Research Article
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Analysis Patient Complaints in a Public Hospital

Year 2024, Volume: 6 Issue: 2, 279 - 294, 25.08.2024

Abstract

The aim of this research is to analyse patient complaints in a teaching and research hospital, identify problems and make suggestions for improving patient satisfaction. Study data, defined as descriptive and retrospective, were obtained from outpatient and inpatient opinions sent to a training and research hospital's wish, complaint and suggestion boxes and the hospital web page in 2021. According to the data obtained, 77 of 277 feedbacks were made as complaints in 2021. Complaints are categorized based on the patient complaint taxonomy, revealing three main groups: management (44.78%), relationships (37.31%), and clinical (17.91%). Within the management theme, institutional problems (35.07%) are the most prevalent, while within the relationships theme, humanity/caring categories are predominant. The primary causes of patient complaints are accommodation, staff attitude, unprofessional behaviour, and rude behaviour. To ensure standardisation in the evaluation of patient complaints, it is recommended to use Reader taxonomy and A3 problem-solving methodology.

References

  • Balakrishnan, K., Ramasamy, T., & Venketeswaran, M. (2022). Improving Access to Palliative Care for Critically Ill Cancer Patients in Intensive Care -A Quality Improvement Initiative from a Tertiary Referral Cancer Centre in India. Res. Sq. PPR498748:1–13. https://doi.org/10.21203/rs.3.rs-1681535/v1
  • Bayraktar, B. (2020). Increasing Service Performance in The Physical Therapy And Rehabilitation Department Of A Health Institution By Using Lean Techniques, Başkent University, Institute of Science and Technology, Master Thesis, https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp.
  • Bouwman, R., Bomhoff, M., Robben, P., et al. (2016). Classifying Patients ’ Complaints for Regulatory Purposes: A Pilot Study. Journal of Patient Safety 17(3), e169-e176. https://doi.org/10.1097/PTS.0000000000000297 .
  • Cerqueria, O., Moreia, A., & Viana, G. (2021). 1st Symposium of Applied Science for Young Researchers. In The A3 Problem Solving Methodology In Complaints Management,1; pp 51–55. https://l24.im/YTiz
  • Dael, J. V., Reader, T. W, Gillespie A., et al. (2020). Learning from complaints in healthcare : A realist review of academic literature, policy evidence and front-Line ınsights. BMC Qual Saf, 29, 684–695. https://doi.org/10.1136/bmjqs-2019-009704.
  • Dogan, N. O., & Yagli, B. (2019). Lean thinking in the healthcare sector :A literature review. Hacettepe J. Heal. Adm, 22(2), 467–490. https://dergipark.org.tr/tr/download/article-file/812557.
  • Gillespie, A., & Reader, T. (2018). Patient-Centered ınsights: Using health care complaints to reveal hot spots and blind spots in quality and safety. Milbank Q, 96(3), 530–567. https://doi.org/10.1111/1468-0009.12338.
  • Guleryuz, D. (2012).The Adaptability of Lean Management Systems to Hospitals and a Hospital Application, Sakarya Institute of Science and Technology Master's Thesis, Sakarya, https://acikerisim.sakarya.edu.tr/handle/20.500.12619/80116.
  • Harrison, R., Walton, M., Healy J., et al. (2016). Patient complaints about hospital services : Applying a complaint taxonomy to analyse and respond to complaints. Int. J. Equity Health, 28 (2), 240–245. https://doi.org/10.1093/intqhc/mzw003.
  • Hosgor, H., & Cengiz E. (2020). Reasons for complaint and general profile of persons who were complainant from health services: A systematic review with turkey axis. Hacettepe Journal of Health Administration, 23(1), 191–217. https://dergipark.org.tr/en/download/article-file/1013976.
  • Ilkım, N. Ş., & Derin, N. (2016). Lean management in healthcare with examples around the world and turkey. Hacettepe Journal of Health Administration, 19(4), 481–502. https://dergipark.org.tr/tr/download/article-file/551363
  • Jangland, E., Gunningberg, L., & Carlsson, M. (2009). Patient education and counseling patients’ and relatives complaints about encounters and communication in health care: Evidence for quality ımprovement. Patient Educ. Couns, 75, 199–204. https:// doi.org/10.1016/j.pec.2008.10.007.
  • Karaagac, C., Erbay, E., & Esatoglu, A. (2018). Content analysis of online complaints about private hospitals. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 10(24), 287–304. https://doi.org/10.20875/makusobed.409890.
  • Khalaf, A. Z., Yacoub, H., Abdulla, M., & Al-mayyah, Z. (2022). The complaints of patients or their relatives about emergency department services in the al-basrah teaching hospital. Medico-legal Updat, 22 (1), 1–6. https://doi.org/10.37506/mlu.v22i1.3173.
  • Kline, T. J. B., Willness, C., & Ghali, W. A. (2008). Predicting patient complaints in hospital settings. Qual Saf Heal. Care, 17, 346–350. https://doi.org/10.1136/qshc.2007.024281.
  • Koskela, L., Broft, R. D., Pikas, E., et al. (2020). 14 Proceedings IGLC28, 6-12 July 2020, Berkeley, California, USA. In Comparing The Methods of A3 and Canvas, pp. 13–24. https://doi.org/10.24928/2020/0136.
  • Mattarozzi, K., Sfrisi, F., Caniglia, F., et al. (2016). What patients’ complaints and praise tell the health practitioner : Implications for health care quality. A qualitative research study. Int. J. Heal. Care, 29(1), 83–89. https://doi.org/10.1093/intqhc/mzw139.
  • Ministry of Health (MoH) Quality Standards in Health (SKS)-Hospital-Version 6; 2020 https://shgmkalitedb.saglik.gov.tr/TR,12680/guncel-standartlar.html.
  • Ministry of Health (MoH). Health Statistics Yearbook 2020 News Bulletin; 2021. https://sgb.saglik.gov.tr/TR-78823/tc-saglik-bakanligi-2020-yili-faaliyet-raporu-yayinlanmistir.html
  • Montini, T., Noble Alice, A., & Stelfox, H. (2008). Content analysis of patient complaints. Int. J. Qual. Heal. Care, 20 (6), 412–420. https://10.1093/intqhc/mzn041.
  • Myers, J. S., Kin, J. M., Billi, E., et al. (2022). R. Development and validation of an solving assessment tool ınstructional package for teachers of quality ımprovement in healthcare. BMJ Qual Saf, 31, 287–296. https://doi.org/10.1136/bmjqs-2020-012105.
  • Råberus, A., Holmström, I. K., Galvin, K., et al. (2019). The nature of patient complaints : A resource for healthcare improvements. Int. J. Qual. Heal. Care, 31(7), 556–562. https://doi.org/10.1093/intqhc/mzy215.
  • Rapport, F., Hibbert, P., Baysari, M., et al. (2019). What do patients really want ? An in-depth examination of patient experience in four Australian hospitals. BMC Health Serv. Res, 19(1) 38. https://doi.org/10.1186/s12913-019-3881-z.
  • Reader, T. W., Gillespie, A., & Roberts, J. (2014). Patient complaints in healthcare systems : A systematic review and coding taxonomy. BMJ Qual Saf, 23, 678–689. https://doi.org/10.1136/bmjqs-2013-002437.
  • Seker, A. (2019). Problem solving ability of lean production techniques: A3 report, Obeya and Smed, J. Soc. Humanit. Sci. Res, 6(32), 100–111. https://doi.org/10.26450/jshsr.989.
  • Shahroudi, P, & Aarabi, A. (2021). Quality ımprovement through lean A3 method for foot traffic in operating room. Perioperative Care and Operating Room Management, 23, 100155. https://doi.org/10.1016/j.pcorm.2021.100155
  • Simons, F. E., Aij Kjeld, H., Widdershoven, G., et al. (2014). Patient safety in the operating theatre : How A3 thinking can help reduce door movement. Int. J. Qual. Heal. Care, 26 (4), 366–371. 10.1093/intqhc/mzu033.
  • Tınaz, B. A. (2019). Study on the Applicability of Lean Management Systems in Hospitals, Trakya University Social Sciences Institute Master Thesis, Edirne, https://dspace.trakya.edu.tr/xmlui/handle/trakya/4642.
  • Tokay-Argan, M., & Arıcı, A. (2019). E-Complaint in health communication: A study on patients and patients’ relatives on Sikayetvar.com. Akdeniz University Faculty of Communication Journal, 31, 339-355. https://doi.org/10.31123/akil.533612
  • Tosun, N., & Soyuk, S. (2019). Evaluation of Complaints in aUniversity Hospital With Reader’s Taxonomy. 3. Internationa 13. National Congress on Health and Hospital Administration. https://www.researchgate.net/publication/338162556.
  • Turkish Statistical Institute (TSI). (2022). Life Satisfaction Survey, https://www.tuik.gov.tr/media/announcements/yasam_memnuniyeti_arastirmasi.pdf.
  • Turkish Statistical Institute (TSI). Health Expenditure Statistics, 2021- 2022. https://data.tuik.gov.tr/Bulten/Index?p=Health-Expenditure-Statistics-2021-45728.
  • Vemanamandhi, P., Digumarti, R., Digumarti S., & Odette, S. (2020). In problem solving using the a3 methodology for colposcopy. Int J Gynecol Cancer, 30, A37 https://ijgc.bmj.com/content/30/Suppl_3/A37.3.
  • Wang, S. C., Chu, N.F., Tang, P. L., et al. (2023). Using healthcare complaints analysis tool to evaluate patient complaints during the COVID-19 pandemic at a medical center in Taiwan. Int. J. Environ. Res. Public Health, 20(1), 310. https:// doi.org/10.3390/ijerph20010310.
  • Yaman, Z., & Kavuncu, B. (2020). Investigation of online complaints notified to private hospitals though content analysis. Sivas Cumhuriyet University Journal of Economics and Administrative Sciences, 21(2), 282–297. https://doi.org/10.37880/cumuiibf.743201
  • Yıldırım, R.F., & Kumru, S. (2021). Evaluation of patient complaints and satisfaction with applications made to call center of the ministry of health- the case of İstanbul-Kadıköy. Eurasian Journal of Health Technology Assessment (EHTA), 5 (2), 124–137. https://dergipark.org.tr/tr/download/article-file/2004310.

