• Waris Qidwai
  • Syed Sohail Ali
  • Muhammad Baqir
  • Semi Ayub


Background: Patient expectation survey at the Emergency Medical Services can improve patientsatisfaction. A need was established to conduct such a survey in order to recommend its use as aquality improvement tool. Methods: The study was conducted on patients visiting the EmergencyMedical Services, Aga Khan University, Karachi. A questionnaire was used to collect informationon the demographic profile, and expectations of patients. The ethical requirements for conductingthe study were met. Results: A hundred patients were surveyed. The majority was relativelyyoung, married men and women, well educated and better socio-economically placed. Themajority of the patients expected a waiting time and a consultation time of less than 30 minutesand 20 minutes, respectively. The majority of respondents expected and agreed to be examined bya trainee but there were reluctant to be examined by the students. There was an expectation thatthe consultant will examine patients and not advice the attending team over the phone. Themajority of the patients expected intravenous fluid therapy. There was a desire to have patientattendant present during the consultation process. The majority of the patients expected to pay lessthan three thousand rupees for the visit. An expectation exists for investigations andhospitalization. Involvement of patients in decisions concerning their treatment and writtenfeedback on their visit was expected. Conclusions: We have documented the need and value ofpatient expectation survey at the Emergency Medical Services department. The use of such a toolis recommended in order to improve the satisfaction levels of patients visiting such facilities.Key-words: Emergency Medical Service-Emergency Care-Patient Satisfaction


Perron NJ, Secretan F, Vannotti M, Pecoud A, Favrat B.

Patient expectations at a multicultural out-patient clinic in

Switzerland. Fam Pract 2003; 20:428-33.

Kuisma M, Maatta T, Hakala T, Sivula T, Nousila-Wiik M.

Customer satisfaction measurement in emergency medical

services. Acad Emerg Med 2003;10:812-5.

Sun B, Adams J, Orav E, Rucker D, Brennan T, Burstin H.

Determinants of patient satisfaction and willingness to return

with emergency care. Ann Emerg Med 2000; 35:426–34.

Curka P, Pepe P, Zachariah B, Gray G, Matsumoto C.

Incidence, source and nature of complaints received in a

large, urban emergency medical services system. Acad

Emerg Med 1995;2:508–12.

Hutchison B, Ostbye T, Barnsley J, Stewart M, Mathews M,

Campbell MK et al. Patient satisfaction and quality of care in

walk-in clinics, family practices and emergency departments:

the Ontario Walk-In Clinic Study. CMAJ 2003; 168:977-83.

Ballesteros Perez AM, Garcia Gonzalez AL, Fontcuberta

Martinez J, Sanchez Rodriguez F, Perez-Crespo C, Alcazar

Manzanera F. Time spent waiting at primary care clinics: can

this be improved? Aten Primaria. 2003; 31:377-81.

Qidwai W, Dhanani RH, Khan FM. Implications for the

practice of a patient expectation and satisfaction survey, at a

teaching hospital in Karachi, Pakistan. J Pak Med Assoc


Cloonan CC. "Don't just do something, stand there!": to teach

or not to teach, that is the question--intravenous fluid

J Ayub Med Coll Abbottabad 2005;17(3)

resuscitation training for Combat Lifesavers. J Trauma 2003;

:S20-5. Review.

Rehmani R, Amanullah S. Analysis of blood tests in the

emergency department of a tertiary care hospital. Postgrad

Med J 1999;75:662-6.

Leonard P, Beattie TF. How do blood cultures sent from a

paediatric accident and emergency department influence

subsequent clinical management? Emerg Med J 2003;


Mandhan P, Shah A, Khan AW, Muniruddin, Hasan N.

Outpatient pediatric surgery in a developing country. J Pak

Med Assoc. 2000; 50:220-4.

Steinau G, Riesener KP, Werkes S, Willital GH,

Schumpelick V. Ambulatory pediatric surgery--limits and

risks from the clinical viewpoint. Chirurg 1995;66:291-6.

Qidwai W. Paternalistic model of medical practice. J Coll

Physicians Surg Pak 2003;13:296-9.

Tsai DF. How should doctors approach patients? A

Confucian reflection on personhood. J Med Ethics


Tsai DF. Ancient Chinese medical ethics and the four

principles of biomedical ethics. J Med Ethics. 1999; 25:315-


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