Open AccessQuality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia
Author(s) -
Balkew Asegidew Tegegn,
Betregiorgis Zegeye Hailu,
Birhanu Damtew Tsegaye,
Gashaw Garedew Woldeamanuel,
Wassie Negash
Publication year - 2020
Publication title -
ethiopian journal of health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.479
H-Index - 20
eISSN - 2413-7170
pISSN - 1029-1857
DOI - 10.4314/ejhs.v30i5.5
Subject(s) - medicine , tuberculosis , logistic regression , audit , family medicine , public health , cross sectional study , health care , health facility , patient satisfaction , environmental health , health services , nursing , population , management , pathology , economics , economic growth
Background Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among public hospitals. Methods A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients' satisfaction. Results In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patient satisfaction towards TB care [AOR = 0.217, p = 0.015]. Conclusion Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB.