Patient satisfaction with comprehensive cataract surgical services in southern India: a multi-centre cross-sectional study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20261699Keywords:
Cataract, Eye health care services, India, Patient satisfactionAbstract
Background: Patient satisfaction is an important tool for healthcare providers to monitor and improve the quality of care, yet there is limited information on patient satisfaction with cataract surgical services in India.
Methods: This cross‑sectional study used a random sample from five not for profit eye hospitals in southern India. Patient satisfaction was assessed in three domains (i) provider communications, (ii) provider-patient interactions, and (iii) availability and accessibility. Data were collected using a structured questionnaire.
Results: A total of 322 patients provided interviews. The median ages were 62 and 59 years for males and females, respectively. The overall patient satisfaction was 96% (95% CI: 93.2-97.8%) but ranged from 79.2% for provider-patient interactions to 82.6% for provider communications. The self-rated patient satisfaction was 91.9% (95% CI: 88.4-94.7%). Female patients (62.1%, p=0.049) and those who travelled 50 km or less to reach base hospital (51.8%, p=0.026) were significantly more likely to report higher overall satisfaction. Similarly, female patients (62.5%, p=0.048) and those who opted to travel by vehicle provided by base hospital (69.9%, p=0.038) reported significantly higher self-rated satisfaction.
Conclusions: This study provides evidence supporting high levels of patient satisfaction with cataract surgical service provision in southern India. Female patients, those travelling for 50 km or less and availing free-of-cost transportation offered by base hospitals were more likely to report higher overall satisfaction. Employing staff that speaks the local language would enable better provider-patient communication and interactions leading to seamless service provision leaving patients more satisfied.
References
Kumar A, Vashist P. Indian community eye care in 2020: Achievements and challenges. Indian J Ophthalmol. 2020;68(2):291-3.
Ravindran RD, Gupta S, Haripriya A, Ravilla T, Vardhan SA, Subburaman GB. Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India. Eye. 2021;35(7):1895-903.
Reidy A, Mehra V, Minassian D, Mahashabde S. Outcome of cataract surgery in central India: a longitudinal follow-up study. Br J Ophthalmol. 1991;75(2):102-5.
Vijaya L, George R, Rashima A, Raju P, Arvind H, Baskaran M, et al. Outcomes of cataract surgery in a rural and urban south Indian population. Indian J Ophthalmol. 2010;58(3):223-8.
Dandona L, Dandona R, Anand R, Srinivas M, Rajashekar V. Outcome and number of cataract surgeries in India: policy issues for blindness control. Clin Exp Ophthalmol. 2003;31(1):23-31.
Lee MD, Chen SP, Chen TA, Leibold C, Li Z, Fisher AC, et al. Characteristics of cataract surgery patients influencing patient satisfaction scores. J Cataract Refract Surg. 2019;45(4):437-42.
Kinga K, Ursula HK. Survey of patient satisfaction after bilateral cataract surgery. Rom J Ophthalmol. 2022;66(1):36-40.
Yotsukura E, Ayaki M, Nezu N, Torii H, Arai H, Sakatani K, et al. Changes in patient subjective happiness and satisfaction with cataract surgery. Sci Rep. 2020;10(1):17273.
Nijkamp MD, Nuijts RM, Borne B, Webers CA, van der Horst F, Hendrikse F. Determinants of patient satisfaction after cataract surgery in 3 settings. J Cataract Refract Surg. 2000;26(9):1379-88.
Lebow JL. Research assessing consumer satisfaction with mental health treatment: a review of findings. Eval Program Plann. 1983;6:211-36.
Donabedian A. Twenty years of research on the quality of medical care: 1964-1984. Eval Health Prof. 1985;8(3):243-65.
Donabedian A. Institutional and professional responsibilities in quality assurance. Qual Assur Health Care. 1989;1(1):3-11.
Donabedian A. Monitoring: the eyes and ears of healthcare. Health Prog. 1988;69(9):38-43.
Marshall GN, Hays RD. The patient satisfaction questionnaire short form (PSQ-18). Santa Monica: RAND Corporation; 1994. Available at: https://www.rand.org/pubs/papers/P7865.html. Accessed 16 March 2023.
Valderas JM, Rue M, Guyatt G, Alonso J. The impact of the VF-14 index, a perceived visual function measure, in the routine management of cataract patients. Qual Life Res. 2005;14:1743-53.
Wright CJ, Chambers GK, Robens-Paradise Y. Evaluation of indications for and outcomes of elective surgery. CMAJ. 2002;167:461-6.
Garcia-Gutierrez S, Quintana JM, Aguire U, Barrio I, Hayas CL, Gonzalez N, et al. Impact of clinical and patient-reported outcomes on patient satisfaction with cataract extraction. Health Expect. 2014;17(6):765-75.
Wasfi EI, Pai P, Abd-Elsayed AA. Patient satisfaction with cataract surgery. Int Arch Med. 2008;1(1):22.
Colin J, Kebir SE, Eydoux E, Hoang-Xuan T, Rozot P, Weiser M. Assessment of patient satisfaction with outcomes of and ophthalmic care for cataract surgery. J Cataract Refract Surg. 2010;36(8):1373-9.
Pager CK, McCluskey PJ. Public versus private patient priorities and satisfaction in cataract surgery. Clin Exp Ophthalmol. 2004;32(5):482-7.
Sethu S, Lawrenson JG, Kekunnaya R, Ali R, Borah RR, Suttle C. Barriers and enablers to access childhood cataract services across India. A qualitative study using the Theoretical Domains Framework (TDF) of behaviour change. PLoS One. 2021;16(12):e0261308.
Wang J, Jin L, Lu Q, Borah RR, Ali R, Li J, et al. Barriers, costs, and attitudes toward pediatric cataract surgery at two large facilities in China and India. Ophthalmic Epidemiol. 2019;26(1):47-54.
Amritanand A, Jasper S, Paul P, Kuriakose T. Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: a cross-sectional study. Indian J Ophthalmol. 2018;66(7):963-8.
Chandrashekhar TS, Bhat HV, Pai RP, Nair SK. Coverage, utilization and barriers to cataract surgical services in rural South India: results from a population-based study. Public Health. 2007;121(2):130-6.
Kumar SGP, Mondal A, Vishwakarma P, Kundu S, Lalrindiki R, Kurian E. Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India. Indian J Ophthalmol. 2018;66(7):969-74.
Downloads
Published
How to Cite
Issue
Section
