Quality Of Healthcare Services Research Articles

Piloting a PREMs and PROMs longitudinal survey on the integration of healthcare services for patients living with hepatitis C in Tuscany region: study protocol

IntroductionPatient-reported measures are an invaluable resource for health systems to improve the quality of healthcare services. Patients with hepatitis C virus (HCV) are an under-represented group within the stream of...

Primary Healthcare Services and Health-Related Quality of Life of Older Persons with Non-Communicable Diseases: A Narrative Literature Review

In response to the rising burden of non-communicable disease (NDC), the World Health Organization (WHO) developed tools to enable early detection and management of NCDs in Primary Healthcare centers (PHC). Globally, the prevalence of NCDs remains alarmingly high with 41 million deaths annually. Of these, 17 million people die before the age of 70, and 86% of these premature deaths occur in low-and middle-income countries. This narrative review aimed to assess the effect of PHC services on health-related quality of life (HRQoL) of older persons with NCDs, to critically analyze the potential of the existing literature in informing improvements in PHC services. We searched various databases (PubMed, Springer, Scopus, and ScienceDirect) for relevant literature. Peer-reviewed articles on the influence of PHC services on HRQoL among older persons with NCDs written and published in English between January 2013 and May 2024 were considered. The review indicates that effective PHC services are linked to good HRQoL. However, PHC services are sub-optimal and poor in low- and middle-income countries, hence more health interventions are essential to improve PHC services to enhance HRQoL of older persons.

Leveraging SWOT Analysis in IS/IT Strategy for Enhancing Hospital Quality

The research conducted at the Datu Sanggul Hospital in Rantau focuses on developing a strategic plan for enhancing the quality of healthcare services through Information System (IS) and Information Technology (IT) implementation. The study aims to address the challenges faced by the hospital in optimizing its Management Information System and Medical Record (SIM & RM) unit. By utilizing the Ward & Peppard framework, the research progresses through stages including problem formulation, data collection, and strategy formulation. Through interviews, focus group discussions, and data analysis, the current business strategies and IT infrastructure are evaluated. External factors such as PEST analysis and Five Forces analysis are also considered to understand the hospital's position in the industry. The findings from these analyses serve as inputs for the SWOT analysis, which helps in identifying the hospital's current standing and areas for improvement. The study further delves into developing IS business strategies and IT roadmap planning based on critical success factors and business needs. By aligning IS/IT strategies with business goals, the research aims to provide recommendations for enhancing the hospital's information system infrastructure and management practices.

Assessment of the compliance with minimum quality standards by public primary healthcare facilities in Nigeria

Achieving universal health coverage (UHC) and the Sustainable Development Goals (SDG) by 2030 relies on the delivery of quality healthcare services through effective primary healthcare (PHC) systems. This necessitates robust infrastructure, adequately skilled health workers and the availability of essential medicines and commodities. Despite the critical role of minimum standards in benchmarking PHC quality, no global consensus on these standards exists. Nigeria has established minimum standards to enhance healthcare accessibility and quality, including the Revised Ward Health System Strategy (RWHSS) by the National Primary Health Care Development Agency (NPHCDA). This paper outlines the evolution of PHC minimum standards in Nigeria, evaluates compliance with RWHSS standards across all public PHC facilities, and examines the implications for ongoing PHC revitalization efforts. The study used a cross-sectional descriptive design to assess compliance across 25 736 public PHC facilities in Nigeria. Data collection involved a national survey using a standardized assessment tool focussing on infrastructure, staffing, essential medicines and service delivery. Compliance with RWHSS minimum standards was found to be below 50% across all facilities, with median compliance scores of 40.7%. Outreach posts had a median compliance of 32.6%, level 1 facilities 31.5% and level 2+ facilities 50.9%. Key findings revealed major gaps in health infrastructure, human resources and availability of essential medicines and equipment. Compliance varied regionally, with the North-west showing the highest number of facilities but varied performance across standards. The lessons learned underscore the urgent need for targeted interventions and resource allocation to address the identified deficiencies. This study highlights the critical need for regular, comprehensive compliance assessments to guide policy-makers in identifying gaps and strengthening PHC systems in Nigeria. Recommendations include enhancing monitoring mechanisms, improving resource distribution and focussing on infrastructure and human resource development to meet UHC and SDG targets. Addressing these gaps is essential for advancing Nigeria’s healthcare system and ensuring equitable, quality care for all.

