Professional Documents
Culture Documents
Research 3RD
Research 3RD
Research 3RD
PROVINCIAL HOSPITAL
_______________________
Talibon, Bohol
_______________________
Research Project
_______________________
by
Boyles, Zenwiel
Casenillas, Emalfred
March 2020
ii
APPROVAL SHEET
Member Member
Chairman
PANEL OF EXAMINERS
__________________.
LINDON L. VALMORES, OD
DEDICATION
We dedicate this research study to our beloved families, friends and relatives. A
special feeling of gratitude to our loving family and friends whose words of
encouragement gave us strength to keep going and helped us surpass our limits to
achieve great things in life. They never left our sides and supported us throughout the
process.
We also dedicate this research study and give our special thanks to Dr. Miguelito
Jayoma for allowing us to conduct our research in Garcia Memorial Provincial Hospital.
This study would not have been possible without your kindness.
iv
ACKNOWLEDGEMENT
We, the researchers, would like to take this opportunity to give our greatest
gratitude and fond appreciation to the people who made this research study possible
and a success.
To the Heavenly Father, who enlightened our mind and showered us the good
health that we absolutely need to exert our utmost best for this material.
To all the Patients, Healthcare Workers and Staffs of Garcia Memorial
Provincial Hospital, who accommodated us with warm welcome and supported us till
the end.
To the Teachers of Blessed Trinity College, especially Mrs. Juvelyn
Munalem, our sincere thanks for the moral support, encouragement and for the
consideration.
To our beloved school, Blessed Trinity College, who molded us into God-
fearing individuals and capable students.
To our statistician, Mr. Victor Astillo, who took care of our tables and the
statistical analysis needed for our study.
To our classmates, who aided us with every confusing matter that was included
in the study. We are thankful for having them at our backs who are always there to help
and comfort us. Specifically, to Venus Paez for helping in the proofreading of the
material.
To our parents and siblings, who never ceased to support us, either financially
or emotionally. You never doubt our capabilities and trusted us in our endeavors with
regards to finishing our material. We are grateful for understanding our situation and for
giving us your full support that never failed to give us strength to conquer this arduous
path to success.
To our research adviser, Mr. Lowel Andrew Batomalaque, who nourished our
knowledge and refined our skills. We relay our heartfelt gratitude for guiding and being
patient with us throughout the whole journey. Without his guidance, this research study
would not be made possible and a successful one.
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TABLE OF CONTENTS
Page
TITLE PAGE…………………………………………………………………………………....i
APPROVAL SHEET...………………………………………...…………..……………….....ii
DEDICATION…………………………………………………………………………………..iii
ACKNOWLEDGEMENT………………………………………………………………………iv
TABLE OF CONTENTS…………………………………………………………………….....v
LIST OF TABLE…………………………………………………………………..…………...vii
LIST OF TABLE…………………………………………………………………..…………...viii
Chapter 1
INTRODUCTION…………………………………………………………………….…1
Rationale………………………………………………………………………..1
Theoretical Background……………………………………………………….5
THE PROBLEM…………………………………………………………………….…14
Hypothesis………………………………………………………………….….15
RESEARCH METHODOLOGY…………………………………………………………...18
Research Design…………………………………………………………….18
Research Environment……………………………………………….……..18
Research Respondents……………………………………………………..19
Research Instrument………………………………………………………...20
Research Procedure…………………………………………………………20
Statistical Treatment…………………………………………………………21
DEFINITION OF TERMS…………………………………………………………………….24
Chapter 2
Chapter 3
Summary……………………………………………………………………...51
Findings……………………………………………………………………….52
Conclusions….........................................................................................55
Recommendations………………………………………………………..….55
REFERENCES………………………………………………………………………………..57
APPENDICES………………………………………………………………………………...59
CURRICULUM VITAE…................................................................................................62
vii
LIST OF TABLES
LIST OF APPENDICES
Appendix 1…………………………..………………………………………………………..59
Appendix 2…………………………………………………………………………………….60
1
Chapter 1
Introduction
Rationale
individual equipped with the required facilities and driven by trained and committed
known for its growth and changes over time in the global economy (Singh, 2012).
Therefore, many have set their eyes for its advancement which results to high
expectations and demands of the people in the society. The need for a better health and
a better quality of living, regardless of age, gender and status, is evident and has been
a long-standing issue that the healthcare administrators and medical providers are
encountering. The healthcare industry continues to face these critical challenges and
Providing effective services to the patients are important wherein enhancement in the
level of medical care that the hospital can offer to its patients has become a primary
concern. It is essential for the hospital to enhance their facilities and service quality in
respect with satisfying and retaining patients. The different perspective of the patients
on their various observations regarding the services given by the institution has been
proven to have an effect to their satisfaction level. In order to improve service quality,
involvement of the patients is a vital part where evaluation of service quality will play a
major in role in enhancing the current health care system. Elevating the standards for
2
medical care and being able to deliver excellent services to its constituents will have a
massive impact in meeting the patient’s level of satisfaction, therefore, the relationship
between the patient and its medical providers strengthens and will continue to seek for
probability of its patients’ preference when it comes to the quality of public services.
Many people studied and searched for the best way in ensuring the healthy well- being
of one another and a comfortable lifestyle for everyone. Hence, the researchers’
objectives are to be able to help through suggesting ideas for the betterment of one’s
healthcare, gain enough information to identify what certain problem has occurred in
their organization so they can easily find access to work on that certain issue and
The patients, based on their surveys, adopt a variety of approaches to elicit their
overall ratings of care. The review questionnaires helps to adjudge basic standards
across the patient care that can aid on the growth of the medical care institutions to
recognize the level of care provided by the services of the hospital. These can address
the different encounters that the patients have experienced in the hospital. This some
issues faced by the patients are the following: Waiting times, the actual encounter
where they wait too long to be accommodated in their given dates. Responsiveness of
the staff , most surveys include a patient experienced that has been asked is related to
how long the staff respond to a call button , in relation of the question concerning the
(Pearse, 2005).
