Evidence map›Paper›PMID 40170011›Full record

ArticleBMC health services research2025

Patient satisfaction with ambulatory care services delivery and respect for patient rights: findings from 2022 national survey in Rwanda.

Corneille Killy Ntihabose, Stephenson Musiime, Joy Atwine, Viateur Kalinda, Jean Marie Vianney Nkurikiyintwali, Bienvenu Niyongabo, Kara L Neil

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Corneille Killy NtihaboseCenter for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. ckntihabose@gmail.com.
Stephenson MusiimeGlamerc Polyclinic, Kigali, Rwanda.
Joy AtwineUSAID, Integrated Health Systems Activity (RIHSA), Palladium, Kigali, Rwanda.
Viateur KalindaUSAID, Integrated Health Systems Activity (RIHSA), Palladium, Kigali, Rwanda.
Jean Marie Vianney NkurikiyintwaliUSAID, Integrated Health Systems Activity (RIHSA), Palladium, Kigali, Rwanda.
Bienvenu NiyongaboUSAID, Integrated Health Systems Activity (RIHSA), Palladium, Kigali, Rwanda.
Kara L NeilKing Faisal Hospital Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the factors influencing patient satisfaction with hospital services and respect for patient rights in outpatient consultation in Rwanda, aiming to provide insights into improving the overall quality of care.

methodsThis was cross-sectional study design. We recruited participants from all (30) districts in Rwanda using stratified sampling. A structured questionnaire assessed satisfaction across seven hospital areas, including cashier, waiting, triage, doctor consultation, laboratory, pharmacy, and respect for patient rights. We used descriptive statistics, Chi-square, and Multivariate Regression analyses.

resultsThe study showed that most participants expressed satisfaction with hospital services and respect for their rights: doctor consultations (93.8%), triage (92.0%), dispensing pharmacy (88.2%), laboratory services (87.2%), waiting area (85.3%), patient rights (74.3%), cashier services (73.3%). At bivariate analysis, we observed that satisfaction in waiting areas was associated with location ( p = 0.036), provinces (p < 0.001), and hospital rank (p < 0.001), while satisfaction in triage was associated with age categories (p < 0.001) and visits ( p = 0.02). The association of satisfaction in cashier services with age categories (p < 0.001), visits (p = 0.032), and hospital rank (p = 0.005) was also significant, as well as satisfaction in dispensing pharmacy and provinces (p < 0.001), location (p = 0.002), and visits (p = 0.008). Multiple logistic regression indicated higher satisfaction in waiting areas among patients from Northern (OR = 3.81, 95%CI = 1.85-5.64), Western (OR = 1.95, 95%CI = 1.48-3.60), and Southern provinces (OR = 1.93, 95%CI = 1.17-2.85), while urban patients (OR = 0.65, 95%CI = 0.47-0.91) and those from high-rank hospitals had lower satisfaction (OR = 0.59, 95%CI = 0.43-0.82). High-rank hospital patients were more satisfied with triage (OR = 1.86, 95% CI = 1.14-3.13) while returning patients were less satisfied (OR = 0.51, 95%CI = 0.33-0.90). Lower satisfaction in dispensing pharmacy was observed among the City of Kigali (OR = 0.11, 95%CI = 0.05-0.24), Northern province (OR = 0.43, 95%CI = 0.23-0.80), and returning patients (OR = 0.51, 95%CI = 0.33-0.76). Urban (OR = 2.5, 95%CI = 1.32-5.16) and high-rank hospital patients (OR = 1.96, 95%CI = 1.08-3.77) reported higher laboratory satisfaction. However, cashier services had lower satisfaction among Kigali (OR = 0.37, 95%CI = 0.21-0.64), Northern (OR = 0.44, 95%CI = 0.29-0.65), and Western province patients(OR = 0.63, 95%CI = 0.43-0.91), returning patients (OR = 0.73, 95%CI = 0.55-0.96), and those from high-rank hospitals(OR = 0.70, 95%CI = 0.54-0.92).

conclusionOur study has revealed disparities in satisfaction with ambulatory care services delivery by provinces, hospital rank and visit status. We recommend hospital to take initiatives aiming at streamlining payments, optimizing waiting area services, and enhancing coordination, staff training, regional equity, and patient-centered policies for continuous service improvement.

Indexed as

Ambulatory CarePatient RightsPatient SatisfactionAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRwandaSurveys and QuestionnairesTriageYoung AdultAmbulatory carePatient satisfactionQuality of services

Identifiers

PMID40170011
PMCPMC11963505

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.