Main Article Content
Supply of health services in teaching hospital usually provides confidence among users and this explains high patronage. Yet the bureaucratic characteristic of the hospital is a major concern. This study was designed to explore in-patients’ knowledge of healthy services in a tertiary bound hospital and how this shaped patronage among users. Cross sectional design and multi stage sampling (purposive, random, systematic and accidental) was adopted. Some 420 sample, respondents were determined and used. Data were collected and analysed at quantitative and qualitative level, using statistics and text. Mean age of respondents was 42 years and 69.8% were married, while 44.0% were self employed. Respondents (98.8%) reported knowledge that patients had power to report health problems to medical officers which provide clear path for treatment. Similarly, 98.1% adequately know that medical doctors ultimately recommended treatment investigation or regimen. Although 96.1% abundantly distinguished the role of nurses and other paramedics in the teaching hospital, yet availability of equipment (97.1%), access to pharmacy (94.0%), clean hospital environment (95.0%), patients’ knowledge of treatment (79.0%) and confidence in quality of service contributed to unbroken patronage. Knowledge was rated high (55.7%), moderate (27.6%) and low (16.7%) and this was strongly because the hospital operated patient oriented goal and flexible communication system which incorporated patients’ inclusion. Desire to discontinue patronage and consultation was strongly reported by patients with low knowledge who perceived that vital information of their health investigation was concealed from them. Tertiary hospital must operate inclusive information system to improve health seeking behavior among users.
IIiyasu Z, Abubakar IS, Abubakar S, Lawani UM, Gajida AU. Patient satisfaction with services obtained from Amino Kano Teaching Hospital Kano, Northern Nigeria. Niger J. Clinic Practice. 2010;13:371-378.
Ware JE, Wright R, Snyder. Defining and measuring patient satisfaction with medical care. Eval. Prog. Planning. 2013;6:247-263.
Erinosho OA. Pathway to mental health delivery system in Nigeria. Journal of Social Psychiatry. 2005;23(1):60-66.
Micah DJ, Omorogbe C. Patients’ satisfaction with health care services in bureaucratic bound health organisation. Journal of Social Scientist. Adekunle Ajasin University. 2017;7(2).
Owumi BE. Society and health, social pattern of illness and medical Care. Readings in Medical Sociology. Oke EA, Owumi BE. Eds. Resource Development and Management Services (RDMS). 2012; Chapter 6:196-208.
Alliyu N, Oduwole MD. Hospital and quality of care: Implications for health development in Nigeria. Ago-Iwoye Journal of Social and Behavioural Sciences. 2005; 1(1):88-102.
Like P, Zyzanski SJ. Patient satisfaction with the clinical encounter; socio-psychological determinants. Soc. Sci. Med. 2007;24:351-357.
Freidson E. Client control and medical practice. American Journal of Sociology. 2012;65:378-382.
Donabedian A. An introduction to quality assurance in Healthcare. Rashid Oxford: Oxford University Press; 2003.
Reeder LG. The patient-client as a consumer: Some observations on the changing professional-client Relationship. J. Health Soc. Behav. 2012;13(4):406-412.
Linn MW, Stein SR, Linn BS. Satisfaction with ambulatory care and compliance in older patients. Med. Care. 2012;20(6):600-614.
Hertz P, Stamps PL. Appointments keeping behavior re-evaluated. Am. J Public Health. 2017;67:1033-1036.
Nettleton S, Harding S. Protesting patients: A study of complaints submitted to a family Service Authority. Sociology of Health and Illness. 2014;16: 38-63.
Black N, Gruen R. Understanding health services. England. Open University Press; 2010.
Stile W, Putnan S, Wolf M, James S. Interaction exchange Structure and satisfaction with medical interview. Medical Care. 2008;17:667-79.
Smith S. Sinclair D, Raine R, Reeves B. Health care evaluation. England: Open University Press; 2010.