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- W2440985089 abstract "Department of Obstetrics and Gynecology, Ridge Regional Hospital, Accra, GhanaReceived 25 July 2014; revised 17 October 2014; accepted 21 October 2014Introduction: Quality of acute care has attracted attention in recent years with policy initiatives in Ghana. Such initiatives need to be complemented with patientfeedback systems for strengthening quality. Therefore the goal of this study is to examine factors associated with quality of acute care and to propose a range of optionsfor improving the existing model of healthcare delivery.Methods: Cross-sectional data were collected from 379 patients presenting to emergency centres in five public health facilities. A structured questionnaire devel-oped based on the literature and expert advice by physicians and nurses was used to collect data. Principal component analysis (PCA) was used to extract thefactors salient to patients’ perspective of quality of care. Logistic regression was then used to examine association between these factors and overall quality ofacute care.Results: The majority of the patients (17.2%) presented with obstetrical related conditions, 15% with Road Traffic Accidents (RTAs), 11.3% with diarrhoearelated problems and the least number (8.4%) with bronchial asthma. The average days of admission was high for patients with bronchial asthma (mean = 9),RTA (mean = 8) and burns (means = 7). The PCA produced four factors of quality (interpersonal care; prompt care; physical environment and privacy; drugsand equipment) all of which had a positive statistically significant association with overall quality of acute care after controlling for patient’s socio-demographiccharacteristics.Conclusion: Study findings provide important feedback not only for optimising clinical operations but also for improving in-hospital quality of acute care withshort-term and long-term approaches.Introduction: La qualite´ des soins aigus a fait l’objet d’une certaine attention au cours des dernie`res anne´es, avec la mise en place d’initiatives politiques auGhana. Ces initiatives doivent eˆtre comple´te´es par des syste`mes de feedback de la part des patients afin de pouvoir en renforcer la qualite´. Par conse´quent,l’objectif de cette e´tude est de se pencher sur les facteurs associe´sa` la qualite´ des soins aigus et de proposer un e´ventail d’options afin d’ame´liorer le mode`lede fourniture de soins de sante´ existant.Me´thodes: Des donne´es transversales ont e´te´ recueillies aupre`s de 379 patients qui s’e´taient pre´sente´s dans les services des urgences de cinq centres de sante´ pub-lique. Un questionnaire structure´,e´labore´ a` partir de la litte´rature disponible et des conseils experts des me´decins et infirmie`res, a e´te´ utilise´ pour recueillir lesdonne´es. Une analyse en composantes principales (ACP) a e´te´ utilise´e afin d’en tirer les facteurs saillants quant a` la manie`re dont les patients percevaient laqualite´ des soins. Une re´gression logistique a e´te´ ensuite utilise´e afin d’e´tudier l’association entre ces facteurs et la qualite´ globale des soins aigus.Re´sultats: La majorite´ des patients (17,2 %) arrivait aux urgences en souffrant de proble`mes d’ordre obste´trique, 15 % e´taient victimes d’accidents de la route(AR), 11,3 % de proble`mes d’ordre diarrhe´ique, la dernie`re tranche (8,4 %) souffrant d’une dilatation des bronches avec asthme. Le nombre moyen de joursd’hospitalisation e´tait e´leve´ pour les patients souffrant de dilatation des bronches avec asthme (moyenne = 9), victimes d’AR (moyenne = 8) et de bruˆlures (moy-enne = 7). L’ACP a permis de produire quatre facteurs de qualite´ (aspect interpersonnel des soins, rapidite´ des soins, environnement physique et intimite´, ainsique me´dicaments et e´quipement), tous ayant une association positive statistiquement significative avec la qualite´ globale des soins aigus apre`s controˆle des caracte´-ristiques sociode´mographiques des patients.Conclusion: Les conclusions de l’e´tude fournissent un feedback important, non seulement pour optimiser les activite´s cliniques, mais aussi pour ame´liorer laqualite´ des soins aigus en milieu hospitalier graˆce a` des approches a` court terme et long terme." @default.
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- W2440985089 date "2015-01-01" @default.
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- W2440985089 title "Strengthening quality of acute care through feedback from patients in Ghana Le renforcement de la qualitedes soins aigus grace au feedback fourni par les patients au Ghana" @default.
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