埃塞俄比亚亚的斯亚贝巴公立医院抗逆转录病毒治疗诊所患者对实验室服务的满意度
Patients satisfaction with laboratory services at antiretroviral therapy clinics in public hospitals, Addis Ababa, Ethiopia.
作者信息
Mindaye Tedla, Taye Bineyam
机构信息
College of Health Science, School of Clinical Laboratory Science, Addis Ababa University, Addis Ababa, Ethiopia.
出版信息
BMC Res Notes. 2012 Jul 4;5:184. doi: 10.1186/1756-0500-5-184.
BACKGROUND
Despite the fact that Ethiopia has scale up antiretroviral treatment (ART) program, little is known about the patient satisfaction with ART monitoring laboratory services in health facilities. We therefore aimed to assess patient satisfaction with laboratory services at ART clinics in public hospitals.
METHODS
Hospital based, descriptive cross sectional study was conducted from October to November 2010 among clients attending in nine public hospitals ART clinics in Addis Ababa Ethiopia. Patients' satisfaction towards laboratory services was assessed using exit interview structured questionnaire. Data were coded and entered using EPI info 2002 (Centers for Disease Control and Prevention Atlanta, GA) and analyzed using SPSS version 15 software (SPSS INC, Chicago, IL, USA).
RESULTS
A total of 406 clients were involved in the study. Of these 255(62.8%) were females. The overall satisfaction rate for ART monitoring laboratory services was (85.5%). Patients were satisfied with measures taken by health care providers to keep confidentiality and ability of the person drawing blood to answer question (98.3% and 96.3% respectively). Moreover, the finding of this study revealed, statistical significant associations between the overall patients' satisfaction with waiting time to get blood drawing service, availability of ordered laboratory tests and waiting time to get laboratory result with (p < 0.05). Patients receiving blood drawing service less than 30 minute were 7.59 times (95% CI AOR: 3.92-14.70) to be more satisfied with ART monitoring laboratory services compared to those who underwent for more than 30 minutes.
CONCLUSIONS
Overall, the satisfaction survey showed, most respondents were satisfied with ART monitoring laboratory services. However, factors such as improving accessibility and availability of latrines should be taken into consideration in order to improve the overall satisfaction.
背景
尽管埃塞俄比亚已扩大抗逆转录病毒治疗（ART）项目，但对于医疗机构中患者对抗逆转录病毒治疗监测实验室服务的满意度知之甚少。因此，我们旨在评估公立医院抗逆转录病毒治疗诊所患者对实验室服务的满意度。
方法
2010年10月至11月，在埃塞俄比亚亚的斯亚贝巴的9家公立医院抗逆转录病毒治疗诊所就诊的患者中进行了一项基于医院的描述性横断面研究。通过出院访谈结构化问卷评估患者对实验室服务的满意度。数据使用EPI info 2002（美国佐治亚州亚特兰大疾病控制与预防中心）进行编码和录入，并使用SPSS 15版软件（美国伊利诺伊州芝加哥SPSS公司）进行分析。
结果
共有406名患者参与了该研究。其中255名（62.8%）为女性。抗逆转录病毒治疗监测实验室服务的总体满意度为（85.5%）。患者对医护人员采取的保密措施以及采血人员回答问题的能力感到满意（分别为98.3%和96.3%）。此外，本研究结果显示，患者总体满意度与获得采血服务的等待时间、所订购实验室检查的可用性以及获得实验室结果的等待时间之间存在统计学显著关联（p < 0.05）。与等待超过30分钟的患者相比，等待采血服务少于30分钟的患者对抗逆转录病毒治疗监测实验室服务更满意的可能性高7.59倍（95%置信区间AOR：3.92 - 14.70）。
结论
总体而言，满意度调查显示，大多数受访者对抗逆转录病毒治疗监测实验室服务感到满意。然而，为了提高总体满意度，应考虑改善诸如厕所的可达性和可用性等因素。
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