Level Of Patient Satisfaction With Chronic Disease Care And Its Associated Factors Among Patients Attending Follow Up At West Shoa Public Hospitals, Oromia, Ethiopia

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.