Application of the Kano model to determine quality attributes of patient's care at the primary healthcare centers of the Ministry of Health in Saudi Arabia, 2019
Abdulaziz A Howsawi1, Mamdouh F Althageel2, Noorulzaman K Mohaideen3, Mohammad S Khan3, Abdulaziz S Alzahrani4, Mohamed A Alkhadir5, Sulaiman M Alaqeel6, Moath A Alkathiri7, Rayan A Hawsawi8
1 Department of Medical Administration, Armed Forces Medical Services, Riyadh, Saudi Arabia
2 Department of Family Medicine, King Salman Hospital, Ministry of Health, Riyadh, Saudi Arabia
3 Department of Public Health, Ministry of Health, Riyadh, Saudi Arabia
4 Department of Family Medicine, Central Second Health Cluster, Ministry of Health, Riyadh, Saudi Arabia
5 Department of Public Health, General Directorate of Health Affairs, Ministry of Health, Tabuk, Saudi Arabia
6 Department of Pediatric Surgery, National Guard Health Affairs, Riyadh, Saudi Arabia
7 Department of Family and Community Medicine, National Guard Health Affairs, Riyadh, Saudi Arabia
8 Department of Restorative Dentistry, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
Dr. Abdulaziz A Howsawi
Department of Medical Administration, Armed Forces Medical Services, Ministry of Defence, P. O. Box: 64295, Riyadh 11536
Source of Support: None, Conflict of Interest: None
BACKGROUND: Patient satisfaction is the ultimate goal in any healthcare system. Together with other traditional quality indicators, patient satisfaction must be addressed to improve the quality of health care. The strategic objectives of the Ministry of Health (MOH) formulated by the Saudi National Transformation Program are to improve the quality of healthcare services, expand privatization of governmental services, and create an attractive environment for both local and international investors. The objective of this study was to apply Kano model to determine quality attributes of patient care at primary healthcare centers in Saudi Arabia.
MATERIALS AND METHODS: This cross-sectional study was conducted at primary healthcare centers (PHCs) under the MOH in Saudi Arabia between October 2018 and February 2019. Study included all Saudi adult patients aged 18 years or older attending the selected PHCs of MOH. Patients who had difficulty in comprehending were excluded. Data was collected by using a structured questionnaire based on the Kano model for the assessment of patients' expectations of the quality of care and provided services. Data was entered and analysed using SPSS. Chi-square test and t-test were used to test for statistical significance.
RESULTS: The study included a total of 243 patients from 10 PHCs, 51% from consulting PHCs and 49% from nonconsulting PHCs. Response rate was 97.2%, and 44.9% respondents were males. Of the 18 attributes chosen for our study, 14 were one-dimensional, three belonged to the attractive type, and one was indifferent type. The top three one-dimensional attributes were “friendliness and respectfulness of the clinic receptionist,” “friendliness and respectfulness of the nurses and laboratory staff,” and “care and attention of the doctor”.
CONCLUSION: The investors and policymakers need to turn their attention to assisting in the privatization of governmental services by creating a good climate for both local and international investors.