Patients’ satisfaction and associated factors towards surgical service among patients undergoing surgery at western Amhara referral hospitals, North West Ethiopia, 2020

Abstract

Introduction: Patient satisfaction is a growing concern in all aspects of health care, and as the voice of a client, it is a measure of quality of care. The invasiveness of the surgical procedure, the anesthesia, and the technology used, coupled with the complexities of teamwork and communication, make the perioperative period a high risk time for surgical patient. Thus assessment of patient satisfaction is essential when reviewing the quality of care and integral to the management of health care systems. Objective: The aim of this study was to determine patients’ satisfaction and associated factors towards surgical service among patients undergoing surgery at western Amhara referral hospitals, North West Ethiopia, 2020 Method: Institution based cross-sectional study was conducted among 422 patients who were undergoing surgery from February 25- April 5, 2020. Systematic random sampling technique was used to select the representative samples. Data were collected through interviewer administered questioner with chart review. Binary logistic regression model was fitted to identify determinants of patient satisfaction with surgical service. Variables with “P-value” less than 0.2 in the bivariable analysis were entered into multi variable logistic regressions. In multivariable logistic regressions “P-values” ? 0.05 were considered statistically significant and adjusted odds ratios with 95% confidence interval was used to determine the strength of association. Result: A total of 422 participants were included in the study. Two hundred ninety (68.7%) of the participants were satisfied with surgical service. Age >58 years [AOR=3.80, 95%CI (1.53-9.46)], 47-58years [AOR= 2.47, 95%CI (1.07-5.71)], no formal education [AOR=2.73, 95%CI (1.18-6.32)], primary school education [AOR=3.89, 95%CI (1.65-9.17)] and secondary school [AOR=3.37, 95%CI (1.38-8.23)], no history of previous surgical admission [AOR=2.09, 95%CI (1.07-4.08)], length of stay in the hospital <7days [AOR=2.13,95%CI(1.21-3.75)] and elective admission for surgery [AOR=1.75, 95%CI (1.032.99)]

were significantly associated with patient satisfaction with surgical service.

Conclusion and recommendation:

Patients satisfaction towards surgical service was relatively low. Though it needs more effort for further improvement of quality of care through focused intervention on major contributors’ of patient satisfaction. Key words: surgical service, patient satisfaction, surgical patients, surgery