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. 2018 Jul 1;30(6):472-479.
doi: 10.1093/intqhc/mzy052.

Comparison of objective measures and patients' perceptions of quality of services in government health facilities in the Democratic Republic of Congo

Janna M Wisniewski  1 , Mark L Diana  1 , Valerie A Yeager  2 , David R Hotchkiss  3
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Comparison of objective measures and patients' perceptions of quality of services in government health facilities in the Democratic Republic of Congo

Janna M Wisniewski et al. Int J Qual Health Care. .

Abstract

Objective: Examine the relationship between patients' perceptions of quality and the objective level of quality at government health facilities, and determine whether the pre-existing attitudes and beliefs of patients regarding health services interfere with their ability to accurately assess quality of care.

Design: Cross-sectional, visit-level analysis.

Setting: Three regions (Nord-Ubangi, Kasai/Kasai-Central and Maniema/Tshopo) of the Democratic Republic of Congo.

Participants: Data related to the inpatient and outpatient visits to government health facilities made by all household members who were included in the survey was used for the analysis. Data were collected from patients and the facilities they visited.

Main outcome measures: Patients' perceptions of the level of quality related to availability of drugs and equipment; patient-centeredness and safety serve compared with objective measures of quality.

Results: Objective measures and patient perceptions of the drug supply were positively associated (β = 0.16, 95% CI = 0.03, 0.28) and of safety were negatively associated (β = -0.12, 95% CI = -0.23, -0.01). Several environmental factors including facility type, region and rural/peri-urban setting were found to be significantly associated with respondents' perceptions of quality across multiple outcomes.

Conclusions: Overall, patients are not particularly accurate in their assessments of quality because their perceptions are impacted by their expectations and prior experience. Future research should examine whether improving patients' knowledge of what they should expect from health services, and the transparency of the facility's quality data can be a strategy for improving the accuracy of patients' assessments of the quality of the health services, particularly in low-resourced settings.

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References

    1. Hafner T, Shiffman J. The emergence of global attention to health systems strengthening. Health Policy Plan 2013;28:41–50. - PubMed
    1. Oleribe O, Crossey M, Taylor-Robinson S. Sustainable Health Development Goals: breaking down the walls. Pan Afr Med J 2015;22:306 http://www.panafrican-med-journal.com/content/article/22/306/full/#.WAAE.... - PMC - PubMed
    1. Global Health Initiative Democratic Republic of Congo Strategy 2011−2014. Washington, DC: United States Agency for International Development, 2011.
    1. World Health Organization Everybody’s Business: Strengthening Health Systems to Improve Clinical Outcomes. Geneva, Switzerland: World Health Organization, 2007.
    1. Institute of Medicine Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press, 2001. - PubMed

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