Implementation of the Internet of Things in Centrifuge Calibrators

The implementation of Internet of Things (IoT) technology in centrifuge calibrators brings innovation by enhancing accuracy and efficiency in medical device calibration. This research develops an IoT-based centrifuge calibrator capable of storing calibration data digitally and providing real-time access, using the E18-D80NK sensor for rotational motion detection, which is more cost-effective than conventional laser modules. Measurement results demonstrate high accuracy across various RPM settings (1000, 1500, 2000, 2500, and 3000 RPM), with minimal error and stability within acceptable tolerance limits. The key advantage of IoT implementation lies in efficient calibration data management, enabling real-time access and integration with other systems for effective analysis and monitoring of calibration outcomes. Overall, IoT technology in centrifuge calibration not only enhances healthcare service quality with reliable results but also supports efficient and transparent equipment management in medical settings, offering long-term benefits to healthcare facilities and patients.

It Is Time to Take Complaints Seriously? An Exploratory Analysis of Communications Sent by Users to a Public Healthcare Agency before, during and after the COVID-19 Pandemic

Taking due account of users’ perspectives is crucial for improving the quality of healthcare services. This study aimed to analyse the representations and evaluation criteria that users of a public health agency express towards care and treatment services and to explore whether and how the content and meaning of their communications varied according to pre-pandemic, pandemic or post-pandemic periods. A total of 501 communications sent to the public relations office of an Italian health agency were collected. An automatic content analysis procedure was applied to the textual corpus. Four main thematic cores were identified concerning the request for care and respect, the value of the doctor–patient relationship and the difficulties in contacting services and accessing care. Two main latent dimensions of meaning were identified, which capture the dialectic between the demand for relationships and the demand for access to care, and between attention to the relational competence of health workers and attention to the needs and rights of users. Communications collected during the pre-pandemic and post-pandemic periods mainly concern the difficulty of access to care; those collected during the pandemic period mainly concern the doctor–patient relationship. Interpersonal aspects and timely access to care appear to be crucial in users’ assessment of the quality of care.

Satisfaction of Patients Towards Nursing Care in Selected District Hospitals of Negros Occidental, Philippines

Utilizing a descriptive design in a quantitative approach, the study aimed to determine the level of satisfaction of patients admitted to selected District Hospitals of Negros Occidental, Philippines. Purposive sampling obtained two-hundred twenty-six (226) respondents. The study was conducted in five (5) District Hospitals representing each inter-local health zone. Data was collected using an adapted instrument on the “Patient Satisfaction with Nursing Care Quality Questionnaire” by Laschinger (2005) through a face-to-face interview. Overall, the level of satisfaction of patients towards nursing care was good. There is no significant difference in the variables. Further, satisfaction of patients towards nursing care when grouped into four domains of Cox’s International Model of Client Health Behavior (IMCHB) theory, Health Information domain (information given by the nurse) was rated the highest: very good, interpreted as the nurse consistently demonstrated better than average level of performance, while the three domains Affective Support (being able to attend to the emotional needs of the patient), Decisional Control (provides patients opportunity to decide on their own) and Professional-Technical Competency (capacity to provide care according to the standard) were rated as good interpreted as the nurse demonstrated sufficient range of skills for handling the situation and the desired outcome was obtained, some deficiencies existed in the areas assessed but none of significant concern. Hence nurses in the Province of Negros Occidental provide good quality health care services.

An exploratory cross-sectional study of awareness and barriers to adoption of telemedicine services among patients in Bangladesh

Objectives Telemedicine has emerged as a promising solution to address healthcare challenges, particularly in resource-constrained settings such as Bangladesh. Understanding patient perspectives on telemedicine adoption is vital for improving healthcare delivery in such contexts. Material and Methods This cross-sectional study surveyed 120 patients in Bangladesh to explore awareness, acceptance, and barriers to telemedicine adoption. Data were collected using structured surveys administered face-to-face in 2024. Descriptive statistical techniques were employed for data analysis. Results Most respondents demonstrated awareness of telemedicine services, primarily learning about them through friends or online sources. They viewed telemedicine positively, especially for follow-up appointments and mental health services, expressing satisfaction with the services used. However, concerns regarding its effectiveness for emergency consultations were noted. Barriers to adoption included limited internet connectivity, trust/security issues, lack of awareness, regulatory challenges, and cultural resistance. Conclusion Despite positive attitudes towards telemedicine, challenges such as internet connectivity, trust concerns, and cultural barriers persist in Bangladesh. Addressing these challenges is essential for the successful implementation and widespread adoption of telemedicine, ultimately improving access to quality healthcare services. Future research should explore the perspectives of healthcare providers and policymakers and employ longitudinal and qualitative methods to gain deeper insights.

