Perceived patient satisfaction and associated Factors among psychiatric patients who attend their Treatement at out patient psychiatry clinic, jimma University medical center, south west, ethiopia, Jimma, 2019

Abstract

Background: In health care patient satisfaction was attitudinal response, which was very subjective, cognitively based and emotionally affected. There was a reluctance to measure patient satisfaction among mentally ill patients. Satisfied patients become more compliant, cooperative and actively involved in their treatment. No published study done in this study area about psychiatry patient satisfaction. Objectives: To determine perceived patient satisfaction and associated factors among psychiatric patients attending at outpatient psychiatry clinic, Jimma university medical center South west Ethiopia, Jimma, 2019. Methods: Institutional based cross sectional study design was conducted and consecutive sampling was used to select 414 participants from April 12 to May 12, 2019. The 24 item Mental Health service Satisfaction Scale (validated tool in Ethiopia) was used to assess patient satisfaction. Data was edited, coded and entered using Epi-data 3.1 and exported to Statistical package for social science 22.0 for analysis. Results were presented in tables and graphs. Simple linear (p=0.25) and Multiple linear regression analysis (P <0.05) was used to identify significant association between the outcome and predictor variable. Result: 422 respondents were participated in the study with response rate of 98%. The mean patient satisfaction score was 71/92 (95 % CI 70.8-71.1) with over all percentage of 50.3 % (95 % CI 48.4 % – 51.2 %). Variables such as Being male [ β = -.651 , 95 % CI (-.969, -.332), P= 0.001] , Having secondary and above educational status [ β = - 1.250), 95% CI -1.765-.735), P=.000 ] , Living in rural area [ β = -1.358, 95 % CI (- 1.687,-1.030) p= 0.00 ] , Having diagnosis of BPD [ β= 1.719 , 95 % CI (1.332, 2.106) , P= 0.00] and MDD [ β = 1.203 95% CI ( .890 , 1.516) P= 000) , Having low medication adherence score (β = -2.26 , 95% CI (- 2.661 ,- 1.875) , P= .000 ] , Increasing in distance from the hospital [ β= - 3.25 , 95 % CI (- 4.662, - 2.450) ] , Having history of current substance use [β= -.719 , 95 % CI ( -1.015 , -.423 ) ,P= 0.000] , Increasing in waiting time [ β= -3.85 , 95 % CI ( -4.701, -2.20), P= .000 ] and Good social support [ β= 0.5 , 95 % CI ( .231, .859), p= 0.01] was significantly associated with patient satisfaction. Conclusion and recommendation : This study found that half percentage score of patient satisfaction and identified modifiable factors like increasing in distance of home from the hospital , low medication adherence score , current substance user , increasing waiting time and low social support so working with stake holders will be important to increase accessibility of service , decreasing the waiting time , strengthening social support , provide regular psycho education about medication adherence and substance for the improvement of patient satisfaction.