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Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia

Received: 12 October 2020    Accepted: 26 October 2020    Published: 16 April 2021
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Abstract

Background: Patient centered care has become a central for the nation’s healthcare system all over the world. However the major issues facing healthcare systems around the world was not well explored. Therefore this study aims to identify facilitator and barriers to implement patient centered care practice in public hospitals in Benishangul Gumuze regional state, South West Ethiopia, 2019. Methods: Institution based Qualitative case study design was employed. Thirty two purposively selected participants from different category were interviewed. Ethical clearance sheet was obtained from Pawe health science college ethical review board. Seventeen face to face in depth interview, two focused group interview and systematic observation was conducted. Deductive analysis was employed manually to analyze text data. Results: The analysis result yields multiple driving and hindering factors of patient centered care practice. Information related factor, service expansion, feedback mechanism and health policy were identified as facilitators. In contrast patients’ health literacy level, health care provider characteristics, patient empowerment, shortage of resource, organizational capacity, shortage of specialty care, managerial skill, legislation related factor and organizational culture are identified as a barrier to practice patient centered care. Conclusion: Patient centered care practice in public hospitals had cheaply driven or hindered by multiple factors. Patient health literacy level, patient empowerment, and family and friend involvement in patient care were perceived as a tough barriers. Investing on the improvement of patient health literacy and patient empowerment may fasten the transformation of the current health care practice in to patient centered care practice in the healthcare setting.

Published in Rehabilitation Science (Volume 6, Issue 1)
DOI 10.11648/j.rs.20210601.12
Page(s) 10-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Patient Centered Care, Hospitals, Care, Patient, Ethiopia

