Migration background and patient satisfaction in a pediatric nephrology outpatient clinic

Abstract

Background: We examined the association of a migration background and patient satisfaction in a pediatric nephrology outpatient clinic in Germany.

Methods: This was a cross-sectional study of 348 families presenting at the Pediatric Nephrology Outpatient Department of Charité University Children's Hospital in Berlin during 2008. Parents were asked to complete a questionnaire containing basic sociodemographic information, a subjective categorical rating of disease severity and communication with the medical team, and a validated patient satisfaction score (ZUF-8) derived from a customer satisfaction score used by industry and modified for healthcare providers.

Results: Of the 348 families included in the study, 131 patients (38 %) had a migration background (20 different nationalities, 22 different native languages). Patient satisfaction (rated on a scale from 8 to 40) was significantly higher in families without (32.9 ± 4.6) than in those with a migration background (30.8 ± 4.7; p < 0.0001). A multivariate linear regression analysis revealed that trust in doctors, friendliness of the doctor, severity of the child's disease, number of medications prescribed, and a migration background were significantly and independently correlated with patient satisfaction.

Conclusions: Migrant families were less satisfied with the provision of the outpatient care provided by our department than non-migrants.