Factors associated with health service satisfaction in patients with diabetes mellitus and hypertension attending primary care clusters, Muang District of Ubonratchatani
Keywords:
Satisfaction, Associated factors, Health service, Primary care, Diabetes, HypertensionAbstract
Objectives: To examine levels of satisfaction and factors associated with health service satisfaction in patients with diabetes mellitus and hypertension attending primary care clusters, Amphoe Muang, Ubonratchatani
Methods: A total of 373 patients with diabetes mellitus and/or hypertension attending primary care clusters of Sunpasitthiprasong Hospital participated in this cross-sectional analytical study. Data on participant’s sociodemographic variables, characteristics of primary care clusters and service satisfaction were obtained. High service satisfaction was defined as total satisfaction score of ≥128. Descriptive statistics including number (%) and mean (standard deviation, SD) were used to describe participant’s characteristics. Factors associated with high service satisfaction was examined using univariate and multivariate logistic regression.
Results: Overall service satisfaction was high, with mean (SD) satisfaction score of 4.16 (0.47). High satisfaction was reported in all aspects of satisfaction except price awareness (average satisfaction score of 3.94 (0.91). Factors independently associated with high service satisfaction in multivariate logistic regression were privacy while receiving care and having after-hour special clinics. Patients who reported high levels of privacy during treatment were approximately 3 times more likely to satisfy with the service than those reporting moderate-low levels of privacy (adjusted OR 2.99, 95% CI 1.50-6.00, p-value=0.002). A primary care cluster with after-hour special clinics was associated a 42% reduced odds of receiving high satisfaction than those without (adjusted OR 0.58, 95%CI 0.37- 0.92, P-value 0.021).
Conclusion: Patients with diabetes and hypertension had high satisfaction for service of primary care clusters. Factors independently associated with high satisfaction included patient privacy and having after-hour special clinics.
