5 times less likely to be satisfied with the service (AOR=0.4, 95%CI: 0.2, 0.7). Patient satisfaction was not significantly associated with waiting time, residence, gender, age or other variables (Table 6). Table 6 Logistic Regression analysis of factors associated with patient satisfaction among emergency outpatient departments in GURH, Northwest Ethiopia; May 2012 Discussion The study assessed the quality of health service at the emergency units of Gondar University Referral Hospital using a 20-item patient satisfaction questionnaire. Many of the patients presented from Monday to Wednesday accounted to more than 60% of visitors in all days of the week.

Many of the patients reported at the beginning Inhibitors,research,lifescience,medical of the week similar to the situation in other studies [7]. Injuries were the Transmembrane Transproters inhibitor leading cause of emergency OPD visits with 14.5% of all visitors. This is in line with studies in different countries [6-8]. The higher number of injuries Inhibitors,research,lifescience,medical in emergency OPD in this study was due to significant road traffic and vehicle crashes that caused many patients to visit

the emergency department. Public violence among men and domestic violence with women was also Inhibitors,research,lifescience,medical a common cause of injuries [8]. Other unusual problems observed in the emergency diagnoses were non-communicable diseases including cancer, cardiovascular diseases, hematologic, mental illness, metabolic and neurologic disorders and these contributed to a total of 18.2%. This confirms the threat of a double burden of infectious and non-communicable Inhibitors,research,lifescience,medical disease that will be a challenge to the health care system in Ethiopia [2,24]. Cardiovascular disorders alone contribute

5.7% of emergency visits which supports previous evidence to the rise of the problems and signals that the emergency care at hospitals and referral system has to be revised based on the current prevailing conditions [9]. Inhibitors,research,lifescience,medical Discrimination and bad treatment of patients was found to be high (73.3%) in this study mainly due to poor interpersonal communication of patients’ problems, their treatment and/or cost of care. This tells clinicians that investigation and prescriptions are not the only needs of patients and all the concerns should be addressed in an understandable way. Other studies Adenylyl cyclase also identified that physician and nurse communications with patients were important determinants of satisfaction [18]. The reliability analysis for the patient satisfaction measurement items resulted in an overall Cronbach’s alpha score of 0.88. This tells that the tool is consistent for measuring the patient satisfaction. Moreover, the inter- item correlation coefficients were all less than 0.05 showing the items are mutually exclusive and measure different issues. The level of patient satisfaction of 51.7% with the emergency service at the hospital is very low. This figure is lower than studies in Iran and other countries [16,18] where there is 63% or more satisfaction with emergency care.