According to Singh (2012), patients visit the hospital to be healed from any
sickness. They have the right to experience the best form of treatment and all of the
workers and the staffs, from the doctors to the cleaners or the people handling the bills
of the patients, can affect the patients’ perspective of the image of the hospital.
Therefore, the importance of the relationship between the patients and hospital is
institutions. Despite of what has been said, the service quality may correspond to the
order to permeate not just awareness but it is also an obvious evidence to what has
clearly being observed as one of serious topics this world has, especially life
involvement.
4
The researchers conduct this study to assess the patient satisfaction regarding
the services provided by the Garcia Memorial Provincial Hospital. The researchers
chose Garcia Memorial Provincial Hospital as the environment of the study because it is
the only medical healthcare present in the Municipality of Talibon and can be accessed
easily by the researchers. It is the goal of the researchers to help one another and make
a better community for everyone. Through this study, the researchers can propose a
Theoretical Background
Main Theories
Performance Theory
Respondent’s Profile
Age
Level of Satisfaction Sex
Economic
Status
patients set their expectations on the outcome of their treatment before experiencing the
actual performance. When the actual performance does not meet the patients'
Leaving the patients discontented with the service offered by the provider could steer
concerning problems and may damage the image of the institution .However, exceeding
can increase their satisfaction. Moreover, it would develop the relationship between the
patients and the hospital and consider continue dealing transactions in the future
together.
Theory that was proposed by Leon Festinger. Cognitive Dissonance Theory was
something and its reality. According to human psychology, conflict between the
expected result and the perceived actual experience or performance of the patients
from the healthcare workers could lead to dissatisfaction, hence, damaging the
Performance Theory states that patients evaluate the quality of care that the
hospital offers from the actual performance of the healthcare workers. According to
Heinrichs, et al. (2018) this performance theory, the level of satisfaction of the patients
must be from the rate of better treatment in every hospital's performance in doing their
tasks to give an ultra-satisfactory result for the patient's recovery and well-being. It is
their responsibility to take good care of their patients. In addition, patient satisfaction is
7
not affected by prior expectations at all given the fact that health services are
unequivocally part of rating the satisfaction of the patients. The perceived performance
will affect any psychological response that is related to their expectations. In which,
higher patient satisfaction can be expected to result a better clinical outcomes through
assessing the work of the medical practitioners upon treating them. Furthermore,
Performance Theory means that though patient's have expectations, the level of patient
satisfaction is influenced highly by the quality of care and the outcomes of provider's
for it is, considering, the main way to measure out the performances.
The Primary Provider Theory affirms that the patient satisfaction occurs at the
base of provider power and patients expectations (Aragon, 2011). Medical health
workers, who are the providers, are mainly the source of where intensive care can be
manifested towards the duration of treatment the patients will receive. It is technically
the way in which goals can be endeavored with the aid of patients by clearly connecting
with the providers in terms of giving an approval on their services. It is principally the act
provider, the quantity of time a patient has to wait for the provider, and also the
satisfaction with the providers assistants. According to this theory, the primary providers
will have to suggest the greatest clinical utility to their patients. This theory is the
primarily conduct by the patients centered measures exclusively, where only the
patients can judge their services on how they are satisfied on their quality of care and
change. According to the study of Singh and Shah (2011), patients can have various
factors or reasons that will affect the patients' decision which healthcare facility or
hospital to choose from. Some factors may include the hospital's personnel,
and whether the hospital is nearby or not can influence the patient's choice of hospital.
A study of Saila, et al. (2008) that states, effective communication between the patient
and its medical provider is fundamental in keeping the patient satisfied, supports the
study Singh and Shah (2011). Sail, et al. (2008) set its focus on keeping the patients
satisfied through building a relationship in which the patients could freely express their
opinions and concerns to the healthcare workers or the staffs of the hospital.
conducted by various researchers around the globe to experience a better way of living.
Quality management has emanated as the most relevant and long term strategy for
securing the legacy of the institution. Thus, it is the reason why the patient’s level of
satisfaction is imperative in sustaining the good image of the hospital for the better
outcome (Raja, et al., 2007). A justified feedback from the patients could bring a ripple
Patients’ satisfaction is one of the tools that can be utilized as stepping stones for
improvement and maintenance. If a patient follows the medical instruction of the doctor,
keeps appointments, return to the hospitals and shares about the health services of the
9
hospitals, this shows that there is satisfaction in services given by the hospitals
(McGivern, 2011).
The cooperation of the patients is also needed to meet their expectations and
therefore, ensuring their satisfaction. In order to attain a good image, the patients’ ability
to listen to the instructions of the doctors, strictly following the rules and regulations and
discipline in one’s self can also affect the outcome of their treatment.
Nurses are part of the health service providers in the hospital. They are the ones
monitoring the patients often times. Since most of the health services are provided by a
nurse, patient’s satisfaction is affected on how a nurse handles him or her in the
hospital (Dans, 2019). Nurses need to exert an abundant amount of care and attention
The elderly has been usually observed to be prone to illness due to their age. In
one study of Reuben D. et al (2002), suggests that one of the most significant factors
When considering unmet patient expectations, it has been suggested that older patients
are more easily satisfied with care due to their greater familiarity with the shortcomings
of the health care system and being more forgiving of its inadequacies. The
expectations of older patients may also be closer to standards set by the health care
system based on a lengthier history of dealing with the system, so older populations will
more likely report that health care interactions met their expectations.
