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1.1. Background
Satisfaction is an emotional response to the difference between what patient expect and what they ultimately receive. According to Liljander and Background: Level of patient satisfaction is important because it reflects the gap between the expected patient’s perception of a service and the experience of the service. In recent years, there has been giving emphasis for assessing quality in health care and considering level of patient satisfaction as one parameter of it.
Objective: The objective of the study was to assess the level of satisfaction and its associated factors among patients admitted to the medical wards of Hergeisa Group Hospital, Hergeisa-Somaliland.
Methodology: A Hospital based cross sectional study was employed to collect data from 149 respondents. Data was collected by using interview-administered structured questionnaire. A consecutive recruitment of respondents was used until the sample size is reached. The data was summarized by descriptive statistics like frequency and percentage. Bivariate and multivariable logistic regression analysis used to identify associated variables using SPSS version 22.
Result: 73.15% of the respondents were satisfied, while 26.85% were dissatisfied. The dissatisfaction with the adequacy and maintenance of ward equipment and infrastructure was 57 (38.3%), while the cleanliness of the ward, and situation beds were 47 (31.5%) and 37 (24.8%). Similarly, 41 (27.5%) of the respondents were dissatisfied with the way doctors and nurses treated each other with respect and good behavior. The overall dissatisfaction among respondents who were satisfied with the situation of beds was 15.7% (AOR = 0.157, 95%CI: 0.049, 0.50) times more likely compared to those who were not satisfied with it. Respondents who were employed were 2.85 times less likely to be unemployed than those who were unemployed (AOR=2.85, 95% CI: 0.99, 8.22).The dissatisfaction among patients who did not have enough time to discuss their problems with doctors or nurses was 12.7% (AOR = 0.127, 95%CI: 0.019, 0.85) times less likely compared to those who were satisfied with them.
Conclusion: The overall status of satisfaction of the respondent was 73.15%. Hospital environment, patients care and appropriateness and as well as occupation and situation of beds are important factors influencing the satisfaction condition. Somaliland MoHD, HGH should improve services including beds, access to water and sanitation facilities.
Key Words: Inpatient, Patient Satisfaction, Dissatisfaction, Medical wards. |
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