Bir Kamu Hastanesindeki Hasta Şikâyetlerinin Değerlendirilmesi

Year 2024, Volume: 6 Issue: 2, 279 - 294, 25.08.2024

Abstract

Bu araştırmanın amacı bir eğitim ve araştırma hastanesinde hasta şikâyetlerin analiz edilmesi, sorunların tespit edilmesi ve hasta memnuniyetinin artırılmasına yönelik önerilerin sunulmasını sağlamaktır. Tanımlayıcı ve retrospektif çalışma verileri, 2021 yılında bir eğitim ve araştırma hastanesinin dilek, şikâyet ve öneri kutularındaki poliklinik ve yatan hasta görüşlerinin yanı sıra hastanenin web sitesinden elde edilmiştir. Çalışma, 2021 yılında alınan toplam 277 geri bildirimden 77 şikâyete odaklanmaktadır. Elde edilen verilere göre 2021 yılında 277 adet geribildirimin 77’si şikâyet olarak yapılmıştır. Şikâyetler hasta şikâyet taksonomisine göre gruplandırılmış, üç ana grupta incelendiğinde sırasıyla; yönetim (%44,78),) ilişkiler (%37,31) ve klinik (%17,91) olduğu tespit edilmiştir. Yönetim ana temasının altında en fazla kurumsal sorunlar (%35,07), ilişkiler ana temasının altında ise insaniyet/önemseme kategorileri yer almaktadır. Hasta şikâyetlerinin en yaygın nedenleri konaklama, kaba davranma, personel tutumu ve profesyonel olmayan davranış olduğu saptanmıştır. Hasta şikâyetlerinin değerlendirilmesinde standardizasyonun sağlanması açısından Reader taksonomisi ve A3 problem çözme metodolojisinin kullanılabileceği önerilmektedir.

