Providers' View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present.
Providers' View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present.
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DOI：
10.1177/23333928211018335
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发表时间：
2021-01
影响因子：
1.6
通讯作者：
Thompson A
中科院分区：
文献类型：
--
作者：
Shimels T;Getachew A;Tadesse M;Thompson A
移植是终末期肾病患者的最佳治疗方法。在埃塞俄比亚，第一个国家肾移植中心于2015年9月在圣保罗医院千年医学院开业。这项研究的目的是探索提供者过去的观点和经验，以便在这个中心呈现。研究采用定性研究设计，时间为2019年11月1日至12月15日。为了确保合适的调查者提供丰富的研究数据，有目的地选择了8名卫生保健提供者和最高管理层成员进行深入访谈。最大变异抽样方法被认为包括具有代表性的举报人样本。采访被数字录音，并逐字转录。使用定性数据分析(QDA)、Minor Lite软件和Microsoft-Excel对转录数据进行编码和分析。受试者(男5人，女3人)来自肾移植中心不同科室和主医院。最初从所有访谈中产生了8个主要主题和18个副主题，共计109个索引代码。进一步评价和重新编码保留了5个主要主题和14个分主题。主题是：在中心成立期间和之后经历的挑战、承诺、同情和满意、肾移植的结果、提高服务质量的行动，以及移植中心应该如何运作。供应商声称，他们通过适当的承诺和同情心履行责任，而不是关注激励方案。他们还解释说，肾移植将具有与经济、人文和临床方面相关的所有结果。在埃塞俄比亚建立第一个肾移植中心期间和之后，面临着许多挑战。提供者通过对患者的适当同情来履行他们的责任。相关利益相关者应积极合作，提高该中心肾移植服务的质量。
Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul’s Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers’ views and experiences of the past to present at this center. A qualitative study design was employed from 1st November to 15th December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel. The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets. A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.