-x The Journal's website is at: https://ijmhs.biomedcentral.com/articles/10.1186/s13033-019-0303-x#citeas |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Nuri, Nazmun Nahar Sarker, Malabika Ahmed, Helal Uddin Hossain, Mohammad Didar Beiersmann, Claudia Jahn, Albrecht |
| format |
Journal Article |
| author |
Nuri, Nazmun Nahar Sarker, Malabika Ahmed, Helal Uddin Hossain, Mohammad Didar Beiersmann, Claudia Jahn, Albrecht |
| author_sort |
Nuri, Nazmun Nahar |
| title |
Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| title_short |
Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| title_full |
Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| title_fullStr |
Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| title_full_unstemmed |
Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh |
| title_sort |
experience and perceived quality of care of patients and their attendants in a specialized mental hospital in bangladesh |
| publisher |
BMC |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16482 https://doi.org/10.1186/s13033-019-0303-x |
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