Herbert, Megan K., Castellanos Reynosa, Maria Eugenia, and Sekandi, Juliet Nabbuye (2025) Patient satisfaction with healthcare services influences health-related quality of life in patients living with HIV/AIDS in urban Uganda. AIDS Care. (In Press)

PDF (Published Version) - Published Version Restricted to Repository staff only until 3 November 2026.

Abstract

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.

Item ID:	89627
Item Type:	Article (Research - C1)
ISSN:	1360-0451
Keywords:	Quality of life; patient satisfaction; HIV care continuum; public health
Copyright Information:	© 2025 Informa UK Limited, trading as Taylor & Francis Group
Date Deposited:	14 Nov 2025 03:37
FoR Codes:	52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100%
Downloads:	Total: 1 Last 12 Months: 1
	More Statistics