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

Abstract

Rahel G/egziabher,1 Gashaw Andargie Biks,2 Nigusu Worku,2 Bekalu Endalew,3 Endalkachew Dellie2 1Department of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia; 2Department of Health System and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Public health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, EthiopiaCorrespondence: Bekalu Endalew, Email [email protected]: 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: patient-centered care, public hospitals, South Wollo zone, Ethiopia

Keywords

• patient- centered care
• public hospitals
• south wollo zone
• ethiopia