scholarly journals Impact of socioeconomic status on patient experience: A cross sectional exit survey of Nigeria Teaching Hospitals.

2019 ◽  
Author(s):  
Henry Egi Aloh ◽  
Obinna E. Onwujekwe ◽  
Obianuju G. Aloh ◽  
Ijeoma L. Okoronkwo ◽  
Chijioke Joel Nweke
Keyword(s):  
Socioeconomic Status ◽  
Quality Of Care ◽  
Socioeconomic Factors ◽  
Patient Experience ◽  
Waiting Time ◽  
Employment Status ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Exit Survey

Abstract Background: To determine how socioeconomic factors, such as level of education and employment status, affect quality of ambulatory patient experience in Nigeria teaching hospitals.Methods: The study design is a cross-sectional exit survey. And the setting were outpatient departments of Nigerian Teaching Hospitals. Assessment of patient experiences for 5 domains of care, including waiting time, environment of the outpatient department, quality of doctor’s care, quality of care by nurses/other health workers, responsiveness of care and the overall quality of care was carried out using structured questionnaire.Results: The mean rating of quality of care or patient experience for the outpatients was 74.31 ± 0.32%. There were obvious but moderate differences among the hospitals for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was statistically significant (p ≤ 0.05) determinants of overall patient experience rating or quality of care for the outpatients, while the level of patient’s education was an influence on the waiting time perception by the patients and their rating of care from nurses/other healthcare providers, other than doctors. Conclusion: The study observed that socioeconomic factors such as educational and employment status of outpatients to some extent determines how outpatient perceived their experience while receiving healthcare in hospitals. Thus, there is need to institutionalize patient-centered care, giving full consideration to patients’ socioeconomic status.

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

2020 ◽  
Author(s):  
Henry Egi Aloh ◽  
Obinna E. Onwujekwe ◽  
Obianuju G. Aloh ◽  
Ijeoma L. Okoronkwo ◽  
Chijioke Joel Nweke
Keyword(s):  
Socioeconomic Status ◽  
Quality Of Care ◽  
Patient Experience ◽  
Waiting Time ◽  
Employment Status ◽  
Healthcare Services ◽  
Patient Experiences ◽  
Care Quality ◽  
Tertiary Hospitals

Abstract 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.

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

2020 ◽  
Author(s):  
Henry Egi Aloh ◽  
Obinna E. Onwujekwe ◽  
Obianuju G. Aloh ◽  
Ijeoma L. Okoronkwo ◽  
Chijioke Joel Nweke
Keyword(s):  
Socioeconomic Status ◽  
Quality Of Care ◽  
Patient Experience ◽  
Waiting Time ◽  
Employment Status ◽  
Healthcare Services ◽  
Patient Experiences ◽  
Care Giving ◽  
Tertiary Hospitals

Abstract 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 used a cross-sectional design to collect data using exit poll. A pre-tested structured questionnaire was administered on 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 of quality of care for the ambulatory care (outpatients’ visits) was 74.31 ± 0.32%. There were moderate differences among the hospitals 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 show 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, giving full consideration to patients’ socioeconomic status. Keywords: Quality of care, Patient Experience, Socioeconomic Status, Hospitals, Nigeria.

scholarly journals The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

2020 ◽  
Vol 7 (6) ◽  
pp. 1678-1684
Author(s):  
Jaya Aysola ◽  
Chang Xu ◽  
Hairong Huo ◽  
Rachel M Werner
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Patient Experience ◽  
Smoking Status ◽  
Care Quality ◽  
Cross Sectional ◽  
Process Measures ◽  
Care Services ◽  
Patient Reported

We lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered patient-reported experience measures and both (1) quality of care measures and (2) number of missed primary care appointment (no shows). Our independent variables included both overall patient experience and its subdomains. Our outcomes included the following measures: smoking cessation discussion, diabetes eye examination referral, mammography, colonoscopy screening, current smoking status (nonsmoker vs smoker), diabetes control Hemoglobin A1c (HbA1c [<8]), blood pressure control, cholesterol control Low Density Lipoprotein (LDL) among patients with diabetes (LDL < 100), and visit no shows 2 and 5 years after the index visit that triggered the completed patient-experience survey. We found that patient experience, while an important stand-alone metric of care quality, may not relate to clinical outcomes or process measures in the outpatient setting. However, patient-reported experiences with their primary care provider appear to influence their future visit attendance.

scholarly journals Patient satisfaction and perceived quality of care: evidence from a cross-sectional national exit survey of HIV and non-HIV service users in Zambia

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e009700 ◽  
Author(s):  
Emily Dansereau ◽  
Felix Masiye ◽  
Emmanuela Gakidou ◽  
Samuel H Masters ◽  
Roy Burstein ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Perceived Quality ◽  
Service Users ◽  
Cross Sectional ◽  
Exit Survey ◽  
Perceived Quality Of Care

scholarly journals Prevalence and determinants of self-directed referrals amongst patients at hospitals in eThekwini District, KwaZulu-Natal 2015

2019 ◽  
Vol 61 (2) ◽  
pp. 52
Author(s):  
A. Rajman ◽  
O. H. Mahomed
Keyword(s):  
Quality Of Care ◽  
Waiting Time ◽  
Protective Factor ◽  
Waiting Times ◽  
Referral Letter ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Patient Awareness ◽  
District Hospitals

