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

Birhanu, Frehiwot; Yitbarek, Kiddus; Addis, Animut; Alemayehu, Dereje; Shifera, Nigusie

doi:10.2147/prom.s301771

Cited by 8 publications

(20 citation statements)

References 20 publications

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“…Respondents who scored above or equal to the mean of the scored data, were classified as receiving "good patient-centered health care practice", and if they scored below the mean, they were classified as receiving "poor patient-centered health care practice". 24 Easy access to service: the presence of timely health service available in the institution without difficulty. Patients had "good" perception if they scored above or equal to the mean and "poor" perception, if they scored below the mean.…”

Section: Operational Definition and Termsmentioning

confidence: 99%

“…Patients had "good" perception if they scored above or equal to the mean and "poor" perception, if they scored below the mean. 18,24 Communication on plan of care: the perception of the patient regarding clear information on treatment plan during hospital stay. Patients had "good" perception, if they scored above or equal to the mean and "poor" perception, if they scored below the mean.…”

Section: Operational Definition and Termsmentioning

confidence: 99%

“…23 A study done in Addis Ababa showed that 51% perceived poor patient-centered health care practice among patients admitted to hospitals. 24 Even though patients differ in terms of social, biologic, or cultural characteristics as well as in their preferences and the need for a more patient-centered approach in clinical practice and evaluation, this is widely recommended. 25 Previous studies from different literature show that residency, intimacy with care providers, awareness of disease, information on medication, easy access to services, involvement in decision making, privacy during care, appearance of the hospitals, and information on plans of care were factors that affected patients' perception of patientcentered health care.…”

Section: Introductionmentioning

confidence: 99%

“…25 Previous studies from different literature show that residency, intimacy with care providers, awareness of disease, information on medication, easy access to services, involvement in decision making, privacy during care, appearance of the hospitals, and information on plans of care were factors that affected patients' perception of patientcentered health care. 22,24,26,27 In Ethiopia's health system, it has been a priority area of health selectors' transformation plan (HSTP) and the focus of quality improvement (QI), but it is mostly being implemented from a provider-centered approach. It also had limited understanding of patients' perspectives, and less is known regarding the PCC of patients admitted to private and public hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…It also had limited understanding of patients' perspectives, and less is known regarding the PCC of patients admitted to private and public hospitals. 24 Currently, there is no such published study on patient-centered care and associated factors in this area at governmental and private hospitals. Therefore, this study aimed to assess patients' perception of patient-centered care and associated factors among admitted patients in Bahir Dar city public and private hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study

Ewunetu¹,

Temesgen²,

Zewdu³

et al. 2023

PPA

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The provision of patient-centered care is challenging around the globe, including in Ethiopia. There is a scarcity of information on this issue. Therefore, this study aimed to assess patients' perceptions of patient-centered care and associated factors among patients admitted to public and private hospitals in Bahir Dar city. Methods: A facility-based comparative cross-sectional study was conducted from May 8-June 15, 2022. Using a multistage sampling approach, the study participants were selected. An interviewer was used to collect the data. Bi-variable and multivariable logistic regressions were used to analyze the data. Statistical significance was declared using a p value< 0.05. Results: Overall, 53.7% of patients reported poor patient-centered care. And it was higher among public hospitals (66.3%) than private hospitals (40.3%). Length of stay (AOR = 4.2; 95% CI [1.1, 15.3] and AOR = 4.3; 95% CI [1.4, 13]), intimacy with providers (AOR = 2.4; 95% CI [1.2, 4.6] and AOR = 3.9; 95% CI [1.1-9.6]), privacy during care (AOR = 4.2; 95% CI [1.93, 8.9]and AOR=3.3;95% CI: [1.5-7]), easy access to service (AOR=2.76;95% CI [1.33, 5.74] and AOR=3.8;95% CI [1.15, 12.7]) were associated with patient-centered care in public and private hospitals respectively. Awareness of the disease (AOR = 2.3; 95% CI [1.12, 4.8]), information on plans of care (AOR = 4.6; 95% CI [1.9, 10]), and being involved in decisions (AOR = 2.7; 95% CI [1.28, 5.9]) were associated factors in private hospitals. The following factors were associated with the practice of patient-centered care only in public hospitals: residence (AOR = 2.9; 95% CI [1.4, 5.5]), medication information (AOR = 2.88; 95% CI [1.34, 6.2]), and external appearance of hospital (AOR = 2.27; 95% CI [1.04, 4.97]). Conclusion:This study showed that the practice of patient-centered care in public hospitals was poor compared to that in private hospitals. Hence, hospitals should train their staff regarding a culture of patient-centered care in order to deliver high-quality and safer care.

