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d satisfied Arab consumer. The dissatisfaction of patients was due to non availability of interpreters 24 hours, to some extent cost of treatment, and absenteeism of consultants which affect quality and GP performance.

The main cause of dissatisfaction from quality, consultants and facilities were due to interpreter. It is not clear that the interpreter translated the information was correct or not and can be dangerous to the patients.

Overall 75% of Arab patient were very satisfied with their treatment and 72.5% of patient were very satisfied and 17.5% were somewhat satisfied with UK nurse caring and house keeper during treatment.

Arab patients are more satisfied from the UK treatment compare to their home country treatment. About 67.5% of patients prefer UK treatment over home country treatment due specialized Doctors, equipped laboratories, better quality, advanced treatment and facilities.

According to kotler (1999) that buyer behaviour and decision making process are influenced by cultural issues, previous experience of the product and reference group input.

From the questionnaire it is clear that 70% of Arab patient were very satisfied from the cultural and religious arrangement during treatment and 17.5% were somewhat dissatisfied and a very little amount of patient were hardly dissatisfied from the arrangements.

Muslim prays five times a day and the main source of dissatisfaction is Doctors visit, medication time or due to the incident in the nearby area which affect their religious practice.

Muslim women always hide their face from strangers and during treatment it is very hard to do such cultural arrangements, and doctors and nurse is the key player during treatment and it is impossible to hide or cover the face or your body from them.

From the questionnaire it is clear that 45% of Arab patients were more willing to be accompanied by a family member and 32.5% were somewhat willing to have a family member during treatment. It is due the joint family system and strong relation bond. Mostly Arab women and male aged 55 to 64 and 65 or above were more interested to have a family member during treatment to give them company.

It was gained from the survey that 25% of Arab patient very satisfied, 30% were neither dissatisfied nor satisfied and 22.5% of Arab patient were somewhat dissatisfied and 5% of Arab patient were very dissatisfied from the source of entertainment during treatment.

Entertainment was the core issue for Arab patients during treatment because it was noticed in Royal free hospital Hampstead Heath, Ealing Hospital West Ealing and Central Middlesex Hospital Park Royal that there was less number of Arabic TV channels in operation. It is revealed from the survey that not enough importance was given to the entertainment and communication of Arab patients.

According to Usunier (1993) stated that due to the Arab social and tribal nature food is a source of communication to them.

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