Agede Olalekan, Daramola Oluwaseun, Joseph Anthony, Jimoh Maryam, Ibrahim Selimat, Bojuwoye Matthew, Sanni Nasiru, Akande Tanimola
Department of Pharmacology and Therapeutics, University of Ilorin, Ilorin, Nigeria.
Department of Medicine, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Malawi Med J. 2025 Jan 13;36(4):276-282. doi: 10.4314/mmj.v36i4.6. eCollection 2025 Jan.
Patient satisfaction is an important indicator used to measure quality of care and the performance of healthcare services. This study assessed patient satisfaction with the quality of hypertension care received by both insured and uninsured patients with systemic hypertension.
This comparative cross-sectional study was conducted among insured and uninsured patients with systemic hypertension attending the Medical Outpatient Department clinics of the University of Ilorin Teaching Hospital, Kwara State, Nigeria, from May to July, 2023. Data were collected from 95 patients from each group, selected by systematic random sampling; using an interviewer-administered, anonymous, structured close ended questionnaire. Different aspects of the healthcare services were assessed; these include patient registration process, waiting time, staff attitudes, laboratory services, availability and cost of prescribed drugs etc. Data analysis was done using Statistical Package for the Social Sciences (SPSS) version 27.0 software.
The insured patients with systemic hypertension had a higher overall mean satisfaction (74.1±20.8) compared to the uninsured group (69.3±23.2), though this was not statistically significant (p value = 0.417). However, the insured patients with systemic hypertension had significant satisfaction scores compared to uninsured hypertensive group in the domains of waiting time (63.6 ± 24.9 vs 48.0 ± 25.8, p=0.000), drug cost and availability (73.9 ± 24.1 vs 56.2 ± 25.0, p=0.000), and cost of service and care (74.1±24.0 vs 59.8±26.0, p=0.000).
This study concluded that both insured and uninsured patients with systemic hypertension had comparable treatment, though the insured group had some better satisfaction scores in some of the assessed healthcare domains. The healthcare policy makers should endeavour to improve health insurance coverage, and utilize identified factors in policy formulation and implementation to encourage utilization of health insurance among patients.
患者满意度是衡量医疗质量和医疗服务绩效的重要指标。本研究评估了有保险和无保险的系统性高血压患者对所接受的高血压护理质量的满意度。
本比较性横断面研究于2023年5月至7月在尼日利亚夸拉州伊洛林大学教学医院门诊部就诊的有保险和无保险的系统性高血压患者中进行。通过系统随机抽样从每组中选取95名患者；使用由访谈员管理的、匿名的、结构化的封闭式问卷收集数据。对医疗服务的不同方面进行了评估；这些方面包括患者登记过程、等待时间、工作人员态度、实验室服务、处方药的可获得性和成本等。使用社会科学统计软件包（SPSS）27.0版软件进行数据分析。
有保险的系统性高血压患者的总体平均满意度（74.1±20.8）高于无保险组（69.3±23.2），尽管这在统计学上不显著（p值 = 0.417）。然而，有保险的系统性高血压患者在等待时间（63.6 ± 24.9对48.0 ± 25.8，p = 0.000）、药品成本和可获得性（73.9 ± 24.1对56.2 ± 25.0，p = 0.000）以及服务和护理成本（74.1±24.0对59.8±26.0，p = 0.000）等领域的满意度得分与无保险的高血压组相比有显著差异。
本研究得出结论，有保险和无保险的系统性高血压患者接受的治疗相当，尽管有保险组在一些评估的医疗领域有更好的满意度得分。医疗政策制定者应努力提高医疗保险覆盖率，并在政策制定和实施中利用已确定的因素来鼓励患者使用医疗保险。