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Section: Operational Definition and Termsmentioning

confidence: 99%

Section: Operational Definition and Termsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study

Ewunetu¹,

Temesgen²,

Zewdu³

et al. 2023

PPA

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The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients

Aleni,

Mwebesa,

Twesigye

et al. 2024

International Journal of Africa Nursing Sciences

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The Introduction of Social Health Insurance and Health Care Seeking Behavior in Urban Ethiopia

Zarepour,

Mebratie,

Shamebo

et al. 2023

Preprint

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Objectives: In recent years, to enhance access to and use of health care the government of Ethiopia has introduced voluntary Community Based Health Insurance (CBHI) schemes for the rural and informal sectors of the economy. After years of planning and the ratification of a legal framework the government proposes to introduce a compulsory Social Health Insurance (SHI) program for formal sector employees. The proposed scheme will provide access to contracted health care facilities at a premium of 3% of the gross monthly income of employees with another 3% coming from the employer. While several studies have examined the willingness to pay this premium, little is known about the health care seeking behaviour (HSB) of formal sector employees. In part, the implementation of the SHI has been delayed due to the unwillingness of public servants to pay the proposed premium. Scheme coverage which will be restricted to contracted facilities, may also be contentious if this is dominated by publicly provided health care services. This paper investigates both, the determinants of health care seeking behaviour of formal sector employees and their families and attitudes related to the introduction of SHI such as fairness, affordability, and willingness to pay the SHI premium. Through these explorations, the paper sheds light on the potential challenges for the implementation of SHI. Setting: The study is based on a survey of formal sector employees and their families in urban Ethiopia. It covers the major administrative regions of the country and contains information on 2,749 formal sector employees and their families or a total of 6,894 individuals. Results: Regarding outpatient care, conditional on falling ill, 85.5% sought some form of care within a couple of days (2.4 days) of falling ill. The bulk (94%) of those who did seek care, opted for formal treatment. A majority of the visits (55.9%) were to private health clinics or hospitals. In the case of inpatient care, the picture was reversed with a majority of health care seekers visiting public sector hospitals (62.5%). There is a strong positive link between income and the use of private health services. A majority of the sample (67%) supported the introduction of SHI but only about 24% were willing to pay a premium of 3% of their gross monthly income. The average WTP was 1.6%. Respondents in the two richest income quintiles were far more likely to oppose SHI and consider it unfair. Conclusion: The prominent role of the private sector especially in terms of outpatient care and the stronger resistance to SHI amongst the two richest income quintiles, that is, those who are most likely to use private health care providers, suggests that the SHI program needs to actively include private health care facilities within its ambit. Additionally, as was done prior to the introduction of the CBHI, concerted efforts at enhancing the quality of care available at public health facilities, both, in terms of perception and patient-centred care and in terms of addressing drug and equipment availability bottlenecks, are needed. A combination of these two measures is likely to enhance support for the introduction of SHI.

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

Cited by 8 publications

References 20 publications

Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study

Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study

The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients

The Introduction of Social Health Insurance and Health Care Seeking Behavior in Urban Ethiopia

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