Financial risk of road traffic trauma care in public and private hospitals in Addis Ababa, Ethiopia: a cross-sectional observational study

Background: Patients have explicit desires or requests for services when they visit hospitals. However, inadequate discovery of their needs may result in patient dissatisfaction. This study aimed to determine the levels and determinants of patient satisfaction with outpatient health services provided at public and private hospitals in Addis Ababa, Central Ethiopia.Methods: A comparative cross-sectional study was conducted from 27 March to 30 April 2010. The study included 5 private and 5 public hospitals. Participants were selected using systematic random sampling. A pre-tested and contextually prepared structured questionnaire was used to conduct interviews. Descriptive statistics, analysis of variance, factor analysis and multiple linear regressions were performed using computer software (SPSS 16.0).Results: About 18.0% of the patients at the public hospitals were very satisfied whilst 47.9% were just satisfied with the corresponding proportions a bit higher at private hospitals. Selfjudged health status, expectation about the services, perceived adequacy of consultation duration, perceived providers’ technical competency, perceived welcoming approach and perceived body signalling were determinants of satisfaction at both public and private hospitals.Conclusions: Although patients at the private hospitals were more satisfied than those at the public hospitals with the health care they received, five of the predictors of patient satisfaction in this study were common to both settings. Thus, hospitals in both categories should work to improve the competencies of their employees, particularly health professionals, to win the interests of the clients and have a physical structure that better fits the expectations of the patients.

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Rheumatic heart disease knowledge and associated factors among nurses working in cardiac centers at public and private hospitals of Addis Ababa: cross sectional study

10.21203/rs.3.rs-781197/v1 ◽

2021 ◽

Author(s):

Tesfaye Techane ◽

Bethlehem Legesse ◽

Yohannes Ayalew ◽

Aklil Hailu

Keyword(s):

Heart Disease ◽

Rheumatic Heart Disease ◽

Addis Ababa ◽

Cross Sectional Study ◽

Good Knowledge ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals ◽

Rheumatic Heart

Abstract Back ground: It is proposed that the biggest gap in control of rheumatic heart disease is in implementing of ineffective primary and secondary preventive measures. These measures are supposed to be well addressed by nurses. For prevention and proper management, nurses are expected to have full knowledge about rheumatic heart disease. Therefor the main objective of the study was to assess the level of nurse’s knowledge and factors behind regarding RHD in the current study. Method: Institution based cross sectional study was conducted on nurses working in cardiac centers of public and private hospitals at Addis Ababa from April 1 to 30, 2021. Total sample size is 163 selected by purposive sampling method. Data was entered in to Epi-data version 4.5 and exported to SPSS version 25.0 and was checked for missing values. Data was cleaned. Descriptive statistics such as frequency, mean and percentages were calculated, described and displayed in tables, graphs and charts. Binary logistic regression was done to see the crude significant relation of each independent variable with nurse’s good knowledge score. Significant factors were identified based on multivariate logistics regression in 95% confidence level at P-value less than 0.05. Result: In the present study about 154 participants were participated. The mean correct answer response of the nurses for knowledge of RHD questions is 12.2 ± 5.2. Only 48.7% of the nurses have good knowledge towards RHD. Being male in gender, having history of sore throat, taking formal education in university or collage, taking in-service training on RHD, having higher wok experience, have found significantly associated with higher odds of nurses’ good knowledge towards RHD. Conclusion and recommendation: regular training regarding RHD management should be given to nurses who are working in cardiac centers. Rheumatic heart disease early treatment and prevention should be incorporated and reinforced in to nursing and other health related professions curriculums.

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Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

Journal of Gynecology & Reproductive Medicine ◽

10.33140/jgrm.04.01.06 ◽

2020 ◽

Vol 4 (1) ◽

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Waiting Time ◽

Client Satisfaction ◽

Addis Ababa ◽

Care Service ◽

Public Hospitals ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

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Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

10.21203/rs.3.rs-124044/v1 ◽

2020 ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhenxing Gong

Keyword(s):

Ethical Climate ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

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Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0446-y ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 6

Author(s):

Ramón Escuriet-Peiró ◽

Josefina Goberna-Tricas ◽

Maria J Pueyo-Sanchez ◽

Neus Garriga-Comas ◽

Immaculada Úbeda-Bonet ◽

...

