Satisfaction and associated factors of outpatient psychiatric service consumers in Ethiopia

• Main Authors: Yimer S, Yohannis Z, Getinet W, Mekonen T, Fekadu W, Belete H, Menberu M, Getnet A, Belete A
• Format: Article
• Language: English
• Published: Dove Medical Press 2016-09-01
• Series: Patient Preference and Adherence
• Subjects: Patient Satisfaction; Mental illness; social functioning
• Online Access: https://www.dovepress.com/satisfaction-and-associated-factors-of-outpatient-psychiatric-service--peer-reviewed-article-PPA
• ISSN: 1177-889X

Solomon Yimer,1 Zegeye Yohannis,2 Wondale Getinet,3 Tesfa Mekonen,4 Wubalem Fekadu,4 Habte Belete,4 Melak Menberu,5 Asmamaw Getnet,6 Amsalu Belete7 1Psychiatry Department, College of Health Sciences and Medicine, Dilla University, Dilla, 2Amanuel Mental Specialized Hospital, Addis Ababa, 3Psychiatry Department, College of Health Science and Medicine, University of Gondar, Gondar, 4Psychiatry Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, 5Department of Nursing, College of Health Sciences, Mizan-Tepi University, Mizan, 6Finote Selam Hospital, Finote Selam, 7Department of Nursing, College of Health Sciences and Medicine, Debre Tabor University, Debre Tabor, Ethiopia Purpose: The purpose of this study was to assess the level of patient satisfaction and associated factors with psychiatric outpatient services in Ethiopia.Patients and methods: A cross-sectional study was performed from May 2015 to June 2015. A total of 454 participants selected by systematic random sampling were included in this study. Pretested and interviewer-administered questionnaire was used to collect the data. Patient satisfaction was measured using Charleston Psychiatric Outpatient Satisfaction Scale, and other validated tools were used to assess the associated variables. Multivariate logistic regressions with 95% confidence interval (CI) were used to assess the strength, and P-value <0.05 was used to indicate significance of association.Results: A total of 441 respondents were enrolled, with a response rate of 97.1% and magnitude of satisfaction of 61.2%. Being male (adjusted odds ratio [AOR] =0.612, 95% CI: 0.39, 0.94), being widowed (AOR =0.13, 95% CI: 0.05, 0.36), urban residence (AOR =0.49, 95% CI: 0.31, 0.78), diagnosed with schizophrenia (AOR =0.48, 95% CI: 0.28, 0.81), unfavorable attitude (AOR =0.49, 95% CI: 0.28, 0.86), and poor social functioning (AOR =0.52, 95% CI: 0.34, 0.80) were significantly associated with satisfaction.Conclusion: More than one-third of psychiatric service consumers were dissatisfied with the service they received. Integrating patients to their own treatment plan and regular service evaluation are important to improve satisfaction. Keywords: patient satisfaction, mental illness, social functioning