RESEARCH ARTICLE


Patient Satisfaction and the Right to Health: A Survey in a Rehabilitation Clinic in Switzerland



Emmanuel Kabengele Mpinga1, 3, *, Henk Verloo2, Philippe Chastonay3
1 Institute of Social and Preventive Medicine, Faculty of Medicine, Geneva University, Switzerland
2 Applied University of Health Sciences ‘La Source’, Lausanne, Switzerland
3 Swiss Public Health School, Zurich, Switzerland


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Creative Commons License
Mpinga et al.; Licensee Bentham Open

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Institute of Social and Preventive Medicine, Faculty of Medicine, Geneva University, Michel-Servet 1, 1211 Geneva 4, Switzerland; Tel: 41 22 379 04 63; Fax: 41 22 379 04 52; E-mail: Emmanuel.kabengele@unige.ch


Abstract

Background:

The complex nature of the right to health requires multiple indicators to cover all facets. Patient satisfaction (PS) has been proposed as a possible indicator, but no survey has explored the implementation of this indicator and its utility in promoting the right to health.

Objectives:

The aim of the present work is to demonstrate the utility of PS as an indicator of the right to health. The objectives of the survey are to identify problems in different domains of the right to health, to analyse possible explanatory factors and to discuss the conditions of the use of PS as a reliable indicator.

Method:

A retrospective survey using a satisfaction questionnaire was administered to 5,521 hospitalised patients of a rehabilitation clinic in Switzerland between 1 January 2006 and 31 July 2010. A dissatisfaction rate of more than 10% was used as a cut-off point.

Results:

Some 2,788 patients returned the satisfaction questionnaire, representing 50.4% of the target population. Eightynine per cent of the patients expressed general satisfaction. The coordination between intervening healthcare workers (27.2%), the information received (21.5%), the quality of some delivered care (15.1%) and the accessibility to services such as transportation (15.1%) were identified as domains with problems in terms of the right to health and improvements were expected. Satisfaction rates were gender and age dependent as well as related to the length and number of stays within the clinic.

Conclusion:

PS is an interesting indicator of the right to health as a reliable process. It can be used to complement data provided by other more classical right to health indicators.

Keywords: Satisfaction, patient, right, health, monitoring.