Analysis of Patient Satisfaction Levels According to the SERVQUAL Method on Post-Stroke Services at the Physiotherapy Clinic Muhammadiyah University Hospital Malang

Abstract

One of the primary services at the physiotherapy clinic of UMM Hospital is post-stroke rehabilitation. The hospital is fully equipped with the infrastructure that supports these services, including the availability of static cycles, IR, and diathermy. Post-stroke rehabilitation services have been conducted since June 2013, however, since the establishment of the clinic, levels of patient satisfaction have not been evaluated. Assessment of client satisfaction is important because, in the future, the clinic will be a place of reference for physiotherapy students about post-stroke rehabilitation and providing excellent service to clients. This study used the SERVQUAL (Service Quality) method which involves the assessment of the aspects of tangibility, reliability, responsiveness, assurance, and empathy, to assess the level of patient satisfaction with different services. The study was conducted on all patients who come to the clinic between March and May 2015. The sample size was 20 patients. We identified the patient’s expectations and perception of clinic physiotherapy at the clinic and compared it to the results of the SERVQUAL performance assessment. Based on the results of the study, it was found that the majority of respondents were unsatisfied with the services at the physiotherapy clinic, due to the limitations of the physiotherapists’ abilities, long waiting times for services, and lack of on-call physiotherapists. In addition, there are patient complaints about the lack of equipment at the clinic. However, patients were very satisfied with the safety and comfort of the therapy services, this is influenced by the abilities of qualified physiotherapists who are able to resolve complaints We suggest that the clinic needs to increase the number of physiotherapists in this clinic, and it is necessary to make updates to the existing physiotherapy equipment.


Keywords: Service quality, physiotherapy, stroke

References
[1] Garratt E, Bolton S. Stroke rehabilitation service quality improvement plan-a tale of two towns. Physiotherapy. 2019;105:194.

[2] Cavaliere LP, Khan R, Rajest SS, Sundram S, Jainani K, Bagale G, et al. The Impact Of Customer Relationship Management On Customer Satisfaction And Retention: The Mediation Of Service Quality. Turkish Journal of Physiotherapy Rehabilitation. 2021;32(3):22107–21.

[3] Kang SM, Kim SH, Han KD, Paik NJ, Kim WS. Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study. Top Stroke Rehabilitation. 2021 Apr;28(3):170–80.

[4] Aziz S, Bhatti AU, Malik T, Yusuf Z. Assessment of Service Quality of public Physical therapy practice based on SERVQUAL model. Physical Therapy Rehabilitation Science; 2021. pp. 32–6.

[5] Lupenga J, Namwila NN, Nkandu EM, Chiluba BC, Shula HK. Evaluating Evidence Based Practice of Physiotherapists and the Quality of Physiotherapy Services in Selected Health Facilities of Lusaka, Zambia. Indonesian Journal of Disability Studies. 2019;6(2):133–42.

[6] Gittler M, Davis AM. Guidelines for adult stroke rehabilitation and recovery. JAMA. 2018 Feb;319(8):820–1.

[7] Saunders DH, Sanderson M, Hayes S, Johnson L, Kramer S, Carter DD, et al. Physical fitness training for stroke patients. Cochrane Database System Review. 2020 Mar;3(3): 316.

[8] Behdioglu S, Acar E, Burhan HA. Evaluating service quality by fuzzy SERVQUAL: a case study in a physiotherapy and rehabilitation hospital. Total Quality Management & Business Excellence. 2019;30(3–4):301–19.