Patient-Centered Care and Associated Factors at Public and Private Hospitals of Addis Ababa: Patients’ Perspective

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

Injury ◽

10.1016/j.injury.2021.11.009 ◽

2021 ◽

Author(s):

Hailu Tamiru Dhufera ◽

Abdulrahman Jbaily ◽

Stéphane Verguet ◽

Mieraf Taddesse Tolla ◽

Kjell Arne Johansson ◽

...

Keyword(s):

Observational Study ◽

Trauma Care ◽

Financial Risk ◽

Road Traffic ◽

Addis Ababa ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

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Systematization of nursing care: implementation under optical nurses

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0503201101 ◽

2011 ◽

Vol 5 (3) ◽

pp. 553

Author(s):

Viviane Euzébia Santos ◽

Layanne Crystina Bandeira Nunes ◽

Adriana Maria Pereira Da Silva ◽

Amanda Larissa Souza Dos Santos ◽

Maria de Fatima Alves Aguiar Carvalho

Keyword(s):

Nursing Education ◽

Nursing Care ◽

Nursing Process ◽

Patient Centered ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals ◽

Guided Tour ◽

The University ◽

Education Nursing

ABSTRACT Objective: to analyze the perceptions of nurses about the SAE in public and private hospitals in Petrolina/PE city. Methodology: this is an exploratory descriptive study from qualitative approach. It was performed in two publics hospitals and two private hospitals in Petrolina-PE city. The sample consisted of nineteen nurses, randomly selected. Preserving the anonymity of the participants they were identified by names of flowers. Data collection was performed by means of recorded interviews using a guided tour, for data analysis was employed as a reference to content analysis of Bardin. The study was approved by the ethics committee of the Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, protocol number 1556. Results: there was a predominance of females with recent training and have demonstrated knowledge and use on the NCS during the university. However, many respondents did not recall the SAE and its phases up not to use it in practice. Despite this, the professional advantages and assigned a positive significance to the SAE. Conclusion: we found that we must constantly seek knowledge and building a proper knowledge of nursing to be able to overcome the barriers and promote independence and recovery desired by professionals. Descriptors: nursing education; nursing care; higher education; nursing process; patient-centered care.RESUMOObjetivo: analisar a percepção dos enfermeiros acerca da SAE em hospitais públicos e privados no município de Petrolina - PE. Metodologia: trata-se de um estudo exploratório descritivo, de abordagem qualitativa. Foi realizado em dois hospitais públicos e dois hospitais privados no município de Petrolina/PE. A amostra composta por dezenove enfermeiros, selecionados aleatoriamente. Preservando o anonimato dos participantes os mesmos foram identificados por nomes de flores. A coleta de dados foi realizada por meio de entrevista gravada, utilizando-se um roteiro norteado, para análise dos dados empregou-se como referencial a análise de conteúdo de Bardin. O estudo foi aprovado pelo comitê de ética do Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, número de protocolo 1556. Resultados: houve predominância do sexo feminino com formação recente e demonstraram terem conhecimento e utilização acerca da SAE durante a formação acadêmica. Contudo, muitos entrevistados não recordavam da SAE e de suas fases, até por não a utilizar na prática assistencial. Apesar disto, os profissionais atribuíram vantagens e uma significação positiva a SAE. Conclusão: constatou-se que é preciso buscar constantemente o conhecimento e a construção de um saber próprio da enfermagem para se conseguir transpor as barreiras e promover a autonomia e a valorização almejada pelos profissionais. Descritores: educação em enfermagem; cuidados de enfermagem; educação superior; processos de enfermagem; assistência centrada no paciente.RESUMENObjetivo: analizar las percepciones de las enfermeras acerca de la SAE en los hospitales públicos y privados en la ciudad de Petrolina/PE. Metodología: se trata de un estudio exploratorio cualitativo, descriptivo. Se llevó a cabo en dos hospitales y dos hospitales privados en la ciudad de Petrolina-PE. La muestra está formada por diecinueve enfermeras, seleccionadas al azar. Preservar el anonimato de los participantes fueron identificados por nombres de flores. Los datos fueron recolectados por medio de entrevistas grabadas con una visita guiada, para el análisis de datos se utilizó como referencia para el análisis de contenido de Bardin. El estudio fue aprobado por el comité de ética del Instituto Materno Infantil de Pernambuco Profesor Fernando Figueira-IMIP, N. 1556. Resultados: hubo un predominio del sexo femenino con una formación reciente y han demostrado el conocimiento y uso en el SNC en la universidad. Sin embargo, muchos de los encuestados no recordó el SAE y sus fases hasta que no lo uso en la práctica. A pesar de ello, las ventajas profesionales y le asigna un significado positivo a la SAE. Conclusión: se encontró que constantemente debemos buscar el conocimiento y la creación de un conocimiento adecuado de la enfermería para ser capaces de superar las barreras y promover la independencia y la recuperación deseada por los profesionales. Descriptores: educación em enfermería; atención de enfermería; educación superior; procesos de enfermería; atención dirigida al paciente.

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Nurses’ and Patients’ Perspective toward Patient-Centered Care in Selected Hospitals of Yazd

Caspian Journal of Health Research ◽

10.29252/cjhr.4.2.28 ◽

2019 ◽

Vol 4 (2) ◽

pp. 28-32

Author(s):

Mohsen Pakdaman ◽

◽

Sara Geravandi ◽

Naeimeh keyghobadi ◽

Mostafa Sahab Moradi ◽

...