Enrollment and Uptake of Health Care Financing Schemes among Adult Inpatients in Baringo County, Kenya

A high burden of healthcare expenditure precludes the poor from access to quality healthcare services. Due to the dearth of studies detailing healthcare financing in rural-based counties in Kenya, the study examined enrolment and uptake of healthcare financing schemes among adult inpatients in Baringo County, Kenya. The study employed a descriptive cross-sectional research design and was situated in Baringo County Referral Hospital with a target population of about 8,400 monthly or more than 100,000 patients annually. A sample size of 398 patients/and or caregivers was selected based on the stratified simple random sampling method. The results indicated age > 35 years (OR = 0.76120, p = 0.004), Occupation (OR = 0.65730, p = 0.000), income levels (OR = 1.67921, p = 0.000), marital status (OR = 0.38342, p = 0.000) and household size > 4 but less than 9 (OR = 3.66847, p = 0.000) and explain about 21.58 per cent in the enrolment in a healthcare insurance scheme. The conclusions are that demographic factors (age, marital status, occupation, income levels and household size) influence enrolment This implies that young unmarried individuals < 35 years, employed with income > Ksh 20,000 and with household size < 5 persons were more likely to enrol for a healthcare financial scheme. The study recommends that a universal healthcare financing scheme should be implemented to make healthcare financing more affordable and accessible through policy interventions

A Comparative Study of Government Hospital & Private Hospital Staff & Patient Relationship With Special Reference to Navi Mumbai.

The sociology of healthcare is the focus of this study, which looks at the interactions between employees and patients at Navi Mumbai's public and private hospitals. It investigates how social structures, cultural practices, and organizational designs influence these interactions within healthcare settings. The study begins with a sociological overview of health, then delves into the evolving concepts of health, highlighting the critical role of hospital organization and management. It discusses the structural and functional differences between hospitals, emphasizing their importance within the healthcare framework. The main focus over here is a comparative study of government and private hospitals, with a particular emphasis on the staff-patient interactions. The research observes how these relationships differ between the two hospital types and considers the impact on patient care, staff morale, and overall hospital performance. The study aims to discover the strengths and weaknesses of each system, ultimately providing suggestions to enhance staff-patient relationships and improve the quality of healthcare services in Navi Mumbai.

Intention to Use Primary Healthcare Services among South-South Migrants.

(1) Background: To evaluate a model based on the right-to-health approach, considering the impact of associated factors on the future utilization of primary healthcare services among international migrants in Chile. (2) Methods: A cross-sectional design was employed to survey 499 South American migrants residing in Chile. Ad-hoc questionnaires were used to assess their experiences related to the right to health, perceived discrimination, income, education, length of residence, age, marital status, gender, migration status, among others. Correlation analyses were conducted, followed by path analysis with significant variables to assess the fit of two models. (3) Results: Ten variables were identified as significant for path analysis. Among the two evaluated models, the final model identified six variables with significant direct and indirect effects. Among them, the availability, accessibility, acceptability, and quality of healthcare services were positively associated with the future intention to use them. Additionally, perceived racial and ethnic discrimination also had a positive effect on the intention to use healthcare services, suggesting a possible adaptive response to adversity, exhibiting acceptable goodness-of-fit indices (χ2 =241,492; p < 0.001; CFI = 0.913; TLI = 0.82; RMSEA = 0.062; SRMR = 0.05). (4) Conclusions: While the initial model provides valuable insights, it is essential to broaden the analysis to include other factors influencing the specific context of international migrants.

