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首页> 外文期刊>World Journal of Preventive Medicine >Patients’ Satisfaction with Quality of Anti-Retroviral Services in Central Nigeria: Implications for Strengthening Private Health Services
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Patients’ Satisfaction with Quality of Anti-Retroviral Services in Central Nigeria: Implications for Strengthening Private Health Services

机译：尼日利亚中部患者对抗逆转录病毒服务质量的满意度：对加强私人卫生服务的影响

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摘要

Private health sector has the potential to ease the increasing burden on public health resources brought about by scaling-up of HIV treatment and care services. However, quality concerns have limited its role. A cross-sectional study comparing patients’ satisfaction with quality of anti-retroviral services between public and private health-care facilities was carried out. Using an adapted Patient Satisfaction Questionnaire III, exit interviews were conducted for 809 consecutive adult HIV positive patients. Patients spent significantly less time visiting public health facility compared to private health facility. Median time spent waiting to see a doctor in public health facility was half of the time spent in private health facility. Patients on anti-retroviral drugs in public health facility spent significantly less time to collect drugs compared to patients in private health facility. Mean satisfaction scores of patients who attended public health facility were higher than scores of patients who attended private health facility in general satisfaction, technical quality of services provided, interpersonal manner, communication and time spent with doctor domains. Dissatisfaction with antiretroviral services in private health facilities could threaten attainment of anti-retroviral treatment objectives. Private health sector integration into HIV treatment services might improve service delivery and promote good clinical practice.
机译：私人卫生部门有潜力缓解因扩大艾滋病毒治疗和护理服务而增加的公共卫生资源负担。但是，质量问题限制了它的作用。进行了一项横断面研究，比较了公共和私人卫生保健机构对患者对抗逆转录病毒服务质量的满意度。使用经过修改的患者满意度调查表III，对809名连续的成人HIV阳性患者进行了退出访谈。与私人医疗机构相比，患者前往公共医疗机构的时间明显减少。等待在公共卫生机构看医生的时间中位数是在私人卫生机构中花费的时间的一半。与私人医疗机构中的患者相比，在公共医疗机构中使用抗逆转录病毒药物的患者花费的时间大大减少。在总体满意度，所提供服务的技术质量，人际关系方式，沟通以及与医生领域花费的时间方面，参加公共卫生机构的患者的平均满意度得分高于参加私人卫生机构的患者的得分。私人医疗机构对抗逆转录病毒服务的不满可能威胁到抗逆转录病毒治疗目标的实现。将私营卫生部门纳入艾滋病毒治疗服务可能会改善服务的提供并促进良好的临床实践。

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