Evaluation of patients' satisfaction after laparoscopic surgery in a tertiary hospital in Cameroon (Africa)

Access to laparoscopy is low in Cameroon where customers' satisfaction has not been reported so far. We assessed patients' satisfaction with the process of care during laparoscopic surgery in a new tertiary hospital. A questionnaire was addressed to consenting patients (guardians for patie...

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Published inThe Pan African medical journal Vol. 28; no. 216; p. 216
Main Authors Fouogue, Jovanny Tsuala, Tchounzou, Robert, Fouelifack, Florent Ymele, Fouedjio, Jeanne Hortence, Dohbit, Julius Sama, Sando, Zacharie, Mboudou, Emile Telesphore
Format Journal Article
LanguageEnglish
Published Uganda African Field Epidemiology Network 2017
The African Field Epidemiology Network
The Pan African Medical Journal
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Summary:Access to laparoscopy is low in Cameroon where customers' satisfaction has not been reported so far. We assessed patients' satisfaction with the process of care during laparoscopic surgery in a new tertiary hospital. A questionnaire was addressed to consenting patients (guardians for patients under 18) with complete medical records who underwent laparoscopy at the Douala Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from November 1, 2015 to July 31, 2016. The following modified Likert's scale was used to assess satisfaction: very weak: 0-2.5; weak 2.6-5; good: 5.1-7.5; very good: 7.6-10. Only descriptive statistics were used. Response rate was 90% (45/50). Of the 45 respondents, 39 (86.7%) were female, 14(31.1%) were referred and 39 (86.7%) paid by direct cash deposit. Mean age was 36.8±11.9 years. Laparoscopies were carried out in emergency for 3 (6.7%) patients. Digestive abnormalities indicated 13 (28.9%) laparoscopies while gynaecologic diseases accounted for 32 (71.1%) cases. Perception of the overall care process was good with a mean satisfaction score of 6.8 ± 1.4. Scores in categories were: 0% (Very weak); 13.3% (weak); 57.8% (good) and 28.9% (very good). Specifically mean satisfaction scores were: 7.8 ± 1.0 with doctors' care; 7.1 ± 1.3 with hospital administration; 7.0 ± 1.2 with nursing and 4.7 ± 1.4 with the costs. Main complaints were: long waiting time (73.3%), constraining geographical access (66.7%) and expensiveness (48.9%). Patients were globally satisfied with the process of care but financial and geographical barriers should be addressed.
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ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2017.28.216.11441