The Influence of Emotional Intelligence and Work Culture on Work Commitment and Its Implications on Nurse Performance

This study examines the influence of Emotional Intelligence and Work Culture on Work Commitment and its implications for Nurse Performance in hospitals in the Banten Province. Nurses play a pivotal role in the delivery of quality healthcare services, directly impacting patient recovery and overall hospital performance. The study adopts a quantitative approach with a survey method, collecting data from nurses at four city hospitals in Banten. The results show that both Emotional Intelligence and Work Culture have a significant positive effect on Work Commitment, which in turn, strongly influences Nurse Performance. Emotional Intelligence enables nurses to manage their emotions effectively, fostering stronger emotional engagement with their work. Meanwhile, a supportive Work Culture enhances collaboration and communication among nurses, further strengthening their commitment to their jobs. The findings also reveal that Work Commitment serves as a crucial mediator in the relationship between Emotional Intelligence, Work Culture, and Nurse Performance. Nurses with higher Emotional Intelligence are better equipped to handle stress and build stronger relationships with patients and colleagues, leading to improved performance. Similarly, a positive Work Culture fosters an environment where nurses feel valued and supported, increasing their dedication and job satisfaction. The study concludes that hospitals should prioritize strategies to enhance Emotional Intelligence and cultivate a positive Work Culture to improve both nurse performance and the overall quality of healthcare services.

Abstract A166: Towards Health Justice: Implementing Structural Competency in Women's Healthcare Education Towards Health Justice

Abstract Introduction: Significant health disparities persist in women's health, particularly among marginalized groups like racial/ethnic minorities, LGBTQ+ individuals, and those with disabilities. Addressing these inequities requires training healthcare providers in structural competency to recognizing how social, economic, political, and cultural structures influence health outcomes beyond just individual factors. Objectives: The purpose of this study is to conduct a comprehensive evaluation of the literature on structural competence in connection to health inequalities in women's health. The objectives include: (1) Reviewing the role of structural competence in addressing health disparities among in reproductive health ; (2) Analysing instructional methodologies related to structural competencies; and (3) Developing a strategic framework to address racial health disparities in women's health through structural competence. Methodology: A literature review was conducted using the Scopus, Google Scholar, and Web of Science databases. After applying specific inclusion and exclusion criteria, 463 publications were retained from 905 articles published between 2010 and 2023. Findings: Major health disparities experienced by women include lack of access to quality healthcare services, discrimination from providers, higher rates of chronic illnesses, mental health issues, and lack of autonomy in reproductive health decisions and influenced by cultural norms and expectations. Racial/ethnic minority women face additional disparities due to language/cultural barriers, provider biases, impact of social determinants, and discrimination.Structural competency approaches highlighted include using community health workers (CHWs), analyzing electronic health record (EHR) data to identify disparities, advocating for policy changes targeting social determinants, and integrating structural competency training in medical curricula.While no specific successful policy examples are provided, recommendations include expanding healthcare coverage, supporting community clinics, and addressing socioeconomic inequities through systemic interventions. Conclusion: Integrating structural competency into medical education holds transformative potential for alleviating persistent health disparities in women's health by equipping providers to recognize and confront the underlying structural factors perpetuating these inequities. Citation Format: Daina Charnelle Fougang, Dianne Wepa A/P Wepa, Charles Charnelle Mpofu. Towards Health Justice: Implementing Structural Competency in Women's Healthcare Education Towards Health Justice [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A166.

The Role of Leadership in Improving the Quality of Healthcare Services at Community Health Centers : A Systematic Review

Various factors related to the quality of health services in primary health care facilities include health care providers, organizational and leadership factors, and environmental factors (internal and external). A leadership role is required, especially in terms of company-wide coordination and of course motivation. This study used a systematic review method. Electro databases used included Google Scholar, Pubmed, &amp; Garuda Journal using the key terms "leadership role", "health service quality", &amp; "puskesmas". Based on the results of the research conducted, it was found that the role of leadership has an impact on improving the quality of health services at the puskesmas. The role of a leader in an organization is very important. This is because the leader is one of the gates or spearheads that is very important in planning the success of an organization. To increase employee creativity and innovation to achieve organizational goals, the manager's role is to encourage employees to express their creativity and recognize the results of their efforts.

International students' perceived quality of university health centre services: an exploratory sequential mixed methods study.

