Acceptability as a key determinant of client satisfaction: lessons from an evaluation of adolescent friendly health services in Mongolia

Tugsdelger Sovd, Kristin N Mmari, Varja Lipovsek, Semira Manaseki-Holland

Research output: Contribution to journalArticle

Abstract

Purpose: The primary focus of this study is to investigate which characteristics of health service quality are most likely to determine client satisfaction with health services among adolescents in Mongolia. Methods: Data were gathered from 1301 male and female clients. Exit interviews were used to measure client satisfaction; 82 clinics were visited. All clients between the ages of 10 and 19 years were asked to participate in the client exit interview; those who agreed to participate completed the questionnaire. Bivariate and multivariate analyses were conducted to determine significant associations between service satisfaction and the independent variables. All variables showing a significant bivariate association with service satisfaction (p ≤ .05) were retained for logistic regression analyses. Results: The strongest determinant to client satisfaction related to acceptability: adequate facility physical environment, receiving adequate information about the facility, and if the facility was private (i.e., other people didn't know the services the client received). Additionally, clients who said they received some interruptions, either by other health workers or clients, were significantly less likely to be satisfied with the services. Conclusions: This study demonstrates the importance of understanding and measuring different aspects of health service quality in defining client satisfaction. Although both accessibility and acceptability of services have been shown to be important in other studies, characteristics relating to acceptability emerged as critical in determining client satisfaction among adolescents in Mongolia. Efforts to improve health service delivery to adolescents need to understand and address the "adolescent friendly" characteristics that are most salient, and least fulfilled, in each particular context.

Original languageEnglish (US)
Pages (from-to)519-526
Number of pages8
JournalJournal of Adolescent Health
Volume38
Issue number5
DOIs
StatePublished - May 2006

Fingerprint

Adolescent Health Services
Mongolia
Health Services
Interviews
Multivariate Analysis
Logistic Models
Regression Analysis
Health

Keywords

  • Adolescents
  • Client satisfaction
  • Health services
  • Mongolia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Acceptability as a key determinant of client satisfaction : lessons from an evaluation of adolescent friendly health services in Mongolia. / Sovd, Tugsdelger; Mmari, Kristin N; Lipovsek, Varja; Manaseki-Holland, Semira.

In: Journal of Adolescent Health, Vol. 38, No. 5, 05.2006, p. 519-526.

Research output: Contribution to journalArticle

@article{925196a94c284c838d834f976ba687ee,
title = "Acceptability as a key determinant of client satisfaction: lessons from an evaluation of adolescent friendly health services in Mongolia",
abstract = "Purpose: The primary focus of this study is to investigate which characteristics of health service quality are most likely to determine client satisfaction with health services among adolescents in Mongolia. Methods: Data were gathered from 1301 male and female clients. Exit interviews were used to measure client satisfaction; 82 clinics were visited. All clients between the ages of 10 and 19 years were asked to participate in the client exit interview; those who agreed to participate completed the questionnaire. Bivariate and multivariate analyses were conducted to determine significant associations between service satisfaction and the independent variables. All variables showing a significant bivariate association with service satisfaction (p ≤ .05) were retained for logistic regression analyses. Results: The strongest determinant to client satisfaction related to acceptability: adequate facility physical environment, receiving adequate information about the facility, and if the facility was private (i.e., other people didn't know the services the client received). Additionally, clients who said they received some interruptions, either by other health workers or clients, were significantly less likely to be satisfied with the services. Conclusions: This study demonstrates the importance of understanding and measuring different aspects of health service quality in defining client satisfaction. Although both accessibility and acceptability of services have been shown to be important in other studies, characteristics relating to acceptability emerged as critical in determining client satisfaction among adolescents in Mongolia. Efforts to improve health service delivery to adolescents need to understand and address the {"}adolescent friendly{"} characteristics that are most salient, and least fulfilled, in each particular context.",
keywords = "Adolescents, Client satisfaction, Health services, Mongolia",
author = "Tugsdelger Sovd and Mmari, {Kristin N} and Varja Lipovsek and Semira Manaseki-Holland",
year = "2006",
month = "5",
doi = "10.1016/j.jadohealth.2005.03.005",
language = "English (US)",
volume = "38",
pages = "519--526",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "5",

}

TY - JOUR

T1 - Acceptability as a key determinant of client satisfaction

T2 - lessons from an evaluation of adolescent friendly health services in Mongolia

AU - Sovd, Tugsdelger

AU - Mmari, Kristin N

AU - Lipovsek, Varja

AU - Manaseki-Holland, Semira

PY - 2006/5

Y1 - 2006/5

N2 - Purpose: The primary focus of this study is to investigate which characteristics of health service quality are most likely to determine client satisfaction with health services among adolescents in Mongolia. Methods: Data were gathered from 1301 male and female clients. Exit interviews were used to measure client satisfaction; 82 clinics were visited. All clients between the ages of 10 and 19 years were asked to participate in the client exit interview; those who agreed to participate completed the questionnaire. Bivariate and multivariate analyses were conducted to determine significant associations between service satisfaction and the independent variables. All variables showing a significant bivariate association with service satisfaction (p ≤ .05) were retained for logistic regression analyses. Results: The strongest determinant to client satisfaction related to acceptability: adequate facility physical environment, receiving adequate information about the facility, and if the facility was private (i.e., other people didn't know the services the client received). Additionally, clients who said they received some interruptions, either by other health workers or clients, were significantly less likely to be satisfied with the services. Conclusions: This study demonstrates the importance of understanding and measuring different aspects of health service quality in defining client satisfaction. Although both accessibility and acceptability of services have been shown to be important in other studies, characteristics relating to acceptability emerged as critical in determining client satisfaction among adolescents in Mongolia. Efforts to improve health service delivery to adolescents need to understand and address the "adolescent friendly" characteristics that are most salient, and least fulfilled, in each particular context.

AB - Purpose: The primary focus of this study is to investigate which characteristics of health service quality are most likely to determine client satisfaction with health services among adolescents in Mongolia. Methods: Data were gathered from 1301 male and female clients. Exit interviews were used to measure client satisfaction; 82 clinics were visited. All clients between the ages of 10 and 19 years were asked to participate in the client exit interview; those who agreed to participate completed the questionnaire. Bivariate and multivariate analyses were conducted to determine significant associations between service satisfaction and the independent variables. All variables showing a significant bivariate association with service satisfaction (p ≤ .05) were retained for logistic regression analyses. Results: The strongest determinant to client satisfaction related to acceptability: adequate facility physical environment, receiving adequate information about the facility, and if the facility was private (i.e., other people didn't know the services the client received). Additionally, clients who said they received some interruptions, either by other health workers or clients, were significantly less likely to be satisfied with the services. Conclusions: This study demonstrates the importance of understanding and measuring different aspects of health service quality in defining client satisfaction. Although both accessibility and acceptability of services have been shown to be important in other studies, characteristics relating to acceptability emerged as critical in determining client satisfaction among adolescents in Mongolia. Efforts to improve health service delivery to adolescents need to understand and address the "adolescent friendly" characteristics that are most salient, and least fulfilled, in each particular context.

KW - Adolescents

KW - Client satisfaction

KW - Health services

KW - Mongolia

UR - http://www.scopus.com/inward/record.url?scp=33646022870&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646022870&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2005.03.005

DO - 10.1016/j.jadohealth.2005.03.005

M3 - Article

C2 - 16635762

AN - SCOPUS:33646022870

VL - 38

SP - 519

EP - 526

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 5

ER -