Factors Relating to the Expectations and Perceptions of Post-Stroke Outpatients’ in the Rehabilitation Services of Bangladesh
Keywords:Expectation, Perception, Post-stroke, Rehabilitation
Purpose: For enhancing patients’ participation, this study aims to identify the patient-related factors that relate to the expectations and perceptions of post-stroke outpatients’ in the rehabilitation services of Bangladesh.
Methods: A questionnaire survey was administered to 342 outpatients from the stroke rehabilitation department. Descriptive statistical analysis was applied to measure patients’ perceptions and expectations. Eta statistic from ANOVA was applied to examine the relationship between patient-related factors and the patients’ expectations and perceptions of the rehabilitation services.
Findings: Patients’ expectations rated higher than the perceptions in all the dimensions of rehabilitation services. Factors such as; (i) patients' education (0.222, p=0.005) and post-stroke disability (0.447, p<0.001) indicated a significant relationship with patients' expectations. (ii) Patients' education (0.210, p=0.010), occupation (0.226, p=0.003), family status (0.180, p=0.048) and daily activities before the stroke (0.169, p=0.044), post-stroke disability (0.195, p=0.004) and distance from home to the hospital (0.190, p=0.006) indicated a significant relationship with their perceptions in the rehabilitation services.
Conclusion: The findings of this study concluded that the rehabilitation manager needs to work on these factors and recommended developing a continuing education program to minimize these factors of poor perceptions in the rehabilitation services.
Webster TR, Mantopoulos J, Jackson E, Cole-Lewis H, Kidane L, Kebede S, et al. A brief questionnaire for assessing patient healthcare experiences in low-income settings. International Journal for Quality in Health Care 2011; 23(3): 258-68. https://doi.org/10.1093/intqhc/mzr019
Abuosi AA, Atinga RA. Service quality in healthcare institutions: establishing the gaps for policy action. International journal of health care quality assurance 2013; 26(5): 481-92. https://doi.org/10.1108/IJHCQA-12-2011-0077
Hussain MM, Raihan MMH. Patients’ satisfaction with public health care services in bangladesh: some critical issues. Malaysian Journal of Medical and Biological Research 2015; 2(2): 115-26.
Muhammad F, Chowdhury M, Arifuzzaman M, Chowdhury AA. Public Health Problems in Bangladesh: Issues and challenges. South East Asia Journal of Public Health 2017; 6(2): 11-6. https://doi.org/10.3329/seajph.v6i2.31830
Ahmed SM, Alam BB, Anwar I, Begum T, Huque R, Khan JA, . . ., et al. Bangladesh Health System Review. Asia Pacific Observatory on Health Systems and Policies. Health Systems in Transition 2015; 5(3).
Bangladesh [Internet]. Institute for Health Metrics and Evaluation 2016 [cited 15th March, 2017]. Available from: http: //www.healthdata.org/bangladesh.
Mohammad Q. Management of stroke-Bangladesh perspective. Bangladesh Medical Journal 2014; 42(1): 34-7. https://doi.org/10.3329/bmj.v42i1.18979
Alarcos Cieza AK, Qhayiya Magaqa, Abdul Ghaffar. Health policy and systems research for rehabilitation: a call for papers,. Bull World Health Organ 2021; 99(10): 686. https://doi.org/10.2471/BLT.21.287200
Post-Stroke Rehabilitation [Internet]. National Institutes of Health 2014 [cited 23rd March, 2017]. Available from: https: //stroke.nih.gov/materials/rehabilitation.htm.
Ministry of Health and Family Welfare. Health Bulletin 2016. Management Information System Directorate General of Health Services. Bangladesh: Dhaka, Mohakhali.; 2016.
Biswas T, Pervin S, Tanim MIA, Niessen L, Islam A. Bangladesh policy on prevention and control of non-communicable diseases: a policy analysis. BMC public health 2017; 17(1): 582. https://doi.org/10.1186/s12889-017-4494-2
Mamin FA, Islam MS, Rumana FS, Faruqui F. Profile of stroke patients treated at a rehabilitation centre in Bangladesh. BMC research notes 2017; 10(1): 520. https://doi.org/10.1186/s13104-017-2844-x
Ahmed N, Quadir MM, Rahman MA, Alamgir H. Community integration and life satisfaction among individuals with spinal cord injury living in the community after receiving institutional care in Bangladesh. Disability and rehabilitation 2018; 40(9): 1033-40. https://doi.org/10.1080/09638288.2017.1283713
Uddin T, Islam MT, Rathore FA, O’Connell C. Disability and rehabilitation medicine in Bangladesh: Current scenario and future perspectives. The Journal of the International Society of Physical and Rehabilitation Medicine 2019; 2(4): 168. https://doi.org/10.4103/jisprm.jisprm_61_19
Ali I, Azman A, Singh PSJ, Hatta ZA, Mungai NW, Islam MS, et al. People with Disabilities: The Role of Social Workers for Rehabilitation in Bangladesh. Building Sustainable Communities: Springer; 2020. p. 403-24. https://doi.org/10.1007/978-981-15-2393-9_20
Mohiuddin AK. An extensive review of patient health-care service satisfaction in Bangladesh. Adesh University Journal of Medical Sciences & Research 2020; 2(1): 5-16. https://doi.org/10.25259/AUJMSR_6_2020
Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. the Journal of Marketing. 1985: 41-50. https://doi.org/10.1177/002224298504900403
Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: A multiple-item scale for measuring customer perceptions of service quality. Journal of Retailing. 1988; 64(1): 12-40.
