title: Patient satisfaction in a Moroccan emergency department.
abstract: BACKGROUND
  Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. Currently, research is interested to the satisfaction in several areas, and in various cultures. The aim of this study was; to confirm the reliability and validity of the Arabic version of the Emergency Department Quality Study (EDQS), to evaluate patient satisfaction with emergency care, and to determine associated factors with patient satisfaction.
  
  
  METHODS
  A survey of socio demographic, visit and health characteristics of patients, conducted in emergency department (ED) of a Moroccan University Hospital during 1 week in February 2009. The EDQS was performed with patients who were discharged from ED. The psychometric properties of the EDQS were tested. Factors influencing patient satisfaction were identified using ordinal logistic regression.
  
  
  RESULTS
  A total of 212 patients were enrolled. The Arabic version of the EDQS showed excellent reliability and validity. Sixty six percent of participants were satisfied with overall care, and 69.8% would return to our unit. The most patient-reported problems were about waiting time and test results. Variables associated with greater satisfaction with ED care were: emergent (OR: 0.15; 95% CI = 0.04-0.31; P < 0.001), or urgent patients (OR: 0.35; 95% CI = 0.15-0.86; P = 0.02) compared to non-urgent patients, and waiting time less than 15 min (OR: 0.41; 95% CI = 0.23-0.75; P = 0.003). Variables associated with lesser satisfaction were: distance patient's home hospital ≤10Kilometers (OR: 2.64; 95% CI = 1.53-4.53; P < 0.001), weekday's admissions (OR: 2.66; 95% CI = 1.32 to 5.34; P < 0.006), and educational level; with secondary (OR: 5.19; 95% CI = 2.04-13.21; P < 0.001) primary (OR: 3.04; 95% CI = 1.10-8.04; P = 0.03) and illiterate patients (OR: 2.53; 95% CI = 1.02-6.30; P = 0.03) were less satisfied compared to those with high educational level.
  
  
  CONCLUSIONS
  Medical staff needs to consider different interactions between those predictive factors in order to develop some supportive tools.
authors: Chirurgical Emergency Department, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Nada
authors: N
authors: Damghi
authors: Medical Emergency Department, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Jihane
authors: J
authors: Belayachi
authors: Chirurgical Emergency Department, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Bouchra
authors: B
authors: Armel
authors: Medical Emergency Department, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Aicha
authors: A
authors: Zekraoui
authors: Medical Intensive Care Unit, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Naoufel
authors: N
authors: Madani
authors: Medical Intensive Care Unit, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Khalid
authors: K
authors: Abidi
authors: Chirurgical Emergency Department, Ibn Sina University Hospital, Rabat 10000, Morocco.
authors: Abdellatif
authors: A
authors: Belabes Benchekroun
authors: Medical Intensive Care Unit, Ibn Sina University Hospital, Rabat 10000, Morocco ; Laboratory of Biostatistics, Clincial, and Epidemiological Research, Faculté de Médecine et de Pharmacie - Université Mohamed V, Rabat 10000, Morocco.
authors: Amine Ali
authors: AA
authors: Zeggwagh
authors: Medical Intensive Care Unit, Ibn Sina University Hospital, Rabat 10000, Morocco ; Laboratory of Biostatistics, Clincial, and Epidemiological Research, Faculté de Médecine et de Pharmacie - Université Mohamed V, Rabat 10000, Morocco.
authors: Redouane
authors: R
authors: Abouqal
keywords: Emergency care; Emergency department quality Study; Satisfaction
references: Am J Emerg Med. 2000 Jul;18(4):394-400
references: 10919526
references: Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91
references: 11124735
references: J Emerg Med. 2004 Jan;26(1):13-26
references: 14751474
references: Ann Emerg Med. 2001 Nov;38(5):527-32
references: 11679864
references: Emerg Med J. 2006 Apr;23(4):262-5; discussion 262-5
references: 16549569
references: Acad Emerg Med. 2004 Feb;11(2):162-8
references: 14759959
references: Bull World Health Organ. 2009 Apr;87(4):271-8
references: 19551235
references: Int J Emerg Med. 2011 Jan 27;4:2
references: 21407998
references: Hosp Health Serv Adm. 1996 Winter;41(4):515-32
references: 10162399
references: Ann Emerg Med. 1993 Mar;22(3):586-91
references: 8442550
references: Biometrics. 1977 Mar;33(1):159-74
references: 843571
references: Ann Emerg Med. 2000 May;35(5):426-34
references: 10783404
references: Lancet. 2004 Jun 26;363(9427):2172-9
references: 15220042
references: Sante Publique. 2002 Dec;14(4):345-60
references: 12737083
references: BMC Health Serv Res. 2010 Jun 02;10:149
references: 20525170
references: South Med J. 1997 Dec;90(12):1208-12
references: 9404907
references: Bull World Health Organ. 2002;80(11):900-5
references: 12481213
references: Bull World Health Organ. 2005 Aug;83(8):626-31
references: 16184282
references: Health Technol Assess. 2002;6(32):1-244
references: 12925269
references: Acad Emerg Med. 2002 Jan;9(1):15-21
references: 11772664
references: Crit Care Med. 2008 Jul;36(7):2084-91
references: 18552683
references: Inquiry. 1998-1999 Winter;35(4):389-97
references: 10047769
references: Patient Educ Couns. 2004 Aug;54(2):207-12
references: 15288916