A mixed-method pilot study to improve patient satisfaction in rural Uganda

Emily Warren ORCID logo; Ethel Nankya; Janet Seeley ORCID logo; Sarah Nakamanya; Gershim Asiki; Victoria Simms ORCID logo; Alex Karabarinde; Heidi Larson ORCID logo; (2018) A mixed-method pilot study to improve patient satisfaction in rural Uganda. Development in Practice, 28 (5). pp. 615-623. ISSN 0961-4524 DOI: 10.1080/09614524.2018.1465026
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This article reports on a mixed-method longitudinal field study that was conducted using a tablet-based app capturing data on patients’ satisfaction with an outpatient clinic in Kalungu District, Uganda. The app was developed, piloted, and refined using clinician and patient feedback. Findings were reported and discussed in staff meetings, with change in reported levels of satisfaction assessed using descriptive statistical analysis and Chi2 tests. Qualitative data were collected. Satisfaction was relatively high at baseline and increased by 4.4%, and staff found the feedback actionable. Patients reported fewer delays and better treatment after introducing the app, with the proportion of “very dissatisfied” patients decreasing from 2.3% to zero after six weeks.


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