Alghamdi FS. The impact of service quality perception on patient satisfaction in Government Hospitals in Southern Saudi Arabia. Saudi medical journal 2014; 35(10): 1271-3.
Al Fraihi KJ, Latif SA. Evaluation of outpatient service quality in Eastern Saudi Arabia. Patient's expectations and perceptions. Saudi medical journal 2016; 37(4): 420-8. https://doi.org/10.15537/smj.2016.4.14835
Nadi A, Shojaee J, Abedi G, Siamian H, Abedini E, Rostami F. Patients’ expectations and perceptions of service quality in the selected hospitals. Medical Archives 2016; 70(2): 135. https://doi.org/10.5455/medarh.2016.70.135-139
Carman JM. Consumer perceptions of service quality: an assessment of T. Journal of retailing. 1990; 66(1): 33.
Choi K-S, Lee H, Kim C, Lee S. The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service. Journal of Services Marketing 2005; 19(3): 140-9. https://doi.org/10.1108/08876040510596812
Andaleeb SS, Siddiqui N, Khandakar S. Patient satisfaction with health services in Bangladesh. Health policy and planning 2007; 22(4): 263-73. https://doi.org/10.1093/heapol/czm017
Patchick EL, Horne M, Woodward‐Nutt K, Vail A, Bowen A. Development of a patient‐centred, patient‐reported outcome measure (PROM) for post‐stroke cognitive rehabilitation: qualitative interviews with stroke survivors to inform design and content. Health Expectations 2015; 18(6): 3213-24. https://doi.org/10.1111/hex.12311
Togher F, Siriwardena AN, Windle K. Development of a Patient Reported Experience Measure (PREM) for use in the ambulance service. BMJ Publishing Group Ltd and the British Association for Accident …; 2015. https://doi.org/10.1136/emermed-2015-204980.4
Lee D. HEALTHQUAL: a multi-item scale for assessing healthcare service quality. Service Business 2017; 11(3): 491-516. https://doi.org/10.1007/s11628-016-0317-2
Bobocea L, Gheorghe I, Spiridon S, Gheorghe C, Purcarea V. The management of health care service quality. A physician perspective. Journal of medicine and life 2016; 9(2): 149.
Naidu A. Factors affecting patient satisfaction and healthcare quality. International journal of health care quality assurance 2009; 22(4): 366-81. https://doi.org/10.1108/09526860910964834
Torabipour A, Sayaf R, Salehi R, Ghasemzadeh R. Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran. Jundishapur Journal of Health Sciences 2016; 8(1). https://doi.org/10.17795/jjhs-32560
Farr M, Cressey P. Understanding staff perspectives of quality in practice in healthcare. BMC health services research 2015; 15: 123. https://doi.org/10.1186/s12913-015-0788-1
Mohuiddin A. Patient Satisfaction with Healthcare Services: A Bangladesh Scenario. J BioMed Res Innov 2020; 1(1): 101. https://doi.org/10.37547/tajmspr.v2i05.344
Sofaer S, Firminger K. Patient perceptions of the quality of health services. Annual review of public health 2005; 26. https://doi.org/10.1146/annurev.publhealth.25.050503.153958
Tekindal M, Tekindal MA, Yazicr AC. Evaluation of expected and perceived of quality of service with the SERVQUAL scale: The case of a private physical therapy and rehabilitation center. Biomedical Research 2017; 28(2).
Mavaddat N, Sadler E, Lim L, Williams K, Warburton E, Kinmonth A, et al. Perceptions of self-rated health among stroke survivors: a qualitative study in the United Kingdom. BMC geriatrics 2018; 18(1): 81. https://doi.org/10.1186/s12877-018-0765-8
Rehabilitation Therapy After Stroke [Internet]. National Stroke Association 2017 [cited 3rd March, 2017]. Available from: www.stroke.org.com.
Charan J, Biswas T. How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine 2013; 35(2): 121-6. https://doi.org/10.4103/0253-7176.116232
Kumar R. Research Methodology. 2 ed. London: Sage publications; 2005.
Donabedian A. Basic approaches to assessment: structure, process and outcome. The definition of quality and approaches to its assessment: explorations in quality assessment and monitoring. 1980; 1: 77-128.
Lee D, Kim KK. Assessing healthcare service quality: a comparative study of patient treatment types. International Journal of Quality Innovation 2017; 3(1). https://doi.org/10.1186/s40887-016-0010-5
Bowling A. Research Methods In Health: Investigating Health And Health Services. 4 ed: open university press; 1997.
Zhou L, Chen Y. The Research and Management of Patient Expectations of Medical Service Quality 2010.
Girmay A, Marye T, Haftu M, Brhanu T, Gerensea H. Patients expectation strongly associated with patients perception to nursing care: hospital based cross sectional study. BMC research notes 2018; 11(1): 310. https://doi.org/10.1186/s13104-018-3447-x
Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Medicine & science in sports & exercise 2002; 34(12): 1996-2001. https://doi.org/10.1097/00005768-200212000-00020
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .