ABSTRACT
This study investigates the determinants of patient satisfaction in Burundi’s national reference public hospitals, with a specific focus on healthcare institutions in Bujumbura. The analysis aimed to identify key factors influencing patients’ perceptions of care quality. Findings indicate that patients generally expressed satisfaction with various dimensions of service quality, including reliability, responsiveness, assurance, tangibility, and empathy. However, significant variations in satisfaction levels were observed concerning specific indicators. Notably, perceptions of the hospital atmosphere, the individualized attention provided by healthcare staff, the availability of treatment facilities, and staff politeness varied significantly based on patients’ length of hospital stay, level of education, and gender (Fisher’s exact test, p < 0.05). Moreover, 10.8% of respondents expressed dissatisfaction with the need to purchase medications from external pharmacies, highlighting systemic gaps in pharmaceutical service delivery. These findings underscore the need for targeted improvements in patient-centered care, and resource availability within public healthcare institutions.