Background: Diabetes is a major public health problem worldwide, currently affecting more than 537 million people. The disease is associated with high morbidity and mortality rates. Modern diabetes care has evolved toward more patient-centered approaches, emphasizing individualized treatment plans and targets. This study sought to assess the level of satisfaction with diabetes care and related factors among patients attending public diabetes clinics in Dar es Salaam, Tanzania.

Methods: This descriptive cross-sectional study used a simple random sampling method to recruit 423 diabetic patients from May to October 2023. Data collection was conducted using a structured questionnaire administered by an interviewer. The collected data were coded and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.

Results: The mean (±SD) age of participants was 58.7 (±11.68) years. About half (51.1%) of participants reported being satisfied with the diabetes care provided, 26.2% were very satisfied, and 22.7% were dissatisfied. Participants who usually spend 1-3 h pursuing services at the facilities had 0.40 less odds of being dissatisfied with diabetes care offered at the clinics compared to those who spend more than 3 h on each attendance (adjusted odds ratio [adjusted OR] 0.40, 95% confidence interval [CI] 0.21-0.76, p = 0.005). For each one-unit increase in the communication subscale score, the likelihood of satisfaction (as opposed to being very satisfied) increased (adjusted OR 1.23, 95% CI 1.09-1.38, p = 0.001). Each one-unit increase in the accessibility subscale score increased the probability of satisfaction (adjusted OR 1.12, 95% CI 1.02-1.24, p = 0.023) and decreased the probability of dissatisfaction (adjusted OR 0.85, 95% CI 0.76-0.95, p = 0.004).

Conclusion: These findings highlight the importance of effective communication and accessibility in improving patient satisfaction with diabetes care in public clinics. Health facilities and allied stakeholders should engage in continual capacity building among healthcare providers. Furthermore, other studies should be conducted at different levels of health facilities across the country to capture new insights on the satisfaction of homogenous sub-groups of patients.

Keywords: diabetes mellitus; health services; patient satisfaction; public facilities; quality of health care.

© 2024 The Author(s). Public Health Challenges published by John Wiley & Sons Ltd.

背景： 糖尿病是全球范围内的一个主要公共卫生问题，目前影响超过5亿3700万人。该疾病与高发病率和死亡率相关。现代糖尿病护理已朝着更加以患者为中心的方法发展，强调个性化治疗方案和目标。本研究旨在评估坦桑尼亚达累斯萨拉姆公共糖尿病诊所就诊患者的糖尿病护理满意度及其相关因素。

方法： 这项描述性横断面研究使用简单随机抽样法招募了423名糖尿病患者，时间从2023年5月至10月。数据收集采用结构化问卷通过访谈进行。收集到的数据被编码并使用统计软件包SPSS版本25进行分析。

结果： 参与者平均（±SD）年龄为58.7（±11.68）岁。大约一半（51.1%）的参与者表示对提供的糖尿病护理感到满意，26.2%非常满意，而22.7%不满意。与每次就诊超过3小时相比，通常在设施中花费1-3小时的时间接受服务的患者对于诊所提供的糖尿病护理感到不满意的几率要低0.40（调整后的优势比[adjusted OR] 0.40, 95%置信区间[CI] 0.21-0.76，p = 0.005）。沟通子量表分数每增加一个单位，患者对护理感到满意的几率会提高（相对于非常满意），调整后的优势比为1.23（95% CI 1.09-1.38, p = 0.001）。可及性子量表分数每增加一个单位，会使满意度的概率增加（调整后的OR值为1.12，95% CI 1.02-1.24，p = 0.023），同时使不满意的可能性降低（调整后的OR值为0.85，95% CI 0.76-0.95, p = 0.004）。

结论： 这些发现强调了有效沟通和可及性在改善公共诊所患者对糖尿病护理满意度中的重要性。医疗机构及相关利益相关者应持续进行医疗提供者的能力建设工作。此外，还应在国家不同层级的卫生设施中开展其他研究，以捕捉到同质亚组患者的新见解。

关键词： 糖尿病；医疗服务；患者满意度；公共设施；医疗服务质量。

© 2024 The Author(s). Public Health Challenges published by John Wiley & Sons Ltd.