Evidence map›Paper›PMID 40455733›Full record

ArticlePloS one2025

Patient satisfaction in regional referral hospitals of Bhutan: Insights from a cross-sectional study.

Kuenzang Dorji, Kinga Jamphel, Jigme Kelzang, Ugyen Pelmo, Hem Kumar Nepal, Sonam Zangpo, Sonam Wangdi, Karma Galey

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kuenzang DorjiHealth Service Quality Assurance Division, Department of Health Service, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.ORCID 0000-0002-0885-8533
Kinga JamphelDepartment of Health Service, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.
Jigme KelzangHealth Service Quality Assurance Division, Department of Health Service, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.ORCID 0009-0007-1219-8228
Ugyen PelmoQuality Assurance Unit, Gelephu Central Regional Referral Hospital, National Medical Services, Ministry of Health, Royal Government of Bhutan, Gelephu, Bhutan.
Hem Kumar NepalQuality Assurance Unit, Mongar Eastern Regional Referral Hospital, National Medical Services, Ministry of Health, Royal Government of Bhutan, Mongar, Bhutan.
Sonam ZangpoHealth Service Quality Assurance Division, Department of Health Service, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.
Sonam WangdiPolicy Planning Division, Secretariat, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.
Karma GaleyHealth Service Quality Assurance Division, Department of Health Service, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.ORCID 0000-0003-0292-4920

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient satisfaction is crucial for evaluating healthcare quality and guiding continuous quality improvement. Globally, patient satisfaction has been extensively studied; however, there is limited research on this topic in Bhutan, where the healthcare system is in the early stages of developing a quality-oriented culture. To address this gap, we aimed to evaluate patient satisfaction levels among different socio-demographic and clinical groups and identify the predictors of patient satisfaction in Bhutan.

methodsWe conducted a retrospective analysis of patient satisfaction survey responses archived in the quality assurance unit of two tertiary healthcare centres in Bhutan: Mongar Eastern Regional Referral Hospital and Gelephu Central Regional Referral Hospital. The routine surveys, administered throughout April 2024, utilised an adapted version of the Patient Satisfaction Questionnaire-18. The data were analysed using descriptive and inferential statistics.

resultsOur study revealed significant variations in patient satisfaction across socio-demographic and clinical groups. Ethnicity (P-value = 0.017), occupation (P-value = 0.014), and education level (P-value = 0.021) emerged as significant predictors of satisfaction. Sharchop and other ethnic groups (P-value= < 0.001); farmers, religious personnel, and other occupational groups (P-value= < 0.001); and illiterate (P-value= < 0.001) individuals exhibited significantly higher satisfaction levels. While patient type (P-value = 0.472), age (P-value = 0.553), and marital status (P-value = 0.448) influenced satisfaction levels, they did not emerge as significant predictors when considering other variables. Overall, patient satisfaction in Bhutan is 4.06 on a 5-point Likert scale. Satisfaction is highest in the financial domain, while accessibility and convenience received the lowest scores.

conclusionsOverall, with a score of 4.06 on a 5-point Likert scale, patient satisfaction in Bhutan is high. However, our findings highlight the need to address socio-demographic disparities in patient satisfaction. As the Bhutanese socio-demographic landscape evolves, satisfaction levels may decline. To enhance overall satisfaction, healthcare policymakers should focus on improving accessibility and convenience. Strategies such as establishing dynamic limits on free services, exploring private sector engagement in advanced healthcare service, and strengthening the healthcare workforce are essential for sustainable and quality healthcare service delivery.

Indexed as

Patient SatisfactionAdolescentAdultAgedBhutanCross-Sectional StudiesFemaleHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesSurveys and QuestionnairesTertiary Care CentersYoung Adult

Identifiers

PMID40455733
PMCPMC12129210

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.