一项探索加纳教学医院老年患者使用门诊医疗服务体验的定性研究。
A Qualitative Study to Explore the Experiences of Older People Utilising Outpatient Healthcare Services from a Teaching Hospital in Ghana.
机构信息
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Volta Region, Ho, Ghana.
Department of Nursing, College of Health Sciences, PMB, KNUST, Kumasi, Ghana.
出版信息
Biomed Res Int. 2020 Oct 3;2020:2593795. doi: 10.1155/2020/2593795. eCollection 2020.
BACKGROUND
Empirical evidence suggests that when older people are provided with quality and affordable healthcare services, their health status can be improved. However, in low- and middle-income countries, healthcare services may not be fully resourced, leading to difficulties for older people utilising those services. There is a paucity of research studies regarding the experiences of older persons accessing healthcare services in sub-Saharan Africa including Ghana.
AIM
The purpose of this study was to explore and describe the experiences of older people utilising outpatient healthcare services from a Teaching hospital in Ghana.
METHODS
This study adopted a descriptive qualitative approach to describe the experiences of older persons utilising outpatient healthcare services. Participants included a total of twelve older people between the ages of 60 and 80 years who utilised outpatient healthcare services at the hospital. A semistructured interview guide was used to conduct interviews with participants, and their views were analysed into descriptive themes.
RESULTS
The results in this study showed that the participants experienced the following in utilising outpatient healthcare services: long waiting hours in accessing outpatient healthcare, poor attitudes from health staff, lack of drugs from the healthcare facility, inadequate information from health staff in the healthcare facility, lack of specialist care at the healthcare facility, and high confidence and trust in the efficacy of the orthodox healthcare.
CONCLUSION
The findings from this qualitative study demonstrated that the participants encountered some challenges in accessing outpatient healthcare services. There is the need for government and other stakeholders to address the challenges encountered by older people in accessing healthcare in order to facilitate the utilisation of healthcare among older persons for better health outcomes.
背景
经验证据表明，为老年人提供优质且负担得起的医疗保健服务可以改善他们的健康状况。然而，在低收入和中等收入国家，医疗保健服务可能没有得到充分的资源支持，导致老年人难以利用这些服务。关于撒哈拉以南非洲（包括加纳）老年人获得医疗保健服务的经验，研究相对较少。
目的
本研究旨在探索和描述加纳一家教学医院的老年患者使用门诊医疗保健服务的体验。
方法
本研究采用描述性定性方法来描述老年人使用门诊医疗保健服务的体验。参与者包括总共 12 名年龄在 60 岁至 80 岁之间的老年人，他们在该医院使用门诊医疗保健服务。使用半结构化访谈指南对参与者进行访谈，并将他们的观点分析为描述性主题。
结果
本研究的结果表明，参与者在使用门诊医疗保健服务时经历了以下情况：长时间等待才能获得门诊医疗保健、医护人员态度不佳、医疗机构缺乏药物、医疗机构医护人员提供的信息不足、医疗机构缺乏专科护理、对传统医疗保健的疗效高度信任和信心。
结论
这项定性研究的结果表明，参与者在获得门诊医疗保健服务方面遇到了一些挑战。政府和其他利益相关者需要解决老年人在获得医疗保健方面遇到的挑战，以促进老年人更好地利用医疗保健，获得更好的健康结果。
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