{"title":"提供者对埃塞俄比亚第一个肾移植中心的看法:从过去到现在的经验。","authors":"Tariku Shimels, Abrham Getachew, Mekdim Tadesse, Alison Thompson","doi":"10.1177/23333928211018335","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul's Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers' views and experiences of the past to present at this center.</p><p><strong>Methods: </strong>A qualitative study design was employed from 1<sup>st</sup> November to 15<sup>th</sup> December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel.</p><p><strong>Result: </strong>The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets.</p><p><strong>Conclusion and recommendation: </strong>A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":" ","pages":"23333928211018335"},"PeriodicalIF":1.5000,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/23333928211018335","citationCount":"2","resultStr":"{\"title\":\"Providers' View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present.\",\"authors\":\"Tariku Shimels, Abrham Getachew, Mekdim Tadesse, Alison Thompson\",\"doi\":\"10.1177/23333928211018335\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul's Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers' views and experiences of the past to present at this center.</p><p><strong>Methods: </strong>A qualitative study design was employed from 1<sup>st</sup> November to 15<sup>th</sup> December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel.</p><p><strong>Result: </strong>The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets.</p><p><strong>Conclusion and recommendation: </strong>A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.</p>\",\"PeriodicalId\":12951,\"journal\":{\"name\":\"Health Services Research and Managerial Epidemiology\",\"volume\":\" \",\"pages\":\"23333928211018335\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2021-05-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1177/23333928211018335\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Services Research and Managerial Epidemiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/23333928211018335\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Research and Managerial Epidemiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23333928211018335","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 2
摘要
移植是终末期肾病患者的最佳治疗方法。2015年9月,埃塞俄比亚圣保罗医院千年医学院开设了第一个国家肾移植中心。本研究的目的是探讨提供者的观点和经验,过去,现在在这个中心。方法:于2019年11月1日至12月15日采用定性研究设计。为了确保适当的信息提供者提供丰富的研究数据,有目的地选择了8名卫生保健提供者和高层管理人员进行深入访谈。考虑采用最大变异抽样方法,以包括具有代表性的举报人样本。采访以数字方式录音,并逐字抄录。转录后的数据使用QDA Minor Lite软件和Microsoft-Excel进行编码和分析。结果:所接触的参与者(男5名,女3名)分别来自肾移植中心和主要医院的不同科室。最初从所有访谈中产生了8个主要主题和18个次级主题,共计109个索引代码。进一步评价和重新编码保留了5个主题和14个副主题。主要主题是;在中心启动期间和之后经历的挑战,承诺,同情和满意度,肾移植的结果,提高服务质量的行动,以及移植中心应该如何运作。供应商声称,他们通过适当的承诺和同情心来履行责任,而不关注激励方案。他们还解释说,肾移植将涉及经济、人文和临床方面的所有结果。结论和建议:在埃塞俄比亚建立第一个肾移植中心期间和之后,面临着许多挑战。提供者通过对病人适当的同情来履行他们的责任。相关利益方应积极合作,提高中心肾移植服务质量。
Providers' View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present.
Introduction: Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul's Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers' views and experiences of the past to present at this center.
Methods: A qualitative study design was employed from 1st November to 15th December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel.
Result: The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets.
Conclusion and recommendation: A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.