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Managing health care in a Libyan public hospital: A case study.

机译：利比亚公立医院的医疗保健管理：一个案例研究。

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摘要

Libyan citizens who can afford private health care are opting out of the public health care system. They have a perception that the quality of public health care has deteriorated. The negative perceptions have resulted in a lack of trust by many of Libyan's citizens in the Libyan public health care system and consequently to unequal access to quality health care. The purpose of this study was to identify the factors that have led to the negative perceptions and mistrust. The conceptual support for the study was based on a construct of trust that defines trust as the state of readiness for unguarded interaction with someone or something. Key research questions examined the role Libyan cultural values and privatization of healthcare might have played in creating the negative perceptions and mistrust of the healthcare and its delivery and whether the perceptions and mistrust varied between the patients and healthcare providers. The research methodology used for this study was a qualitative exploratory single-case study. Fifty participants were interviewed during a one-month period. Responses were coded using ATLAS.ti. Study results provided an understanding of the cultural considerations, the impact of privatization, and the respondents' perceptions of Libyan public health care. Results indicated that respondents demonstrated the capacity to trust but did not consistently have positive perceptions of competence and intention of administrators of the public health care system. The findings suggest that patients view the behavior of providers as an indication of their level of skill. Additionally, respondents perceived that they will have a higher level of service if they have a personal recommendation. The social change implication for this study is that overcoming these negative perceptions and improving trust can lead to equal access to quality health care.
机译：负担得起私人保健服务的利比亚公民选择退出公共保健系统。他们认为公共卫生保健的质量已经下降。消极的看法导致许多利比亚公民对利比亚公共卫生保健系统缺乏信任，因此无法平等获得优质卫生保健。这项研究的目的是确定导致负面看法和不信任的因素。该研究的概念性支持基于信任的结构，该结构将信任定义为不加保护地与某人或某物进行交互的状态。关键的研究问题考察了利比亚文化价值观和医疗保健私有化在造成对医疗保健及其提供的消极看法和不信任中所起的作用，以及患者和医疗保健提供者之间的看法和不信任是否有所不同。本研究使用的研究方法是定性探索性单例研究。在一个月的时间内采访了50名参与者。使用ATLAS.ti对响应进行编码。研究结果使人们了解了文化因素，私有化的影响以及受访者对利比亚公共卫生保健的看法。结果表明，受访者表现出信任的能力，但对公共卫生保健系统管理者的能力和意图始终没有正面的认识。研究结果表明，患者将提供者的行为视为他们技能水平的指标。此外，受访者认为，如果有个人推荐，他们将获得更高的服务水平。这项研究的社会变革意义在于，克服这些负面观念并增强信任可以导致平等获得优质医疗服务。

著录项

  • 作者

    Osborne, Alexandria K.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 366 p.
  • 总页数 366
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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