A comparative study of quality of health care services of public and private hospitals in Ghana

Adongo, Awinaba Amoah; Azumah, Francess Dufie; Nachinaab, John Onzaberigu

doi:10.1007/s10389-021-01479-0

Cited by 7 publications

(13 citation statements)

References 8 publications

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“…Also, unmarried have enough time for themselves as compared with married people, who need enough time for their partners and children who want to see their physicians on time since private facilities normally have fewer patients' attendance. The current study confirmed the study of Adongo et al (2021) which found that more female clients sought healthcare services in the private hospitals (719%) as compared to male clients in government hospitals (28.0%). On the other hand, the finding is inconsistent with the literature that marital status does not play a significant role in the use of healthcare facilities (Ratna and Shekhar, 2020).…”

Section: Discussionsupporting

confidence: 90%

“…Also, people with high level of education perceived that private health facilities provide quality healthcare services than public health facility. This finding supported the work of Bamaiyi (2018) and Adongo et al (2021) which revealed that majority of the patients with little or no formal education sought healthcare treatment in public hospitals, while those with higher education preferred private hospitals for healthcare treatment. Also, this finding confirmed the work of Levesque et al (2013 which stated that the poorest and those with only primary education mostly visit primary health care (PHC) and public facility, respectively.…”

Section: Discussionsupporting

confidence: 88%

“…On the other hand, people with low level of education were also more likely to visit public hospital than private hospital. The reason was that as their level of education increases, it gives them better understanding of the quality of healthcare offered by private hospitals than public, as revealed in the study by Adongo et al (2021), than those with low level of education. Also, people with high level of education perceived that private health facilities provide quality healthcare services than public health facility.…”

Section: Discussionmentioning

confidence: 95%

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The influence of sociodemographic behavioural variables on health-seeking behaviour and the utilisation of public and private hospitals in Ghana

Adongo

Dapaah

Azumah

et al. 2021

IJSSP

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PurposeSeveral studies have described health-seeking behaviour within the context of various diseases, the health status and age group. However, knowledge on patient health-seeking behaviour in the use of public and private hospitals and socio-demographic characteristics in developing countries is still scarce. This paper examines the influence of socio-demographic behavioural variables on health-seeking behaviour and the use of public and private health facilities in Ghana.Design/methodology/approachQuantitative research approach uses the modified SERVQUAL dimension as a data collection tool. Descriptive statistics with Pearson's chi-square test were conducted to determine the relationship between socio-demographic behavioural variables and health-seeking behaviour of patients using public and private hospitals.FindingsThe results showed that there is a significant relationship between the socio-demographic characteristics (sex, marital status, education, level of income) and the health-seeking behaviour of patients in regard to the utilisation of public and private health facilities (p < 0.000).Originality/valueThere is a significant relationship between patients' socio-demographic variables and their choice and utilisation of public and private healthcare services. This information is of value to policy makers so that they have an idea on the socio-demographic behavioural variables that influence patients' health-seeking behaviour.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 95%

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The influence of sociodemographic behavioural variables on health-seeking behaviour and the utilisation of public and private hospitals in Ghana

Adongo

Dapaah

Azumah

et al. 2021

IJSSP

Self Cite

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“…The 2017 findings are supported by the quality of healthcare provided by private health facilities than public/government health facilities in Ghana [34,35]. More so, the shorter stay after vaginal delivery in private health facilities in Ghana could be due to the high health care cost per patient stay [35]. The present study's findings on the 2017 cohort contradict findings from a study in India [8].…”

Section: Plos Global Public Healthcontrasting

confidence: 61%

“…This makes the association found with the 2017 cohort being the true one. The 2017 findings are supported by the quality of healthcare provided by private health facilities than public/government health facilities in Ghana [34,35]. More so, the shorter stay after vaginal delivery in private health facilities in Ghana could be due to the high health care cost per patient stay [35].…”

Section: Plos Global Public Healthmentioning

confidence: 97%

Predictors of prolonged hospitalization after vaginal birth in Ghana: A comparative study

