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Evaluation of patient satisfaction with HIV/AIDS care and treatment: a cross-sectional study

Syed Imran Ahmed, Ashvinni Ramach, Keivan Ahmadi, Syed Shahzad Hasan, Christopher KC Lee


Background, aims and objectives: Patient experience influences the adherence to therapy and achievement of treatment outcomes, supplementing traditional indicators such as care processes and survival outcomes. This study aimed to examine the effect of relationship with healthcare providers on patient satisfaction. 

Methods: A cross-sectional study carried out at an HIV outpatient clinic from August 2013 to October 2013. Patients were interviewed using a questionnaire adapted and contextualised from an online database. The questionnaire covered aspects related to healthcare providers’ attitude and knowledge, clinic services, patient autonomy and dignity, characteristics of healthcare providers as well as the sociodemographic backgrounds of the participants. A R® program for statistical computing was used for data analysis.

Results: Satisfaction with healthcare providers and respect for patient autonomy contributed the most to overall patient satisfaction, influencing 35% of the observed variance in patient responses. Clinic services and independent characteristics of healthcare providers also had minor roles in influencing patient experience. Social components outweighed clinical components in terms of sociodemographic influence on perceived quality of care. Education levels (p ≤ 0.05) and employment status (p ≤ 0.1) were significant determinants of patient experience; however, they were the only two sociodemographics associated with patient satisfaction. Other social and all clinical factors were not significantly associated with patient experience.

Conclusion: Relationship with healthcare providers as well as the degree to which patient autonomy is maintained are the most important determinant of patient satisfaction. Overall, social components have more prominent roles in influencing patient satisfaction compared to clinical components.


HIV/AIDS, patient characteristics, patient satisfaction, person-centered healthcare, quality of care, socioeconomic status

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World Health Organization. (2014). The 10 leading causes of death in the world, 2000 and 2012. Available from:

World Health Organization. (2016). HIV/AIDS: Global Health Observatory Data. Available from:

UNAIDS. (2016). UNAIDS Global AIDS Update 2016. Available from:

MOH. (2015). National Strategic Plan: Ending AIDS 2016-2030. Available from:

MOH. (2015). National Strategic Plan on HIV and AIDS. Available from:

Ministry of Health Malaysia. (2011). Country health plan: 10th Malaysian Plan 2011-2015. 2011. Available from:

Land, L., Nixon, S. & Ross, J.D.C. (2011). Patient-derived outcome measures for HIV services in the developed world: a systematic review. International Journal of STD & AIDS 22 (8) 430-435.

Dang, B.N., Westbrook, R.A., Rodriguez-Barradas, M.C. & Giordano, T.P. (2012). Identifying drivers of overall satisfaction in patients receiving HIV primary care: A cross-sectional study. PLoS One 7 (8) e42980.

Sayles, J.N., Wong, M.D., Kinsler, J.J., Martins, D. & Cunningham, W.E. (2009). The association of stigma with self-reported access to medical care and antiretroviral therapy adherence in persons living with HIV/AIDS. Journal of General Internal Medicine 24 (10) 1101-1108.

Oche, M.O., Raji, M.O., Kaoje, A.U., Gana, G., Ango, J.T., Okafoagu, N., Adamu, H., Oladigbolu, R.A. & Umar, A.S. (2013). Clients satisfaction with anti retroviral therapy services in a tertiary hospital in Sokoto, Nigeria. Journal of AIDS and HIV Research 5 (9) 328–333.

Reda, A.A. & Biadgilign, S. (2012). Determinants of adherence to antiretroviral therapy among HIV-infected patients in Africa. AIDS Research and Treatment 2012: 574656.

Ware, J.E., Snyder, M.K., Wright, W.R. & Davies, A.R. (1983). Defining and measuring patient satisfaction with medical care. Evaluation and Program Planning 6 (3-4) 247-263.

Bodenlos, J.S., Grothe, K.B., Whitehead, D., Konkle-Parker, D.J., Jones, G.N. & Brantley, P.J. (2007). Attitudes toward health care providers and appointment attendance in HIV/AIDS patients. Journal of the Association of Nurses in AIDS Care 18, 65-73.