From a healthcare treatment perspective, men and women often have different
needs. According to Kousamen, et al. (2013), when assessing survey responses based
10
also detected no significant difference in the overall perception of care quality regarding
adherent to medical recommendations and are less likely to disenroll from healthcare
plans. The study set out to empirically investigate the influence of patient and physician
gender on patient’s satisfaction with the clinical care and physician’s communication
skills.
One must not judge someone by its status in life. One study of Arpey et.al (2017)
has revealed that the clinician’s perceptions of the patients with low socioeconomic
status (SES) have been shown to affect medical workers in making decisions and
health care delivery issues. However, the patients with low Socioeconomic Status
(SES) cannot be directly aided due to biased decision making that can harm their well-
being. Studies has revealed by gathering through survey research with different themes
Program to ensure the credibility of the said research. Eventually patients' perception
about the result that has been conducted thoroughly with the patients who have low
Socioeconomic Status (SES) affected once healthcare in the certain field service in
which they lack of treatment provided, access to care and patient provider interaction.
in a way to conclude how it can affect the equity between the patients and its provider.
11
insecurity and poor political leadership which is supported by the study of Cockerham
(1992) that argues that people with higher income are more likely than those with lower
income to have received medical service especially in private doctor’s office and group
practice or over the telephone. National Centre for Health Statistics (NCHS) (1991)
reported that people with lower income are more likely to contact hospital out-patient or
Emergency room. Although people of all income groups are seen to use each source;
private and public health care system, a clear pattern emerges of a dual health care
system: a private system with a greater proportion of the higher income groups and a
showed that clients could evaluate the form of service, process and conclude the quality
hand of their services. That such recognitions, particularly about assistance quality, may
shape certainty and resulting practices with respect to the decision and use of the
accessible human services offices are reflected in the way that numerous patients stay
away from the framework or profit it just as a proportion after all other options have run
out. Patients are the essential capital of hospital as far as healthcare setting is
and sustain patients .The individuals who can bear the cost of it look for help in different
nations, while preventive consideration or early recognition just falls by the wayside.
Patients’ voice must start to assume a more noteworthy job in the structure of social
insurance administration conveyance forms in the creating nations. This examination is,
hence, tolerant focused and recognizes the quality factors that are imperative to
the field of medical administration. A field review was led. Assessments were gotten
satisfaction with medical services provided to them. In hospitals they must consider that
focus on service quality as means to improve their competitive position. It suggests that
doctors should devote more time to the patients and show genuine concern for patients’
problems if they want to improve their rating satisfaction to their patients with the service
they provided. In the present human services setting tolerant fulfillment is one of the
primary markers.
(Illana, 2003). Satisfaction of the patients reflects the quality of the service given by the
hospital in which boosts the image of the hospital and increase of patients could be
persistent fulfillment (Mira and Aranaz, 2000). When the limit is reached, the hospital
must grow to continue to serve the people in the community and surpass the pressing
outlined normal of interventions famous to be safe and have the capability to enhance
attention in recent years and studies have shown that patients area unit most happy
with social interactions, like staff-patient relationships. A study done in the Republic of
South Africa over that patient satisfaction may be a basic indicator of evenhanded
satisfaction among respondents, chiefly due to the health supply system, whereby the
referral hospital is at the apex with super-specialty services. However, a little proportion
of patients was disgruntled with long waiting time, high value of treatment, and
quality of care doesn't meet their normal expectations, they will commit to rummage
around for treatment away and that discouragement can lead them to find another
health care administration. In fact, happy patients area unit seemingly to exhibit
favorable activity intentions, that area unit useful to the health care provider’s long
success. Thus, the service quality has an extent of impact in the growth of the
14
organization. It was indicated that the two constructs are indeed independent but are
closely related, implying that an increase in one is likely to lead to an increase in other.
The Problem
The main purpose of this study is to determine the Level of the Service
Satisfaction of the Patients in Garcia Memorial Provincial Hospital and its Significant
1.1 Age;
2.4 Communication;
Hypothesis
The study hypothesized that there was no significant relationship on the level of
satisfaction on each of the seven dimensions of satisfaction with medical care in terms
Patients. The findings of the study will help them enjoy a better life quality. Upon
discussing the various concerns and observations about the services that they have
received, this study will aid them to experience the services that will meet their standard
and satisfaction. The gathered data will allow the patients to be aware of the level of
Healthcare Workers. This study will provide new ideas on how to improve their
services or how to accommodate better their patients in GMPH. The findings and
recommendations of this study will guide the healthcare workers in fulfilling their roles
as healthcare professionals. This will also enhance the capabilities of the Garcia
Memorial Provincial Hospital's healthcare workers, which includes the nurses, doctors
16
and etc., to ensure patient’s satisfaction. There is a provision of information about the
Provincial Hospital.
Garcia Memorial Provincial Hospital. This study will aid to improve the hospital
to make their patients become more satisfied with their service. This study also will
foster new ways of enhancing knowledge, skills and attitude in dealing different types of
patients. This study will also help the institution in leading its healthcare workers to
Future Researchers. This study will benefit the future researchers for it will
this study. This will also serve as a basis on how they would go through future research
The scope of this study was primarily focused on the patients and the
because the institution was located in Talibon wherein most of the researchers reside;
therefore, time was used efficiently. The selection of the research environment was a
decision to ensure the safety of the researchers and to save money .The respondents of
the study was the forty (40) patients of Garcia Memorial Provincial Hospital. The
respondents were chosen by their gender and age which starts at the age of 18 to
17
ensure the capability of the respondents in answering truthfully the standardized survey
questionnaire, thus, the study used a purposive sampling. The survey material has 18
items which was answered by the respondents within 5-10 minutes. The quantitative
Research Methodology
Research Design
data in numerical form that can be turned into a viable data statistics. Quantitative
numerical data that are analyzed using mathematically based methods for example in
particular statistics (Alliaga and Gunderson, 2002). The researcher primarily used a
(that is, cause and effect thinking, use of measurement and observations, and test of
theories), employs strategies of inquiry such as experiments and surveys, and collects
describe the levels of service satisfaction of the patients in Garcia Memorial Provincial
distinguished relationships that occur naturally between (Sousa et al., 2007). The
researchers chose this design to examine the relationship between the level of
Research Environment
under the supervision of Dr. Miguelito S. Jayoma, MD, FPSGS, FPCS, MHM. The said
19
institution is located in a 2-hectare government owned lot at San Jose, Talibon, Bohol.
