Gashaw Dagmawit G, Alemu Zewdie Aderaw, Constanzo Freddy, Belay Feben T, Tadesse Yakob W, Muñoz Carla, Rojas Juan Pablo, Alvarado-Livacic Cristobal
National Public Health Emergency Operation Center, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Saint Paul's Hospital, Milennium Medical College, Addis Ababa, Ethiopia.
Front Public Health. 2024 Apr 5;12:1384078. doi: 10.3389/fpubh.2024.1384078. eCollection 2024.
The quality assessment of the home-based isolation and care program (HBIC) relies heavily on patient satisfaction and length of stay. COVID-19 patients who were isolated and received HBIC were monitored through telephone consultations (TC), in-person TC visits, and a self-reporting application. By evaluating patient satisfaction and length of stay in HBIC, healthcare providers could gauge the effectiveness and efficiency of the HBIC program.
A cross-sectional study design enrolled 444 HBIC patients who answered a structured questionnaire. A binary logistic regression model assessed the association between independent variables and patient satisfaction. The length of stay in HBIC was analyzed using Cox regression analysis. The data collection started on April (1-30), 2022, in Addis Ababa, Ethiopia.
The median age was 34, and 247 (55.6%) were females. A greater proportion (313, 70.5%) of the participants had high satisfaction. Higher frequency of calls (>3 calls) (AOR = 2.827, 95% CI = 1.798, 4.443, = 0.000) and those who were symptomatic (AOR = 2.001, 95% CI = 1.289, 3.106, = 0.002) were found to be significant factors for high user satisfaction. Higher frequency of calls (>3 calls) (AHR = 0.537, 95% CI = 0.415, 0.696, = 0.000) and more in-person visits (>1 visit) (AHR = 0.495, 95% CI = 0.322, 0.762, = 0.001) had greater chances to reduce the length of stay in the COVID-19 HBIC.
70.5% of the participants had high satisfaction with the system, and frequent phone call follow-ups on patients' clinical status can significantly improve their satisfaction and length of recovery. An in-person visit is also an invaluable factor in a patient's recovery.
居家隔离与护理项目（HBIC）的质量评估在很大程度上依赖于患者满意度和住院时间。通过电话咨询（TC）、面对面TC访视以及一份自我报告应用程序，对接受HBIC隔离的新冠肺炎患者进行了监测。通过评估患者对HBIC的满意度和住院时间，医疗服务提供者可以衡量HBIC项目的有效性和效率。
一项横断面研究设计纳入了444名回答了结构化问卷的HBIC患者。采用二元逻辑回归模型评估自变量与患者满意度之间的关联。使用Cox回归分析对HBIC的住院时间进行分析。数据收集于2022年4月（1日至30日）在埃塞俄比亚亚的斯亚贝巴开始。
中位年龄为34岁，247名（55.6%）为女性。更大比例（313名，70.5%）的参与者表示高度满意。发现电话拨打频率较高（>3次）（调整后比值比[AOR]=2.827，95%置信区间[CI]=1.798，4.443，P=0.000）以及有症状的患者（AOR=2.001，95%CI=1.289，3.106，P=0.002）是高用户满意度的显著因素。电话拨打频率较高（>3次）（风险比[AHR]=0.537，95%CI=0.415，0.696，P=0.000）以及面对面访视次数较多（>1次）（AHR=0.495，95%CI=0.322，0.762，P=0.001）更有可能缩短新冠肺炎HBIC的住院时间。
70.5%的参与者对该系统高度满意，对患者临床状况进行频繁的电话随访可显著提高其满意度和康复时间。面对面访视也是患者康复的一个重要因素。
