Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018

Abstract

Background:-Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Ethiopia. Methods:- the study was conducted in the capital city of Ethiopia, Addis Ababa at selected three government tertiary hospitals because maintenance of hemo-dialysis procedure is provided in these hospitals. Study design: facility based cross-sectional quantitative and qualitative mixed study design were employed on patients undergoing maintenance of hemo-dialysis care. The data was collected in a three selected dialysis units using a census method applied for quantitative approach to determine sample size because of few members of source population and snow ball sampling for qualitative method. The study carried out from May to June 2018. Participants: A total of 115 patients treated in hemo-dialysis unit. The primary outcome was patient with hemo dialysis care satisfaction with the overall care and secondary outcomes of individual aspect of hemo-dialysis care in patient experiences. Data collection & analysis procedure: Data was collected by structured pre tested questionnaire and in-depth interview and analyzed using Epi data and SPSS. Descriptive statistics, Bivariate and multivariate logistic regression analyses was undertaken. Result:- A total of 113 participants were responding to questionnaire with response rate 98.3% from this 76(67.3%) were male. The overall satisfaction level was found to be 41.6%. Majority of the respondents (81.4%) were rated high nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%). The regression analysis shows that income, educational status, occupation and frequency of dialysis were predictors of the overall satisfaction score (p<0.05). Applying mixed methods of quantitative data was supported by qualitative method could cross check one another. Whereas limitation of the study was in fact studies conducted so far in Ethiopia in this topic are very limited therefore scarcity of literature to compare the finding in Ethiopian context was inadequate. Conclusion & Recommendation:- Only 41.6% participants were satisfied with the care provided in hemo-dialysis units. This shows that the level of patient satisfaction is severely deficient and recommended to work for the achievement of optimal health care outcome then subsequently increase patient satisfaction.