(DOH) Memorandum with a 75 authorized actual and implementing bed capacity and
the only existing hospital in Talibon, Bohol. In 2010, the hospital was certified by
environment of this study because Garcia Memorial Provincial Hospital is the only
hospital that can be found in the Municipality of Talibon. The institution is also equipped
with modern and upgraded facilities that accommodate hundreds of patients that came
from different places. The selection of the hospital is also in consideration of its
Research Respondents
The chosen participants for this research are the patients or the individuals who
has received the medical services of Garcia Memorial Provincial Hospital. In this study,
there were a total number of forty (40) respondents or patients. The forty (40) patients
are composed of twenty (20) male and twenty (20) female starting at the age of legality,
18 years old and above to make sure that they have the capability to answer the
standard survey questionnaire with utmost understanding. The type of sampling used in
Research Instrument
Garcia Memorial Provincial Hospital which is essential for the success of the study. The
Short-From (PSQ-18)” by Grant N. Marshall and Ron D. Hays. PSQ-18 is the shorter
version of the 50- item Patient Satisfaction Questionnaire III (PSQ III), However, both
standardized questionnaires are highly similar. The researchers chose the shortened
version to minimize the time needed by the patients to answer the survey questionnaire.
The shortened standardized instrument consist of 18 items that includes the seven (7)
dimensions of satisfaction with medical care which are the general satisfaction,
The first part of the instrument was the patient’s background or profile. The age,
gender and the economic status of the patient was found in the first section. The patient
instrument which was measured by Strongly Agree (5), Agree (4), Neutral (3), Disagree
(2) and Strongly Disagree (1).Using a standardized survey questionnaire will guarantee
Research Procedure
the study. The approval sheet will be given to Dr. Miguelito Jayoma, the head chief of
21
Garcia Memorial Provincial Hospital. The source of the data collection will be the
information given by the forty (40) patients that will serve as the respondents. The
researchers will give the letter of informed consent to uphold ethical consideration. The
researchers will provide instructions for the respondents on how to answers the set of
questions. The researchers will give the respondents 5-10 minutes to answer the survey
The data will be summarized and organized into tables or charts. The structured data
will serve as the bases for the construction of the conclusion. Lastly, the conclusion will
be created out from the gathered data and will complete the study.
Statistical Treatment
The data being gathered in this study will be subjected to the following
statistical treatment. The researchers use descriptive data analysis in which this type of
analysis combines means of tables and quartile measures such as variance or standard
deviation and cross tabulation that can help us utilized the data we need.
the data collected in a survey, organizing and identifying extreme values in a study. This
occurs in the Weighted Value table and measurement. This will be applicable to identify
that exist for each data point. The percentage is expressed as a fraction of 100 in a
variety of proportions. The data will show the percentage form that has been tabulated
in the table.
distribution by its weight. This mainly presents how strong the concurrence towards
Where:
• x is the value
weighted value. It shows the average mean value of each statement. Weighted
measurements.
23
In which, the researcher must find the weighted mean of the given table, to
clearly get the outcome of the said data’s. Applying this formula below:
∑ fixi
Weighted Mean = __________
where:
fi = frequency of responses
xi = weight
N = number of respondents
xi represents the computed weighted mean, ∑ fixi represents the sum of the
product of the option and individual frequency, and N is the total number of key
informants.
used in this research. It is one of the many types of coefficient field of statistics. It is very
helpful statistical formula that measures the strength between variables and
relationship. It is used to tell the variation of the relationship between the demographic
profile and the level of satisfaction of the respondents in this study. Applying this
formula below:
24
Definition of Terms
In order to have a clearer understanding on the study, the following terms are
defined operationally:
Patient is the person who is the one receiving the service or the medical
treatment of the hospital. In this research, patient refers person has received or
currently receiving the services given by the Garcia Memorial Provincial Hospital.
degree, income and occupation. In this research, socioeconomic status was measured
by the income of the patients or the income of the patient’s parents every month.
Municipality of Talibon and the only present hospital in the locale. In this research,
Garcia Memorial Provincial Hospital serves as the environment of the study and where
dissatisfaction that is usually related with work settings and work performance. In this
25
study, general satisfaction refers to the patient satisfaction to the over-all performance
that pertains to what is created at the point of service and the outcomes resulting from
the interaction with the company. In this research, technical quality is the medical and
nursing care of Garcia Memorial Provincial Hospital and refers to the level of
Interpersonal skills are the behaviors and tactics a person uses to interact with
others effectively. In the medical world, the term refers to an employee's ability to work
and care well with others. Interpersonal skills range from communication and listening to
satisfaction with medical care and refers to the level of patients’ satisfaction with
feelings among people using speech or other means. In this study, communication is
the sharing of details regarding the different aspects of medical treatment of patients
Financial Aspects focus on the amount of how much money is needed, where it
will come from, and how it will be spent. In this research, financial aspects refer to the
Time spent with Doctor also called as “doctor’s visit” which is the meeting
between the patient and the physician to inquire for health service or concerns
26
regarding their medical conditions. In this research study, it refers to the level of
satisfaction of patients in terms of time spent with doctor of Garcia Memorial Provincial
Hospital.
