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Huilin Wang,1,2 Hao Wang,1 Sinan Guan,2 Jing Li1 1Outpatient Department of Peking University First Hospital, Beijing, People’s Republic of China; 2School of Nursing, Peking University, Beijing, People’s Republic of ChinaCorrespondence: Jing Li, Outpatient Department of Peking University First Hospital, Xishiku Road, Xicheng District, Beijing, 100034, People’s Republic of China, Tel/Fax +86 010-83572020, Email xiaojinghaier@163.comObjective: To address the diverse needs of patients at different levels, VIP (Very Important Person) outpatient services function as a personalized approach and are of significant importance in the healthcare system. Additionally, patient satisfaction serves as a critical tool for understanding and improving the quality of healthcare services. Therefore, this study aimed to classify VIP outpatients based on satisfaction levels and identified its determinants, hypothesizing that distinct satisfaction segmentations exist and are influenced by several factors.Methods: A total of 4068 patients who attended the VIP outpatient at a tertiary hospital were enrolled between June and July 2025. The SERVQUAL model was used in this study. Descriptive statistical analyses were conducted and quantitative data were gathered using a 5-point Likert scale tailored to assess patient satisfaction. Latent Class Analysis (LCA) was used to delineate heterogeneous satisfaction groups, while a chi-square test and binary logistic regression were employed to investigate satisfaction levels and potential influencing factors.Results: Two latent classes were identified using Mplus 8.4: the overall high satisfaction group (73.1%) and the high medical care–low support service group (26.9%). All hypotheses are supported. A total of 49.7% waited less than 30 min before consultation, and 76.4% communicated with the doctor for more than 20 min. Binary logistic regression analysis revealed that the patient source, waiting time before consultation, and length of communication with the doctor were associated factors (all p < 0.05).Conclusion: For non-local patients registered as outpatients with VIP, priority should be given to addressing their core clinical needs and strengthening doctor–patient interactions. Furthermore, measures such as implementing a cap on registrations and assigning doctor assistants can be introduced to reduce waiting times and extend the length of communication.Keywords: patient satisfaction, VIP outpatient, SERVQUAL model, latent class analysis