Finding Out the Possibilities of Improving OPD Services

Heenatimulla Sdk, Deepthi Wkc, N. Samarawickrama, Wijesinghe Ak, M. Mru
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Abstract

Introduction: National Hospital for Respiratory Diseases (NHRD) at Welisara is the Premier tertiary care hospital in Sri Lanka for respiratory diseases. No studies have been done in its OPD set up to collect data which could have been invaluable for future planning and implementation. This study was done to gather such vital information in view of improving services rendered by NHRD OPD. Few parameters like socio-demographic details, distance to the hospital, cost for the visit, having a referral letter given by a doctor, number of persons accompanied the patient and reasons to visit NHRD were studied.Methodology: This was a descriptive cross sectional study of patients who attended OPD of NHRD. Interviewer administered questionnaire was given to randomly selected 420 patients who were above 18 years of age and who were on their first visit to the hospital.Results: Majority of patients were less educated and were coming from a low socio-economic background. Both sexes presented equally to the OPD. 68% of patients were coming from within 20 km of distance from the hospital and for 62%, the cost for the visit was found to be 200 rupees or less. Only for 7% of people, NHRD was the nearest hospital. 95% of patients has presented with respiratory related conditions while only 2% had a referral letter with them. Most of the patients (around 80%) were accompanied by 2 or 3 persons. More than 70% visited NHRD due to its reputation as the leading hospital in the country for respiratory diseases.Conclusion: Middle aged less educated people with a low socio-economic status were the people who mostly visited the NHRD OPD. Most had respiratory system related presenting complaints. This is of significance and should be considered in giving health education to these patients. Majority of the patients resided close by to the hospital and their cost for the visit roughly showed similarities to the distances they travel. Though most patients visit NHRD after using nearby health facilities, lack of a proper referral system and accompained too many people can worsen the overcrowding at OPD. Strengthening the usage of nearby healthcare facilities can reduce this as NHRD was found to be the nearest hospital for very few of this population. Most common reason for visiting NHRD OPD was the reputation NHRD has gained as the leading hospital of the country for Respiratory disease, which should be conserved.
探索改善门诊服务的可能性
简介:位于威利萨拉的国家呼吸疾病医院(NHRD)是斯里兰卡首屈一指的呼吸疾病三级护理医院。在其OPD设置中没有进行任何研究,以收集可能对未来规划和执行具有宝贵价值的数据。这项研究是为了收集这些重要的资料,以改进人权和发展司提供的服务。对诸如社会人口统计细节、到医院的距离、就诊费用、是否有医生提供的转诊信、陪同患者的人数以及访问人权发展中心的原因等参数进行了研究。研究方法:这是一项描述性横断面研究,研究对象是参加NHRD门诊的患者。对随机选择的420名18岁以上首次就诊的患者进行问卷调查。结果:大多数患者受教育程度较低,来自低社会经济背景。两性在门诊一视同仁。68%的患者来自距离医院20公里以内的地方,62%的患者就诊费用为200卢比或更少。只有7%的人是最近的医院。95%的患者表现出呼吸相关疾病,而只有2%的患者有转诊信。多数患者(约80%)伴有2 ~ 3人。超过70%的人访问了NHRD,因为它是该国领先的呼吸系统疾病医院。结论:社会经济地位低、受教育程度低的中年人群是NHRD门诊就诊的主要人群。大多数有呼吸系统相关的主诉。这在对这些患者进行健康教育时具有重要意义。大多数患者住在离医院很近的地方,他们就诊的费用与他们出行的距离大致相似。虽然大多数患者在使用附近的卫生设施后访问国家人权中心,但缺乏适当的转诊系统和陪同的人太多可能会加剧门诊人满为患的情况。加强对附近卫生保健设施的利用可以减少这种情况,因为对这些人口中极少数人来说,国家人权发展中心是最近的医院。访问NHRD门诊的最常见原因是NHRD作为全国呼吸疾病领先医院的声誉,应该保持。
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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