Patient Satisfaction with Mental Health Services in Public and Private Tertiary Care Hospitals of Peshawar: A Cross-Sectional Study

Authors

  • Misbah Uddin Khyber Medical College, Peshawar, Pakistan
  • Hafsa Khan Khyber Medical College, Peshawar, Pakistan
  • Shariq Hayat Khyber Medical College, Peshawar, Pakistan
  • Mahnoor Saleem Khyber Medical College, Peshawar, Pakistan
  • Faiza Gul Khyber Medical College, Peshawar, Pakistan
  • Adeela Mustafa Khyber Medical College, MTI, Peshawar, Pakistan
  • Maryam Amir Northwest School of Medicine, Peshawar, Pakistan

DOI:

https://doi.org/10.52206/jsmc.2025.15.4.1101

Abstract

Background: Patient satisfaction serves as a vital indicator of healthcare quality, reflecting how well patient expectations and needs are met during care. In the field of mental health, satisfaction is particularly important as it directly influences treatment adherence, recovery outcomes, and long-term engagement with services.

Objective: This study aimed to assess and compare patient satisfaction with mental health services in public and private tertiary care hospitals of Peshawar.

Methodology: A descriptive cross-sectional study was conducted from 17th March to 30th June 2024 across three public and three private tertiary care hospitals in Peshawar. A total of 310 patients were selected using a stratified random sampling technique. Patient satisfaction was assessed using a validated satisfaction tool designed for low-income countries (Cronbach’s alpha = 0.89). Data were analyzed using SPSS version 20, with descriptive statistics, frequencies, and percentages reported. One-way ANOVA and post hoc tests were applied to compare differences across hospitals, with a significance level of p < 0.05.

Results: The mean age of participants was 26 years (SD ± 11.53), with 66.8% males and 33.2% females. Urban residents comprised 56.8% of respondents, while 43.2% were from rural areas. Educational levels ranged from illiterate (19%) to graduates/postgraduates (23.5%). Overall satisfaction was slightly higher in private hospitals (79.99%) than in public hospitals (77.14%). The highest satisfaction was observed at Northwest General Hospital (87.11%), while the lowest was at Lady Reading Hospital (71.74%). ANOVA results revealed significant inter-hospital differences in service quality (p < 0.05), particularly in waiting times, communication, and accessibility.

Conclusion: Patients reported higher satisfaction with private sector hospitals compared to government hospitals, largely due to better facilities, reduced waiting times, and greater resource availability. Strengthening public mental health infrastructure, improving staff training, and addressing financial and accessibility barriers are recommended to enhance overall patient satisfaction.

Keywords: Healthcare quality, Mental health services, Patient satisfaction, Public vs. private hospitals, Tertiary care.

References

Melkam M, Kassew T. Mental healthcare services satisfaction and its associated factors among patients with mental disorders on follow-up in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Frontiers in Psychiatry. 2023 May 30;14:1081968. https://doi.org/10.3389/fpsyt.2023.1081968

Edmeades A, Asfaw Y, Ademe S, Tegegne B. Patients’ satisfaction and associated factors towards nursing care in Dessie Referral Hospital, Northeast Ethiopia. Clin J Nurs Care Pract. 2019;1(1):13-9. https://doi.org/10.29328/journal.cjncp

Lee JE, Goh ML, Yeo SF. Mental health awareness of secondary schools students: Mediating roles of knowledge on mental health, knowledge on professional help, and attitude towards mental health. Heliyon. 2023 Mar 1;9(3). https://doi.org/10.1016/j.heliyon.2023.e14512

Ali TM, Gul S. Community mental health services in Pakistan: Review study from Muslim world 2000-2015. Psychology, Community & Health. 2018;7(1):57. https://doi.org/10.23668/psycharchives.2324.

Childs AW, Bacon SM, Klingensmith K, Li L, Unger A, Wing AM, et al. Showing up is half the battle: The impact of telehealth on psychiatric appointment attendance for hospital-based intensive outpatient services during COVID-19. Telemedicine and e-Health. 2021 Aug 1;27(8):835-42. https://doi.org/10.2147/PPA.S115767

Adhikari M, Paudel NR, Mishra SR, Shrestha A, Upadhyaya DP. Patient satisfaction and its socio-demographic correlates in a tertiary public hospital in Nepal: a cross-sectional study. BMC health services research. 2021 Dec;21:1-0. https://doi.org/10.1186/s12913-021-06155-3

Jiang F, Rakofsky J, Zhou H, Hu L, Liu T, Wu S, et al. Satisfaction of psychiatric inpatients in China: clinical and institutional correlates in a national sample. BMC psychiatry. 2019 Jan 11;19(1):19. https://doi.org/10.1186/s12888-019-2011-0.

