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Tytuł pozycji:

Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in tertiary hospitals in Southeast Nigeria.

Tytuł :
Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in tertiary hospitals in Southeast Nigeria.
Autorzy :
Aloh HE; Health Economics and Policy Research Unit, Department of Health Services, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ikwo, Ebonyi State, Nigeria. .; Department of Health Administration & Management, Faculty of Health Sciences, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria. .
Onwujekwe OE; Department of Health Administration & Management, Faculty of Health Sciences, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Aloh OG; Primary Health Development Agency, Ministry of Health, Enugu, Ebonyi State, Nigeria.
Okoronkwo IL; Department of Health Administration & Management, Faculty of Health Sciences, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Nweke CJ; Department of Mathematics/Computer Sciences/Statistics & Informatics, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Enugu, Nigeria.
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Źródło :
BMC health services research [BMC Health Serv Res] 2020 May 26; Vol. 20 (1), pp. 473. Date of Electronic Publication: 2020 May 26.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001-
MeSH Terms :
Ambulatory Care*
Quality of Health Care*
Social Class*
Tertiary Care Centers*
Patient Satisfaction/*statistics & numerical data
Adolescent ; Adult ; Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Nigeria ; Surveys and Questionnaires ; Young Adult
References :
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Contributed Indexing :
Keywords: Hospitals; Nigeria; Patient experience; Quality of care; Socioeconomic status
Entry Date(s) :
Date Created: 20200528 Date Completed: 20201207 Latest Revision: 20201214
Update Code :
20201231
PubMed Central ID :
PMC7251830
DOI :
10.1186/s12913-020-05332-0
PMID :
32456633
Czasopismo naukowe
Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria.
Methods: The study is of a cross-sectional design and exit poll was used to collect its data. A pre-tested structured questionnaire was administered to clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor's care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed.
Results: The mean rating of patient experience for quality of care for ambulatory healthcare services (outpatients' care) was 74.31 ± 0.32%. Moderate differences were observed between the hospitals assessed for various levels of patients' care, especially for waiting time, quality of doctors' care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient's education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors).
Conclusion: The study showed that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, while full consideration is given to the patients' socioeconomic status.
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