Keyword(s):

Service Delivery ◽

Maternity Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Care Policy ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

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Fear of Nurses During COVID-19 Pandemic in Saudi Arabia: A Cross-Sectional Assessment

Frontiers in Psychology ◽

10.3389/fpsyg.2021.736103 ◽

2021 ◽

Vol 12 ◽

Author(s):

Mahaman L. Moussa ◽

Fatchima Laouali Moussa ◽

Homood A. Alharbi ◽

Tagwa Omer ◽

Saleh Abdulkarim Khallaf ◽

...

Keyword(s):

Saudi Arabia ◽

Online Survey ◽

Psychological Injury ◽

Cross Sectional Survey ◽

Health Care Administrators ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Mental Health Difficulties ◽

Public And Private Hospitals

Objective: We aimed to assess the level of fear among nurses in Saudi Arabia during the COVID-19 outbreak.Methods: A cross-sectional survey-based study was conducted from June to August 2020. All nurses currently working in public and private hospitals in Saudi Arabia during the COVID-19 pandemic were invited to complete an online survey. We used the 7-item unidimensional Fear of COVID-19 Scale (FCV-19S) to assess the level of fear of COVID-19. Multiple regression analysis was used to identify predictors associated with fear of COVID-19.Results: A total of 969 nurses participated in this study. The participants were relatively young with a mean age of 35.5 ± 10.46 years. About two-thirds of the participants were women (65.9%), married (57.2%), and were non-Saudi nationals (67%). The total mean score for the FCV-19S was 19.7 SD 7.03 (range 7–35), which is near the mid-point, indicating a moderate level of fear of COVID-19. Out of the eight variables measured in the analysis, three variables emerged as a significant predictor (i.e., gender, marital status, and age). A higher level of fear (FCV-19S) was associated with being a woman, married, and older age (p ≤ 0.05).Conclusion: This study demonstrated the level of fear of COVID-19 among nurses in Saudi Arabia. Overall, nurses in Saudi reported moderate levels of fear of COVID-19. Assessing the level of fear of nurses who work during the COVID-19 pandemic should be a priority to health care administrators to prevent mental health difficulties or psychological injury.

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Do job stress, health, and presenteeism differ between Chinese healthcare workers in public and private hospitals: a cross sectional study

Psychology Health & Medicine ◽

10.1080/13548506.2019.1668564 ◽

2019 ◽

Vol 25 (6) ◽

pp. 653-665

Author(s):

Tianan Yang ◽

Mingxu Ma ◽

Yina Guo ◽

Yaxin Li ◽

Huilin Tian ◽

...

Keyword(s):

Job Stress ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

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Factors associated with cesarean delivery in public and private hospitals in a city of northeastern Brazil: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0570-8 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 22

Author(s):

Graciete Oliveira Vieira ◽

Lorena Gabriel Fernandes ◽

Nelson Fernandes de Oliveira ◽

Luciana Rodrigues Silva ◽

Tatiana de Oliveira Vieira

Keyword(s):

Cesarean Delivery ◽

Cross Sectional Study ◽

Northeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Factors Associated ◽

Public And Private Hospitals

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The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China

BMC Nursing ◽

10.1186/s12912-021-00655-7 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhen-Xing Gong

Keyword(s):

Ethical Climate ◽

Public Hospitals ◽

Snowball Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background Workplace climate is a great significant element that has an impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals. Methods This study conducted a cross-sectional survey on 559 nurses from China in May 2019. The questionnaire was distributed to nurses by sending a web link via the mobile phone application WeChat through snowball sampling methods. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test, and analysis of variance test, and Mplus 7.4 was used for group comparison (p < .05). Results The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = − 0.277; CI 95 % = [-0.452, − 0.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = − 0.352; CI 95 % = [-0.651, − 0.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = 0.397; CI 95 % = [0.120, 0.651]; p < .01). Conclusions As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And the independent climate has a great effect on extra-role service behaviors for nurses in public hospitals.

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