Abstract:
Background: Patients seek quick and convenient services, but there are various
problems faced by the patients in any hospital which leads the patients to be
dissatisfied. Patients who are not satisfied with a service will not come back to the
hospital and may have worse out comes than others. Therefore, identifying factors
affecting chronic disease patient satisfaction is important to plan and monitor the
utilization of health care services.
Objective: To assess level of patient satisfaction with chronic disease care and its
associated factors among patients attending follow up at chronic outpatient
departments of West Shoa Public Hospitals, Oromia, Ethiopia, 2023.
Method: Institution based cross sectional study was conducted from May 1-June 30,
2023 among systematically selected 416 study participants. Data was collected using
pretested, structured and interviewer administered questionnaire. Epi-data version 4.6 was
used to entry, then exported to SPSS version 27 for data cleaning and analysis. Bi variable logistic regression was done for each independent variable, and all variable’s
which had p-value less than 0.25 at bi-variable analysis was entered into multivariable
logistic regression. In multivariable logistic regression, to fit the final model, odds ratio
was estimated at 95% CI to show the strength of association and p-value less than 0.05
was used to determine an association between independent and dependent variables.
Results: A total of 408 chronic disease patients were recruited with a response
rate of 98%. The overall level of satisfaction among respondents was 63% (95%
CI: 58.3–67.4%). Sex (AOR=2.21, 95% CI (1.37, 3.55)), place of residency (AOR
4.23, 95% CI (2.61,6.84)), availability of ordered drugs (AOR=2.55, 95% CI
(1.55, 8.08)), availability of ordered diagnostic tests(AOR=1.93, 95% CI
(1.59,4.1))and waiting time (AOR=16.58, 95% CI (4.54-60.49)) were factors
associated with patient satisfaction.
Conclusion: The overall chronic diseases patients’ satisfaction is low as compared with
national targets for public hospitals of Ethiopia. Sex, place of residency, availability of
ordered drugs, availability of ordered diagnostic tests and waiting time were factors
associated with patient satisfaction. Hospitals administrations should avail essential
diagnostic tests and pharmaceutical drugs and review it’s availability regularly and giving
service timely by reducing patient waiting time.
