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在尼日利亚西南部的一家三级医院中,医生和患者对患者权利法案的认知和了解。

Awareness and Knowledge of Patients' Bill of Right among Physicians and Patients in a Tertiary Hospital in Southwest Nigeria.

机构信息

Department of Public Law, Faculty of Law, Obafemi Awolowo University, Ile-Ife, Nigeria.

Department of Internal Medicine, University of Medical Sciences, Ondo, Nigeria.

出版信息

West Afr J Med. 2020 Nov;37(6):606-611.

PMID:33185254
Abstract

BACKGROUND

Patients' Bill of Right (PBoR) was launched in Nigeria in 2018 with the aim of improving health service delivery to Nigerians. However, knowledge of PBoR among physicians and patients is pivotal to achieving its laudable objective.

AIM

This study assessed the awareness and knowledge of PBoR and associated factors among physicians and their patients at the University of Medical Sciences Teaching Hospital in Ondo State, Southwest Nigeria.

METHODS

This was a cross-sectional study that assessed awareness and knowledge of PBoR among physicians and patients using questionnaire. Maximum score obtainable was 16 and those with less than 8 were considered as having poor knowledge, 8-12 as good knowledge and 13-16 as excellent knowledge. P value of <0.05 was taken as significant.

RESULTS

Four hundred and fifty-three respondents made up 199 physicians and 254 patients participated in the study. There were 227(50.1%) males and 226(49.9%) females. Amongst the participants, 212(46.8%) were aware of existence of PBoR and 108(23.8%) claimed to be aware of its contents. Physicians and patients with good to excellent knowledge were 60.6% and 21.3 % respectively. The physicians had significantly better knowledge of PBoR compared to patients (p= <0.001). Factors associated with good to excellent knowledge of PBoR were male gender (p= 0.004), higher educational level (p= <0.001), being physician (p= <0.001) and younger age (p= <0.001).

CONCLUSION

Overall level of knowledge of PBoR was unsatisfactory especially among the patients. There is an urgent need for government to adequately educate and sensitize the public on PBoR in order to ensure qualitative health services delivery.

摘要

背景

2018 年,尼日利亚推出了《病人权利法案》(PBoR),旨在改善向尼日利亚人提供的医疗服务。然而,医生和患者对 PBoR 的了解对于实现其值得称赞的目标至关重要。

目的

本研究评估了在尼日利亚西南奥登州大学医学科学教学医院的医生及其患者对 PBoR 的认识和了解及其相关因素。

方法

这是一项横断面研究,使用问卷评估了医生和患者对 PBoR 的认识和了解。可获得的最高得分为 16 分,得分低于 8 分的被认为是知识水平较差,8-12 分的为知识水平较好,13-16 分的为知识水平优秀。P 值小于 0.05 被认为具有统计学意义。

结果

共有 453 名受访者,其中包括 199 名医生和 254 名患者。参与者中有 227 名(50.1%)为男性,226 名(49.9%)为女性。在参与者中,有 212 名(46.8%)知道 PBoR 的存在,有 108 名(23.8%)声称知道其内容。医生和患者的知识水平较好和优秀的比例分别为 60.6%和 21.3%。医生对 PBoR 的了解明显优于患者(p<0.001)。与良好至优秀的 PBoR 知识相关的因素包括男性性别(p=0.004)、较高的教育水平(p<0.001)、医生身份(p<0.001)和年轻年龄(p<0.001)。

结论

总体而言,对 PBoR 的了解程度令人不满意,尤其是在患者中。政府急需对公众进行充分的 PBoR 教育和宣传,以确保提供高质量的医疗服务。

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