Reasons patients leave their nearest healthcare service to attend Karen Park Clinic, Pretoria North

Reasons patients leave their nearest healthcare service to attend Karen Park Clinic, Pretoria North
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DOI:
10.4102/phcfm.v5i1.559
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发表时间:
2013-10-25
影响因子:
2
通讯作者:
Ndimande JV
Ndimande JV
中科院分区:
其他
文献类型:
--
作者:
Masango-Makgobela AT;Govender I;Ndimande JV

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许多患者从一个医疗保健提供者或设施转移到另一个医疗保健提供者或设施,从而扰乱了增强整体患者护理的连续性。调查患者前往凯伦帕克诊所而不是离家最近的诊所就诊的原因。 2010 年进行了一项横断面描述性研究。向凯伦帕克诊所就诊的 350 名患者填写了问卷,其中包含以下变量:居住地;以前去过离家最近的诊所;最近的诊所提供的服务;以及他们将来前往最近的诊所的意愿。受访者来自 Soshanguve (153; 43.7%)、Mabopane (92; 26.3%)、Garankuwa (29; 8.3%) 和 Hebron (20; 5.7%),大多数是 26-45 岁的女性 (271; 77.4%) (177; 50.6%)。百分之八十 (281) 的患者之前曾去过最近的诊所,其中 54 人 (19.2%) 表示他们不会再回来。其原因是: 等待时间长(88;25.1%);排长队(84;24%);粗鲁的员工(60;17%);且不服用药物(39;11.1%)。大多数到最近诊所就诊的患者都坚决表示不会再回来。有必要减少等待时间,从而减少排长队。这可以通过拥有足够的、满意的医疗保健提供者来提供优质服务并组织管理培训来实现。因此,患者可以被转移到最近的诊所,并且可以通过采购足够的药物来提高医疗中心的容量。有必要跟进患者对工作人员态度的投诉。
Many patients move from one healthcare provider or facility to another, disturbing the continuity that enhances holistic patient care. To investigate the reasons given by patients for attending Karen Park Clinic rather than the clinic nearest to their homes. A cross-sectional descriptive study was conducted during 2010. Three hundred and fifty patients attending Karen Park Clinic were given questionnaires to complete, with the following variables: place of residence; previous attendance at the clinic nearest their home; services available at their nearest clinic; and their willingness to attend their nearest clinic in future. Respondents were from Soshanguve (153; 43.7%), Mabopane (92; 26.3%), Garankuwa (29; 8.3%) and Hebron (20; 5.7%) and most were women (271; 77.4%) aged 26–45 (177; 50.6%). Eighty per cent (281) of the patients had visited their nearest clinic previously and 54 of these (19.2%) said they would not return. The reasons for this were: long waiting time (88; 25.1%); long queues (84; 24%); rude staff (60; 17%); and no medication (39; 11.1%). The majority of patients who had attended their nearest clinic were adamant that they would not return. It is necessary to reduce waiting times, thus reducing long queues. This can be achieved by having adequate, satisfied healthcare providers to render a quality service and by organising training for management. Patients can thus be redirected to their nearest clinic and the health centre's capacity can be increased by procuring adequate drugs. There is a need to follow up on patients’ complaints about staff attitudes.