All candidates were given a pre- and post-course questionnaire using 7-point Likert scaled items, adapted from a standard satisfaction measure [ 21], and some open ended questions.
Key barriers identified were language barriers in information and communication; power difference between users and providers; health systems not accounting for user satisfaction; variable standards of implementation of standard guidelines; shortage of resources in health facilities and lack of studies assessing the role of leadership in improving QoC.
Secondary outcomes included several measures of wellbeing and satisfaction using standard data collection tools.
As staff from the same hospital might have similar variation of job satisfaction scores, standard errors were clustered by hospitals.
In most studies, integrated DD treatment yielded greater client satisfaction than standard treatment without explicit DD focus.
Of these, five offered evidence that integrated care yields greater client satisfaction than standard treatment [ 30, 31, 37, 41, 44].
A significant drop in group support activity at 6 months correlated with a drop off in return of follow-up surveys and an apparent reduction in satisfaction with standard medical education.
This variable measures individuals' subjective sense of their standing on the social ladder in relation to multiple dimensions of socio-economic status and social position, including occupational grade, household income, education, satisfaction with standard of living and feeling of financial security (Adler, Stewart, & the Psychosocial Working Group, 2007; Singh-Manoux, Adler, & Marmot, 2003).
In that study, the life satisfaction measure was more strongly related to material prosperity, as noted above: household income, along with possession of luxury conveniences and satisfaction with standard of living.