Background: Non-compliance with designated referral pathways has ramifications such as increased patient waiting time, overburdening of higher levels of care and increasing healthcare costs on patients and the healthcare system. The purpose of this study was to assess the determinants of self-directed referrals amongst patients attending hospitals in the eThekwini district of KwaZulu-Natal.Methods: An analytic, cross-sectional study was conducted at the Medical Outpatient Departments across five district hospitals in eThekwini using interviewer-administered questionnaires. Descriptive statistics were used to determine the proportion and the most frequent factors contributing towards patient self-referral. The likelihood of patients to self-refer was tested using chisquare (X2) and a multivariate regression model.Results: There were 315 patients interviewed with 35% (n = 109/315) having self-referred. The majority (51%; 55/107) of selfreferrals were male and were of African race (74%; n = 80/107). Five institutional factors, namely: availability of medication at the pharmacy (98%); quality of care at the facility (93%); waiting time at facility (92%); services provided (90%); and attitude of healthcare workers (87%), were ranked as the main drivers of self-referral. Multivariate logistic regression established a significant positive association between patient self-referral and male gender (OR 1.73; CI 1.04–2.87, p 0.05). Age 39 years (OR 0.96; CI 0.94–0.99, p 0.05); and patient awareness of a referral letter (OR 0.28; CI 0.09–0.86, p 0.05) emerged as protective factor against self-referrals.Conclusion: Males patients tend to bypass the referral pathway whilst younger patients and patients who were aware of a referral letter were less likely to bypass the referral system. In addition to addressing the systemic challenges of waiting times, quality of care and availability of medication, a patient-oriented approach that comprises education, encouragement and increased patient awareness is an important strategy to improve referral pathway compliance.

scholarly journals Gender discrimination as a barrier to high-quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chioma Oduenyi ◽  
Joya Banerjee ◽  
Oniyire Adetiloye ◽  
Barbara Rawlins ◽  
Ugo Okoli ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Services ◽  
Gender Discrimination ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Care Assessment

Abstract Background Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services. We conducted a study at the beginning of a large family planning (FP) and maternal, newborn, child, and adolescent health program in Kogi and Ebonyi States of Nigeria to assess whether or not gender plays a role in access to, use of, and delivery of health services. Methods We conducted a cross-sectional, observational, baseline quality of care assessment from April–July 2016 to inform a maternal and newborn health project in health facilities in Ebonyi and Kogi States. We observed 435 antenatal care consultations and 47 births, and interviewed 138 providers about their knowledge, training, experiences, working conditions, gender-sensitive and respectful care, and workplace gender dynamics. The United States Agency for International Development’s Gender Analysis Framework was used to analyze findings. Results Sixty percent of providers disagreed that a woman could choose a family planning method without a male partner’s involvement, and 23.2% of providers disagreed that unmarried clients should use family planning. Ninety-eight percent believed men should participate in health services, yet only 10% encouraged women to bring their partners. Harmful practices were observed in 59.6% of deliveries and disrespectful or abusive practices were observed in 34.0%. No providers offered clients information, services, or referrals for gender-based violence. Sixty-seven percent reported observing or hearing of an incident of violence against clients, and 7.9% of providers experienced violence in the workplace themselves. Over 78% of providers received no training on gender, gender-based violence, or human rights in the past 3 years. Conclusion Addressing gender inequalities that limit women’s access, choice, agency, and autonomy in health services as a quality of care issue is critical to reducing poor health outcomes in Nigeria. Inherent gender discrimination in health service delivery reinforces the critical need for gender analysis, gender responsive approaches, values clarification, and capacity building for service providers.

scholarly journals The Patient Experience of Inpatient Care During the COVID-19 Pandemic: Exploring Patient Perceptions, Communication, and Quality of Care at a University Teaching Hospital in the United Kingdom

2021 ◽  
Vol 8 ◽  
pp. 237437352199774
Author(s):  
Thomas Key ◽  
Avadhut Kulkarni ◽  
Vikram Kandhari ◽  
Zayd Jawad ◽  
Angela Hughes ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Patient Experience ◽  
Health Care Professionals ◽  
Disease Transmission ◽  
Inpatient Care ◽  
University Teaching ◽  
Health Board ◽  
Experience Of Care

The coronavirus disease 2019 (COVID-19) pandemic has necessitated many rapid changes in the provision and delivery of health care in hospital. This study aimed to explore the patient experience of inpatient care during COVID-19 pandemic. An electronic questionnaire was designed and distributed to inpatients treated at a large University Health Board over a 6-week period. It focused on hospital inpatients’ experience of being cared for by health care professionals wearing personal protective equipment (PPE), explored communication, and patients’ perceptions of the quality of care. A total of 704 patients completed the survey. Results demonstrated that patients believe PPE is important to protect the health of both patients and staff and does not negatively impact on their care. In spite of routine use of PPE, patients were still able to identify and communicate with staff. Although visiting restrictions were enforced to limit disease transmission, patients maintained contact with their relatives by using various electronic forms of communication. Overall, patients rated the quality of care they received at 9/10. This single-center study demonstrates a positive patient experience of care at an unprecedented time.

scholarly journals Perceived quality of surgical care in association with patient-related factors and correlation to reported postoperative complications in Finland: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037708
Author(s):  
Ira Helena Saarinen ◽  
Jaana-Maija Koivisto ◽  
Antti Kaipia ◽  
Elina Haavisto
Keyword(s):  
Quality Of Care ◽  
Postoperative Complications ◽  
Cross Sectional Study ◽  
Perceived Quality ◽  
Living Alone ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Perceived Quality Of Care

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

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