The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients
Background: A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle inc...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | International Journal of Africa Nursing Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221413912400146X |
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| author | Mary Aleni Edson Mwebesa Deus Twesigye Monicah Andru Mildred Edna Assusi Irene Atuhairwe Allan G. Nsubuga Helen Ewing Abbey Roepke |
| author_facet | Mary Aleni Edson Mwebesa Deus Twesigye Monicah Andru Mildred Edna Assusi Irene Atuhairwe Allan G. Nsubuga Helen Ewing Abbey Roepke |
| author_sort | Mary Aleni |
| collection | DOAJ |
| description | Background: A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle income countries. Purpose: To evaluate patients’ perceptions of PCC and identify the factors influencing perceived PCC at a large referral hospital in Northwestern Uganda. Materials and Methods: We conducted a descriptive cross-sectional correlational study. Four hundred and eighty (480) patients or their attendants participated in the study. Data was collected using an interviewer administered questionnaire. Statistical analysis was applied at univariate, bivariate and multivariate levels using Stata V.14 to assess the state of PCC, patient perceptions and factors associated with perceived PCC. Results: Sixty five percent (64.8 %) of the participants perceived they received PCC. Most of the dimensions of PCC were rated high on a 5-point Likert scale, with respect for patient’s values and preferences ranked highest; mean score of 3.9 (SD = 0.9) and coordination of care ranked lowest, mean score of 3.5 (SD = 0.9). Being outpatient, single or never in union had a reduced perception score of PCC. Patients who had heard of PCC had a higher perception of PCC. Conclusion: Patient-Centered Care was rated optimally at ARRH. All the PCC dimensions were rated highly except coordination of care and information, education and communication which could be improved by building the capacity of health workers in effective communication and coordination of health care services. |
| format | Article |
| id | doaj-art-fe2be7bbbf5d483e9c2dba9ebd5954a3 |
| institution | DOAJ |
| issn | 2214-1391 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj-art-fe2be7bbbf5d483e9c2dba9ebd5954a32025-08-20T02:45:50ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912024-01-012110080010.1016/j.ijans.2024.100800The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patientsMary Aleni0Edson Mwebesa1Deus Twesigye2Monicah Andru3Mildred Edna Assusi4Irene Atuhairwe5Allan G. Nsubuga6Helen Ewing7Abbey Roepke8Department of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua, Uganda; Corresponding author.Department of Mathematics, Faculty of Science, Muni University, Arua, UgandaDepartment of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua, UgandaDepartment of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua, UgandaDepartment of Nursing and Midwifery, Faculty of Health Sciences, Muni University, Arua, UgandaSeed Global Health, UgandaSeed Global Health, UgandaSeed Global Health, Boston, USASchool of Nursing, Family Health Care Nursing, University of California San Francisco, USABackground: A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle income countries. Purpose: To evaluate patients’ perceptions of PCC and identify the factors influencing perceived PCC at a large referral hospital in Northwestern Uganda. Materials and Methods: We conducted a descriptive cross-sectional correlational study. Four hundred and eighty (480) patients or their attendants participated in the study. Data was collected using an interviewer administered questionnaire. Statistical analysis was applied at univariate, bivariate and multivariate levels using Stata V.14 to assess the state of PCC, patient perceptions and factors associated with perceived PCC. Results: Sixty five percent (64.8 %) of the participants perceived they received PCC. Most of the dimensions of PCC were rated high on a 5-point Likert scale, with respect for patient’s values and preferences ranked highest; mean score of 3.9 (SD = 0.9) and coordination of care ranked lowest, mean score of 3.5 (SD = 0.9). Being outpatient, single or never in union had a reduced perception score of PCC. Patients who had heard of PCC had a higher perception of PCC. Conclusion: Patient-Centered Care was rated optimally at ARRH. All the PCC dimensions were rated highly except coordination of care and information, education and communication which could be improved by building the capacity of health workers in effective communication and coordination of health care services.http://www.sciencedirect.com/science/article/pii/S221413912400146XPatient-centered carePerson-centered carePatient perception of carePatient satisfaction |
| spellingShingle | Mary Aleni Edson Mwebesa Deus Twesigye Monicah Andru Mildred Edna Assusi Irene Atuhairwe Allan G. Nsubuga Helen Ewing Abbey Roepke The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients International Journal of Africa Nursing Sciences Patient-centered care Person-centered care Patient perception of care Patient satisfaction |
| title | The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients |
| title_full | The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients |
| title_fullStr | The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients |
| title_full_unstemmed | The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients |
| title_short | The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients |
| title_sort | state of patient centered care and associated factors at a large referral hospital in northwestern uganda perceptions of patients |
| topic | Patient-centered care Person-centered care Patient perception of care Patient satisfaction |
| url | http://www.sciencedirect.com/science/article/pii/S221413912400146X |
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