Perception of Old People on Healthcare Services Provided in Public Hospitals in Tanzania: The Case of Kasulu District, Tanzania

Minani Ntahosanzwe, Hossea Rwegoshora
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Abstract

revealed that; patient’s perception has an influence on accessibility to healthcare services. When healthcare services are perceived positively by patients, it acts as a motivating factor to seek healthcare services under that facility. However,factors such as lack of medicine, few medical staff, long waiting hours to access medical care negatively limit accessibility to such services. Tanzania like the rest of the developing countries, old people are not immune from these challenges. Evidence from empirical review indicate that public healthcare provision to old people is constrained by number of factors such as poor Abstract: The concept of Perception in the discourse of healthcare setting is increasingly becoming an important aspect in determining the quality of services provided to patients.The main objective of this study was toassess perception of old people on healthcare services provided in public hospitals in Tanzania. The study was conducted in Kasulu district in Kigoma region covering two wards of Murubona and Rusesa using cross sectional case study design informed by positivist paradigm as one of the philosophical assumptions. The total number of participants engaged in this study was 57. These included 48 old people, 2 Nurses, 3 Medical Doctors, 1 District Medical Doctor (DMO) and 3 Health Social Workers. Data were collected using in-depth interview, focus group discussion and observation. Qualitative data was analyzed by using thematic method. Study findings revealed that old people had negative perception on the quality of healthcare services provided in public hospitals. Lack of medicine and medical equipment, inadequate number of health workers, discrimination by health workers were the main obstacles that made old people to perceive negatively on the quality of healthcare services provided in public hospitals.The study strongly recommends that health workers’ trainings should be integrated with customer care and social skills for caringold people;health workers to abide to professional ethics and the governments to equip public hospitals with medicine and adequate number of gerontology and geriatricians who will provide specialized medical and social care.
坦桑尼亚老年人对公立医院医疗服务的看法:以坦桑尼亚Kasulu地区为例
显示;患者的认知对医疗保健服务的可及性有影响。当患者对医疗保健服务有积极的看法时,它就会成为在该机构寻求医疗保健服务的激励因素。然而,缺乏药品、医务人员少、就医等待时间长等因素对获得此类服务产生了不利的限制。像其他发展中国家一样,坦桑尼亚的老年人也不能幸免于这些挑战。摘要:医疗环境话语中的感知概念日益成为决定向患者提供服务质量的一个重要方面。本研究的主要目的是评估老年人对坦桑尼亚公立医院提供的医疗保健服务的看法。该研究在基戈马地区的Kasulu区进行,涵盖了Murubona和Rusesa的两个病房,采用实证主义范式作为哲学假设之一的横断面案例研究设计。参与本研究的总人数为57人。其中包括48名老年人、2名护士、3名医生、1名地区医生和3名卫生社会工作者。采用深度访谈、焦点小组讨论、观察等方法收集数据。采用专题法对定性数据进行分析。研究结果显示,长者对公立医院的医疗服务质素持负面看法。缺乏药品和医疗设备、保健工作人员数量不足、保健工作人员的歧视是使老年人对公立医院提供的保健服务质量产生负面看法的主要障碍。该研究强烈建议,卫生工作者的培训应与照顾老年人的客户关怀和社会技能相结合;卫生工作者应遵守职业道德;政府应为公立医院配备药品和足够数量的老年学和老年病学专家,以提供专门的医疗和社会护理。
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