Atsebeha Kiflay Gebremariam, Chercos Daniel Haile
Department of Environmental and Occupational Health Safety, Institute of Public Health, University of Gondar, Gondar City, Ethiopia.
BMC Health Serv Res. 2018 Mar 27;18(1):223. doi: 10.1186/s12913-018-3055-4.
Patient's satisfaction occurs when patients feel their needs and expectations are being meet by the service delivery they receive in health institutions. The Objective of this research was to assess HIV/AIDS patients' satisfaction with antiretroviral therapy service delivery and its associated factors at Midre - Genet hospital, Northwest Tigray, Ethiopia.
Institutional based cross-sectional study was conducted. Four hundred twenty study respondents were selected using systematic random sampling technique. Data was collected using pretested, structured interview questionnaire. Bivariate analysis was conducted to identify potential significantly associated variables and transferred to multivariate logistic regression analysis. P value < 0.05 is used to demarcate significantly associated variables.
The overall HIV/AIDS patients'satisfaction on antiretroviral therapy service delivery at Midre-Genet referral hospital was 75.2%. Multivariate analysis revealed age, marital status, occupation, income, information provision and guidance, privacy, access of toilets and interpersonal communication as significantly associated factors with patient's satisfaction on ART service delivery.
The overall HIV/AIDS patients' satisfaction at Midre-Genet referral hospital was high. Age, marital status, occupation and, income was associated factors. Moreover, lack of functional CD4 machine, inaccessibility of toilets and water, waiting time, inadequate counseling services and lack of qualified health worker (Doctor) in the ART clinic were also challenges for ART patients in the hospital.
当患者感到他们的需求和期望通过在医疗机构接受的服务得到满足时，就会产生患者满意度。本研究的目的是评估埃塞俄比亚提格雷西北部米德雷-杰内特医院艾滋病毒/艾滋病患者对抗逆转录病毒治疗服务提供的满意度及其相关因素。
进行了基于机构的横断面研究。采用系统随机抽样技术选取了420名研究对象。使用经过预测试的结构化访谈问卷收集数据。进行双变量分析以确定潜在的显著相关变量，并转入多变量逻辑回归分析。P值<0.05用于划分显著相关变量。
米德雷-杰内特转诊医院艾滋病毒/艾滋病患者对抗逆转录病毒治疗服务提供的总体满意度为75.2%。多变量分析显示，年龄、婚姻状况、职业、收入、信息提供与指导、隐私、厕所使用情况和人际沟通是与患者对抗逆转录病毒治疗服务提供满意度显著相关的因素。
米德雷-杰内特转诊医院艾滋病毒/艾滋病患者的总体满意度较高。年龄、婚姻状况、职业和收入是相关因素。此外，缺乏可用的CD4检测设备、厕所和水无法使用、等待时间、咨询服务不足以及抗逆转录病毒治疗门诊缺乏合格的卫生工作者（医生）也是该医院抗逆转录病毒治疗患者面临的挑战。
