Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services
Optimal quality of care remains an integral formal service along the continuum of care pathway. Patient satisfaction is an important health system responsiveness goal which has been shown to influence quality of care except in the indigenous settings. This study identified the determinants of patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-04-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580231167733 |
| _version_ | 1797846701149519872 |
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| author | Solomon K. Cheboi PhD Daisy N. Nyawira MSc Peter M. Ngolo MSc Wanjiru S. Ng’ang’a PharmB |
| author_facet | Solomon K. Cheboi PhD Daisy N. Nyawira MSc Peter M. Ngolo MSc Wanjiru S. Ng’ang’a PharmB |
| author_sort | Solomon K. Cheboi PhD |
| collection | DOAJ |
| description | Optimal quality of care remains an integral formal service along the continuum of care pathway. Patient satisfaction is an important health system responsiveness goal which has been shown to influence quality of care except in the indigenous settings. This study identified the determinants of patient satisfaction in the context of indigenous palliative care in Kenya. A descriptive cross-sectional study was conducted among cancer patients exiting indigenous care outlets located in 12 towns across Kenya using a structured modular questionnaire. Exit interviews were undertaken with 433 respondents leaving 193 mapped indigenous outlets. Overall services satisfaction was assessed as the dependent variable using a computed single-item satisfaction mean score. The data was analyzed using IBM Statistical Package for Social Sciences version 22. 0. Bivariate and multivariate analyses were conducted to identify the potential determinants. Against the 433 study respondents, 248 (57.3%) expressed overall satisfaction with indigenous palliative care services: Satisfaction was positively associated with waiting time (AOR = 2.663, 95% CI = 1.235-5.743), provider attention (AOR = 3.698, 95% CI = 1.657-8.254), provider politeness (AOR = 6.774, 95% CI = 3.697-12.413) and provider social communication skills (AOR = 6.520, 95% CI = 3.642-11.673). Good patient-provider interaction, provider social skills and service waiting time influence patient satisfaction with indigenous palliative care. The finding contributes to the understanding of indigenous palliative cancer care and provides scientific evidence for providers and policy makers to redesign and improve their service and outlet setting to provide patient centered holistic palliative care. |
| first_indexed | 2024-04-09T17:59:14Z |
| format | Article |
| id | doaj.art-953509e0a0194d3bb9fa5e315609bdb7 |
| institution | Directory Open Access Journal |
| issn | 0046-9580 1945-7243 |
| language | English |
| last_indexed | 2024-04-09T17:59:14Z |
| publishDate | 2023-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-953509e0a0194d3bb9fa5e315609bdb72023-04-14T09:33:32ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432023-04-016010.1177/00469580231167733Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care ServicesSolomon K. Cheboi PhD0Daisy N. Nyawira MSc1Peter M. Ngolo MSc2Wanjiru S. Ng’ang’a PharmB3National Museums of Kenya, Nairobi, KenyaNational Museums of Kenya, Nairobi, KenyaNational Museums of Kenya, Nairobi, KenyaNational Museums of Kenya, Nairobi, KenyaOptimal quality of care remains an integral formal service along the continuum of care pathway. Patient satisfaction is an important health system responsiveness goal which has been shown to influence quality of care except in the indigenous settings. This study identified the determinants of patient satisfaction in the context of indigenous palliative care in Kenya. A descriptive cross-sectional study was conducted among cancer patients exiting indigenous care outlets located in 12 towns across Kenya using a structured modular questionnaire. Exit interviews were undertaken with 433 respondents leaving 193 mapped indigenous outlets. Overall services satisfaction was assessed as the dependent variable using a computed single-item satisfaction mean score. The data was analyzed using IBM Statistical Package for Social Sciences version 22. 0. Bivariate and multivariate analyses were conducted to identify the potential determinants. Against the 433 study respondents, 248 (57.3%) expressed overall satisfaction with indigenous palliative care services: Satisfaction was positively associated with waiting time (AOR = 2.663, 95% CI = 1.235-5.743), provider attention (AOR = 3.698, 95% CI = 1.657-8.254), provider politeness (AOR = 6.774, 95% CI = 3.697-12.413) and provider social communication skills (AOR = 6.520, 95% CI = 3.642-11.673). Good patient-provider interaction, provider social skills and service waiting time influence patient satisfaction with indigenous palliative care. The finding contributes to the understanding of indigenous palliative cancer care and provides scientific evidence for providers and policy makers to redesign and improve their service and outlet setting to provide patient centered holistic palliative care.https://doi.org/10.1177/00469580231167733 |
| spellingShingle | Solomon K. Cheboi PhD Daisy N. Nyawira MSc Peter M. Ngolo MSc Wanjiru S. Ng’ang’a PharmB Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services |
| title_full | Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services |
| title_fullStr | Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services |
| title_full_unstemmed | Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services |
| title_short | Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services |
| title_sort | determinants of patient satisfaction in indigenous cancer palliative care services |
| url | https://doi.org/10.1177/00469580231167733 |
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