Patient Centered Care and Patient Satisfaction in Chronic Disease Management at Public Hospitals in Greater Cairo: A Cross-Sectional Study
TL;DR
Patientcentered communication and, in particular, shared decisionmaking and role clarity were strongly associated with satisfaction among respondents in Egyptian public hospitals.
Abstract
Background: Patientcentered care (PCC) is widely promoted as an important component of patient experience, yet evidence from resourceconstrained public hospital settings in the Middle East and North Africa region remains limited. Objective: This study examined the association between PCC and patient satisfaction among adults receiving chronic disease management at public hospitals in Greater Cairo, Egypt. Methods: An analytical crosssectional design was used, guided by the Donabedian structureprocessoutcome framework. A structured bilingual questionnaire comprising the 18item Patient Perception of Patient Centeredness Questionnaire Revised (PPPCR) and an 8item satisfaction scale was administered to 500 adult respondents attending outpatient clinics. Data were analyzed in SPSS 26 using descriptive statistics (frequencies, percentages, means, and standard deviations), Pearson correlation, Cronbach’s alpha for reliability, and simple and multiple linear regression with residual diagnostics. Results: Respondents rated PCC and satisfaction favorably overall (PCC M = 3.14; satisfaction M = 3.12, on a 4point scale). Both instruments demonstrated excellent internal consistency (α = .96 and .94, respectively). PCC was strongly and statistically significantly associated with patient satisfaction (R = .970, R² = .941, F(1,498) = 7935.62, p < .001). Among the three PCC subdimensions, Roles/Partnership in Care showed the strongest standardized coefficient (β = .416), followed by Context and Relationship (β = .312) and Health Care Process (β = .306), together explaining 94.1% of the variance in satisfaction. Conclusion: Patientcentered communication and, in particular, shared decisionmaking and role clarity were strongly associated with satisfaction among respondents in Egyptian public hospitals. Because all measures were collected by selfreport at one time point, the findings should not be interpreted as causal effects.