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Patient satisfaction among persons living with HIV/AIDS and receiving antiretroviral therapy in urban Uganda: A factor analysis

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  • Juliet Nabbuye Sekandi
  • Maria Eugenia Castellanos
  • Henok Woldu
  • Robert Kakaire
  • Simon Mutembo
  • Jane Namangolwa Mutanga

Abstract

Introduction: Patient satisfaction is an important predictor of health outcomes among patients in HIV/AIDS treatment and care, yet it is rarely measured in routine clinic settings in most of Africa. The aims of our study were to evaluate the internal validity and reliability of the Consumer Assessment of Healthcare Providers and Systems instrument for measuring satisfaction, assess the general level of patient satisfaction, and identify the factors associated with the level of satisfaction among patients receiving antiretroviral therapy in Uganda. Materials and methods: We conducted a cross-sectional study of 475 HIV/AIDS-infected patients from July to August 2015 in Kampala, Uganda. Eligible participants were 18 years or older, consented to the study and receiving antiretroviral therapy and outpatient care at the selected public health clinic. This study used a modified version of the validated Consumer Assessment of Healthcare Providers and Systems (CAHPS) instrument to assess the level of satisfaction among HIV/AIDS patients receiving outpatient care. We collected data on socio-demographics, clinical variables and 18-items adapted from the CAHPS instrument rating satisfaction with aspects of health services. We conducted an exploratory factor analysis to assess the internal validity of the 18 items and multiple linear regression analysis of factors associated with patient satisfaction with care. Results: Majority of the respondents were females (76.8%), and the mean age was 37 years (SD = 10). The modified CAHPS instrument had high internal consistency (Cronbach’s α = 0.94) for measuring satisfaction with HIV/AIDS care. Female sex (p = 0.016), perceived providers’ technical and interpersonal skills (p = 0.022), emotional health (p = 0.032), and quality of reception services (p

Suggested Citation

  • Juliet Nabbuye Sekandi & Maria Eugenia Castellanos & Henok Woldu & Robert Kakaire & Simon Mutembo & Jane Namangolwa Mutanga, 2023. "Patient satisfaction among persons living with HIV/AIDS and receiving antiretroviral therapy in urban Uganda: A factor analysis," PLOS ONE, Public Library of Science, vol. 18(2), pages 1-16, February.
    • Handle: RePEc:plo:pone00:0280732
    DOI: 10.1371/journal.pone.0280732
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    References listed on IDEAS

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    1. Bach Xuan Tran & Nhung Phuong Thi Nguyen, 2012. "Patient Satisfaction with HIV/AIDS Care and Treatment in the Decentralization of Services Delivery in Vietnam," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-7, October.
    2. repec:plo:pone00:0042980 is not listed on IDEAS
    3. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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