Supporting Institution

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References

  • Balakrishnan, K., Ramasamy, T., & Venketeswaran, M. (2022). Improving Access to Palliative Care for Critically Ill Cancer Patients in Intensive Care -A Quality Improvement Initiative from a Tertiary Referral Cancer Centre in India. Res. Sq. PPR498748:1–13. https://doi.org/10.21203/rs.3.rs-1681535/v1
  • Bayraktar, B. (2020). Increasing Service Performance in The Physical Therapy And Rehabilitation Department Of A Health Institution By Using Lean Techniques, Başkent University, Institute of Science and Technology, Master Thesis, https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp.
  • Bouwman, R., Bomhoff, M., Robben, P., et al. (2016). Classifying Patients ’ Complaints for Regulatory Purposes: A Pilot Study. Journal of Patient Safety 17(3), e169-e176. https://doi.org/10.1097/PTS.0000000000000297 .
  • Cerqueria, O., Moreia, A., & Viana, G. (2021). 1st Symposium of Applied Science for Young Researchers. In The A3 Problem Solving Methodology In Complaints Management,1; pp 51–55. https://l24.im/YTiz
  • Dael, J. V., Reader, T. W, Gillespie A., et al. (2020). Learning from complaints in healthcare : A realist review of academic literature, policy evidence and front-Line ınsights. BMC Qual Saf, 29, 684–695. https://doi.org/10.1136/bmjqs-2019-009704.
  • Dogan, N. O., & Yagli, B. (2019). Lean thinking in the healthcare sector :A literature review. Hacettepe J. Heal. Adm, 22(2), 467–490. https://dergipark.org.tr/tr/download/article-file/812557.
  • Gillespie, A., & Reader, T. (2018). Patient-Centered ınsights: Using health care complaints to reveal hot spots and blind spots in quality and safety. Milbank Q, 96(3), 530–567. https://doi.org/10.1111/1468-0009.12338.
  • Guleryuz, D. (2012).The Adaptability of Lean Management Systems to Hospitals and a Hospital Application, Sakarya Institute of Science and Technology Master's Thesis, Sakarya, https://acikerisim.sakarya.edu.tr/handle/20.500.12619/80116.
  • Harrison, R., Walton, M., Healy J., et al. (2016). Patient complaints about hospital services : Applying a complaint taxonomy to analyse and respond to complaints. Int. J. Equity Health, 28 (2), 240–245. https://doi.org/10.1093/intqhc/mzw003.
  • Hosgor, H., & Cengiz E. (2020). Reasons for complaint and general profile of persons who were complainant from health services: A systematic review with turkey axis. Hacettepe Journal of Health Administration, 23(1), 191–217. https://dergipark.org.tr/en/download/article-file/1013976.
  • Ilkım, N. Ş., & Derin, N. (2016). Lean management in healthcare with examples around the world and turkey. Hacettepe Journal of Health Administration, 19(4), 481–502. https://dergipark.org.tr/tr/download/article-file/551363
  • Jangland, E., Gunningberg, L., & Carlsson, M. (2009). Patient education and counseling patients’ and relatives complaints about encounters and communication in health care: Evidence for quality ımprovement. Patient Educ. Couns, 75, 199–204. https:// doi.org/10.1016/j.pec.2008.10.007.
  • Karaagac, C., Erbay, E., & Esatoglu, A. (2018). Content analysis of online complaints about private hospitals. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 10(24), 287–304. https://doi.org/10.20875/makusobed.409890.
  • Khalaf, A. Z., Yacoub, H., Abdulla, M., & Al-mayyah, Z. (2022). The complaints of patients or their relatives about emergency department services in the al-basrah teaching hospital. Medico-legal Updat, 22 (1), 1–6. https://doi.org/10.37506/mlu.v22i1.3173.
  • Kline, T. J. B., Willness, C., & Ghali, W. A. (2008). Predicting patient complaints in hospital settings. Qual Saf Heal. Care, 17, 346–350. https://doi.org/10.1136/qshc.2007.024281.
  • Koskela, L., Broft, R. D., Pikas, E., et al. (2020). 14 Proceedings IGLC28, 6-12 July 2020, Berkeley, California, USA. In Comparing The Methods of A3 and Canvas, pp. 13–24. https://doi.org/10.24928/2020/0136.
  • Mattarozzi, K., Sfrisi, F., Caniglia, F., et al. (2016). What patients’ complaints and praise tell the health practitioner : Implications for health care quality. A qualitative research study. Int. J. Heal. Care, 29(1), 83–89. https://doi.org/10.1093/intqhc/mzw139.
  • Ministry of Health (MoH) Quality Standards in Health (SKS)-Hospital-Version 6; 2020 https://shgmkalitedb.saglik.gov.tr/TR,12680/guncel-standartlar.html.
