Barriers to Accessing Healthcare Services in Developing Nations

2017 ◽  
pp. 1216-1227
Author(s):  
Hussah Alghodaier ◽  
Lubna Al-Nasser ◽  
Ali Al-Shehri ◽  
Mohamed Khalifa ◽  
Mowafa Househ ◽  
...  

Patient satisfaction with the healthcare services is critical to addressing the barriers to accessing healthcare. Many combined factors are responsible for the poor accessibilities to primary healthcare centers. Less availability of prescription drugs and less thoroughness of care are most frequently associated with high rates of patient dissatisfaction. The low satisfaction rates of patients need to be investigated further to promote prevention programs and increase utilization of healthcare services by patients. The purpose of this book chapter is to analyse the critical dimensions that influence patient satisfaction with primary healthcare services in six gulf countries.

Author(s):  
Hussah Alghodaier ◽  
Lubna Al-Nasser ◽  
Ali Al-Shehri ◽  
Mohamed Khalifa ◽  
Mowafa Househ ◽  
...  

Patient satisfaction with the healthcare services is critical to addressing the barriers to accessing healthcare. Many combined factors are responsible for the poor accessibilities to primary healthcare centers. Less availability of prescription drugs and less thoroughness of care are most frequently associated with high rates of patient dissatisfaction. The low satisfaction rates of patients need to be investigated further to promote prevention programs and increase utilization of healthcare services by patients. The purpose of this book chapter is to analyse the critical dimensions that influence patient satisfaction with primary healthcare services in six gulf countries.


2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Rima Kavalnienė ◽  
Aušra Deksnyte ◽  
Vytautas Kasiulevičius ◽  
Virginijus Šapoka ◽  
Ramūnas Aranauskas ◽  
...  

2021 ◽  
Vol 65 ◽  
pp. 105-108
Author(s):  
VV Joshi ◽  
R Dev ◽  
NK Tripathy

Patient satisfaction is an important indicator to assess and improve quality of healthcare services. In Armed Forces Medical Services, studies on patient satisfaction are scant and mainly hospital based. Hence, a study was conducted with an objective to assess patient satisfaction in seven Primary Healthcare Delivery Centers (PHDCs) in one of the operational commands in the Indian Air Force (IAF). Patient Satisfaction Questionnaire Short Form 18 (PSQ-18), a simple tool, was used for the survey. The study was unique in the sense that few centers in the survey were remotely located from tertiary care hospitals and the Medical Officers in these PHDCs were relatively inexperienced. The analysis of the survey clearly brought out distinct differences in certain dimensions of patient satisfaction across the PHDCs. In addition, utility of the Hindi translated version of PSQ-18 was ascertained. Based on the results of the study, few important conclusions were drawn; (a) patient satisfaction could be assessed using simple questionnaire such as PSQ-18, (b) the Hindi translated version of PSQ-18 can also be used as a useful tool depending on the participants’ preference, and (c) the observed dimensions affecting patient satisfaction could be addressed through specific interventions. Similar survey is recommended to be conducted across primary, secondary, and tertiary healthcare establishments in the IAF.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Raymond M. Bernal ◽  
Gerard D. Henry

Among the many treatments for erectile dysfunction, implantation of a penile prosthesis has been associated with high patient satisfaction rates. Specifically, the placement of a three-piece inflatable penile prosthesis (IPP) confers the highest rates of satisfaction. We reviewed the literature over the past 20 years regarding satisfaction rates for penile prostheses, with a focus on patients who had undergone an initial IPP implantation for erectile dysfunction. In all, 194 articles were reviewed, and of these, nine met inclusion criteria for analysis and data collation. We determined contemporary satisfaction rates to reflect patients’ experiences with newer products and surgical approaches. Of importance, we noted that varied metrics were used to determine patient satisfaction, and overall satisfaction could not be precisely determined. Nevertheless, we found that patients in general were quite satisfied with their three-piece IPPs and restoration of sexual function. We also identified reasons for patient dissatisfaction and reviewed the literature to find ways by which satisfaction could be improved. Given the various means by which patient satisfaction was determined, future efforts should include standardized and validated questionnaires.


2021 ◽  
Vol 10 (16) ◽  
pp. 3502
Author(s):  
Magdalena Kludacz-Alessandri ◽  
Renata Walczak ◽  
Liliana Hawrysz ◽  
Piotr Korneta

Health has a significant influence on the quality of life of a society. The COVID-19 pandemic has forced many countries to implement restrictive measures to prevent its wider spread, including, inter alia, the introduction of remote healthcare in the form of teleconsultations. Therefore, there is the question of how such a change affects the quality of treatment and the primary healthcare of patients during the COVID-19 pandemic. The article aims to examine patient satisfaction with the access to primary healthcare and the effectiveness of treatment in a condition of remote medical care caused by the COVID-19 pandemic. We also analyse the impact of access to primary healthcare on the treatment effectiveness. Patient satisfaction was measured using a questionnaire assessing the quality of primary medical care. Of the 36 items studied, seven were related to the accessibility dimension and four were related to the treatment effectiveness dimension. Our results suggest that the treatment effectiveness and the access to primary healthcare services during the COVID-19 pandemic through telemedicine are quite highly rated by patients. Hence, further implementation of telemedicine in primary healthcare should improve the quality of lives of the wide society. We have also identified the access to primary healthcare has a considerable impact on the treatment effectiveness. Therefore, we recommend increasing the contact between patients and GPs via telemedicine under lockdown conditions.


2018 ◽  
Vol 09 (01) ◽  
pp. 38-42
Author(s):  
Sadia Siddiqi ◽  
Faridah Amin ◽  
Farheen Saboor

Objective: This study was aimed to determine patient satisfaction and factors associated with patient satisfaction in a not for profit private primary healthcare service in Karachi, Pakistan. Methodology: A cross sectional survey was conducted across eight primary healthcare clinics of Sina Health, Education and Welfare trust. A total of 557 patients visiting these primary healthcare services participated in the study. The questionnaire gauged information in 2 parts: assessing demographics and patient satisfaction with services Chi square use as the test of significance. The data was analyzed on SPSS version 20. Results: Results revealed that majority (89%) of the patients were women and more than half were between 30-60 years of age. In the multivariable model, patients were more likely to be satisfied with less waiting time at pharmacy (p 0.007), listening (p 0.01), assessing (p 0.001) and counseling (p 0.007 ) skills of the doctor. Conclusion: The study highlights a successful possibility of provision of quality primary healthcare services in developing countries with easy access for the people most deserving it especially women, at an affordable cost. One of the unique reasons for satisfaction is the training of Sina doctors and staff on regular basis


Author(s):  
Randa Hemadeh ◽  
Rawan Hammoud ◽  
Ola Kdouh ◽  
Tarek Jaber ◽  
Lea Ammar

2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.


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