Effects of Health Care System Responsiveness On Diabetes Management Among the Patients Seeking Care at St. Mary’s Mission Hospital in Nairobi

Zipporah Wawira Njiru, B. A. Mulemi, S. Njeri
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Abstract

Purpose: Diabetes is one of the non-communicable diseases (NCDs) of great global public health and development concern. This NCD has adverse effects on the social well-being of patients, their households, and the whole society. The overall objective of this study was to determine the effects of health care system responsiveness on diabetes management among the patients seeking care at St. Mary’s Mission Hospital in Nairobi. Methodology: This study drew on descriptive study design, involving quantitative and qualitative methods, particularly closed and open questions. The sample size was 269 respondents included in the study through purposive and convenient sampling. These sampling techniques were preferred in this research since data was gathered from the respondents during their visit to the hospital. The researcher collected data through interviewer-administered questionnaires containing both open and closed questions. Qualitative data was grouped, coded, and categorized, picking on cross-cutting issues, then compiled, analysed, and interpreted accordingly. Quantitative data was coded then entered into Statistical Package for Social Sciences (SPSS) version 22 for windows. SPSS was used to run frequency distributions and cross-tabulations for analysis and interpretation, and Microsoft Excel was used for graphical presentation. Findings: The study established unequal distribution of health care facilities for diabetes management across the Counties in Kenya. This leads to a late diabetes diagnosis. The respondents reported that the health care system in Kenya does not offer an affordable quality of care to diabetes patients. This makes some patients skip days or weeks without medication. Unique contribution to theory, practice and policy: The study recommends the hospitals to form support groups or devise other forums for patients’ education and encouragement on diabetes management. They should also look into the possibilities of having diabetes services in one building. This would ensure rapid diagnostic tests and treatment for diabetes patients.
在内罗毕圣玛丽教会医院寻求治疗的患者中,医疗保健系统响应性对糖尿病管理的影响
目的:糖尿病是引起全球公共卫生和发展关注的非传染性疾病之一。这种非传染性疾病对患者、其家庭和整个社会的社会福祉产生不利影响。本研究的总体目的是确定在内罗毕圣玛丽教会医院就诊的患者中,卫生保健系统响应性对糖尿病管理的影响。研究方法:本研究采用描述性研究设计,涉及定量和定性方法,特别是封闭式和开放式问题。通过有目的和方便的抽样,本研究的样本量为269人。这些抽样技术在本研究中是首选的,因为数据是在受访者访问医院期间收集的。研究人员通过受访者管理的问卷收集数据,问卷包括开放式和封闭式问题。定性数据被分组、编码和分类,挑选交叉问题,然后相应地编译、分析和解释。定量数据被编码,然后输入到统计软件包社会科学(SPSS)版本22为windows。使用SPSS软件运行频率分布和交叉表进行分析和解释,使用Microsoft Excel进行图形化呈现。研究结果:该研究确定了肯尼亚各县糖尿病管理卫生保健设施的不平等分布。这导致糖尿病的晚期诊断。受访者报告说,肯尼亚的卫生保健系统没有为糖尿病患者提供负担得起的高质量护理。这使得一些患者几天或几周没有服药。对理论、实践和政策的独特贡献:该研究建议医院成立支持小组或设计其他论坛,对患者进行糖尿病管理方面的教育和鼓励。他们还应该考虑在一栋楼里提供糖尿病服务的可能性。这将确保对糖尿病患者进行快速诊断测试和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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