Identification of Priorities for Improving Patient Satisfaction at Muhimbili Orthopaedic Institute

Barnabas Herman Amlima; Kennedy Tito Nchimbi; Zaituni Shabani Bembe

doi:10.36948/ijfmr.2026.v08i05.89039

Identification of Priorities for Improving Patient Satisfaction at Muhimbili Orthopaedic Institute

Author(s)	Mr. Barnabas Herman Amlima, Dr. Kennedy Tito Nchimbi, Zaituni Shabani Bembe
Country	Tanzania
Abstract	Patient feedback provides health-service managers with information that can be used to identify operational problems and prioritize quality-improvement interventions. However, routine patient-feedback systems may generate large volumes of information without providing a systematic basis for managerial prioritization. This study examined patient satisfaction and applied Pareto analysis to routinely collected patient feedback at a national referral hospital in Tanzania. A hospital-based cross-sectional analysis was conducted using automated patient exit-interview data from 810 patients and caregivers. Satisfaction was measured using a five-point Likert scale. Quantitative responses were summarized using frequencies, percentages and a weighted Patient Satisfaction Score, while open-ended comments were categorized thematically. Pareto analysis was used to identify frequently reported service concerns according to their frequency and cumulative contribution. Overall, 45% of respondents were very satisfied and 42% were satisfied, while 11% reported an average experience and 2% reported dissatisfaction. The seven most frequently reported concern categories were waiting time and service delays (25.06%), staff shortages (11.98%), pharmacy challenges (10.99%), infrastructure limitations (10.00%), billing and insurance concerns (8.64%), diagnostic delays (8.02%), and physiotherapy service gaps (6.30%). Together, these categories accounted for 80.99% of reported concerns. The findings demonstrate that high aggregate patient satisfaction can coexist with recurring operational problems requiring managerial attention. Pareto analysis offers a relatively simple management tool for converting routine patient feedback into prioritized quality-improvement actions. The approach may strengthen evidence-informed decision-making in health-service organizations by linking patient experience data with operational improvement priorities.
Keywords	patient satisfaction; patient experience; health services management; quality improvement; Pareto analysis; hospital management; Tanzania
Field	Medical / Pharmacy
Published In	Volume 8, Issue 5, September-October 2026
Published On	2026-10-04
DOI	https://doi.org/10.36948/ijfmr.2026.v08i05.89039

View / Download PDF File

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Identification of Priorities for Improving Patient Satisfaction at Muhimbili Orthopaedic Institute

Share this