Utilization of day surgery services at upper hill medical centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness
| Autor: | Rachel Waireri-Onyango, Susan Njuguna, Josephat Mulimba, P M Ngugi, Mildred Adhiambo Odhiambo |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study Service delivery framework Developing country Health Services Accessibility Statistics Nonparametric patient awareness medical providers Day surgery health system medical providers medical insurance providers in patient patient awareness cost and utilization Physicians Surveys and Questionnaires Health care Humans Medicine health system In patient lcsh:R5-920 business.industry lcsh:Public aspects of medicine Research cost and utilization lcsh:RA1-1270 Patient Preference medical insurance providers Health Care Costs General Medicine Awareness Ambulatory Surgical Procedure medicine.disease Kenya in patient Surgery Cross-Sectional Studies Ambulatory Surgical Procedures Day surgery Medical emergency lcsh:Medicine (General) business Patient awareness Delivery of Health Care Developed country |
| Zdroj: | The Pan African Medical Journal The Pan African Medical Journal, Vol 22, Iss 28 (2015) Pan African Medical Journal; Vol 22, No 1 (2015) |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2015.22.28.4913 |
| Popis: | Introduction : Health systems face challenges of improving access to health services due to rising health care costs. Innovative services such as day surgery would improve service delivery. Day surgery is a concept where patients are admitted for surgical procedures and discharged the same day. Though used widely in developed countries due to its advantages, utilization in developing countries has been low. This study sought to establish how utilization of day surgery services was influenced by medical providers, patient awareness and cost among other factors. Methods : The study design was cross sectional with self administered questionnaires used to collect data. Data analysis was done by using statistical package for social science (SPSS) and presented as frequencies, percentages and Spearman's correlation to establish relationship among variables. Results : Medical providers included doctors, their employees and medical insurance providers. Most doctors were aware of day surgery services but their frequency of utilization was low. Furthermore, medical insurance providers approved only half of the requests for day surgery. Doctors' employees were aware of the services and most of them would recommend it to patients. Although, most patients were not aware of day surgery services those who were aware would prefer day surgery to in patient. Moreover, doctors and medical insurance providers considered day surgery to be cheaper than in patient. Conclusion: The study showed that medical providers and patient awareness had influence over day surgery utilization, though, cost alone did not influence day surgery utilization but as a combination with other factors. Key words : Day surgery, health system, medical providers, medical insurance providers, in patient, patient awareness, cost and utilization |
| Databáze: | OpenAIRE |
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