Assessing health service satisfaction among beneficiaries in Cameroon: a cross-sectional study to inform healthcare improvement
Rattachement africain : Cameroun. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Patient satisfaction is a key indicator of healthcare quality and an important determinant of service utilisation and adherence. In Cameroon, routine monitoring of patient experience is limited and existing evidence remains fragmented. OBJECTIVE: To assess satisfaction with health services among users of Cameroonian health facilities and identify associated factors. METHODS: A cross-sectional study was conducted from September 2022 to June 2023 in 69 health facilities across eight regions. Participants ≥ 21 years old were recruited through voluntary sampling. Satisfaction was measured using a culturally adapted PSQ-18. Descriptive analyses summarised the seven subscales. Group differences were examined using Welch’s ANOVA, and determinants of satisfaction were assessed through multivariable robust Gamma regression. RESULTS: A total of 559 participants were enrolled (median age 30 years; 76.9% women). Overall satisfaction was moderate (mean 3.49/5; 62.3/100). Communication, technical quality and interpersonal manners had the highest scores, whereas financial aspects and accessibility were the lowest. Significant disparities were found by facility type, facility category and region. In the adjusted model, satisfaction was about 10% lower in public facilities compared with private facilities (expβ = 0.90; 95% CI: 0.85–0.96). Compared with district hospitals, satisfaction was 14% higher in Regional Hospitals (expβ = 1.14; 95% CI: 1.06–1.21) and 20% higher in Integrated Health Centres (expβ = 1.20; 95% CI: 1.13–1.28). Regionally, satisfaction was 10–20% lower in Adamawa, East, Far North and Douala/Littoral compared with the Centre region. Sociodemographic variables—including age, sex, education, income, and residence—were not associated with satisfaction. CONCLUSION: Patient satisfaction in Cameroon is moderate and shaped primarily by structural and organisational factors, with substantial disparities across facility types, facility categories and regions. Targeted improvements in district-level services, financial accessibility, and public facility organisation could meaningfully enhance patient experience.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Assessing health service satisfaction among beneficiaries in Cameroon: a cross-sectional study to inform healthcare improvement
- Date Crossref
- 26/12/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Ministry of Public Health Cameroun (code pays fourni par la source)Organisme public
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Institut Supérieur de Technologie Médicale Cameroun (code pays fourni par la source)Université ou école supérieure
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United Nations Children's Fund Cameroon Cameroun (code pays fourni par la source)Institution
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Division of Operational Health Research-MoH Yaoundé, Cameroun (pays nommé en fin d’affiliation)Institution
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Media Convergence Yaoundé, Cameroun (pays nommé en fin d’affiliation)Institution
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Cooperation Department Yaoundé, Cameroun (pays nommé en fin d’affiliation)Institution
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Health Project Implementation Unit - IDB Yaoundé, Cameroun (pays nommé en fin d’affiliation)Institution
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UNICEF Yaoundé, Cameroun (pays nommé en fin d’affiliation)Institution
Ministry of Public Health (Cameroun), Institut Supérieur de Technologie Médicale (Cameroun) et United Nations Children's Fund Cameroon (Cameroun), avec 5 autres affiliations. Pays d’affiliation : Cameroun.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.