Wouters, E., Heunis, C., van Rensburg, D. & Meulemans, H. (2008). Patient satisfaction with antiretroviral services at primary health-care facilities in the Free State, South Africa - a two-year study using four waves of cross-sectional data. BMC Health Services Research 8, 210.

Yan, Z., Wan, D. & Li, L. (2011). Patient satisfaction in two Chinese provinces: Rural and urban differences. International Journal for Quality in Health Care 23 (4) 384-389.

Préau, M., Protopopescu, C., Raffi, F., Rey, D., Chêne, G., Marcellin, F., Perronne, C., Ragnaud, J.M., Leport, C., Spire, B. & Anrs Co8 Aproco-Copilote Study Group. (2012). Satisfaction with care in HIV-infected patients treated with long-term follow-up antiretroviral therapy: the role of social vulnerability. AIDS Care 24 (4) 434-443.

Kagashe, G.A.B. & Rwebangila, F. (2011). Patient satisfaction with health care services provided at HIV clinics at Amana and Muhimbili hospitals in Dar Es Salaam. African Health Sciences 11 (Supplement 1) S60-66.

Chow, M.Y.K., Li, M. & Quine, S. (2012). Client satisfaction and unmet needs assessment: Evaluation of an HIV ambulatory health care facility in Sydney, Australia. Asia Pacific Journal of Public Health 24 (2) 406-414.

Asadi-Lari, M., Tamburini, M. & Gray, D. (2004). Patients’ needs, satisfaction, and health related quality of life: towards a comprehensive model. Health and Quality of Life Outcomes 2, 32.

Marshall, G.N. & Hays, R.D. (994). The Patient Satisfaction Questionnaire Short Form (PSQ-18). Santa Monica, CA: Rand.

Croasmun, J.T. & Ostrom, L. (2011). Using Likert-Type Scales in the Social Sciences. Journal of Adult Education 40 (1) 19-22.

Schneider, J., Kaplan, S.H., Greenfield, S., Li, W. & Wilson, I.B. (2004). Better physician-patient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection. Journal of General Internal Medicine 19, 1096-1103.

Bargat, K.V., Pal, D.K., Lodha, R.S. & Bankwar, V. (2011). Clients’ satisfaction with antiretroviral therapy services with Hamidia Hospital Bhopal. National Journal of Community Medicine 2 (2) 241-243.

Pollak, K.I., Alexander, S.C., Tulsky, J.A., Lyna, P., Coffman, C.J., Dolor, R.J., Gulbrandsen, P. & Ostbye, T. (2011). Physician empathy and listening: associations with patient satisfaction and autonomy. Journal of the American Board of Family Medicine 24 (6) 665-672.

Chander, V., Bhardwaj, A.K., Raina, S.K., Bansal, P. & Agnihotri, R.K. (2011). Scoring the medical outcomes among HIV / AIDS patients attending antiretroviral therapy center at Zonal Hospital, Hamirpur, using Patient Satisfaction Questionnaire (PSQ-18). Indian Journal of Sexually Transmitted Diseases 32 (1) 19-22.

Rahmqvist, M. & Bara, A-C. (2010). Patient characteristics and quality dimensions related to patient satisfaction. International Journal for Quality in Health Care 22 (2) 86-92.

Tung, Y-C. & Chang, G-M. (2009). Patient satisfaction with and recommendation of a primary care provider: Associations of perceived quality and patient education. International Journal for Quality in Health Care 21 (3) 206-213.

Rueda, S., Raboud, J., Rourke, S.B., Bekele, T., Bayoumi, A., Lavis, J., Cairney, J. & Mustard, C. (2012). Influence of employment and job security on physical and mental health in adults living with HIV: cross-sectional analysis. Open Medicine 6 (4) e118-126.

Bacon, C.T. & Mark, B. (2009). Organizational effects on patient satisfaction in hospital medical-surgical units. Journal of Nursing Administration 39 (5) 220-227.

Afzal, M., Rizvi, F., Azad, A.H., Rajput, A.M., Khan, A. & Tariq, N. (2014). Effect of Demographic Characteristics on Patient’s Satisfaction With Health Care Facility. Journal of Postgraduate Medical Institute 28 (2) 154-160.



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