Determinants of Patient Care and Satisfaction in Pakistan- A Scoping Review


Zouina Sarfraz, Azza Sarfraz, Hafiza Hussain, Fareeha Jabeen, Arham Nadeem, Shahar Bano, Ramsha Kharal, Farah Zulfiqar, Sania Tariq, Zainab Fatima and Mehwish Zafar


Background: Pakistan established the Punjab healthcare commission to improve patient care catering to professional accountability in the public and private sectors. As per the World Health Organization, quality of care comprises of six dimensions where the care must be effective, efficient, accessible, patient-centered, equitable, and safe.
Objectives: The objectives are to determine if patients are satisfied with the quality of services in public and private sectors, or if any neglect was present.
Methods: The literature on patient care and satisfaction was compiled using a scoping review methodology. PubMed, CINAHL Plus, and Scopus were used to collate information. Duplicates were removed using Endnote X9.
Results: Of the 467 abstracts and titles that were screened for relevance, 74 were considered for full-text review and potential inclusion in the scoping review. Out of 16 included studies, 7 (43.8%) of the included studies originated from Pakistan. The characteristics of included studies such as quality of care and patient satisfaction are tabulated.
Conclusion: Current literature does not provide quality- and satisfaction- focused studies, and has methodological discrepancies. It is required that the medical profession adopt a sense of self-monitoring. Gaps in service provision must be addressed by healthcare managers, policymakers, and physicians in Pakistan.

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