Determinants of patient satisfaction among outpatients with chronic illnesses in the region of medina, Saudi Arabia: a cross-sectional study
摘要
Patient satisfaction is important for chronic care quality; however limited evidence exists regarding satisfaction patterns and demographic predictors among outpatients with chronic illnesses in Saudi Arabia. This study investigated patient satisfaction levels and identified demographic factors affecting satisfaction in chronic care settings.
MethodsA cross-sectional survey was conducted among 397 outpatients with chronic illnesses attending healthcare facilities in Medina, Saudi Arabia (August–September 2024). The validated Patient Satisfaction Questionnaire Short Form (PSQ-18) was administered electronically in Arabic and English. Demographic predictors were analyzed using ordinal logistic regression with satisfaction tertiles. Doctor-patient interaction correlations were assessed using Spearman coefficients.
ResultsParticipants included 213 females (53.6%) and 184 males (46.4%), with median age 45 years. Overall PSQ-18 satisfaction score was 64.4% of maximum possible. Age was the primary satisfaction predictor, with patients aged 45–60 years showing 2.31 times higher odds of superior satisfaction compared to younger patients (18–30 years, P-value = 0.010). Doctor-patient interaction measures showed strong correlations with overall satisfaction: physical comfort (ρ = 0.635), respect and empathy (ρ = 0.602), and comfort asking questions (ρ = 0.500, all P-value < 0.001). Gender and employment status showed no significant associations with satisfaction levels. Accessibility and convenience scored lowest (60% satisfaction), while interpersonal manner, communication, and financial aspects achieved highest scores (70% satisfaction).
ConclusionsAge-appropriate care delivery and enhanced doctor-patient interactions represent the most promising targets for improving chronic care satisfaction. Healthcare systems should prioritize interpersonal care training and accessibility improvements to optimize patient experiences across all age groups.