This study aims to investigate international students' perspectives on service quality and analyse factors contributing to the perceived service quality of the university health centre. International students are at increased risk of experiencing poor mental health, isolation from families and cultures, language barriers, financial stress and academic pressures. It is important that universities support international students to enable them to complete their degrees and reach their desired level of achievement and performance. One of the supports required by international students is the availability of healthcare services. Therefore, improving the quality of services to meet international students' requirements, including healthcare services, is essential. A three-phase exploratory sequential mixed methods design was used. Phase 1 aims to explore international students' perceptions of primary healthcare quality by conducting in-depth interviews and focus group discussions. Data were analysed using thematic analysis. Phase 2 is to form questionnaire items based on the results of the qualitative study. The questionnaire is subject to pilot testing to measure validity and reliability. Phase 3 analyses factors influencing international students' perceived primary healthcare service quality. Multiple regression was used to analyse factors contributing to the perceived service quality of international students. The qualitative strand revealed five major themes representing the study participants' thoughts about the quality of services in the university healthcare context. Perceived quality attributes identified in this study were primarily empathy, equity, effectiveness, efficiency and safety. The quantitative strand found that 35.57% of participants consider the perceived quality of the centre as good. The highest and lowest service quality attributes were related to safety and efficiency, with a score of 21.12 ± 3.58 and 19.57 ± 4.34, respectively. The multiple linear regression analyses showed that PhD students from Health Faculty and Scholarship awardees were significantly associated with the perceived quality of healthcare services. Thus, the university management needs to improve service quality considering the diversity of international students' socio-demographic characteristics.

Deep learning-based multimodal image analysis predicts bone cement leakage during percutaneous kyphoplasty: protocol for model development, and validation by prospective and external datasets.

Bone cement leakage (BCL) is one of the most prevalent complications of percutaneous kyphoplasty (PKP) for treating osteoporotic vertebral compression fracture (OVCF), which may result in severe secondary complications and poor outcomes. Previous studies employed several traditional machine learning (ML) models to predict BCL preoperatively, but effective and intelligent methods to bridge the distance between current models and real-life clinical applications remain lacking. We will develop a deep learning (DL)-based prediction model that directly analyzes preoperative computed tomography (CT) and magnetic resonance imaging (MRI) of patients with OVCF to accurately predict BCL occurrence and classification during PKP. This retrospective study includes a retrospective internal dataset for DL model training and validation, a prospective internal dataset, and a cross-center external dataset for model testing. We will evaluate not only model's predictive performance, but also its reliability by calculating its consistency with reference standards and comparing it with that of clinician prediction. The model holds an imperative clinical significance. Clinicians can formulate more targeted treatment strategies to minimize the incidence of BCL, thereby improving clinical outcomes by preoperatively identifying patients at high risk for each BCL subtype. In particular, the model holds great potential to be extended and applied in remote areas where medical resources are relatively scarce so that more patients can benefit from quality perioperative evaluation and management strategies. Moreover, the model will efficiently promote information sharing and decision-making between clinicians and patients, thereby increasing the overall quality of healthcare services.

Barriers and facilitators of prevention of infections related to cancer: A systematic literature review

Chronic infections such as Helicobacter pylori (Hp), Hepatitis B virus (HBV), Hepatitis C virus (HCV), and Human papillomavirus (HPV) are a major cause of gastric, liver, and HPV-related cancers that contribute significantly to the global burden of human cancers. Infections related to cancers can be prevented by preventing infection through vaccination, timely detection through screening, and eradication of the underlying infections. These strategies have proven effective in different countries, but the participation rates of vaccination, screening, and eradication programs for Hp, HCV, and HPV are less than optimal. Research has shown that participation rates are influenced by various social, cultural, economic, and personal barriers and facilitators. To uncover the current evidence and enhance the understanding of the factors of prevention of infections related to cancer, we conducted a systematic literature review of such barriers and facilitators. We searched Web of Science, PubMed, and Scopus databases to identify relevant original articles published between 2013 and 2023. After screening 685 articles, a total of 23 studies were included for full-text analysis. Most of the studies analyzed factors related to the prevention of HBV, HPV, and HCV infections, while there was a relative lack of studies for Hp infections. Vaccination as a prevention measure of infections related to cancer was analyzed in most of the studies, followed by screening and treatment. We found several personal, social, economic, and cultural factors that act as barriers to the prevention of infections related to cancer and classified and connected these barriers and facilitators through the prism of health capital. Knowledge about the barriers that influence individuals’ engagement with prevention measures of infections related to cancer has the potential to inform and guide health policymakers by targeting vulnerable populations through effective educational programs and improvements to the quality of healthcare services.

