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. 2022 Feb 9:16:333-342.
doi: 10.2147/PPA.S346000. eCollection 2022.

Patient-Centered Care and Associated Factors among Adult Admitted Patients in South Wollo Public Hospitals, Northeast Ethiopia

Rahel G/Egziabher  1 , Gashaw Andargie Biks  2 , Nigusu Worku  2 , Bekalu Endalew  3 , Endalkachew Dellie  2
Affiliations

Patient-Centered Care and Associated Factors among Adult Admitted Patients in South Wollo Public Hospitals, Northeast Ethiopia

Rahel G/Egziabher et al. Patient Prefer Adherence. .

Abstract

Background: The US Institute of Medicine's "quality chasm" report defined patient-centered care as care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions. Services that lack patient-centered care lead to unimproved health status, decreased patient and family satisfaction, and poor patient outcomes. Therefore, this study aimed to assess patient-centered care and associated factors among admitted patients in South Wollo public hospitals in northeast Ethiopia.

Methods: This was a facility-based quantitative cross-sectional study design supplemented with qualitative analysis conducted from February 10 to March 10, 2020 across South Wollo public hospitals. A total of 618 admitted patients were selected using multistage systematic random sampling and interviewed using a structured questionnaire. Five health professionals were selected for in-depth interviews. Binary logistic regression analysis was carried out to identify associated variables, and potential confounders were controlled using a multivariate logistic regression model, and P<0.05 was considered significant.

Results: Overall, 60.9% (95% CI 57.1%-64.5%) of patients received patient-centered care. Age 25-35 years (AOR 0.39, 95% CI 0.32-0.64) years, rural residence (AOR 2.61, 95% CI 1.62-4.02), social well-being (AOR 2.34, 95% CI 1.45-3.78), perceived high quality of care (AOR 3.69, 95% CI 2.07-6.04), length of stay (AOR 0.13, 95% CI 0.02-0.79), and routine checkups (AOR 1.92, 95% CI 1.15-3.13) were variables significantly associated with patient-centered care.

Conclusion: This study revealed that among admitted patients, three in five received patient-centered care. Age, residence, social well-being, length of stay, perceived quality of care, and routine checkups were significantly associated with patient-centered care. Therefore, working on provider improvements in providing consultation and facilitation and decreasing length of stay to improve patient-centered care is needed.

Keywords: Ethiopia; South Wollo zone; patient-centered care; public hospitals.

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Conflict of interest statement

The authors declare that they have no conflicts of interest for this work.

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