Determinants of patient satisfaction with healthcare services among insured and uninsured patients at a public hospital in Cameroon: A comparative cross-sectional study using the modified PSQ-18 questionnaire.
IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0
Abstract
Background: Regular assessment of patient satisfaction is crucial for healthcare providers to evaluate and improve the quality of services offered. However, research on patient satisfaction, particularly in Cameroon, remains limited. This study aimed to assess patient satisfaction levels with the healthcare services at the Yaoundé Central Hospital using the PSQ-18 questionnaire.
Design and methods: A hospital-based cross-sectional study was conducted from September 2022 to March 2023, involving outpatients aged 18 and above who willingly consented to participate. A modified version of the PSQ-18 questionnaire was utilized to evaluate satisfaction across 10 hospital variables.
Results: The study included 385 participants, with 264 uninsured and 121 insured. The overall satisfaction rate was 90.9%. Satisfaction level for insured patients was 98.3% and 87.5% for not insured patients. Variables such as diagnosis, information provided by healthcare personnel, and equipment quality received high satisfaction scores. However, both insured and uninsured patients expressed dissatisfaction with specialist waiting times. Binary logistic regression revealed significant difference, with uninsured individuals being 8.5 times more likely to be dissatisfied compared to insured counterparts (95% CI 2.0-36.0; p = 0.0006). Large family size of more than 5 persons was the only factor that significantly increased the risk of dissatisfaction with health services.
Conclusions: These findings highlight a critical policy gap that needs intervention now. Targeted policy interventions are needed to help uninsured Cameroonians afford high-quality healthcare. For population-wide healthcare access, this gap must be closed. Therefore, the national universal health coverage scheme must be expanded and improved to reach all 10 Cameroon regions.
背景：定期评估患者满意度对医疗保健提供者评估和提高所提供的服务质量至关重要。然而，对患者满意度的研究，特别是在喀麦隆，仍然有限。本研究旨在使用PSQ-18问卷评估雅温顿中心医院病患对医疗服务的满意度。设计与方法：本研究于2022年9月至2023年3月开展以医院为基础的横断面研究，纳入自愿参与的18岁及以上门诊患者。使用PSQ-18问卷的修改版本来评估10个医院变量的满意度。结果：研究共纳入385名参与者，其中264人未参保，121人参保。整体满意度为90.9%。参保患者满意度为98.3%，未参保患者满意度为87.5%。诊断、医护人员提供的信息和设备质量等变量获得了很高的满意度。然而，参保患者和未参保患者都对专科医生的等待时间表示不满。二元逻辑回归显示了显著差异，未参保个体的不满意程度是参保个体的8.5倍(95% CI 2.0-36.0；p = 0.0006)。5人以上的大家庭是显著增加对保健服务不满风险的唯一因素。结论：这些发现突出了现在需要干预的关键政策缺口。需要有针对性的政策干预，帮助没有保险的喀麦隆人负担得起高质量的医疗保健。为了实现全民医疗保健，必须缩小这一差距。因此，必须扩大和改进全国全民医疗保险计划，以覆盖喀麦隆所有10个大区。
期刊介绍：
The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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