Assessment of outdoor patient’s satisfaction regarding clinical investigation of physicians in government hospitals of Quetta, Pakistan

depends up on many factors such as: Quality of clinical services provided, availability of medicine, behavior of doctors and other health staff, cost of services, hospital infrastructure, physical comfort, emotional support, and respect for patient preferences [3,4]. Mismatch between patient expectation and the service received is related to decreased satisfaction [5,6]. Therefore, assessing patient perspectives gives them a voice, which can make public health services more responsive to people's needs and expectations [7,8]. Introduction


Introduction
Citation: Nawaz  In the recent past, studies on patient satisfaction gained popularity and usefulness as it provides the chance to health care providers and mangers to improve the services in the public health facilities [9]. Patients' feedback is necessary to identify problems that need to be resolved in improving the health services [10,11]. Even if they still do not use this information systematically to improve care delivery and services, this type of feedback triggers a real interest that can lead to a change in their culture and in their perception of patients [12,13]. Hence the present study is based on a comprehensive study conducted at Government hospitals of Quetta, Pakistan. To measure patient satisfaction who have availed services at outdoor patient department OPD.

Materials and methods
The study was a cross sectional questionnaire based study. The study has been conducted in the capital city i.e. Quetta of Balochistan, Pakistan. Data was collected from the Government hospitals of Quetta city by the approval of administration accordingly. For the desired purpose a questionnaire was developed. The questionnaire was developed after an invasive literature research and selecting the main factors that are supposed to be the main interacting questions among patient and the consultant. After gathering all the main factors, a questionnaire was developed as a fi rst draft through the directives of my supervisor. After some necessary modifi cations to the initial draft, the foremost questionnaire was developed.

Ethical consideration
The study was conducted in consideration of ethical standards approved by the ethical committee of Pakistan (www.pmrc.org.pk/erc_guidelines). Consent form contained the approval for conduction of the current study from the Faculty of Pharmacy, University of Balochistan, Pakistan.

Sampling technique
The techniques for data collection are numerous in types. As there was no exact, validated and reliable data available regarding the data collection so convenience sampling technique is used for this study.

Sample size
The sample size selected for the study was depending upon the availability and accessibility of outdoor patients within the time period settled for data collection. The total sample size selected for the study was 550 depending upon the presence and accessibility. The process of cleaning was not required so the sample size included in this study was of 447.

Inclusion criteria
The parameters selected to be included in this research study are as follows;  All outdoor patients of selected government hospitals  Male and female patients  Patients him/ herself response  Patient's more than the age of 15 years

Exclusion criteria
The parameters not to be included in this study are as follows;  The patients from private hospitals  Indoor patients  Patients lesser than age of 15 years.

Data analysis
The data collected, was analysed by using IBM SPSS 22. The descriptive analysis was carried out for the demographic details as well as for other categories. All the data was categorical so was expressed as frequency and percentage. Research were taken for the study purpose. A multistage sampling technique was used to select the respondents. A self-designed, pretested, semi structured questionnaire was developed to draw the patient's satisfaction to the health care services.

Demographic study
The Table 1

Patients satisfaction characteristics
Description: The Table 2 represents the characteristics of patient satisfaction relating to physician in various aspects.

Discussion
The study results highlight that patient satisfaction is

Recommendations
The study fi ndings suggest that following measures may be taken by the policy makers and hospital administrators to increase the patient satisfaction at public health facilities: • Efforts should be made to reduce the patient load at the higher level facilities so that doctors can give more attention and time to the patients.
• Efforts are also needed to strengthen infrastructure and human resources at the lower level health facilities.
• The fi ndings of the present study can be utilized to improve the services at public health facilities of the state resulting in the more satisfaction of patients availing such public health facilities.
• Such type of studies should be carried out in private hospitals as well as a comparative study so that government hospitals will be better in providing best facilities to patients.
• Further studies should be conducted to fi ll the gap among patient and physician.
• Study should be done on indoor patients as well.