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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Satisfaction of Malaria Patients with Care by Community Health Workers Trained in Microscopy: A Mixed-Methods Study in Palawan, the Philippines
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Satisfaction of Malaria Patients with Care by Community Health Workers Trained in Microscopy: A Mixed-Methods Study in Palawan, the Philippines

机译：疟疾患者的疟疾患者的满意度由培训的训练：Palawan，菲律宾的混合方法研究

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摘要

Palawan is the malaria-endemic province with the highest prevalence of malaria in the Philippines, and microscopists (community health workers) have been allowed to deliver early diagnosis and prompt treatment of malaria throughout the province since 1999. To improve the quality of care, the present mixed-methods study attempted to identify the factors associated with satisfaction of patients in Palawan with their microscopists by analyzing the patients' perspectives. First, a quantitative cross-sectional study was conducted among 48 ex-patients and their nine micros-copists. Ex-patients were asked about their satisfaction with care, and microscopists were asked about their job satis-faction and ability. Structural equation modeling was conducted for data analysis. Second, a qualitative cross-sectional study was performed using narrative interviews. Data were analyzed using the NVivo 10 software program. As a result, both studies revealed high patient satisfaction with microscopists. The quantitative study showed that ex-patients' satisfaction with their microscopists was independently enhanced by two factors: high ability in malaria microscopic observation and low household wealth of the patients. Particularly, specific subpopulations (those with lower household wealth, relatively old people, and ethnic minorities) were more satisfied with the microscopists' care. The qualitative study strengthens this finding by showing that their microscopists offered prompt and precise diagnosis and effective treatment for free. In conclusion, microscopists were shown to have an important role in narrowing the disparities in malaria care in Palawan. It is important to maintain/enhance the ability of microscopists in malaria microscopy to satisfy their patients.
机译：巴拉望是菲律宾疟疾流行率最高的疟疾流行省份，自1999年以来，显微镜师（社区卫生工作者）被允许在该省各地对疟疾进行早期诊断和及时治疗。为了提高护理质量，本混合方法研究试图通过分析患者的观点，确定巴拉望患者对显微镜检查的满意度相关因素。首先，对48名前患者及其9名显微镜检查者进行了定量横断面研究。研究人员询问了退伍军人对护理的满意度，并询问了显微镜师对工作的满意度和能力。数据分析采用结构方程模型。其次，采用叙述性访谈进行定性横断面研究。使用NVivo 10软件程序分析数据。因此，这两项研究都显示，患者对显微镜师的满意度很高。定量研究表明，退伍军人对显微镜师的满意度由两个因素独立提高：疟疾显微镜观察能力高和患者家庭财富低。特别是，特定的亚群体（家庭财富较低、相对老年人和少数民族）对显微镜师的护理更满意。定性研究证实了这一发现，他们的显微镜师免费提供了及时、准确的诊断和有效的治疗。总之，显微镜师在缩小巴拉望疟疾治疗差异方面发挥了重要作用。维持/提高显微镜师在疟疾显微镜检查中满足患者需求的能力非常重要。

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