activities and destinations. In this study, it refers to the accessibility and convenience of
Chapter II
In this part of the study, the researchers presented the methods used to
analyze and interpret the data that has been gathered from the forty (40) chosen
patients of Garcia Memorial Provincial Hospital. The data chapter analysis and
interpretation consist of three parts. The profile of the key informants was initially
analyzed. It was followed by Total Weighted Mean and Average Weighted Mean of
Patients as to their level of satisfaction of the services given by the Garcia Memorial
Provincial Hospital (GMPH) with the Seven Dimensions of Satisfaction with Medical
Care. The last part was the chi-square test analysis and interpretation. It tells us the
level of service satisfaction of patients and its relationship between the patient’s
answered by the patients who were both admitted patients and out-patients of the
hospital. The respondents were the individuals who first-handedly experienced the
18-30 14 35% 1
31-40 8 20% 3
41-50 6 15% 4
TOTAL 40 100%
Hospital. As illustrated in Table 1.1, 14 (35 percent) of the respondents belonged to the
age bracket of eighteen to thirty (18-30) years old, therefore there are significant
number of young adult respondents; 8 (20 percent) of the respondents belonged to the
age bracket of thirty-one to forty (31-40) years old who are considered middle-aged
adult; 6 (15 percent) of the respondents belonged to the age bracket of forty-one to fifty
(41-50) years old are matured adult; 12 ( 30 percent) of the respondents to the ages of
fifty-one and above, at late adult age to senior citizen. A study of Sun, et al. (2018)
suggests that 18-44 years old was the age group that was observed to be the range
wherein most patients in the hospitals belong to. In addition, 45-65 years old was the
Female 20 50% 1
Male 20 50% 1
TOTAL 40 100%
Memorial Provincial Hospital, 20 respondents (50 percent) were males and the other 20
₱30,001- ₱40,000 0 0% 4
₱40,001- ₱50,000 0 0% 4
TOTAL 40 100%
30
The table 1.3 was illustrated to show the profile of the respondents according to
economic status.
the group of unprivileged people which was the lowest range in the bracket (ten
thousand and below) of the economic status or monthly income. In the other hand, it
also revealed that one of the respondents particularly belong the highest range in the
bracket of the economic status which was fifty thousand and above.
especially those who are marginalized, only seek medical treatment in affordable public
hospitals due to poverty, thus, deprive them from experiencing the services provided by
the high end hospitals which possess modern and upgraded facilities that could cater
the needs of every individual, specifically, those who desperately require medical
attention. The existing evidence was shown to prove that socioeconomic status (SES)
affects individual’s health outcomes and the health care they receive. People of lower
SES were more likely to have a worse self-reported health, lower life expectancy and
suffer from chronic conditions when compared with those of higher SES. They also
receive fewer diagnostic test and medications for many chronic diseases and have
None of the respondents have a monthly income of thirty thousand and one
Total
Number Mean
shown in the table above, the key informants were uncertain (with an average weighted
mean of 3.0875) regarding with the over-all performance of Garcia Memorial Provincial
affected by different factors like how the physicians or healthcare workers and
supporting staffs of the hospital associate with the patients or the quality of their service.
A study of Negash, et al. (2014), reveals that the patients were satisfied with the
expectations of the respondents were not met. The research respondents did not agree
nor disagreed about being satisfied for the over-all performance of the hospital.
32
Total
Item Statement Weighted Description Rank
Number Mean
The table 2.2 shows that levels of satisfaction in terms of technical quality of the
hospital. It is shown that the respondents agree (with an average weighted mean of
3.54375) with the technical quality provided by Garcia Memorial Provincial Hospital.
This is supported by the patients’ responses in the sixth statement, “When I go for
33
medical care, they are careful to check everything when treating and examining me”,
which has a total weighted mean of 4.1 and interpreted as ‘Agree’. A satisfactory
technical quality of a hospital, specifically the institution’s medical and nursing care, are
essential factors to determine the level of patient satisfaction (Mohamed, et al., 2017).
Through medical and nursing care, the healthcare facility can get insights with regards
Total
Number Mean
The table 2.3 has shown the levels of satisfaction of the patients in terms of
interpersonal manner of the doctors in Garcia Memorial Provincial Hospital. The table
34
revealed that patients agreed with the hospital’s way of interacting to their constituents
answers of the respondents in the eleventh statement, “My doctors treat me in a very
friendly and courteous manner.” that has a total weighted mean of 4.75 and was
doctors are a vital factor to better understand their patients and provide the necessary
treatment.
Total
Number Mean
revealed that the patients were uncertain with how the healthcare workers of Garcia
Keller, et.al (2013) revealed that the communication of the patients and the doctors are
needed to have some level of trust to build a climate in which legit honest
communication can thrive. The quality of collaboration with the patients is positively
identified with trust and patient fulfillment. These are either direct or indirect proportions
of the quality of health care services (Chandra S, Mohammadnezhad M., Ward P.,
2018). The relationship between the physician and the patients is an important part of a
physician’s communication in order for them to know the concerns of the patients
explain these discoveries and decide the factors that influence communication
satisfaction scores, considering for facilities to enhance these factors. Studies ought to
likewise assess fulfillment in various clinical divisions and among patients from various
Total
Item Weighted
Statement Description Rank
Number Mean
I
7 have to pay for more of my
medical care than I can afford. 2
(inversely interpreted as “I can 2.85 Uncertain
afford the payment for the
medical care I received.”)
