Kiguli Julie, Ekirapa-Kiracho Elizabeth, Okui Olico, Mutebi Aloysius, Macgregor Hayley, Pariyo George William
Makerere University School of Public Health, Kampala, Uganda;
Patient Prefer Adherence. 2009 Nov 3;3:77-85. doi: 10.2147/ppa.s4091.
This paper examines the community's perspectives and perceptions on quality of health care delivery in two Uganda districts. The paper addresses community concerns on service quality. It focuses on the poor because they are a vulnerable group and often bear a huge burden of disease. Community views were solicited and obtained using eight focus group discussions, six in-depth and 12 key informant interviews. User perceptions and definitions of the quality of health services depended on a number of variables related to technical competence, accessibility to services, interpersonal relations and presence of adequate drugs, supplies, staff, and facility amenities. Results indicate that service delivery to the poor in the general population is perceived to be of low quality. The factors that were mentioned as affecting the quality of services delivered were inadequate trained health workers, shortage of essential drugs, poor attitude of the health workers, and long distances to health facilities. This paper argues that there should be an improvement in the quality of health services with particular attention being paid to the poor. Despite wide focus on improvement of the existing infrastructure and donor funding, there is still low satisfaction with health services and poor perceived accessibility.
本文探讨了乌干达两个地区社区对医疗服务质量的看法和认知。该论文关注社区对服务质量的担忧。它聚焦于贫困人口，因为他们是弱势群体，且往往承担着巨大的疾病负担。通过八次焦点小组讨论、六次深度访谈和十二次关键 informant 访谈来征求和获取社区意见。用户对卫生服务质量的认知和定义取决于一些与技术能力、服务可及性、人际关系以及是否有充足药品、物资、工作人员和设施便利设施相关的变量。结果表明，普通人群中向贫困人口提供的服务被认为质量较低。被提及影响所提供服务质量的因素包括卫生工作者培训不足、基本药物短缺、卫生工作者态度恶劣以及到卫生设施的距离较远。本文认为应提高卫生服务质量，尤其要关注贫困人口。尽管广泛关注改善现有基础设施和 donor 资金，但对卫生服务的满意度仍然较低，且可及性较差。
