title: Patient satisfaction and loyalty to the private hospitals in Sana'a, Yemen.
abstract: OBJECTIVE
  To evaluate patients' satisfaction and loyalty to private hospitals and to identify factors influencing patient loyalty.
  
  
  METHODS
  A cross-sectional, population-based study was conducted between May and September of 2005.
  
  
  METHODS
  Sana'a, the capital city of the Republic of Yemen.
  
  
  METHODS
  Eight hundred and nineteen respondents who were admitted for at least 1 day in a private hospital within last 6 months from the date of interview.
  
  
  METHODS
  The scores on the modified SERVQUAL market research instrument including six domains (tangibility, reliability, responsiveness, assurance, empathy and cost) that identify perceptions of service quality. In addition, the respondents were asked whether or not they would return to the same facility when they need future medical care (loyalty).
  
  
  RESULTS
  Loyalty was higher among females [odds ratio (OR) = 1.44; P < 0.05], among those reporting higher reliability scores (OR = 1.24; P < 0.01), higher assurance scores (OR = 1.2; P < 0.01) and higher empathy scores (OR = 1.13; P < 0.05) and also among those reporting higher cost (OR = 1.15; P<0.05). No significant association was found between patient loyalty and, tangibility and responsiveness score.
  
  
  CONCLUSIONS
  Improvements are required to achieve high-quality healthcare services in the private hospitals in Yemen and increase loyalty among patients. Findings from this study could inform private sector healthcare development in low- and middle-income countries.
authors.affiliation: Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
authors.forename: Ali
authors.initials: A
authors.lastname: Anbori
authors.forename: Sirajoon Noor
authors.initials: SN
authors.lastname: Ghani
authors.forename: Hematram
authors.initials: H
authors.lastname: Yadav
authors.forename: Aqil Mohammad
authors.initials: AM
authors.lastname: Daher
authors.forename: Tin Tin
authors.initials: TT
authors.lastname: Su
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D016304:Hospitals, Private / Q000592:standards*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D015006:Yemen; D055815:Young Adult