Patient satisfaction in urban primary health centres: case of Lucknow and Prayagraj districts in Uttar Pradesh, India


  • Manoj K. Agarwal Department of Economics and Director, Population Research Centre, University of Lucknow, Lucknow, Uttar Pradesh, India
  • Sunanda Mishra Department of Economics, Population Research Centre, University of Lucknow, Lucknow, Uttar Pradesh, India



Patient satisfaction, Urban primary health centre, Uttar Pradesh


Background: Patient satisfaction is one of the expected outcomes of healthcare, as it is closely connected to health-care utilization. It reflects patients' views on the quality of healthcare and the responsiveness of the healthcare system. There is a strong correlation that exists between patient’s satisfaction and their willingness to seek care at the preferred facility.

Methods: A patient exit interview was carried out among 200 patients attending the urban primary health centre (UPHC) in two rationally selected district of Uttar Pradesh. Information regarding services and atmosphere of the UPHC was gathered using a pre-designed questionnaire during September 2019-December 2019. Binominal logistic regression, both simple and multi-variate were conducted to identify the factors which contribute significantly to patient’s satisfaction.

Results: Overall we found that 57 percent of the patients were satisfied with the concerned UPHC and factors like examining authority, availability of medicines, waiting time, convenient opening hours, location of the UPHC and availability of waiting area were significantly associated with the patients’ satisfaction. Having found the opening hours convenient and waiting space available were the strongest predictors of patient satisfaction.

Conclusions: In conclusion majority of the patient were satisfied, still there is a need to work upon factors like making adequate space available for the patients to wait and modifying the working hours of the UPHC as per the patients need so as to attain the highest level of patient satisfaction.

Author Biography

Sunanda Mishra, Department of Economics, Population Research Centre, University of Lucknow, Lucknow, Uttar Pradesh, India

Research Fellow at Population Research Centre under the Ministry of Health and Family Welfare , Derpartment of Economics, University of Lucknow.


Raghunath E, Vijayalakshmi S, Sathagurunath PA, Mail ID. A study of outpatient satisfaction at primary health centers in Puducherry. Health. 2013;1(4):118-21.

Adhikary G, Shawon MS, Ali MW, Shamsuzzaman M, Ahmed S, Shackelford KA, et al. Factors influencing patients’ satisfaction at different levels of health facilities in Bangladesh: Results from patient exit interviews. PloS One. 2018;13(5):e0196643.

Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Evaluation and program planning. 1983;6(3-4):185-210.

Margolis SA, Al-Marzouqi S, Revel T, Reed RL. Patient satisfaction with primary health care services in the United Arab Emirates. Int J Qual Health Care. 2003;15(3):241-9.

Rameshan P, Singh S. Quality of service of primary health centres: Insights from a field study. Vikalpa. 2004;29(3):71-82.

Sriram S. Availability of infrastructure and manpower for primary health centers in a district in Andhra Pradesh, India. J Fam Med Prim Care. 2018;7(6):1256.

Quyen BT, Ha NT, Van Minh H. Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015. Health Psychol Open. 2021;8(1):20551029211015117.

Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspectives Public Health. 2017;137(2):89-101.

Donabedian A. The Lichfield Lecture. Quality assurance in health care: consumers' role. Quality in Health care. 1992;1(4):247.

Majumder A, Upadhyay V. An analysis of the primary health care system in India with focus on reproductive health care services. Artha Beekshan. 2004;12(4):29-38.

Sodani PR, Kumar RK, Srivastava J, Sharma L. Measuring patient satisfaction: A case study to improve quality of care at public health facilities. Indian J Comm Med. 2010;35(1):52.

Fang J, Liu L, Fang P. What is the most important factor affecting patient satisfaction–A study based on gamma coefficient. Patient preference and adherence. 2019;13:515.

Vinodkumar S, Varghese BG, Setia MS. Factors associated with patient satisfaction in a private health care setting in India: A cross-sectional analysis. J Hospital Admin. 2018;7(4):44-51.

Chakraborty SN, Bhattacherjee S, Rahaman MA. A cross-sectional study on patient satisfaction in an urban health care centre of Siliguri Municipal Corporation, Darjeeling, West Bengal. Med J Dr. DY Patil University. 2016;9(3):325.

Bhola N, Kumari R, Nidha T. Utilization of the health care delivery system in a district of North India. East Afr J Public Health. 2008;5(3):147-53.

LLC S. StataCorp Stata statistical software: release 15.1. College Station, TX. 2017.

Arvind K, Birakta D, Anup S, Kuldeep K. S. Level of Satisfaction in Patients attending Government Health Facilities of AIIMS, New Delhi, Outreach Outpatient Department, Badsa, Jhajjar, Haryana, India. Int J Res Found Hospital Healthcare Admin. 2018;6(1):22-30.

Alarcon-Ruiz CA, Heredia P, Taype-Rondan A. Association of waiting and consultation time with patient satisfaction: secondary-data analysis of a national survey in Peruvian ambulatory care facilities. BMC Health Services Res. 2019;19(1):1-9.

Bleustein C, Rothschild DB, Valen A, Valatis E, Schweitzer L, Jones R. Wait times, patient satisfaction scores, and the perception of care. Am J Managed Care. 2014;20(5):393-400.

Assefa F, Mosse A. Assessment of clients’ satisfaction with health service deliveries at Jimma University specialized hospital. Ethiopian J Health Sci. 2011;21(2):101-10.

Martínez-López-de-Castro N, Álvarez-Payero M, Martín-Vila A, Samartín-Ucha M, Iglesias-Neiro P, Gayoso-Rey M, et al. Factors associated with patient satisfaction in an outpatient hospital pharmacy. Eur J Hospital Pharm. 2018;25(4):183-8.

Kersnik J. Determinants of customer satisfaction with the health care system, with the possibility to choose a personal physician and with a family doctor in a transition country. Health Policy. 2001;57(2):155-64.

Goel S, Sharma D, Bahuguna P, Raj S, Singh A. Predictors of patient satisfaction in three tiers of health care facilities of North India. J Community Med Health Educ S. 2014;2:2161-711.




How to Cite

Agarwal, M. K., & Mishra, S. (2022). Patient satisfaction in urban primary health centres: case of Lucknow and Prayagraj districts in Uttar Pradesh, India. International Journal Of Community Medicine And Public Health, 9(7), 2954–2960.



Original Research Articles