Sr. No.
observations
Chapter 1
1 The research topic, problem, objective and
Thanks for the kind review. We have
background is not clearly formulated.
The Study should be clear that it seeks to incorporated this observation by making
measure the association between patient some revision in 1.3. Problem Statement an
satisfaction and doctors' technical ability given on Page 9 of the thesis. Moreover,
measured through technical interaction. Objective 4 of this study states that its aim
Technical interaction includes technical is to analyze an association between
expertise, interpersonal aspect, patient satisfaction and dimensions of
communication, consultation time, and
medical interaction i.e., technical expertise,
access availability. This should clearly be
captured in the research aim and objective interpersonal aspects, time dimension and
and may be captured by having a clear and accessibility.
overarching question driving the project.
The title could also be clearer. I suggest the
Thanks for the review and suggestion.
2 following research topic;
Necessary to mention that the research title
"Doctors competence and behavior and
of the present study has been finalized by
hepatitis (HPV) patients' satisfaction in
the regulatory bodies as per our university
public health institutions, Punjab, Pakistan"
format and rules.
Chapter 2
3 The Study should review global literature
on the subject. The literature review should
“Review of literature” is comprised of
also engage with experiences in other
various national and international studies
context, US, Europe, Africa etc. For
on various dimensions of the subject of
example, it must draw from the experience
research.
in Latin America, Europe, Africa and other
Asian context.
Thanks for this expert review. Such
4 There are some missing references.
references have been rechecked and
adjusted in the thesis Review of Literature
part on Page 12 onward.
Chapter 3
5
The study is based on a survey
questionnaire and some focus group
Submitted that the observation and
interviews which presumably were all
suggestion of the review has substantially
conducted, How was access negotiated?
been incorporated on Page 56,61 and 62
What about the researcher positionality and
respectively under sub titles of Interview
reflexivity? How was this addressed? The
Schedule & Sensitive Questions, Field
researcher should explain how access was
negotiated and their position and Experience and Focus Group Discussion.
experience in the field.
6 The researcher provides several pictures
from her fieldwork which presents very Submitted that the access of patients was
strong and powerful empirical evidence. In negotiated first with the concerned
several of these pictures, the researcher is authorities of Primary and Secondary
seen performing interview with the healthcare department present in each
participants in public spaces in the hospital i.e., medical Superintendent or In-
presence of other people. In addition, charge/head of the concerned department,
several pictures of the patients are also so as to seek their permission. Hepatitis
used. This raises some ethical issues. The patients visiting concerned department of
question is how in this case did the the hospitals were then briefed about
researcher secured confidentiality? The objective of this study. The willing patients
question on this is how the consent was were finally interviewed. Verbal consent of
secured? the respondents was also attained before
start of interview for capturing their pictoral
images. For this purpose, face validity and
content validity of interview schedules were
ensured by the Professor of Rural
Sociology. Procedure has been
incorporated in 3.5. Data Collection given
on Page 54 of the thesis. So for as, the
sensitive questions with the respondents
are concerned, its mode has been
described in 3.8. Interviewing Schedule &
Sensitive Questions given on page 55 of
the thesis.
7 There is a need to provide more details This observation has been incorporated in
about how the data was collected. For 3.5. Data Collection on Page 54 of this
example, the study could reflect on when thesis.
the data was collected and how long they
spend time in the field. It is also important
to reflect on how the fieldwork was
managed. For example, the study managed
to secure 100% response which is very
unusual in many other similar studies. The
question here which may need to be
reflected is how this was managed?
8 The study focuses on participants of We have included minimum age of the
specific age groups 20-40 year. What of respondent as 25 years. However, no cap
those below 18-20 and 40? What is the is fixed for the maximum age. The reason
rationale of the bunching everyone 40 and behind selection of minimum age group of
above into one group. 25 years is that very few patients less than
25 years are found to be suffering from this
disease.
Chapter 4
9 There is general lack of critical assessment
of the results and in the end much of the This observation has been incorporated as
findings is left out without much critical 4.2. Bi-Variate Analysis given on Page 90
engagement. The study should provide and 91. Further, critical and analytical
clear reasons and justification for the assessment of findings has been
inferential measurements that are incorporated on Page 122.
presented.
10 The study does not clearly integrate theory
is the discussions and conclusions of the Bivariate analysis reveals that literature
study. The Study fails to integrate support exists for the results given at the
qualitative and quantitative data, literature end of the tables 4.21 to 4.27 starting from
and theory. Ordinarily the study is not doing Page 90 to 103. Moreover, Theoretical
much in using qualitative data, literature Integration has been incorporated on Page
and theory to explain the quantitative 123 and conclusion part on Page 124.
findings.
11 Some of the participants were said to be Patients education level reveals that
illiterate. The question here is: How did the although some of the patients were
study ensured they were able to correctly illiterate, but their responses whatever they
judge the technical expertise of the were independently captured in the study.
doctors? Patient satisfaction is As, the patients more oftenly visit the
fundamentally a subjective judgment that hospitals for their medical treatment, they
results from the appraisal of health care can judge the expertise level of doctors in
experience and involving the explicit and their few visits through the results of
implicit patients lack formal medical training treatment and mutual discussion with other
and because patient satisfaction measures patients.
capture some aspects of "happiness" that Moreover, although, satisfaction of patients
are easily influenced by factors unrelated is a subjective matter, but the particular
care. The question here is how this study context and dimension of satisfaction in our
dealt with reality. What of the gendered study has been specified and measured by
differences between men and women? asking nine questions from patients, i.e.,
Was there no variation in the views of the 19.1 to 19.8. Further, the questions have
different genders? been evaluated on 3-Point Likert Scale.