背景:患者满意度是衡量医疗机构提供的医疗服务质量的关键指标。然而,很少有研究,特别是在埃塞俄比亚,其中包括研究区域,特别检查了使用门诊护理的人之间的这些差异。在这项研究中,比较了在哈迪亚地区公共卫生机构接受门诊服务的参保和未参保患者的满意度和相关因素,埃塞俄比亚南部。
方法:采用基于设施的比较横断面研究设计,对630名患者进行了多阶段和系统随机抽样。使用预先测试和结构化的面试官问卷收集数据。分析结果以文字形式呈现,tables,和适当的图表。多变量逻辑回归用于预测预测因子和结果变量之间的关联。在p值<0.05时声明有统计学意义。
结果:总体而言,344名(55.48%)患者对所接受的服务感到满意,其中95%CI[60.7-71.2%]的313人中有206人(65.8%)投保,95%CI[39.4-5.1%]的307人中有138人(44.95%)未投保.在参保患者中,与较高满意度相关的因素包括家庭人数少于五名[AOR=3.3,95%CI;1.5,7.4],感知到的公平等待时间[AOR=2.35,95%CI;1.02,5.5],感知的短等待时间[AOR=8.12,95%CI;1.6,41.3],在设施内提供所有订购的实验室测试[AOR=7.89,95%CI;3.5,17.5],在设施内进行了一些订购的实验室测试[AOR=2.97,95%CI;1.25,7.01],在设施内提供了所有处方药[AOR=16.11,95%CI;6.25,41.5],设施内有一些处方药[AOR=13.11,95%CI;4.7,36.4]。在非保险患者中,与较高满意度相关的因素包括城市居住权,一个公平而短暂的感知时间,在设施内订购了实验室测试,并在设施内处方药物。
结论:这项研究发现总体满意度较低,特别是在没有保险的患者中。CBHI计划的注册显着影响满意度,两组报告的水平均低于注册期。获得基本服务,等待时间,和社会人口统计学因素被确定为与患者满意度相关的因素,而与保险状况无关。
BACKGROUND: Patient satisfaction is a critical measure of the quality of healthcare services provided by healthcare facilities. However, very few studies, particularly in Ethiopia, which includes the study area, have specifically examined these discrepancies among people who use outpatient care. In this study, satisfaction levels and associated factors were compared between insured and uninsured patients receiving outpatient services at public health institutions in Hadiya Zone, southern Ethiopia.
METHODS: A facility-based comparative cross-sectional study design was employed on 630 patients using multistage and systematic random sampling. Data were collected using a pretested and structured interviewer-administered questionnaire. Results of the analysis were presented in text, tables, and graphs as appropriate. Multivariable logistic regression was used to predict associations between predictors and the outcome variable. Statistical significance was declared at p-value < 0.05.
RESULTS: Overall, 344(55.48%) patients were satisfied with the service they received, of which 206(65.8%) out of 313 with a 95% CI [60.7-71.2%] were insured and 138(44.95%) out of 307 with a 95% CI [39.4-5.1%] were uninsured. Among insured patients, factors associated with higher satisfaction included having a family size less than five members [AOR = 3.3, 95% CI; 1.5, 7.4], perceived fair waiting time to be seen[AOR = 2.35, 95% CI; 1.02, 5.5], perceived short waiting time to be seen[AOR = 8.12, 95% CI; 1.6, 41.3], having all ordered laboratory tests available within the facility[AOR = 7.89, 95% CI; 3.5, 17.5], having some ordered laboratory tests within the facility[AOR = 2.97, 95% CI; 1.25, 7.01] having all prescribed medications available within the facility[AOR = 16.11, 95% CI; 6.25, 41.5], having some prescribed medications available within the facility[AOR = 13.11, 95% CI; 4.7, 36.4]. Among non-insured patients, factors associated with higher satisfaction included urban residency, a fair and short perceived time to be seen, having ordered laboratory tests within the facility, and having prescribed drugs within the facility.
CONCLUSIONS: This study identified lower overall satisfaction, particularly among uninsured patients. Enrollment in the CBHI program significantly impacted satisfaction, with both groups reporting lower levels compared to enrollment periods. Access to essential services, wait times, and socio-demographic factors identified as associated factors with patient satisfaction regardless of insurance status.