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Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia

BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the...

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Autores principales: Tegegn, Balkew Asegidew, Hailu, Betregiorgis Zegeye, Tsegaye, Birhanu Damtew, Woldeamanuel, Gashaw Garedew, Negash, Wassie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research and Publications Office of Jimma University 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047266/
https://www.ncbi.nlm.nih.gov/pubmed/33911827
http://dx.doi.org/10.4314/ejhs.v30i5.5
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author Tegegn, Balkew Asegidew
Hailu, Betregiorgis Zegeye
Tsegaye, Birhanu Damtew
Woldeamanuel, Gashaw Garedew
Negash, Wassie
author_facet Tegegn, Balkew Asegidew
Hailu, Betregiorgis Zegeye
Tsegaye, Birhanu Damtew
Woldeamanuel, Gashaw Garedew
Negash, Wassie
author_sort Tegegn, Balkew Asegidew
collection PubMed
description BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among public hospitals. METHODS: A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients' satisfaction. RESULTS: In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patient satisfaction towards TB care [AOR = 0.217, p = 0.015]. CONCLUSION: Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB.
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spelling pubmed-80472662021-04-27 Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia Tegegn, Balkew Asegidew Hailu, Betregiorgis Zegeye Tsegaye, Birhanu Damtew Woldeamanuel, Gashaw Garedew Negash, Wassie Ethiop J Health Sci Original Article BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among public hospitals. METHODS: A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients' satisfaction. RESULTS: In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patient satisfaction towards TB care [AOR = 0.217, p = 0.015]. CONCLUSION: Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB. Research and Publications Office of Jimma University 2020-09 /pmc/articles/PMC8047266/ /pubmed/33911827 http://dx.doi.org/10.4314/ejhs.v30i5.5 Text en © 2020 Balkew Asegdew, et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Tegegn, Balkew Asegidew
Hailu, Betregiorgis Zegeye
Tsegaye, Birhanu Damtew
Woldeamanuel, Gashaw Garedew
Negash, Wassie
Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title_full Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title_fullStr Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title_full_unstemmed Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title_short Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
title_sort quality of care delivered to tuberculosis patients among public hospitals in central northeast ethiopia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047266/
https://www.ncbi.nlm.nih.gov/pubmed/33911827
http://dx.doi.org/10.4314/ejhs.v30i5.5
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