Kodom Ruby V, Netangaheni Robert T
Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.
Department of Health Services Management/DE, School of Continuing and Distance Education, University of Ghana, Accra, Ghana.
Health SA. 2024 Nov 14;29:2608. doi: 10.4102/hsag.v29i0.2608. eCollection 2024.
Rising cases of non-communicable diseases (NCDs), poor health choices, mistrust of the health system, self-medication, resistance of diseases to medication and dissatisfaction with the service experience serve as red flags on the path to Universal Health Coverage (UHC).
This study explored the importance of patient-centred care (PCC) and patient empowerment (PE) within the context of healthcare service delivery in Ghana.
The study considered PCC and PE from the perspective of three public healthcare facilities within the Greater Accra region.
The researcher adopted a qualitative exploratory research approach. The study employed purposive sampling for the selection of healthcare facilities and healthcare providers. Convenience sampling was applied to select patient participants. A total of 33 in-depth interviews and 4 focus group discussions (FGDs) were conducted across the three sampled facilities as part of the data collection process.
Healthcare providers and patients unanimously view quality as essential for effective healthcare delivery. The application of the capacitating role of PE and PCC is inexact and largely left to subjective interpretation.
The Ministry of Health (MOH) has recognised that patient experiences, a key indicator of care quality, have often been suboptimal and is actively working to address these weaknesses.
This study supports the call for health systems to remain committed to efforts to achieve UHC, with a focus on PCC and PE.
非传染性疾病（NCDs）病例不断增加、健康选择不佳、对卫生系统缺乏信任、自我用药、疾病对药物产生耐药性以及对服务体验不满，这些都是实现全民健康覆盖（UHC）道路上的危险信号。
本研究探讨了以患者为中心的护理（PCC）和患者赋权（PE）在加纳医疗服务提供背景下的重要性。
本研究从大阿克拉地区的三家公共医疗机构的角度考虑了PCC和PE。
研究人员采用了定性探索性研究方法。该研究采用目的抽样法选择医疗机构和医疗服务提供者。采用便利抽样法选择患者参与者。作为数据收集过程的一部分，在三个抽样机构共进行了33次深入访谈和4次焦点小组讨论（FGD）。
医疗服务提供者和患者一致认为质量是有效提供医疗服务的关键。PE和PCC的赋能作用应用不精确，很大程度上取决于主观解释。
加纳卫生部（MOH）已经认识到，患者体验作为护理质量的关键指标，往往不尽人意，并正在积极努力解决这些弱点。
本研究支持呼吁卫生系统继续致力于实现全民健康覆盖的努力，重点是PCC和PE。
