慢性病患者对社区医疗保险计划的满意度及相关因素:解释性顺序混合方法研究
Desalew Birhan1, Zewudie Aderaw2, Eskeziaw Agdew1
1Department of Public Health, College of Medicine and Health Sciences, Debremarkos University, Debremarkos, Amhara Region, Ethiopia.
埃塞俄比亚的慢性患者对社区医疗保险 (CBHI) 计划的满意度很低. 影响满意度的关键因素包括药物可用性,等待时间和护理人员的互动,突出了改善医疗保健准入的领域.
科学领域:
- 医疗保健的获取和质量
- 公共卫生倡议 公共卫生倡议
- 卫生经济学 卫生经济学
背景情况:
- 慢性疾病对全球医疗保健系统构成重大挑战.
- 社区医疗保险 (CBHI) 计划旨在改善弱势群体的财务保护.
- 关于埃塞俄比亚慢性患者对CBHI的满意度的数据有限.
研究的目的:
- 评估在埃塞俄比亚加入CBHI计划的慢性患者的满意度.
- 确定有助于或损害慢性患者对这些方案的满意度的因素.
主要方法:
- 进行了一项基于医院的解释性顺序混合方法研究.
- 632名慢性病患者和12名关键信息人员参与了数据收集.
- 使用SPSS分析了定量数据,并进行了定性数据的主题分析.
主要成果:
- 慢性患者对CBHI方案的整体满意度较低 (31%).
- 与满意度显著相关的因素包括护理人员的尊重,对益处的了解,药物可用性,等待时间和实验室测试可用性.
- 类风湿性关节炎是最常见的疾病 (36.4%).
结论:
- 慢性患者的低满意度需要有针对性的干预措施.
- 提高药物和实验室测试的可用性,减少等待时间和加强护理人员互动是至关重要的.
- 未来的研究应该专注于国家代表性的研究,以告知更广泛的政策.
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