Table 2.5 has revealed the level of satisfaction in terms of financial aspects. It
was shown in the table above that the respondents were uncertain (with an average
weighted mean of 3.3875) with the financial aspects of Garcia Memorial Provincial
Hospital. This is supported by Shryock (20017 which stated that whenever the payment
of their medical treatment tends to be costly, the demand for a better service quality is
high. Customers use the price as the indicator of quality of the service or product that
was given to them According to a study of Ford (2017) which states that the vast
affordable health care coverage that diminishes or wipes their out-of-pocket expenses.
Studies demonstrate that patients are more satisfied with suppliers that can help them
37
with getting to resources that will cover their medical expenses. In addition, strong
the most grounded part recognizing quality and safety (Akinleye, 2019). These
discoveries recommend that financially stable hospitals are better ready to keep up
highly reliable systems and give progressing assets to quality improvement. Medical
clinics face impressive strain to bring down expenses while keeping up quality results.
Total
Number Mean
Table 2.6 revealed the levels of patient satisfaction in terms of Time Spent with
Doctors. As shown in the table above, the key informants were uncertain (with an
average weighted mean of 3.15) regarding with the time spent by the doctors with the
patients. Doctors visit their patients with an estimated time to inquire the patient’s health
status. According to Lin, MD, et al.(2001), when the doctors extend their visit, it helps in
building a long-lasting relationship with the patients and increase the level of their
satisfaction. The primary care physicians set their provision and management of
addition, quality time between physician and patient is an increasingly important source,
with a growing focus on efficiency and efficacy in providing health care (Dugdale,MD, et
al.,1999). The relationship between doctor and patient is an important part of a doctor's
visit, which can change patient health outcomes. Therefore it is necessary for
disrupted or fails, physicians should be able to understand the causes of the partnership
Chipidza (2015) states that there have elements that can affect the doctor-patient
relationship which are the trust, knowledge, regard and loyalty wherein the doctors must
have this qualities in order to get the patients satisfaction in maintaining a good
and Convenience
Total
Number Mean
The table 2.7 has shown the levels of satisfaction of the patients in terms of
revealed that patients agreed with the hospital’s way of serving their constituents with
answers of the respondents in the eighteenth statement, “I am able to get medical are
whenever I need it.”, that has a total weighted mean of 4.275 and was interpreted as
‘strongly agree’. According to the study of Heath (2017) revealed that patients
increasingly activated their response on their own healthcare, this includes in making
decisions for treatment at which patients wish to receive their care. Patients are
spending more effort in paying the bills and as a result it is important to the patients to
receive care at a facility that meet their needs. This factor is an important contributors to
patients overall satisfaction in which the hospital must have an access of availability of
good health services within fair reach of those in need and opening hours, appointment
schemes and other aspects of services and delivery that enable for the people to
Table 3.1 was presented to show the statistical interferences in line with the
The researchers used the chi-square test to analyze the significant relationship
between the variables. The decision of whether the hypothesis of the study was
42
accepted or rejected was done by comparing the computed value and tabular value of
It was revealed that the age of the respondents has significant relationship with
financial aspect, time spent with doctor and accessibility and convenience. The table
has shown that the level of satisfaction of patients in terms of general satisfaction,
with doctor and accessibility and convenience was dependent on the age of the patients
The study findings suggest that general satisfaction of patients has a significant
relationship with their age. According to Moret, et al. (2007), the younger patients are
harder to please than the older patients. The younger generation tends to comment in
every matter, may it be a compliment or complaint. The study also revealed the
significant relationship between the respondents’ age and the satisfaction level of
patients in terms of technical quality. The technical quality, which is the medical care
and nursing care of the hospital, make a difference on the perceived service quality of
nurture the dimension of technical quality in ensuring the patients are satisfied with
hospital. The result of the study has confirmed the significant relationship between the
satisfaction level of patients in terms of interpersonal manner and the patients’ age.
Physicians treat their patients with utmost care specifically the older patients who
possess unique needs which challenge the skills of the physicians in taking care of
43
them(Samra, et al.,2015). The study also verified the significant relationship between
conversing with the other age group. The streams of findings stated that the financial
aspects mediate the significant relationship between service satisfaction and the
patients’ age. Previous researches suggest that older patients are financially satisfied
despite having low income than the younger patients (Hansen, et al., 2008). However,
according to Larkin (2017), the elderly suffers when confined from different ailments due
lack of financial stability which affect the level of their satisfaction. The study also
revealed the significant relationship between the respondents’ age and the satisfaction
level of patients in terms of time spent with doctor. According to Peck (2011), older
people have a higher tendency to interact with their doctors than the younger patients.
The study also revealed the significant relationship between the respondents’ age and
the satisfaction level of patients in terms of accessibility and convenience. One study of
Iecovich, PhD and Carmel, PhD, MPH (2009) stated that elderly people are usually
prone to any illness and use significantly more healthcare services than younger
people, hence, it was observed that most in-patients were elderly due to lack of
It was shown in table 3.2 that there was a significant relationship between the
patient’s gender and the level of patient satisfaction in terms of general satisfaction,
with doctor, accessibility and convenience. The table revealed that the level of
manner, communication, financial aspects, time spent with doctor, accessibility and
The study findings proposed that the level of satisfaction of the patients of Garcia
Memorial Provincial Hospital in terms of the general satisfaction and the respondents’
gender has a significant relationship. The level of satisfaction varies in gender. Studies
show that women were reported higher levels of satisfaction than men across income,
The findings of the study revealed there was a significant relationship between
the level of patient satisfaction in terms of technical quality and the patients’ gender.
interest shown in them by the healthcare workers while females set their focus on the
detailed information and the effectiveness of the long-term relationship with the
institution.
The study findings stated that there was a significant relationship between the
level of patient satisfaction in terms of interpersonal manner and the patients’ gender.
