'We Tried to Borrow Money, but No One Helped.' Assessing the Three-Delay Model Factors Affecting the Healthcare Service Delivery among Dengue Patients during COVID-19 Surge in a Public Tertiary Hospital: A Convergent Parallel Mixed Methods Study
| Autor: | Richard Paul, Zypher Jude G. Regencia, Epifania S. Simbul, Antonio D. Ligsay, Michelle Joyce M. Aytona, Kristan Jela M. Tambio, Maurice Lee B. Santos, Grecebio Jonathan D. Alejandro, Emmanuel S. Baja |
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| Přispěvatelé: | University of Santo Tomas [Manila, Philippines], National Children’s Hospital [New Manila, Philippines], Génétique fonctionnelle des maladies infectieuses - Functional Genetics of Infectious Diseases, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), University of the Philippines (UP System) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Health Toxicology and Mutagenesis Philippines Psychological intervention MESH: Delivery of Health Care MESH: Dengue Article Dengue fever Tertiary Care Centers [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases MESH: Child medicine Humans MESH: COVID-19 three-delay model MESH: SARS-CoV-2 Child Service (business) MESH: Tertiary Care Centers [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases MESH: Humans business.industry SARS-CoV-2 Public Health Environmental and Occupational Health COVID-19 medicine.disease dengue delay to care Identification (information) healthcare service delivery Family medicine Survey data collection Medicine [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Thematic analysis Healthcare service business Delivery of Health Care |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 11851, p 11851 (2021) International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, 2021, 18 (22), pp.11851. ⟨10.3390/ijerph182211851⟩ Volume 18 Issue 22 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Identification of delay barriers to care is essential for an effective and efficient healthcare service delivery. In this study, we described the delay in care among parents of the patients seeking treatment for dengue. We also examined the factors affecting the severity of dengue (dengue with warning signs severe dengue). A convergent parallel design mixed-method approach using Key Informant Interviews (KII) and a survey guided by the Three-Delay Model were conducted among 24 respondents at the National Children’s Hospital (NCH). Coding and thematic analysis using NVIVO and bivariable generalized linear models with a Poisson distribution and robust variance were utilized to analyze the KII transcripts and survey data, respectively. Results showed that financial constraints and previous dengue infection (first delay), mode of transportation, traffic density, and location (second delay), and hospital capacity (third delay) influenced the overall delay uncertainty in seeking care treatment for dengue infection. Furthermore, our bivariable analysis showed that travel time to NCH and place of residency, service given from previous health facilities, and parents’ educational background were associated and played a role in the severity of dengue infection. Interventions focused on the identified factors contributing to delayed care should be made to avoid unwanted clinical outcomes. |
| Databáze: | OpenAIRE |
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