Patient satisfaction with healthcare services influences health-related quality of life in patients living with HIV/Aids in urban Uganda

Bibliographic Data

ID19443115
AuthorsMegan K Herbert (0000-0003-1599-4362, James Cook University), Maria Eugenia Castellanos (0000-0002-8181-6321, James Cook University, corresponding author), Juliet N Sekandi (0000-0003-2430-1396, University of Georgia)
Year2026
Volume38
Issue2
Pages321-335
Publication date2026-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2580405
PMID41185136
OpenAlexW4415835719
LanguageEN
References cited67

This study aimed to determine whether higher patient satisfaction with healthcare was associated with improved health-related quality of life (HRQoL) outcomes among adult patients living with HIV and AIDS (PLWHA) receiving antiretroviral treatment (ART). This cross-sectional study was conducted at a specialised clinic in Kampala, Uganda, in July-August 2015. The Consumer Assessment of Healthcare Providers and System (CAHPS) instrument was used to measure patient satisfaction, and the Medical Outcomes Study HIV Health survey (MOS-HIV) was used to determine Physical and Mental Health Summary scores (PHS and MHS, respectively) of HRQoL. Multivariable logistic and linear regression were used to examine associations between patient satisfaction and PHS and MHS scores. Higher scores on PHS and MHS were reported by 364 (79%) and 320 participants (70%), respectively. Patient satisfaction with the facility was independently associated with higher PHS (OR = 2.62, 95% CI: 1.60-4.33) and MHS (OR = 1.97, 95% CI: 1.27-3.06), and promoters of the clinic had higher scores on PHS (OR = 1.73, 95% CI: 1.06-2.87) and MHS (OR = 3.68, 95% CI: 2.33-5.93). Patient satisfaction with the facility was associated with higher HRQoL, suggesting that strengthening service quality could bolster patient satisfaction and HRQoL among PLWHA receiving ART

Cross-sectional study · Health care · Health services · Logistic regression · Mental health · Patient satisfaction · Health Education and Validation · HIV/AIDS Research and Interventions · Patient Satisfaction in Healthcare