BREAKING THE SILENCE, 2014 Breaking The Silence | Page 49

significant at p < 0.0001.
There was positive association between clients' attitude
and overall satisfaction with encounter with the doctor
in the doctor-client relationship (Fisher exact of 0.0496).
Clients who already feel in control of the
management/care of illness, doctor helping clients take
control of their management and clients having good
partnership with doctor are positively associated with
scale of satisfaction (Fisher exact of 0.0321, 0.0012 and
0.0005 respectively).
There was however no statistical significance in the
association between clients who would like to be in
control of the management of their illness/care and scale
of satisfaction (Fisher exact of 0.1309).
Fig 3: Other factors affecting clients' satisfaction
Association between client understanding illness better
after seeing doctor, client who felt they had enough time
with the doctor and client's trust in doctor and overall
grading of client satisfaction were statistically significant
at p= 0.0007, p= 0.0026 and p<<0.0001 respectively.
Nearly all the clients 266 (97.08%) were satisfied with
their doctor-client relationship asides 8 (2.92%) clients.
CONCLUSION
Clients in this study generally had a positive attitude
95.26% towards the doctor-client relationship.
The study also proved that clients' attitude towards the
relationship influenced clients' satisfaction.
Clients' priorities in this study included:
-Doctor's listening skills 234 (88.7%)
-Doctor being polite 239 (90.0%)
-Doctor being friendly 241 (90.1%)
-Respect 239 (89.7%)
-Consent 212 (82.8%)
-Shared responsibility of care 221 (84.4%)
-Reassurance/Support 229 (88.4%)
-Good prescription 248 (93.9%)
Clients at Randle General Hospital were majorly satisfied
with their relationship with their doctor having a
percentage as high as 97.08%.
Factors that were shown to affect a doctor-client
relationship include clients' attitude, priorities and
satisfaction (trust, consultation time, clients'
understanding of the illness after consultation).
REFERENCES
1) Terpstra O T. On doctor-client relationship and
feedback interventions. Perspect Med Educ. 2012; 1(4):
159–161.
2) Ha J F, Longnecker N. Doctor-Client Communication:
A Review. Ochsner J. 2010; 10(1): 38–43.
3) Butalid L, Verhaak P F M, Boeije H R, Bensing J M.
Clients' views on changes in doctor-client
communication between 1982 and 2001: a mixed-
methods study. BMC FamPract.2012; 13: 80.
4) Peck B M. Age-Related Differences in Doctor-Client
Interaction and Client Satisfaction. CurrGerontolGeriatr
Res. 2011 (2011), Article ID 137492, 10 pages.
5) Kuteyi A E A, Bello I S, Olaleye T M, Ayeni I O, Amedi
M I. Determinants of patient satisfaction with physician
interaction: a cross-sectional survey at the Obafemi
Awolowo University Health Centre, Ile-Ife, Nigeria. SA
Fam Pract. 2010; 52(6):557-562.
Fig 4: Pie chart showing Clients' satisfaction
AMSUL Digest 2014