According to the study of William (2008), female patients place greater emphasis than
male patients on the quality of interpersonal interaction they have with their doctors.
The outcome of the study has shown that the level of patient satisfaction in
respondents. One of the studies of Bertakis (2009) analyzed the different ways on how
46
males and females communicate with their medical provider about their health status
and found that women may seek care more often but men were more likely to discuss
The findings of the study revealed there was a significant relationship between
the level of patient satisfaction in terms of time spent with doctor and the patients’
gender. It is shown in the studies that the doctors give the same amount of time and
The outcome of the study has shown that the level of patient satisfaction in terms
of financial aspects has a significant relationship with the gender of the respondents.
money, however, men focuses on wealth accumulation. The data indicates that female
patients are harder to satisfy than the male patients in terms of financial aspects.
The results of the study suggested that the accessibility and convenience of
patients has a significant relationship with gender. Studies have shown that the females
have a higher unemployment rate than the male population wherein cost can be a
Table 3.3 was presented to show the statistical interferences in line with the
The researchers used the chi-square test to analyze the significant relationship
between the variables. The decision of whether the hypothesis of the study was
accepted or rejected was done by comparing the computed value and tabular value of
The results of the study have shown that the general satisfaction of patients has
Journal of Primary Care and Community Health states that the degree of the patient’s
way of living has an impact on the treatment that they have received. The clinician’s
perception of having a low socioeconomic status (SES) have been shown to affect the
clinical decision making and health care delivery issues to those patients than the high
The findings of the study perceived that the technical quality has a significant
relationship between the respondents’ economic status. The quality of care greatly
varies on the level of degree on the economic status of the patients. The study of Fung
et al., (2001) revealed that there has been a biased treatment in terms of medical care.
The service quality differs on the demographic profile of the people and how they are
The outcome of the research study revealed that the interpersonal manner has a
socioeconomic status influences the clinician communication and the manner of treating
the patients. In the study conducted by Chirchirez and Purcarea (2018), it was observed
that most of the patients who have a low economic status has not been given the best
49
quality of care .In addition, the individuals who possess a high economic status in the
society were prioritized and were given a high quality of care due to their status.
The findings of the study have shown that there was a significant relationship
suggests that patients from lower social classes receive less positive socio-emotional
utterances and more guidance, less participatory consultation style, less details, less
instructions and less socio-emotional and relationship building utterances from their
communicate. In contrast to the lower social class, the higher social class receives
active communication and shows more expressions in terms of the respond of the
The study findings verified that the financial aspects have a significant
relationship between the economic status of the patients of Garcia Memorial Provincial
Hospital. The socioeconomic standing is known to influence the aspect of care that the
institution commended. The process of care that has been given to the unprivileged
people were observed to be treated differently ,especially if they are suffering from a
chronic disease and how the medical institution handle them , it appears that the
privileged people who can pay without a problem was given the advantage of being
The results of the study revealed that the level of satisfaction of patients in terms
of time spent with doctor has a significant relationship between the key informants’
economic status. Health differs due to differences in socio-economic status (SES) which
50
that the patients who are the unprivileged does not always consult to the doctor’s due to
lack of money and incapable of paying the prescribed medications. In the other hand
the privileged patients are more likely to spend their time with doctors and are prioritized
on appointments and medications because they are stable financially (Verlinde, et al.,
2012).
The outcome of the study confirmed the significant relationship between the level
economic status. Due to the economic status of an individual, the importance of health
will be disregarded and could result to different kinds of disease or could lead to death.
For general, local accessibility was not an independent indicator of use except for those
who suffered from heart disease and lung cancer. It is shown that due to poverty, those
who are suffering from heart disease and lung cancer could only depend on the support
of the government .Private patient status did not affect the use of all causes of death
worldwide, but was associated with a substantial reduction in the number of patients
Chapter III
and conclusions of the gathered data of the researchers. Based on the findings,
Summary
This study aimed to determine the Level of the Service Satisfaction of the
Patients and Its Significant Relationship to the Patient’s Profile in Garcia Memorial
1.1 Age;
2. What is the level of satisfaction of the patients regarding with the services
2.4 Communication;
Findings
After the data were analyzed utilizing the appropriate statistical treatment, the
services of Garcia Memorial Provincial Hospital in San Jose, Talibon, Bohol. These
1.1. The range of patients’ age was 18 and above years old. According to the data
received from the patients, it was found out that the majority of the chosen key
informants was based on 18- 30 years old patients which were 14 (35 percent);
thus most of them were young adults. 12 of the patients were 51 and above
years of age were (30 percent) and only few of these respondents were 31- 40
years of age (8 or 20 percent). Out of the 40 patients, there were 6 patients (15
1.2. With regards to the gender of the respondents, it was revealed that out of 40
patients, 20 patients (50 percent) were males and 20 (50 percent) were females.
1.3. With regards to the economic status of the patients, it was revealed that the
an income or economic status of ten thousand pesos and below. This indicates
that most of the respondents belong to the group of unprivileged people. 3 (7.5
and one pesos to twenty thousand pesos (₱10,001- ₱20,000). There was only
one (2.5 percent) respondent in the brackets of two thousand and one pesos to
thirty thousand pesos (₱20,001- ₱30,000) and fifty-thousand and one pesos and
2. After assessing the levels of satisfaction of the patients regarding with the services
uncertain with the level of satisfaction in terms with the over-all performance of
the hospital.
2.2. Technical Quality. With regards to the technical quality of Garcia Memorial
Provincial Hospital, the satisfaction level of the patients was dubbed as “agree”
54
with an average mean of 3.54375. This had the highest satisfaction level among
2.4. Communication. With respect to the communication, the patients reported their
2.5. Financial Aspects. The level of satisfaction in terms of financial aspects was
2.6. Time Spent with Doctor. In terms of time spent with doctors, patients showed
dimension had the second lowest level of satisfaction among the seven
dimensions.
