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Abstract
Background: Monitoring trends in patient satisfaction is essential for evaluating healthcare quality improvement initiatives and adapting services to meet evolving patient needs. This is particularly important in gynecology-obstetrics services, where care quality directly impacts women's health outcomes and experiences.
Objective: To compare patient satisfaction levels between 2023 and 2024 in the gynecology-obstetrics service at Ibn Al Jazzar University Hospital in Kairouan, Tunisia, and evaluate the impact of implemented interventions.
Methods: A comparative cross-sectional study was conducted using data from two periods: January-March 2023 (n=276) and January-March 2024 (n=284). The same validated questionnaire developed by the General Directorate of Public Health Structures (DGSSP) and the Observatory on the Performance of Organizations and Health Systems at the University of Montreal (OPOSSUM) was used in both periods. The questionnaire assessed overall satisfaction and seven specific domains: accessibility, continuity, comprehensiveness, technical quality, humanization, environment, and conditions of stay.
Results: Overall patient satisfaction increased significantly from 37% in 2023 to 52% in 2024 (p<0.001). Improvements were observed across all seven domains, with the most substantial increases in conditions of stay (5.1% to 24.3%, p<0.001), comprehensiveness of care (16.3% to 38.7%, p<0.001), and humanization (37.0% to 56.3%, p<0.001). The implementation of the GynéSatis mobile application was associated with higher satisfaction rates among users compared to non-users (58.7% vs. 47.6%, p=0.02).
Conclusion: The significant improvement in patient satisfaction between 2023 and 2024 suggests that targeted interventions, including digital solutions and facility enhancements, can effectively address patient concerns and improve healthcare experiences. Continued monitoring and adaptation of improvement strategies are recommended to sustain and further enhance patient satisfaction.
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