Abate Dessale, Aman Munir Awol, Nasir Beshir Bedru, Gebremariam Girma Tekle, Fentie Atalay Mulu
Tikur Anbessa Specialized Hospital, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Tikur Anbessa Specialized Hospital, Adult Oncology Center, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Patient Prefer Adherence. 2020 May 20;14:847-858. doi: 10.2147/PPA.S253027. eCollection 2020.
Cancer is one of the leading causes of morbidity and mortality in the world. It results in considerable mental, physical, and emotional stress for patients. Because of the nature and impact of the disease, and its treatment, measurements of patient satisfaction are important to bring to the attention of health-care providers in order to improve care.
To assess patient satisfaction at the adult oncology center of Tikur Anbessa Specialized Hospital, Ethiopia using the EORTC PATSAT-C33 tool.
A facility-based cross-sectional study was conducted from January 2019 to May 2019. A consecutive sampling technique was employed to recruit a total of 384 study participants. Informed consent was obtained for each participant and data were collected using an interviewer-administered questionnaire. Ethical clearance and approval of the study protocol were obtained from the institutional ethics review board of the school of pharmacy. Descriptive statistics was used to summarize the data, while multivariate linear regression analysis was employed to explore factors affecting patient satisfaction. <0.05 was considered as statistically significant.
Among a total of 384 study participants, the majority were female (65.9%) and the median age was 49 years. In most (65.9%) participants, the health-care service cost was covered by patients themselves; the majority of them were treated for gynecological malignancy (37.2%) and most received chemotherapy + surgery (37.2%). The mean score for the EORTC-PATSAT33 scales for overall satisfaction was 44.8 out of 100. Place of residence, gender, type of cancer, duration since treatment started, age and source of health-care costs were factors associated with patient satisfaction and all together explained 83% (adjusted square=0.830, 0.0001) of variance. Of these, residence (where patients came from) accounted for most (78.7%) of the variance (adjusted square=0.787, ).
The mean overall satisfaction of patients with the services provided at the outpatient adult oncology center of TASH was significantly lower than previously reported in the world literature, which was >70. Hence, a concerted effort must be made to understand and improve patient satisfaction in oncology health-care services in Ethiopia.
癌症是全球发病和死亡的主要原因之一。它给患者带来了相当大的心理、身体和情感压力。由于疾病的性质、影响及其治疗方式，测量患者满意度对于引起医疗服务提供者的关注以改善护理至关重要。
使用欧洲癌症研究与治疗组织患者满意度问卷 - C33（EORTC PATSAT - C33）工具评估埃塞俄比亚提库尔安贝萨专科医院成人肿瘤中心的患者满意度。
于2019年1月至2019年5月进行了一项基于机构的横断面研究。采用连续抽样技术共招募了384名研究参与者。为每位参与者获取了知情同意书，并使用由访谈员管理的问卷收集数据。研究方案获得了药学院机构伦理审查委员会的伦理批准。使用描述性统计来汇总数据，同时采用多元线性回归分析来探索影响患者满意度的因素。P <0.05被认为具有统计学意义。
在总共384名研究参与者中，大多数为女性（65.9%），中位年龄为49岁。在大多数（65.9%）参与者中，医疗服务费用由患者自己承担；他们中的大多数接受妇科恶性肿瘤治疗（37.2%），并且大多数接受化疗 + 手术（37.2%）。欧洲癌症研究与治疗组织患者满意度问卷33项量表的总体满意度平均得分为100分中的44.8分。居住地点、性别、癌症类型、治疗开始后的持续时间、年龄和医疗费用来源是与患者满意度相关的因素，这些因素共同解释了83%（调整后R² = 0.830，P = 0.0001）的方差。其中，居住地点（患者来自何处）占方差的大部分（78.7%）（调整后R² = 0.787，P = 0.0001）。
塔什门诊成人肿瘤中心提供的服务，患者的总体平均满意度显著低于世界文献中先前报道的>70的水平。因此，必须共同努力了解并提高埃塞俄比亚肿瘤医疗服务中的患者满意度。
