Healthcare Cost and Patient Satisfaction at OPD in context of tertiary level hospital: A comparative study between public and Private hospital in Dhaka

Dear respondents, You are invited to participate in our study entitled which is conducting by Tamanna Islam as part of a Research Methodology course in Masters of Social Science in Institute of Health Economics at University of Dhaka. Your participation in this research is voluntary. All your information will be kept private and only will be used for this research purposes. By signing below you are indicating your consent to share your information for this study: Signature of the respondents: ……………………… Signed Date: ................................... ......./....../......

Name

  1. 72
  2. 70
  3. 47
  4. 54
  5. 49
  6. 48
  7. 57
  8. 52
  9. 60
  10. 59
…More…

Hospital Type

Gender of the respondent

Age of the respondent (years)

Level of Education

Occupation

Family Income (Monthly)

Which department have you consulted?

Level of Satisfaction on Registration Process

Level of Satisfaction on Registration Process

Level of Satisfaction on Registration Process

Causes for Level of Satisfaction on Registration Process

Level of Satisfaction on Waiting time (for doctor, for investigation)

Causes for Level of Satisfaction on Waiting time (for doctor, for investigation)

Level of Satisfaction on Availability of doctor

Causes for Level of Satisfaction on Availability of doctor

Level of Satisfaction on Behavior of doctor

Causes for Level of Satisfaction on Behavior of doctor

Level of Satisfaction on Consultation time of doctor

Causes for Level of Satisfaction on Consultation time of doctor

Level of Satisfaction on Instruction about uses of drug & care

Causes for Level of Satisfaction on Instruction about uses of drug & care

Level of Satisfaction on Explanation of the Complication of disease & drugs

Causes for Level of Satisfaction on Explanation of the Complication of disease & drugs

Level of Satisfaction on Service of laboratory

Causes for Level of Satisfaction on Service of laboratory

Level of Satisfaction on Cleanliness of facilities

Causes for Level of Satisfaction on Cleanliness of facilities

Level of Satisfaction on Privacy

Causes for Level of Satisfaction on Privacy

Consultant Fee (Figure in BDT)

Diagnosis Fee ( Figure in BDT)

Medicine Fee ( Figure in BDT)

Transportation Cost ( Figure in BDT)

Informal Payments ( Figure in BDT)

Level of Satisfaction on cost of hospital service

Create your questionnaireAnswer this form