الفهرس 
Introduction to the studyOnly 14 pages are availabe for public view
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Abstract
Assessment of attendant’s satisfaction is deemed to be one of the important factors which offer a way of optimizing health status and prevents waste of medical resources. In keeping with this trend, health care systems are now also being reviewed to assess patient satisfaction with regard to the quality of care provided. Patient satisfaction is an instrumental tool for identifying shortcomings and challenges of the health system, so the real challenge is not getting ready with mere requirements, but also delivers services ensuring good quality. Thus, there is a need to assess the health care systems regarding patient satisfaction as often as possible.
Therefore, a research on patient satisfaction can be an important tool to improve the quality of services. Health care consumers today, are more sophisticated than in the past and now demand increasingly more accurate and valid evidence of health plan quality.
Aim of the study:
To assess attendants’ satisfaction and their perception of PHC services in Mallawi district and to detect the association of attendants’ satisfaction and sociodemographic characteristics.
Research methodology:
The study was conducted in two randomly chosen PHC centers in Mallawi district, Minia governorate, Egypt using a cross-sectional design on 418 attendants 200 were from Mallawi health care center and 218 were from El-rayramoun health care center during the period from December 2017 to March 2018.
Approval of The University Ethical Committee was taken. Approvals of the Ministry of Health and Population beside approval of the managers of the previously mentioned health centers were taken.
An interview questionnaire was made and included: sociodemographic characteristics of the participants, General satisfaction about the care in PHCC, Giving information, Empathy with the patient, their expectations regarding technical quality and competence in PHCC, Attitude towards the patient, accessibility and continuity of health care services.
Time schedule:
• Preparation and pilot study: 1 month.
• Review writing: 2 months.
• Data collection from the attendants: 4 months (December 2017 to march 2018).
• Statistical analysis, discussion, conclusion, recommendation and summary: 3 months.
Results:
Overall, 42.6% of the patients were satisfied with the services received from PHCCS.
Regarding age, (35.4%) of participants were in the age group 25- years. it was found that a large percent of participants were females (56.7%). The majority of participants were married (87.6%) and only (6%) were single.
Out of 418 participants; (34.2%) had secondary education and (26.8%) were illiterate. Also, it was found that more than half of the total participants were not working (59.3%). Regarding residence; more than half of participants (52.2%) were from rural areas.
More than half of participants (52.9%) were generally satisfied with care in PHCC. However, (59.8%) of participants were unsatisfied with explanation given to them about their disease and treatments. In addition, (56.9%) of respondents were unsatisfied about the way of dealing and interest in patients’ feelings and they were unsatisfied with the technical quality and competence in PHCC. On the other hand; it was found that more than half of participants (57.4%) were unsatisfied about health care workers’ attitude towards them and about access and continuity of care in PHCC.
The adjusted odds ratio and 95% CI that quantified the association between the combined effects of sociodemographic variables and satisfaction. These estimates were obtained using logistic regression analysis. Age (p=0.04) and education (p<0.001) were significantly associated with satisfaction.
Recommendations:
• Appropriate motivation of PHCC’s staff at all levels. It is only when staff are happy with their work that they can re-enforce patient satisfaction.
• Periodic training/retraining of doctors in various specialties must be undertaken.
• Physicians should spend enough time with their patients during the encounter, answering the patients’ questions honestly, completely and understandably, treating patients with respect and are being friendly with them.