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Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study

(1) Background: Patients’ satisfaction is based on the perceived health care services of individuals and is influenced by the level of care provided by the health care system. It is often based on the patients’ expectations of care and self-assessment of their experiences. The success of the Directl...

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Autores principales: Chaiya, Chitralada, Panezai, Sanaullah, Saqib, Shahab E., Ashraf, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778783/
https://www.ncbi.nlm.nih.gov/pubmed/36554053
http://dx.doi.org/10.3390/healthcare10122529
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author Chaiya, Chitralada
Panezai, Sanaullah
Saqib, Shahab E.
Ashraf, Muhammad
author_facet Chaiya, Chitralada
Panezai, Sanaullah
Saqib, Shahab E.
Ashraf, Muhammad
author_sort Chaiya, Chitralada
collection PubMed
description (1) Background: Patients’ satisfaction is based on the perceived health care services of individuals and is influenced by the level of care provided by the health care system. It is often based on the patients’ expectations of care and self-assessment of their experiences. The success of the Directly Observed Treatment Strategy (DOTS) also depends on the quality of health care provided at the Tuberculosis (TB) centers, which can be evaluated by satisfaction levels of the patients. (2) Methods: A tuberculosis facility-based cross-sectional study was carried out in Khyber Pakhtunkhwa province in Pakistan. A mixed-method approach was adopted for data collection. An interviewer-administered questionnaire was used for quantitative data collection from 269 patients who were registered at 11 TB centers and private clinics. Qualitative data were collected through 20 in-depth interviews, 15 key informant interviews, and a focus-group discussion. Binary logistic regression was employed for analysis of the data. (3) Results: More than half of the respondents (63.94%) were satisfied with the DOTS strategy. A high percentage of patients were dissatisfied with the availability of safe water, waiting space for patients, waiting time, privacy, and the processing of appointments. Results from the binary logistic regression showed that gender (AOR = 2.21, CI 1.07–4.58, p = 0.033), marital status (AOR = 3.12, CI 1.45–6.73, p = 0.004), employment status (AOR = 5.22, CI 2.44–1.21, p = 0.000), home ownership (AOR = 3.82, CI 1.94–7.54, p = 0.000), literacy (AOR = 2.17, CI 1.11–4.25, p = 0.023), households’ main occupation (AOR = 4.42, CI 1.12–17.38, p = 0.033), and level of income (AOR = 2.39, CI 1.13–5.04, p = 0.023) were the significant factors affecting satisfaction levels of the patients. (4) Conclusion: There are a number of areas that need improvement for successful TB eradication. Significant work is required to improve the quality of TB care in these specific areas from the patients’ perspective. For instance, female health workers’ involvement in the DOTS program can solve the problems of female respondents in rural areas. Improving the infrastructure facilities at the TB centers, allocation of doctors and nurses at the rural health centers would result in positive outcomes of the DOTS in Pakistan as well as in other developing countries.
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spelling pubmed-97787832022-12-23 Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study Chaiya, Chitralada Panezai, Sanaullah Saqib, Shahab E. Ashraf, Muhammad Healthcare (Basel) Article (1) Background: Patients’ satisfaction is based on the perceived health care services of individuals and is influenced by the level of care provided by the health care system. It is often based on the patients’ expectations of care and self-assessment of their experiences. The success of the Directly Observed Treatment Strategy (DOTS) also depends on the quality of health care provided at the Tuberculosis (TB) centers, which can be evaluated by satisfaction levels of the patients. (2) Methods: A tuberculosis facility-based cross-sectional study was carried out in Khyber Pakhtunkhwa province in Pakistan. A mixed-method approach was adopted for data collection. An interviewer-administered questionnaire was used for quantitative data collection from 269 patients who were registered at 11 TB centers and private clinics. Qualitative data were collected through 20 in-depth interviews, 15 key informant interviews, and a focus-group discussion. Binary logistic regression was employed for analysis of the data. (3) Results: More than half of the respondents (63.94%) were satisfied with the DOTS strategy. A high percentage of patients were dissatisfied with the availability of safe water, waiting space for patients, waiting time, privacy, and the processing of appointments. Results from the binary logistic regression showed that gender (AOR = 2.21, CI 1.07–4.58, p = 0.033), marital status (AOR = 3.12, CI 1.45–6.73, p = 0.004), employment status (AOR = 5.22, CI 2.44–1.21, p = 0.000), home ownership (AOR = 3.82, CI 1.94–7.54, p = 0.000), literacy (AOR = 2.17, CI 1.11–4.25, p = 0.023), households’ main occupation (AOR = 4.42, CI 1.12–17.38, p = 0.033), and level of income (AOR = 2.39, CI 1.13–5.04, p = 0.023) were the significant factors affecting satisfaction levels of the patients. (4) Conclusion: There are a number of areas that need improvement for successful TB eradication. Significant work is required to improve the quality of TB care in these specific areas from the patients’ perspective. For instance, female health workers’ involvement in the DOTS program can solve the problems of female respondents in rural areas. Improving the infrastructure facilities at the TB centers, allocation of doctors and nurses at the rural health centers would result in positive outcomes of the DOTS in Pakistan as well as in other developing countries. MDPI 2022-12-14 /pmc/articles/PMC9778783/ /pubmed/36554053 http://dx.doi.org/10.3390/healthcare10122529 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chaiya, Chitralada
Panezai, Sanaullah
Saqib, Shahab E.
Ashraf, Muhammad
Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title_full Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title_fullStr Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title_full_unstemmed Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title_short Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study
title_sort satisfaction of tuberculosis patients with directly observed treatment strategy under pakistan health care policy: a mixed-method study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778783/
https://www.ncbi.nlm.nih.gov/pubmed/36554053
http://dx.doi.org/10.3390/healthcare10122529
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