Aims
Digestive endoscopy (DE) is an essential diagnostic and therapeutic procedure.Patient satisfaction is an important measure of performance standards and a key indicator of the quality of DE. Measuring the satisfaction index is a crucial component for improving the quality of care and optimizing medical practices.
The objective of this study is to determine the level of patient satisfaction in our endoscopy unit and to identify the factors associated with this satisfaction.
Methods
This is a prospective, descriptive, and analytical study conducted over a period of 5 months from 01/10/2023 to 01/03/2024 within the Department of Hepato-Gastroenterology and Proctology “Medicine B,” including patients who underwent DE.
Patient satisfaction was assessed using the Likert scale.
The studied parameters included sex, age, previous endoscopic examination, type of endoscopic procedure, and indication.
Data analysis was performed using Jamovi software version 2.2.5.
Results
A total of 220 patients were included in our study, including 113 men (51.4%) and 107 women (48.6%), with a male/female ratio of 1.05. The mean age was 48.4 ± 15.8 years.Regarding endoscopic procedures: an upper GI endoscopy (EGD) was performed in 147 patients (66.8%), a total ileocolonoscopy in 113 patients (51.4%), and a rectosigmoidoscopy in 6 patients (2.7%).
A total of 164 patients (74.6%) underwent a single examination, while 56 patients (25.5%) underwent two simultaneous procedures.
These examinations were performed for the following indications: abdominal pain in 39 cases (17.7%), IBD in 30 cases (13.6%), bowel habit disorder in 24 cases (10.9%), portal hypertension in 22 cases (10%), and gastrointestinal bleeding in 21 cases (9.5%).
The distribution of satisfaction levels was as follows : very satisfied 55 (25%), satisfied 53 (24.1%), neither satisfied nor dissatisfied 73 (33.2%), slightly satisfied 26 (11.8%), very dissatisfied 13 (5.9%).
For statistical analysis, levels 1: very satisfied and 2: satisfied were combined.
Patient age and the presence of music in the room were the only factors associated with high satisfaction on both univariate and multivariate analysis, with p-values of 0.005 and <.001 respectively.
Total ileocolonoscopy was also found to be a factor of patient dissatisfaction with a p-value of 0.019.
Conclusions
Satisfied patients are more likely to regularly adhere to screening and endoscopic surveillance programs.
In our study, age and the auditory environment appear to play a significant role as predictors of satisfaction.
Assessing satisfaction helps identify patient needs and guide necessary improvements to optimize their care.