Keyword(s):

Patient Centered Care ◽

Patient Centered ◽

Centered Care ◽

Patients Perspective

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Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v4i1.384 ◽

2012 ◽

Vol 4 (1) ◽

Cited By ~ 20

Author(s):

Tayue Tateke ◽

Mirkuzie Woldie ◽

Shimeles Ololo

Keyword(s):

Patient Satisfaction ◽

Health Services ◽

Addis Ababa ◽

Public Hospitals ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

The Public ◽

Outpatient Health Services ◽

Public And Private Hospitals

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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Connecting specialty practices with primary care.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.7_suppl.47 ◽

2016 ◽

Vol 34 (7_suppl) ◽

pp. 47-47

Author(s):

Manasi Tirodkar ◽

Suzanne Morton ◽

Tyler Oberlander ◽

Sarah Hudson Scholle ◽

Michael Barr

Keyword(s):

Primary Care ◽

Clinical Data ◽

Care Transitions ◽

Patient Centered Care ◽

Electronic Prescribing ◽

National Committee ◽

Patient Centered ◽

Public And Private ◽

Full Credit ◽

Centered Care

47 Background: Public and private payers are beginning to adopt alternative payment structures that call for greater attention to patient-centered care and quality improvement activities (CMMI 2015; MACRA 2015). The National Committee for Quality Assurance (NCQA) developed standards for Patient-Centered Specialty Practice based on American College of Physicians principles. The report describes achievement on the standards among an initial cohort of recognized physicians. Methods: We analyzed practice characteristics and determined how practices performed on each of the 21 elements in the PCSP program by showing the percent of practices scoring less than 50% of points, or 100% of points (i.e. full credit) for each element. Results: One third of the 91 practices recognized in the first year of the program are Oncology/Hematology. Overall, about half of recognized practices have more than 5 clinicians and half are physician-owned (52%). Most specialty practices achieved full credit on having key clinical data in structured fields and using electronic prescribing. More than 75% of practices also achieved full credit for providing culturally and linguistically appropriate services, providing information about specialist visits back to primary care and providing patients/families information about the role of the specialist and coordination of care. Tracking of referrals to secondary specialists was most challenging, with only 6% of practices earning full credit. Only 34% of practices received full credit for coordinating care transitions from hospitals and other facilities; most practices did not even receive half credit. Measuring and improving performance was also challenging for all practices. Compared to other specialties, oncology/hematology practices were less likely to achieve full credit on the following elements: electronic access, measure patient/family experience, patient information, and care planning and support self-care. However, they performed better on documenting clinical data than other specialty practices. Conclusions: Specialty care practices have started to implement the patient-centered care model. Research to identify which components of the model have the greatest impact on outcomes is needed.

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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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Patterns of mortality in public and private hospitals of Addis Ababa, Ethiopia

BMC Public Health ◽

10.1186/1471-2458-12-1007 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 23

Author(s):

Awoke Misganaw ◽

Damen Haile Mariam ◽

Tekebash Araya ◽

Kidane Ayele

Keyword(s):

Addis Ababa ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

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Job Satisfaction and Associated Factors among Health Professionals Working at Public and Private Hospitals in Bahir Dar City, Northwest Ethiopia: A Comparative Cross-Sectional Study

BioMed Research International ◽

10.1155/2021/6632585 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Amare Geta ◽

Gashaw Andargie Biks ◽

Endalkachew Dellie ◽

Lake Yazachew

Keyword(s):

Job Satisfaction ◽

Health Professionals ◽

Associated Factors ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals

Introduction. Job satisfaction is a pleasurable or positive emotional state resulting from evaluating one’s job or job experiences. However, knowledge of workplace factors that either satisfy employees to keep working or dissatisfy them making them leave their jobs or working places is essential for decision-making. Thus, this study is aimed at assessing job satisfaction and associated factors among healthcare professionals working at public and private hospitals in Bahir Dar city, northwest Ethiopia. Methods. An institution-based comparative cross-sectional study design was conducted from 10 February 2020 to 29 May 2020. A total of 520 health professionals were selected from public and private health facilities using stratified systematic random sampling techniques. Data were collected using structured pretested self-administered questionnaires. A binary logistic regression model with Huber-White robust standard error was fitted to identify job satisfaction and associated factors among healthcare professionals working at public and private hospitals. A less than 0.05 p value and an Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were considered to have a statistically significant association with the outcome variable. Results. The overall magnitude of job satisfaction was 55.2% (95% CI: 51.0, 59.4%). At public and private hospitals, the provider’s satisfaction was 29.0% (95% CI: 23.2, 35.1%) and 81.23% (95% CI: 76.6, 85.8%), respectively. Working at private hospital (AOR: 8.89; 95% CI: 5.14, 15.35), pleasant nature of work (AOR: 1.82; 95% CI: 1.05, 3.15), autonomy (AOR: 2.37; 95% CI: 1.29, 4.33), adequate supportive supervision (AOR: 2.42; 95% CI: 1.33, 4.40), good reward and recognition (AOR: 3.04; 95% CI: 1.37, 6.75), and high normative commitment (AOR: 2.57; 95% CI: 1.48, 4.43) were factors affecting the overall job satisfaction of health professionals. Conclusions. The magnitude of job satisfaction was relatively low in private and public hospital health professionals and severe among health professionals working in public hospitals. Healthcare policy-makers and hospital managers need to develop and institutionalize evidence-based satisfaction strategies considering the predictors of health professional’s job satisfaction.

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