End-user centeredness in antiretroviral therapy services in Nigerian public health facilities

Chiegil, Robert; Zungu, L.I.; Jooste, Karien

doi:10.1080/20786204.2014.10855352

Cited by 1 publication

(4 citation statements)

References 17 publications

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“…Empowerment . Some studies reported patients’ concerns about a lack of redress or a complaints management strategy; or not knowing whom to talk to within the different health facilities [ 41 ]. In other instances, patients were reported as being too humble and not asking any questions at all [ 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Important aspects of access to care reported in the different studies included geographical location (distance to health unit), waiting times, facility opening times, affordability of services, financial transparency, system navigation and availability of sufficient staff [ 21 – 23 , 25 , 28 , 31 , 33 , 34 , 36 , 38 , 43 , 44 , 47 , 54 ]. In some studies, authors reported that long queues at health facilities prompted patients to seek care from herbalists or traditional healers while in others, patients sometimes waited the whole day to see a doctor since some clinics had specific opening times [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…Poor interprofessional cooperation and continuity of care were reported by healthcare providers in seven of the included studies [ 31 – 33 , 38 , 41 , 42 , 53 ]. In particular, the lack of proper handover of clinical duties (as stated above) and responsibilities between and among interprofessional teams was considered a predictor of quality of care.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported the need for better coordination of hospital units such as records office, clinician/doctor’s office, pharmacist and counsellors; as well as strengthening of linkages between hospitals and community groups and organisations to promote complementary service provision, as well as lessening patient navigation problems within the hospital [ 31 , 38 , 41 ]. This kind of service would improve access while also reducing the number of unnecessary clinic visits [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

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Dimensions of patient-centred care from the perspective of patients and healthcare workers in hospital settings in sub-Saharan Africa: A qualitative evidence synthesis

Okeny,

Pittalis,

Monaghan

et al. 2024

PLoS ONE

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Introduction The United States Institute of Medicine defines patient centred care (PCC), a core element of healthcare quality, as care that is holistic and responsive to individual needs. PCC is associated with better patient satisfaction and improved clinical outcomes. Current conceptualizations of PCC are mainly from Europe and North America. This systematic review summarises the perceived dimensions of PCC among patients and healthcare workers within hospitals in sub-Saharan Africa (SSA). Methods Without date restrictions, searches were done on databases of the Web of Science, Cochrane Library, PubMed, Embase, Global Health, and grey literature, from their inception up to 11th August 2022. Only qualitative studies exploring dimensions or perceptions of PCC among patients, doctors and/or nurses in hospitals in (SSA) were included. Review articles and editorials were excluded. Two independent reviewers screened titles and abstracts, and conducted full-text reviews with conflicts resolved by a third reviewer. The CASP (critical appraisal skills program) checklist was utilised to assess the quality of included studies. The framework synthesis method was employed for data synthesis. Results 5507 articles were retrieved. Thirty-eight studies met the inclusion criteria, of which 17 were in the specialty of obstetrics, while the rest were spread across different fields. The perceived dimensions reported in the studies included privacy and confidentiality, communication, shared decision making, dignity and respect, continuity of care, access to care, adequate infrastructure and empowerment. Separate analysis of patients’ and providers’ perspective revealed a difference in the practical understanding of shared-decision making. These dimensions were summarised into a framework consisting of patient-as-person, access to care, and integrated care. Conclusion The conceptualization of PCC within SSA was largely similar to findings from other parts of the world, although with a stronger emphasis on access to care. In SSA, both relational and structural aspects of care were significant elements of PCC. Healthcare providers mostly perceived structural aspects such as infrastructure as key dimensions of PCC. Trial registration PROSPERO Registration number CRD42021238411

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Section: Resultsmentioning

confidence: 99%