南非约翰内斯堡一个分区的患者对抗逆转录病毒治疗、结核病和孕产妇保健服务可接受性的看法。
Patients' perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa.
作者信息
Bucyibaruta Blaise Joy, Eyles John, Harris Bronwyn, Kabera Gaëtan, Oboirien Kafayat, Ngyende Benon
机构信息
Centre for Health Policy, School of Public Health, University of the Witwatersrand, Private Bag 2, Wits 2050, Johannesburg, South Africa.
Department of Homoeopathy, Faculty of Health Sciences, University of Johannesburg, 55 Beit St, Johannesburg, 2028, South Africa.
出版信息
BMC Health Serv Res. 2018 Nov 7;18(1):839. doi: 10.1186/s12913-018-3625-5.
BACKGROUND
The field of acceptability of health services is emerging and growing in coherence. But there are gaps, including relatively little integration of elements of acceptability. This study attempted to analyse collectively three elements of acceptability namely: patient-provider, patient-service organisation and patient-community interactions.
METHODS
Mixed methods were used to analyse secondary data collected as part of the Researching Equity in Access to Health Care (REACH) study of access to tuberculosis (TB) treatment, antiretroviral therapy (ART) and maternal health (MH) services in South Africa's public health sector.
RESULTS
Provider acceptability was consistently high across all the three tracer services at 97.6% (ART), 96.6% (TB) and 96.4% (MH). Service acceptability was high only for TB tracer (70.1%). Community acceptability was high for both TB (83.6%) and MH (96.8%) tracers.
CONCLUSION
Through mixed methods, this paper provides a nuanced view of acceptability of health services.
背景
卫生服务可接受性领域正在兴起且日益连贯。但仍存在差距，包括可接受性要素的整合相对较少。本研究试图综合分析可接受性的三个要素，即：患者与提供者、患者与服务机构以及患者与社区的互动。
方法
采用混合方法分析作为南非公共卫生部门结核病（TB）治疗、抗逆转录病毒疗法（ART）和孕产妇保健（MH）服务可及性公平性研究（REACH）一部分收集的二手数据。
结果
在所有三种追踪服务中，提供者可接受性一直很高，ART为97.6%，TB为96.6%，MH为96.4%。仅TB追踪服务的服务可接受性较高（70.1%）。TB（83.6%）和MH（96.8%）追踪服务的社区可接受性都较高。
结论
通过混合方法，本文对卫生服务的可接受性提供了细致入微的见解。
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