Hospital revealed that they agreed in terms of the accessibility and convenience
3. All the seven dimensions of satisfaction with medical care – general satisfaction,
CONCLUSIONS
Provincial Hospital, satisfaction on technical quality received the highest level. On the
other hand, the general satisfaction as a dimension has the lowest level of satisfaction
communication, financial aspects, time spent with doctor and accessibility and
convenience of the patients in Garcia Memorial Provincial Hospital with reference to the
RECOMMENDATIONS
Based on the findings and conclusions of the study, these are the following
1. The healthcare workers of the institution should take a suitable course of actions
accessibility and convenience given the results of these dimension were mostly
uncertain.
conduct seminars and workshops to further enhance the skills and the
56
knowledge of the medical health workers which aims to cater the needs and
focus is about the significant relationship between the patient’s profiles to each
dimension of satisfaction with medical care. For the reason of being aware about
variables are inversely or directly related with each other. A follow-up qualitative
study.
57
REFERENCES
Joshanloo, M., Jovanoic, V. (2019). The relationship between gender and life
satisfaction: analysis across demographic groups and global regions. Arch
Womens Ment Health.
Arpey, N.C., Gaglioti, A. & Rosenbaum M. (2017). How socioeconomic status affects
patient perceptions of health care: A qualitative study. Journal of Primary
Care & Community Health, 8(3):169- 175.
Cassedy, A., Drotar, D. & Marino, Bradley S. (2013). The impact of socio-economic
status on health related quality of life for children and adolescents with
heart disease. Health and Quality of Life Outcomes, 11:99.
59
APPENDICES
Appendix 1
February 06, 2020
DR.MIGUELITO JAYOMA
Chief of Hospital
Blessed Trinity College
Poblacion, Talibon, Bohol
Greetings!
We are therefore seeking your approval to allow us to conduct our research in your
good office to conduct the data gathering and collection to the forty patients in your
institution. We will be conducting a survey that is relevant to the needs of this research.
Thank you for your time and consideration in this matter.
Respectfully,
Noted by:
SR. FELMA E. ELBANBUENA, A.R
Principal
Approved by:
DR.MIGUELITO JAYOMA
Chief of Hospital
60
Appendix 2
Republic of the Philippines
Division of Bohol
PROCEDURES: If you decide to participate, we will ask you to complete a brief survey. You
should be able to complete the survey in approximately five to ten minutes.
RISKS: There are no foreseeable risks expected for your participation in this study.
BENEFITS: The results of this study will be disseminated and may be used for future reference.
Your perspective is very valuable because you can speak from experience, and you can provide
insight into the life of a patient.
RIGHT TO REFUSE OR WITHDRAW: You may refuse to participate, and you may change your
mind about being in the study and quit after the study has started. Some of the questions do ask
about potentially touchy subjects. If you feel that you do not want to answer a question, you can
either skip the question or withdraw entirely from the survey with no penalty.
QUESTIONS: Please ask the researchers for further questions about the study.
The Researchers
Part II.
Please read each one carefully, keeping in mind the medical care you are receiving now. We,
the researchers, are interested in your feelings, good and bad, about the medical care you have
received. How strongly do you AGREE or DISAGREE with each of the following statements?
Put a check (/) inside the space that corresponds to your answer.
STRONGLY AGREE - 5
AGREE- 4 DISAGREE- 2
UNCERTAIN- 3 STRONGLY DISAGREE- 1
61
STATEMENTS
5 4 3 2 1
1. Doctors are good about explaining the reason for
medical tests.
2. I think my doctor’s office has everything needed to
provide complete medical care.
3. The medical care I have been receiving is just about
perfect.
4. Sometimes doctors make me wonder if their diagnosis
is correct.
5. I feel confident that I can get the medical care I need
without being set back financially.
6. When I go for medical care, they are careful to check
everything when treating and examining me.
7. I have to pay for more of my medical care than I can
afford.
8. I have easy access to the medical specialists I need.
CURRICULUM VITAE
EDUCATIONAL ATTAINMENT
Blessed Trinity College – A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
PERSONAL INFORMATION
Date of Birth: May 12, 2001
Age: 18 years old
Height: 5’0
Weight: 44 kg.
Language used: English, Visayan, Tagalog
Civil Status: Single
Religion: Roman Catholic
Strand: Science, Technology, Engineering and Mathematics
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
charlesianavergonzado@gmail.com
PERSONAL INFORMATION
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
ZENWIEL BOYLES
Poblacion, Talibon, Bohol
boyles.elel@gmail.com
PERSONAL INFORMATION
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
2014- 2018
66
EMALFRED CASENILLAS
San Roque, Talibon, Bohol
emalcanales@gmail.com
PERSONAL INFORMATION
Date of Birth: January 14, 2001
Age: 19 years old
Height: 5’8
Weight: 69 kg.
Language used: English, Tagalog and Visayan
Civil Status: Single
Religion: Roman Catholic
Strand: Science, Technology, Engineering and Mathematics
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020
PERSONAL INFORMATION
Date of Birth: September 23, 2001
Age: 18
Height: 5’4
Weight: 45 kg.
Language used: English, Visayan, and Tagalog
Civil Status: Single
Religion: Roman Catholic
Strand: Science, Technology, Engineering and Mathematics
EDUCATIONAL ATTAINMENT
Blessed Trinity College– A.R. of Talibon, Bohol, Inc.
Poblacion, Talibon, Bohol
Science, Technology, Engineering and Mathematics
2018- 2020