On top of the overall alpha value, the value for each of the 20 items was also high (Table 4). Table 4 Reliability analysis of the 20 patient satisfaction measurement items among patients at emergency departments in Gondar University Referral Hospital, Selleck PFT�� Northwest Ethiopia, May 2012 The overall satisfaction using the mean score indicated that 498 (51.7%) 95%CI: (48.4% – 54.9%) were satisfied with the service, Inhibitors,research,lifescience,medical the providers and the facility suitability whereas 465(48.3%) 95%CI:

(45.1%- 51.6%) were dissatisfied. Assessing the clients’ satisfaction for each item, 36.3% of the clients were dissatisfied or indifferent to the courtesy of staff in the registration area while 63.7% were either satisfied or very satisfied. In about two-thirds (64.2%) of clients, the information provided about medication was not satisfying and ranked fair or below. The degree to which the care providers Inhibitors,research,lifescience,medical talked to the patient using words which the patients could understand was high at 74.2% (Table 5). Table 5 Levels of satisfaction based on 20 measurement items among patients visiting emergency departments in Gondar University Referral Hospital, Northwest Ethiopia, Inhibitors,research,lifescience,medical May 2012 Determinants of patient satisfaction on emergency medical care In the multiple logistic regression analysis using backward stepwise method, the OPD site visited was

significantly associated with level of satisfaction (p<0.0001). Individuals who visited OPD 2 were 1.6 times more likely to be satisfied with the service as compared to those served at OPD 5 (AOR=1.6, 95%CI:1.1, 2.4). Patients who visited OPD 3 were 3.4 times more likely to be satisfied with the emergency service when compared to those visiting OPD 5 (AOR=3.4, 95%CI: 2.1, 5.8). The

Inhibitors,research,lifescience,medical visiting days also had an effect on satisfaction of patient with emergency care provided (p<0.05). Inhibitors,research,lifescience,medical Patients who arrived on Monday were less likely to be satisfied when compared to those visiting on Sundays, even though this turned out to be non-statistically significant in the final model. Patients who came to OPD on Thursday (AOR=1.7, 95%CI: 1.1, 3.0) and Friday (AOR=1.9, 95%CI: 1.1, 3.4) were more likely to be satisfied when compared to their counterparts arriving on Sunday. The medical condition on arrival was a predictor for patient satisfaction at the emergency department (p<0.0001). Patients who were very sick on clinical assessment on their arrival were 3.6 times more likely to be satisfied when compared to those first with good conditions (AOR=3.6, 95%CI:2.3, 5.5) on arrival and patients with moderate condition were 1.6 times more likely to be satisfied with the service (AOR=1.6, 95%CI:1.1, 2.5). Patients very confident with the service provided were nearly twice more likely to be satisfied with emergency service (AOR=1.9, 95%CI: 1.1, 3.1). Another vital determinant of patient satisfaction was perception of being discriminated against by health care providers.