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Resume Objectif La satisfaction vis-a-vis des soins est reconnue comme un indicateur de choix de la qualite des soins. L’objectif principal etait d’identifier des facteurs lies a la satisfaction precoce vis-a-vis des soins au 45e jour du debut de la prise en charge ambulatoire de patients dependants aux substances psychoactives de type alcool ou opiaces. L’objectif secondaire etait d’etudier la reproductibilite de la satisfaction au cours des soins. Methode Une etude longitudinale a ete realisee. La satisfaction a ete mesuree de maniere precoce aux 15e et 45e jours du debut des soins au moyen du questionnaire de satisfaction EQS-C. Les determinants de la satisfaction a j45 ont ete explores par des modeles de regression lineaire multivaries. La reproductibilite de la mesure j15/J45 a ete appreciee par un calcul du coefficient de correlation intraclasse. Resultats Au total, 189 patients ont ete inclus dont 90 ont repondu aux deux temps de mesure de la satisfaction. Le niveau de satisfaction precoce est eleve. Si l’absence d’antecedents de prise en charge de la dependance est associee a une meilleure satisfaction a j45 dans un premier temps (β = 6,8 ; p = 0,05), seul le score total de la satisfaction a j15 y est associe lorsqu’il est pris en compte (β = 0,7 ; p Conclusion Nous recommandons une mesure precoce a j15 de la satisfaction vis-a-vis des soins ambulatoires chez les patients dependants aux substances.

Patient satisfaction with health care is an important indicator of health care quality. The main objective was to identify factors associated with early outpatient satisfaction with care 45 days after study inclusion for alcohol and opioid dependence. The secondary objective was to study the reproducibility of the satisfaction during the care.A longitudinal study was conducted. Satisfaction was assessed during the early care process 15 and 45 days after study inclusion using the quality of care satisfaction questionnaire in outpatient consultation EQS-C. Multiple linear regression was performed to identify the variables associated with satisfaction level. The reproducibility of the questionnaire between the two measurements (15 and 45 days after inclusion) was tested by intraclass correlation coefficient.A total of 189 outpatients were included, and 90 patients completed the satisfaction questionnaire both at 15 and 45 days after inclusion. The level of early satisfaction with care was high. If patients without a history of previous care for substance dependence were at first more satisfied at 45 days (β=6.8; P=0.05) than those who had received care previously, only the total score of the satisfaction with care at 15 days is associated with satisfaction with care at 45 days when taken into account in the model (ß=0,7; P0.0001). The results indicated good total satisfaction reproducibility with an intraclass correlation coefficient ICC=0.68.We recommend an early measure of satisfaction with care among outpatients with substance dependence.