Home-based care for noncommunicable diseases and patient satisfaction: A community-based cross-sectional study from Tamil Nadu, India

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL

International Journal of Noncommunicable Diseases Pub Date : 2023-04-01 DOI:10.4103/jncd.jncd_16_23

Ganga Ravichandran, J. Olickal

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Abstract

Background and Aims: In Tamil Nadu, India, the government has launched a home-based noncommunicable diseases (NCDs) care scheme to deliver health services at the doorstep of the beneficiaries. Hence, this study aimed to determine patient satisfaction and the factors associated with home-based care for diabetes and hypertension. Methodology: This community-based cross-sectional study was conducted from April to May 2022. The sample size was 427, and the participants were selected by a simple random sampling method. We used the Patient Satisfaction Questionnaire-18 to assess satisfaction. Results: The overall satisfaction score was 3.63 (0.44). Mean (standard deviation) satisfaction was highest in the financial aspect and the lowest in accessibility and convenience. The prevalence of adequate satisfaction with home-based care was 57% (95% confidence interval [CI]: 51.8%–61.4%). Participants belonging to social class 2 (adjusted prevalence ratio [aPR] = 1.5, 95% CI: 1.15–1.96), P = 0.002), having a duration of NCD between 1 and 5 years (aPR = 1.45, 95% CI: 1.10–1.92, P = 0.008), and not delivering all drugs for NCDs (aPR = 1.37, 95% CI: 1.05–1.80, P = 0.021) were significantly associated with inadequate satisfaction. However, 90% of the participants were willing to continue home-based NCD care. Conclusion: Overall, patient satisfaction was 57%. Measures to distribute all the medication and routine monitoring of the scheme are necessary.

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非传染性疾病家庭护理与患者满意度:来自印度泰米尔纳德邦的社区横断面研究

背景和目标：在印度泰米尔纳德邦，政府启动了一项基于家庭的非传染性疾病护理计划，在受益人家门口提供医疗服务。因此，本研究旨在确定糖尿病和高血压患者的满意度以及与家庭护理相关的因素。方法：这项基于社区的横断面研究于2022年4月至5月进行。样本量为427人，参与者通过简单的随机抽样方法进行选择。我们使用患者满意度调查表18来评估满意度。结果：总体满意度得分为3.63（0.44），平均（标准差）满意度在财务方面最高，在可及性和便利性方面最低。对家庭护理足够满意的患病率为57%（95%置信区间[CI]:51.8%-61.4%）。属于社会类别2的参与者（调整后的患病率[aPR]=1.5，95%CI:1.15-1.96），P=0.002），NCD持续时间在1-5年之间（aPR=1.45，95%CI:1.10-1.92，P=0.008），和未提供所有非传染性疾病药物（aPR=1.37，95%CI:1.05-1.80，P=0.021）与满意度不足显著相关。然而，90%的参与者愿意继续以家庭为基础的非传染性疾病护理。结论：总体而言，患者满意度为57%。分发所有药物的措施和对该计划的常规监测是必要的。

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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来源期刊

International Journal of Noncommunicable Diseases Multiple-

自引率

0.00%

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审稿时长

20 weeks