认为以病人为中心的护理和赋予病人权力对加纳提供高质量的保健服务至关重要。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Health SA Gesondheid Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI:10.4102/hsag.v29i0.2608
Ruby V Kodom, Robert T Netangaheni
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引用次数: 0

摘要

背景:不断上升的非传染性疾病病例、不良的健康选择、对卫生系统的不信任、自我用药、疾病对药物的耐药性以及对服务体验的不满,都是实现全民健康覆盖道路上的危险信号。目的:本研究探讨了以患者为中心的护理(PCC)和患者授权(PE)在加纳医疗保健服务提供的背景下的重要性。环境:该研究从大阿克拉地区三家公共卫生保健机构的角度考虑了PCC和PE。方法:采用定性探索性研究方法。本研究采用有目的的抽样来选择医疗保健设施和医疗保健提供者。采用方便抽样方法选择患者。作为数据收集过程的一部分,在三个抽样设施共进行了33次深度访谈和4次焦点小组讨论(fgd)。结果:医疗服务提供者和患者一致认为质量是有效医疗服务的关键。PE和PCC的赋能作用的应用是不精确的,很大程度上留给主观解释。结论:卫生部(MOH)已经认识到,作为护理质量的一个关键指标,患者体验往往不是最佳的,并正在积极努力解决这些弱点。贡献:本研究支持呼吁卫生系统继续致力于实现全民健康覆盖,重点是PCC和PE。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Considering patient-centred care and patient empowerment as essential to quality health care delivery in Ghana.

Background: Rising cases of non-communicable diseases (NCDs), poor health choices, mistrust of the health system, self-medication, resistance of diseases to medication and dissatisfaction with the service experience serve as red flags on the path to Universal Health Coverage (UHC).

Aim: This study explored the importance of patient-centred care (PCC) and patient empowerment (PE) within the context of healthcare service delivery in Ghana.

Setting: The study considered PCC and PE from the perspective of three public healthcare facilities within the Greater Accra region.

Methods: The researcher adopted a qualitative exploratory research approach. The study employed purposive sampling for the selection of healthcare facilities and healthcare providers. Convenience sampling was applied to select patient participants. A total of 33 in-depth interviews and 4 focus group discussions (FGDs) were conducted across the three sampled facilities as part of the data collection process.

Results: Healthcare providers and patients unanimously view quality as essential for effective healthcare delivery. The application of the capacitating role of PE and PCC is inexact and largely left to subjective interpretation.

Conclusion: The Ministry of Health (MOH) has recognised that patient experiences, a key indicator of care quality, have often been suboptimal and is actively working to address these weaknesses.

Contribution: This study supports the call for health systems to remain committed to efforts to achieve UHC, with a focus on PCC and PE.

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来源期刊
Health SA Gesondheid
Health SA Gesondheid HEALTH CARE SCIENCES & SERVICES-
CiteScore
1.40
自引率
11.10%
发文量
77
审稿时长
23 weeks
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