Satisfaction With Clinical Care and Associated Factors Among Palliative Care Patients at Bukavu Provincial General Reference Hospital, Democratic Republic of Congo

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Uganda Christian University
Background: Patient satisfaction is a vital indicator of quality of healthcare. This study assessed the level of patient satisfaction with palliative care services and associated factors among adult HIV-positive patients receiving palliative care services at HPGRB . Methods: A cross-sectional study enrolled 376 adult HIV-positive patients receiving palliative care at HPGRB using simple random sampling. A structured questionnaire assessed socio-demographics, health facility factors, and satisfaction using 18 Likert scale questions. Satisfaction was defined as a score above the median of possible scores. logistical regression was used to identified factors associated with satisfaction among patients receiving palliative care services. STATA v17.0 was used to analyze the data. Results: The satisfaction level was 59.3% (95% CI: 54.3, 64.2). Being female (aPR 2.0, 95% CI: 1.7, 2.9), employed (aPR 3.5, 95% CI: 2.1, 5.9), and aged ≥50 years (aPR 6.3, 95% CI: 2.5, 13.9) were associated with higher satisfaction. Being non-Catholic (aPR 0.4, 95% CI: 0.2, 0.6) and waiting >3 hours (aPR 0.5, 95% CI: 0.4, 0.6) predicted lower satisfaction. Conclusion: Satisfaction with palliative care at HPGRB is suboptimal. Targeted quality improvement initiatives focusing on waiting times, staff interactions, and expectations of non-Catholic patients could significantly improve satisfaction which would ultimately improve the quality of care.