A Study on Evaluation of Patient Satisfaction with National Tuberculosis Elimination Programme Services in Ahmedabad, India

Rujul Shukla; Sahil Solanki; Viral Dave; Bhavesh Modi; Rajesh Solanki

doi:10.4103/ijcm.ijcm_416_23

A Study on Evaluation of Patient Satisfaction with National Tuberculosis Elimination Programme Services in Ahmedabad, India

Indian J Community Med. 2025 Mar-Apr;50(2):312-317. doi: 10.4103/ijcm.ijcm_416_23. Epub 2025 Jan 30.

Authors

Rujul Shukla¹, Sahil Solanki², Viral Dave², Bhavesh Modi³, Rajesh Solanki⁴

Affiliations

¹ Department of Community Medicine, Ananya College of Medicine and Research, Gandhinagar, Gujarat, India.
² Department of Community Medicine, GCS Medical College, Ahmedabad, Gujarat, India.
³ Department of Community and Family Medicine, All India Institute of Medical Sciences, Rajkot, Gujarat, India.
⁴ Department of Pulmonary Medicine, Nootan Medical College, Visnagar, Gujarat, India.

Abstract

Background: India accounts for the highest burden of tuberculosis cases in the world. Patient satisfaction is a key criterion for evaluating the quality of healthcare services as satisfaction has been found to be associated with superior compliance and better outcomes. Study was planned with the objectives to assess the patient's satisfaction regarding treatment-related services under NTEP.

Materials and methods: Community-based cross-sectional study was carried out at Ahmedabad Municipal Corporation (AMC) Area. A total of 200 participants were included in the study from various zones of AMC. Probability-proportional-to-size sampling was done and patients seeking care at public (126; 63%) and private (74; 37%) healthcare facilities were included. Questionnaire contained questions related to general sociodemographic profile of participants and satisfaction to NTEP service for which, PSQ-18 Questionnaire was utilized.

Results: Overall satisfaction to NTEP services was found to be 86%. Amongst public healthcare facilities satisfaction was found to be 86.5% whereas in private healthcare facility it was 85.1%. Compliance to TB treatment was found in 91.5% of participants. Domains such as general satisfaction, communication, time spent with doctors, and accessibility and convenience were found to be statistically significant at private facility compared with public healthcare facility.

Conclusion: Statistically significant difference was found between patient satisfaction at public and private health facilities in domains of general satisfaction, communication, time spent with doctor, and accessibility and convenience. The same domains at public and private type of healthcare facilities were found to have statistically significant role in treatment compliance by study participants.

Keywords: Compliance; health system; national tuberculosis elimination programme; patient perspective; patient satisfaction questionnaire-18; satisfaction; tuberculosis; user experience.