  • Ministry of Health (MoH). Health Statistics Yearbook 2020 News Bulletin; 2021. https://sgb.saglik.gov.tr/TR-78823/tc-saglik-bakanligi-2020-yili-faaliyet-raporu-yayinlanmistir.html
  • Montini, T., Noble Alice, A., & Stelfox, H. (2008). Content analysis of patient complaints. Int. J. Qual. Heal. Care, 20 (6), 412–420. https://10.1093/intqhc/mzn041.
  • Myers, J. S., Kin, J. M., Billi, E., et al. (2022). R. Development and validation of an solving assessment tool ınstructional package for teachers of quality ımprovement in healthcare. BMJ Qual Saf, 31, 287–296. https://doi.org/10.1136/bmjqs-2020-012105.
  • Råberus, A., Holmström, I. K., Galvin, K., et al. (2019). The nature of patient complaints : A resource for healthcare improvements. Int. J. Qual. Heal. Care, 31(7), 556–562. https://doi.org/10.1093/intqhc/mzy215.
  • Rapport, F., Hibbert, P., Baysari, M., et al. (2019). What do patients really want ? An in-depth examination of patient experience in four Australian hospitals. BMC Health Serv. Res, 19(1) 38. https://doi.org/10.1186/s12913-019-3881-z.
  • Reader, T. W., Gillespie, A., & Roberts, J. (2014). Patient complaints in healthcare systems : A systematic review and coding taxonomy. BMJ Qual Saf, 23, 678–689. https://doi.org/10.1136/bmjqs-2013-002437.
  • Seker, A. (2019). Problem solving ability of lean production techniques: A3 report, Obeya and Smed, J. Soc. Humanit. Sci. Res, 6(32), 100–111. https://doi.org/10.26450/jshsr.989.
  • Shahroudi, P, & Aarabi, A. (2021). Quality ımprovement through lean A3 method for foot traffic in operating room. Perioperative Care and Operating Room Management, 23, 100155. https://doi.org/10.1016/j.pcorm.2021.100155
  • Simons, F. E., Aij Kjeld, H., Widdershoven, G., et al. (2014). Patient safety in the operating theatre : How A3 thinking can help reduce door movement. Int. J. Qual. Heal. Care, 26 (4), 366–371. 10.1093/intqhc/mzu033.
  • Tınaz, B. A. (2019). Study on the Applicability of Lean Management Systems in Hospitals, Trakya University Social Sciences Institute Master Thesis, Edirne, https://dspace.trakya.edu.tr/xmlui/handle/trakya/4642.
  • Tokay-Argan, M., & Arıcı, A. (2019). E-Complaint in health communication: A study on patients and patients’ relatives on Sikayetvar.com. Akdeniz University Faculty of Communication Journal, 31, 339-355. https://doi.org/10.31123/akil.533612
  • Tosun, N., & Soyuk, S. (2019). Evaluation of Complaints in aUniversity Hospital With Reader’s Taxonomy. 3. Internationa 13. National Congress on Health and Hospital Administration. https://www.researchgate.net/publication/338162556.
  • Turkish Statistical Institute (TSI). (2022). Life Satisfaction Survey, https://www.tuik.gov.tr/media/announcements/yasam_memnuniyeti_arastirmasi.pdf.
  • Turkish Statistical Institute (TSI). Health Expenditure Statistics, 2021- 2022. https://data.tuik.gov.tr/Bulten/Index?p=Health-Expenditure-Statistics-2021-45728.
  • Vemanamandhi, P., Digumarti, R., Digumarti S., & Odette, S. (2020). In problem solving using the a3 methodology for colposcopy. Int J Gynecol Cancer, 30, A37 https://ijgc.bmj.com/content/30/Suppl_3/A37.3.
  • Wang, S. C., Chu, N.F., Tang, P. L., et al. (2023). Using healthcare complaints analysis tool to evaluate patient complaints during the COVID-19 pandemic at a medical center in Taiwan. Int. J. Environ. Res. Public Health, 20(1), 310. https:// doi.org/10.3390/ijerph20010310.
  • Yaman, Z., & Kavuncu, B. (2020). Investigation of online complaints notified to private hospitals though content analysis. Sivas Cumhuriyet University Journal of Economics and Administrative Sciences, 21(2), 282–297. https://doi.org/10.37880/cumuiibf.743201
  • Yıldırım, R.F., & Kumru, S. (2021). Evaluation of patient complaints and satisfaction with applications made to call center of the ministry of health- the case of İstanbul-Kadıköy. Eurasian Journal of Health Technology Assessment (EHTA), 5 (2), 124–137. https://dergipark.org.tr/tr/download/article-file/2004310.
There are 36 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Hatice Esen Koç 0000-0003-1164-9086

Early Pub Date July 29, 2024
Publication Date August 25, 2024
Submission Date August 4, 2023
Acceptance Date November 23, 2023
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Esen Koç, H. (2024). Analysis Patient Complaints in a Public Hospital. Genel Sağlık Bilimleri Dergisi, 6(2), 279-294.


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