Patient satisfaction with HIV care service in Spain: results from a cross-sectional patient survey

ABSTRACT

Understanding patient satisfaction with healthcare services can help identify patients’ unmet needs and increase treatment adherence. This study aimed to evaluate the satisfaction of people living with HIV with overall HIV care service in Navarra, Spain, using a cross-sectional survey. The survey included a patient-reported experience measure (PREMs) consisting of five statements, and participants were also asked to rate the overall care they receive from the HIV service. Chi-square tests were used to detect differences between groups for statements and Kruskal–Wallis rank test was used to detect differences in ranking of the HIV service. The 395 participants gave the HIV service a mean score of 9.3 points out of 10 (standard deviation 1.1). Only 15 (4%) gave a score of under 8 out of 10, and adherence to antiretroviral therapy was associated with higher ranking of the service. Agreement for all five statements ranged from 80% to 96%. Those without stable housing, with mental health problems, and unemployed felt less supported to manage their HIV. These results highlight the need to regularly assess patient satisfaction with the HIV care and that care should account for social and economic factors that could influence health.

KEYWORDS:

• HIV
• health systems
• healthcare utilization
• patient reported experience measures
• patient satisfaction
• Spain

Acknowledgements

DG, UF, and JVL acknowledge support to ISGlobal from the Spanish Ministry of Science, Innovation and Universities through the “Centro de Excelencia Severo Ochoa 2019-2023” Programme (CEX2018-000806-S), and from the Government of Catalonia through the CERCA Programme.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the Consumers, Health, Agriculture and Food Executive Agency [grant number 761319]. CB is supported by “Instituto Carlos III-Rio Hortega CM19/0154”. DG is supported by a fellowship from ”laCaixa” Foundation (ID 100010434). The fellowship code is “LCF/BQ/DI20/11780008”.