School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Family Health Development Division, Ministry of Health Malaysia, Putrajaya 62590, Malaysia.
Int J Environ Res Public Health. 2022 Sep 29;19(19):12428. doi: 10.3390/ijerph191912428.
Inadequate men's engagement with health services may be influenced by unmet needs and demands of the local men's community. This study aimed to explore men's experiences with primary health services and their expectations of the characteristics of friendly primary health services, from the perspective of men in Kelantan, Malaysia. A qualitative study using in-depth interviews was conducted with 15 men from six primary health facilities in Kelantan, Malaysia, who were selected based on maximum variation sampling. The data were transcribed and analyzed using the thematic analysis method. The study found that experiences with the existing primary health services were categorized into four subthemes: provision of health services, health promotion delivery, attributes of healthcare providers, and the physical environment of the health facilities. Meanwhile, the expectations of the characteristics of friendly primary health services were categorized into four subthemes: meeting the needs of men in primary health services, approaching men through effective health promotion strategies, standards of a healthcare provider from the viewpoint of men, and a comfortable physical environment for men. Prior experiences hugely influenced men's expectations of friendly primary health services. Men want these health service characteristics customized to meet their needs, allowing them to use health services with confidence and comfort. Thus, to strengthen primary health services for men, it is essential to comprehend their prior experiences with and expectations of the services.
男性参与卫生服务不足可能受到当地男性社区的未满足需求和诉求的影响。本研究旨在从马来西亚吉兰丹男性的角度探讨他们对初级卫生服务的体验以及对友好初级卫生服务特征的期望。本研究采用深度访谈法,对马来西亚吉兰丹的 6 个初级卫生保健机构的 15 名男性进行了定性研究,采用最大变异抽样法进行选择。对数据进行了转录和主题分析方法的分析。研究发现,对现有初级卫生服务的体验可分为四个主题:提供卫生服务、健康促进传递、医疗保健提供者的属性和卫生设施的物理环境。同时,友好的初级卫生服务特征的期望分为四个主题:满足初级卫生服务中男性的需求、通过有效的健康促进策略接近男性、男性对医疗保健提供者的标准、以及为男性提供舒适的物理环境。以往的经历极大地影响了男性对友好初级卫生服务的期望。男性希望这些卫生服务特征能够根据他们的需求进行定制,使他们能够自信和舒适地使用卫生服务。因此,要加强男性的初级卫生服务,就必须了解他们对服务的以往体验和期望。