دورية أكاديمية
أعرض في EDS

Perceived quality of medical services at outpatient department of public hospitals in Dawro Zone, Southern Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Perceived quality of medical services at outpatient department of public hospitals in Dawro Zone, Southern Ethiopia.
المؤلفون: Utino L; Department of Health Policy and Management, Faculty of Public Health, Health Institute, Jimma University, P.O. Box 378, Jimma, Ethiopia., Birhanu B; Department of Health Policy and Management, Faculty of Public Health, Health Institute, Jimma University, P.O. Box 378, Jimma, Ethiopia. sebitbeza@gmail.com., Getachew N; Department of Health Policy and Management, Faculty of Public Health, Health Institute, Jimma University, P.O. Box 378, Jimma, Ethiopia., Ereso BM; Department of Health Policy and Management, Faculty of Public Health, Health Institute, Jimma University, P.O. Box 378, Jimma, Ethiopia.
المصدر: BMC health services research [BMC Health Serv Res] 2023 Mar 02; Vol. 23 (1), pp. 209. Date of Electronic Publication: 2023 Mar 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Outpatients* , Hospitals, Public*, Humans ; Cross-Sectional Studies ; Ethiopia ; Ambulatory Care
مستخلص: Background: Quality of care is fundamental to universal health coverage. Perceived quality of medical services is one of the most determining factors of modern health care service utilization. Between 5.7 and 8.4 million deaths are attributed to poor-quality care each year in low- and middle-income countries (LMICs), and up to 15% of overall deaths are due to poor quality. For instance, in sub-Saharan Africa (SSA), public health facilities lack basic facilities such as a physical environment. Hence, this study aims to assess the perceived quality of medical services and associated factors at outpatient departments of public hospitals in the Dawro zone, Southern Ethiopia.
Methods: A facility-based cross-sectional study was conducted on the quality of care among outpatient department attendants of Dawro zone public hospitals from May 23 to June 28, 2021. A total of 420 study participants were included via a convenient sampling technique. An exit interview was used to collect data using a pretested and structured questionnaire. Then it was analyzed using the Statistical Package for Social Science (SPSS) version 25. Both bivariable and multivariable linear regressions were carried out. Significant predictors were reported at p < 0.05 with a 95% confidence interval.
Result: with a 100% response rate. The overall perceived quality was 51.15%. Fifty-six percent of study participants rated perceived quality as poor, 9% as average, and 35% of participants rated it as good perceived quality. The highest mean perception result was related to the tangibility (3.17) domain. Waiting time less than one hour (β = 0.729, p < 0.001), availability of prescribed drugs (β = 0.185, p < 0.003), having information on diagnoses (illness) (β = 0.114, p < 0.047), and privacy maintained (β = 0.529, p < 0.001) were found to be predictors of perceived good quality of care.
Conclusion: A majority of the study participants rated the perceived quality as poor. Waiting time, availability of prescribed drugs, information on diagnoses (illness), and provision of service with privacy were found to be predictors of client-perceived quality. Tangibility is the predominant and most important domain of client-perceived quality. The regional health bureau and zonal health department should understand the issue and work with hospitals to improve outpatient service quality by providing necessary medication, reducing wait times, and designing job training for health care providers.
(© 2023. The Author(s).)
References: Pan Afr Med J. 2015 Sep 28;22:68. (PMID: 26834921)
Health Policy Plan. 2002 Mar;17(1):42-8. (PMID: 11861585)
Int J Health Care Qual Assur. 2015;28(8):778-90. (PMID: 26440482)
BMC Health Serv Res. 2014 Jul 27;14:322. (PMID: 25064475)
Hosp Prog. 1957 Sep;38(9):72-3. (PMID: 13462468)
PLoS One. 2022 Mar 2;17(3):e0264163. (PMID: 35235592)
Mater Sociomed. 2016 Feb;28(1):21-5. (PMID: 27047262)
BMC Res Notes. 2018 Jul 27;11(1):507. (PMID: 30053830)
Patient Relat Outcome Meas. 2019 Dec 03;10:347-354. (PMID: 31819691)
فهرسة مساهمة: Keywords: Client perception; Dawro zone public hospitals; Outpatient department; Perceived quality
تواريخ الأحداث: Date Created: 20230302 Date Completed: 20230306 Latest Revision: 20230306
رمز التحديث: 20230306
مُعرف محوري في PubMed: PMC9979423
DOI: 10.1186/s12913-023-09178-0
PMID: 36864413
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-023-09178-0