Essien

Chireh

Melese

et al. 2022

PLOS Glob Public Health

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Early discharge after child delivery although indispensable, but maybe precluded by several factors. The effect of these factors on prolonged length of stay (LOS) after vaginal delivery has been sparsely investigated in Ghana. This limits understanding of potential leading indicators to inform intervention efforts and optimize health care delivery. This study examined factors associated with prolonged LOS after vaginal birth in two time-separated cohorts in Ghana. We analyzed data from Ghana’s demographic and health surveys in 2007 and 2017. Our comparative analysis is based on subsamples in 2007 cohort (n = 2,486) and 2017 cohort (n = 8,065). A generalized estimating equation (GEE) with logistic regression was used to examine predictors of prolonged LOS after vaginal delivery. The cluster effect was accounted for using the exchangeable working correlation. The odds ratios (OR) and 95% confidence interval were reported. We found that 62.4% (1551) of the participants in 2007 had prolonged LOS after vaginal delivery, whereas the prevalence of LOS in the 2017 cohorts was 44.9% (3617). This constitutes a 17.5% decrease over the past decade investigated. Advanced maternal age (AOR = 1.24, 95% Cl 1.01–1.54), place of delivery (AOR = 1.18, 95% Cl 1.02–1.37), child’s size below average (AOR = 1.14; 95% Cl 1.03–1.25), and problems suffered during/after delivery (AOR = 1.60; 95% Cl 1.43–1.80) were significantly associated with prolonged (≥ 24 hours) length of hospitalization after vaginal delivery in 2017. However, among variables that were available in 2007, only those who sought delivery assistance from non-health professionals (AOR = 1.89, 95% CI: 1.00–3.61) were significantly associated with prolonged LOS in the 2007 cohort. Our study provides suggestive evidence of a reduction in prolonged LOS between the two-time points. Despite the reduction observed, more intervention targeting the identified predictors of LOS is urgently needed to further reduce post-vaginal delivery hospital stay. Also, given that LOS is an important indicator of medical services use, an accurate understanding of its prevalence and associated predictors are useful in assessing the efficiency of hospital management practices and the quality of care of patients in Ghana.

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The effect of health facility ownership on perceived healthcare quality: evidence from Ghana

Bawuah,

Appleton,

2024

Int J Health Econ Manag.

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Whether private healthcare providers should be encouraged over public providers remains unclear. On the one hand, because private providers are profit-driven, they are more motivated to compete for demand by enhancing quality if demand is elastic. However, because they are more motivated to maximize revenue, they may sacrifice quality to maximize profit. A crucial factor in determining whether private providers should be encouraged is the extent to which their quality exceeds or falls short of that of the public provider. This study, therefore, investigates whether the public and private differ in providing quality healthcare services using the 2014 Ghana Demographic and Health Survey. Our measure of healthcare quality is based on patient satisfaction level with nine healthcare services (cleanliness, waiting time, comfort and safety, consultation time, privacy, listening, explanation, treatment advice and confidentiality) provided by public and private healthcare facilities. We applied an instrumental variable approach to account for endogeneity issues related to the patient’s choice of healthcare provider. We find that private facility users have a higher probability of being very satisfied with “waiting time”, “consultation time”, “listening”, “cleanliness”, “comfort and safety”, “confidentiality”, and “privacy” than public users, thus suggesting that private facilities provide better service than public. We thus recommend encouraging the private sector to enter the healthcare market. We also find that failing to account for endogeneity in provider choice when estimating the effect of healthcare facility ownership on healthcare service quality underestimates the effects.

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A comparative study of quality of health care services of public and private hospitals in Ghana

Cited by 7 publications

References 8 publications

The influence of sociodemographic behavioural variables on health-seeking behaviour and the utilisation of public and private hospitals in Ghana

The influence of sociodemographic behavioural variables on health-seeking behaviour and the utilisation of public and private hospitals in Ghana

Predictors of prolonged hospitalization after vaginal birth in Ghana: A comparative study

The effect of health facility ownership on perceived healthcare quality: evidence from Ghana

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