The effect of health facility ownership on perceived healthcare quality: evidence from Ghana

Whether private healthcare providers should be encouraged over public providers remains unclear. On the one hand, because private providers are profit-driven, they are more motivated to compete for demand by enhancing quality if demand is elastic. However, because they are more motivated to maximize revenue, they may sacrifice quality to maximize profit. A crucial factor in determining whether private providers should be encouraged is the extent to which their quality exceeds or falls short of that of the public provider. This study, therefore, investigates whether the public and private differ in providing quality healthcare services using the 2014 Ghana Demographic and Health Survey. Our measure of healthcare quality is based on patient satisfaction level with nine healthcare services (cleanliness, waiting time, comfort and safety, consultation time, privacy, listening, explanation, treatment advice and confidentiality) provided by public and private healthcare facilities. We applied an instrumental variable approach to account for endogeneity issues related to the patient’s choice of healthcare provider. We find that private facility users have a higher probability of being very satisfied with “waiting time”, “consultation time”, “listening”, “cleanliness”, “comfort and safety”, “confidentiality”, and “privacy” than public users, thus suggesting that private facilities provide better service than public. We thus recommend encouraging the private sector to enter the healthcare market. We also find that failing to account for endogeneity in provider choice when estimating the effect of healthcare facility ownership on healthcare service quality underestimates the effects.

Assessment of Healthcare Service Quality and Patient Satisfaction Using the SERVQUAL Questionnaire in Khuzestan Province During 2022 - 2023

Background: Hospital service quality is the primary predictor of a hospital's success, and any decrease in patient satisfaction is a cause for concern for the organization. Objectives: This study aimed to evaluate the service quality of Golestan Hospital in Ahvaz, Iran, based on patient satisfaction measured using the SERVQUAL questionnaire. Methods: This cross-sectional study was conducted in 2022 - 2023. Patients over 18 years old who visited the emergency department at Golestan Hospital were evaluated, with the exception of those with mental or multiple chronic disorders. Data collection tools included demographic and SERVQUAL Questionnaires. The data were analyzed using SPSS software, with a significance level set at less than 0.05. Results: A total of 200 subjects participated in the study, comprising 124 females (62%) and 76 males (38%). The results of the SERVQUAL Questionnaire indicated that the highest score was in the tangibility dimension (4.35), while the lowest score was in the assurance dimension (1.38). Negative gaps between perception and expectation were observed in the responsiveness (-0.99) and empathy (-1.22) dimensions. The mean total scores for expectation and perception were 99.55 ± 5.06 and 92.85 ± 5.5, respectively, with the highest scores observed for reliability. No significant association was found between expectation and perception (P-value &gt; 0.05). However, the reliability of the gap and expectation in males was significantly higher (P-value &lt; 0.05). A direct correlation was found between age and tangibility, Assurance, and total score of gaps (P-value &lt; 0.05). Conversely, a reverse correlation was observed between age and tangibility and the total score in perception (P-value &lt; 0.05). Post-hoc analysis revealed that the Assurance and total score of gaps and expectations were significantly higher in married patients compared to single patients (P-value &lt; 0.05). Conclusions: This study revealed a negative gap between patients' expectations and perceptions, highlighting the need for adjustments and improvements in hospital service quality by addressing all five dimensions of service quality.

Affordability, Accessibility, and Quality of Maternal Health Care Services and Level of Satisfaction of Mothers in Rural Areas in China

Objective: This study aimed to understand the affordability, accessibility, and quality of maternal and child health services for postpartum mothers, and their impact on satisfaction. Methods: The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire. A survey was conducted among 289 mothers aged 20–49 in Feicheng City. Results: Regarding accessibility, most respondents (133) reported that travel time to healthcare services exceeded 60 minutes, while 99 respondents indicated a travel time of 16–30 minutes. The issue of affordability was highlighted, with 86.85% of participants perceiving maternal healthcare services as costly, indicating a significant financial burden. More than 50% of respondents were satisfied with two specific dimensions (P &lt; 0.05) regarding the quality of maternal healthcare services. Conclusion: The study found that accessibility, affordability, and quality significantly affect mothers’ satisfaction with maternal health services. Future research should focus on developing more suitable service pathways for rural mothers.