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. 2022 Nov;30(6):e3435-e3446.
doi: 10.1111/hsc.13953. Epub 2022 Aug 3.

Satisfaction of tuberculosis patients to healthcare services at the global level: A systematic review

Aklilu Endalamaw  1   2 , Charles F Gilks  1 , Fentie Ambaw  3 , Mark D Chatfield  1 , Yibeltal Assefa  1
Affiliations

Satisfaction of tuberculosis patients to healthcare services at the global level: A systematic review

Aklilu Endalamaw et al. Health Soc Care Community. 2022 Nov.

Abstract

Patient satisfaction is a critical component of quality of care assessment in the pursuit of universal health coverage to end the tuberculosis epidemic and other diseases. This study aimed to review the level of satisfaction of tuberculosis patients and related factors. Articles were accessed from Web of Science, EMBASE, PubMed and Google Scholar. Twenty-six papers fulfilled the eligibility criteria from 13 countries. The percentage of satisfied tuberculosis patients ranged from 53.5% to 97.0% in the five African countries, 67.8 to 97.2% in India, South-East Asia, 82.0% in Pakistan, East-Mediterranean and 92.9% in Armenia, the European region. Accessibility, healthcare cost, treatment duration and taking supervised-directly observed treatment were healthcare service-related determinants. Technical competency, interpersonal relationships, confidentiality, time spent with healthcare providers, time spent waiting for care and counselling and health education were health worker-related determinants. Patient-related variables that determine satisfaction were gender, age, ethnicity, place of residence, marital status, educational status, income and health status. Developing and/or approaching an internationally-agreed tool to measure tuberculosis patient satisfaction in healthcare settings will improve the availability of high-quality and comparable data to verify actual variation across and within a country. A multidimensional approach considering clients, health workers and healthcare settings is required to holistically address satisfaction issues of tuberculosis patients to gradually realise universal health coverage.

Keywords: patient satisfaction; systematic review; tuberculosis.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

FIGURE 1
FIGURE 1
Flow chart of the study screening process.
See this image and copyright information in PMC

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