Jena S, Gupta M. A survey of patient satisfaction of patients attending a psychiatry outpatient clinic at a tertiary care center. Int J Community Med Public Health. 2018 May;5(5):2026-30. http://www.ijcmph.com

Begum F, Said J, Hossain SZ, Ali MA. Patient satisfaction level and its determinants after admission in public and private tertiary care hospitals in Bangladesh. Frontiers in health services. 2022 Sep 7;2:952221. https://doi.org/10.3389/frhs.2022.952221

Javed A, Khan MN, Nasar A, Rasheed A. Mental healthcare in Pakistan. Taiwanese Journal of Psychiatry. 2020 Jan 1;34(1):6-14. https://doi.org/10.4103/TPSY.TPSY_1_22

Woldekidan NA, Gebresillassie BM, Alem RH, Gezu BF, Abdela OA. Patient Satisfaction with Psychiatric Outpatient Care at University of Gondar Specialized Hospital: A Cross?Sectional Survey. Psychiatry journal. 2019;2019(1):5076750. https://doi.org/10.1155/2019/5076750.

Mayston R, Habtamu K, Medhin G, Alem A, Fekadu A, Habtamu A. Developing a measure of mental health service satisfaction for use in low income countries: a mixed methods study. BMC health services research. 2017 Mar 9;17(1):183. https://doi.org/10.1186/s12913-017-2126-2

Aljarallah NA, Almuqbil M, Alshehri S, Khormi AM, AlReshaidan RM. Satisfaction of patients with health care services in tertiary care facilities of Riyadh, Saudi Arabia: A cross-sectional approach. Frontiers in public health. 2023 Jan 13;10:1077147. https://doi.org/10.3389/fpubh.2022.1077147

Nawaz A, Alam A, Dawood S, Bashir MB, Khan M, Khan M. Assessment of outdoor patient’s satisfaction regarding clinical investigation of physicians in government hospitals of Quetta, Pakistan. Archives of Nursing Practice and Care. 2021 Apr 1;7(1):015-9. https://doi.org/10.17352/anpc.000055

Korsbek L, Vilholt-Johannesen S, Johansen GK, Thomsen R, Johansen MB, Rasmussen KS. The intentional differences: a qualitative study of the views and experiences of non-peer mental health providers on working together with peer support colleagues in mental health. Community Mental Health Journal. 2021 Nov;57(8):1435-41. https://link.springer.com/article/10.1007/s10597-021-00807-8

Benjamin I, Rodriguez-Seijas C, Zimmerman M. Differences in patient satisfaction across sexual orientation and gender identity in an acute care setting. Psychology of Sexual Orientation and Gender Diversity. 2023 Mar;10(1):117. https://doi.org/10.1037/sgd0000505

Pathare S, Funk M, Bold ND, Chauhan A, Kalha J, Krishnamoorthy S. Systematic evaluation of the QualityRights programme in public mental health facilities in Gujarat, India. The British Journal of Psychiatry. 2021 Apr;218(4):196-203. https://doi.org/10.1192/bjp.2019.138

Skar-Fröding R, Clausen HK, Šaltyt? Benth J, Ruud T, Slade M. Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study. BMC health services research. 2021 May 8;21(1):439. https://doi.org/10.1186/s12913-021-06409-0

Kular A, Perry BI, Brown L, Gajwani R, Jasini R. Stigma and access to care in first?episode psychosis. Early intervention in Psychiatry. 2019 Oct;13(5):1208-13.DOI: 10.1111/eip.12756. https://pubmed.ncbi.nlm.nih.gov/30411522/.

Additional Files

Published

04-11-2025

How to Cite

1.
Uddin M, Khan H, Hayat S, Saleem M, Gul F, Mustafa A, Amir M. Patient Satisfaction with Mental Health Services in Public and Private Tertiary Care Hospitals of Peshawar: A Cross-Sectional Study. J Saidu Med Coll [Internet]. 2025 Nov. 4 [cited 2026 Nov. 10];15(4):615-22. Available from: http://jsmc.pk/index.php/jsmc/article/view/1101

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