References
[1] Stewart Met al. The impact of patient-centered care on outcomes. The Journal of Family Medicine. 2000; 49 (9): 796-804.
[2] Lauver DR. Patient-Centered Interventions. Research in Nursing & Health. 2002; 25: 246-55.
[3] Morgan S. A Concept Analysis of Person-Centered CareJournal of holistic nursing. July 2011.
[4] Lusk JM. A Concept Analysis of Patient-Centered Care. Nursing Forum. 2013; 48 (2).
[5] Cance TM. Using the caring dimensions inventory as an indicator of person centered nursing. Journal of Clinical Nursing. 2011; 18: 409-17.
[6] Practitioners RCoG. An Inquiry into Patient Centered Care in the 21st Century 2014.
[7] Shaller D. Patient-centered care: what does it take? Consulting S, editor 2007.
[8] Framptonetal. Patient-Centered Care Improvement Guide: Picker Institute and Planetree; October 2008.
[9] Alharbi. TSJ. The impact of organizational culture on the outcome of hospital care: After the implementation of person-centered care. Scandinavian Journal of Public Health. 2014; 42: 104-10.
[10] Alharbi. TSJ. Organizational culture and the implementation of person centered care: Results from a change process in Swedish hospital care. Health Policy. 2012; 108: 294-301.
[11] TFDRoEMoH. Health Sector Transformation Plan (HSTP) 2015/16 - 2019/20 (2008-2012 EFY). Ethiopia 2015.
[12] Balik B. Leaders’ role in patient experience: Hospital leadership must drive efforts to better meet patients’ needs. Healthcare Executive. 2011; 26 (4): 76-8.
[13] Abraham M. implementing patient- and family-centered care: Part 1: Understanding the challenges. Pediatric Nursing. 2012; 38 (2): 44-7.
[14] Epstein RM. Why the nation needs a policy Push on patient-centered health care. Health Affairs (Millwood). 2010; 29 (8): 1489-95.
[15] Natale CVea. The role of engaged patients. Healthcare Financial Management. 2013; 67 (8): 90-7.
[16] Davis. A 2020 Vision of Patient-Centered Primary Care. J GEN INTERN MED. 2005; 20: 953-7.
[17] JE M. Introduction to Person-centered Medicine: From Concepts to Practice. Journal of Evaluation in Clinical Practice. 2011; 17: 330-2.
[18] Medicine Io. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
[19] De Boer D. The importance of patient-centered care for various patient groups. Patient Education and Counseling. 2013; 90: 405-10.
[20] Canada TCoFPo. Best advice -Patient-centered care in a Patient’s Medical Home 2014.
[21] Man JD. Patient-Centered Care and People-Centered Health Systems in Sub-Saharan Africa: Why So Little of Something So Badly Needed? The international journal of patient centered medicine. 2016; Vol 6 (3).
[22] Serkalem Girma et al. An agenda for developing compassionate, respectful care and caring health care professionals. Special bulletin of Federal ministry of health Ethiopia. 2016. (18th annual review meeting): 17.
[23] W/yohanesetal. Perceived patient satisfaction with in patient services at Jimma University Specialized Hospital, Southwest Ethiopia. BMC Res Notes. 2015; 8: 285-93.
[24] TadesseDMetal. Improvement in Adherence to Ethiopian Hospitals Reform Implementation Guideline nursing standards in Asella Referral Teaching Hospital: A Pre-post Study. Health systems and policy research. 2015; 2 (1: 14): 1-6.
[25] BerwickDM. Lessons from developing nations on improving health care. BMJ. 2004 May 8; 328 (7448): 1124-9.
[26] McCannonCJetal. The science of large-scale change in global health. JAMA. 2007 Oct 24; 298 (16): 1937-9.
[27] WHO. The WHO health systems framework. World Health Organization Regional Office for the Western Pacific, 2014.
[28] McNattetal. Z. A national system for monitoring the performance of hospitals in Ethiopia. Bulletin of the World Health Organization; Policy & practice. 2015.
[29] FMOH. National hospital reform implementation guidelines. Ethiopian Hospital Management Initiative. January 2010.
[30] FMOH. Ethiopian health services transformation guidelines. Ethiopian hospital Management initiative. September 2016.
[31] MedicalServicesDirectorate. Hospital leaders in pursuit of quality. Ethiopian Healthcare Today. January 2012.
[32] Michael J. Barry. Shared Decision Making: The Pinnacle of Patient-Centered Care. N Eng J Med March 1, 2012.; 366 (9).
[33] Christine B. "If you build it, Will they come? Designing Truly Patient-Centered Health Care". Health Affairs (Millwood). 2011.
[34] Robbins DA, & Curro, F. A. Defining Patient Centricity: Opportunities, Challenges, and Implications for Clinical Care and Research. Therapeutic Innovation & Regulatory Science. 2013.
[35] IAPO. What is patient centered care? Review definitions and principles. second ed. Netherland, 2007.
[36] Baboo et al. Perceptions of patient-centered care at public hospitals in Nelson Mandela Bay. HEALT SA GESOND HEID. 2016; 21: 397-405.
[37] Constandetal. Scoping review of patient-centered care approaches in healthcare. BMC Health Services Research. 2014; 14: 271.
[38] JanetMetal. A Concept Analysis of Patient-Centered Care. Nursing Forum. 2013; 48 (2).
[39] A. AD-Z. Promoting patient care: work engagement as a mediator between ward service climate and patient-centred care. Journal of Advanced Nursing. 2012; 68 (6): 1276-87.
[40] EpsteinMet al. Measuring patient centered communication in patient-physician consultations: theoretical and practical issues. Social Science & Medicine. 2005; 61: 1516-28.
[41] Postetal. The other half of the whole: teaching patients to communicate with physicians. Family Medicine. 2002; 34: 344-52.
[42] Griffinetal. Effect on outcomes of intervention to alter the interaction between patients and practitioners: a systematic review of trial. Annals of Family Medicine. 2004; 2: 595-608.
[43] Douglasetal. The other half of the whole: teaching patients to communicate with physicians. Family Medicine, Ohio State University. 2002; 34 (5): 344-52.
[44] Hanna. Ontario Medical Association. OMA Policy on Patient centered Care. Ont Med Rev. June, 2010: 34-49.
[45] AHRQ. Agency for Healthcare Research and Quality. U.S. Department of Health and Human Services. National healthcare disparities report, 2008. March 2009.
[46] Luxfordetal. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care. 2011; 23 (5): 510-5.
[47] EMPATHIE HP. Empowering patients in the management of chronic diseases. EPF, 2012.
[48] Robinson. JH. Patient-centered care and adherence: Definition and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners. 2008; 20: 600-7.
[49] Tariq Saleem Alharbi ea. Implementation of person-centred care: management perspective. Journal of Hospital Administration. 2014; 3.
[50] Pelzang. R. Time to learn: understanding patient-centred care. British Journal of Nursing. 2010; 19 (14).
[51] Boyce. Conducting in-depth Interviews: A Guide for designing and conducting in-depth interviews: Pathfinder international; May 2006.
[52] Yin RK. Qualitative research from start to finish. New York, NY: Guilford Press; 2011.
[53] Alharbi TSJ. The impact of organizational culture on the outcome of hospital care: After the implementation of person-centered care. Scandinavian Journal of Public Health 2014; 42: 104-10.
[54] Mooreetal. L. Barriers and facilitators to the implementation of person-centred care in different healthcare contexts. Scand J Caring Sci. 2016.
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  • APA Style

    Tamiru Bogale. (2021). Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia. Rehabilitation Science, 6(1), 10-19. https://doi.org/10.11648/j.rs.20210601.12

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    ACS Style

    Tamiru Bogale. Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia. Rehabil. Sci. 2021, 6(1), 10-19. doi: 10.11648/j.rs.20210601.12

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    AMA Style

    Tamiru Bogale. Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia. Rehabil Sci. 2021;6(1):10-19. doi: 10.11648/j.rs.20210601.12

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  • @article{10.11648/j.rs.20210601.12,
      author = {Tamiru Bogale},
      title = {Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia},
      journal = {Rehabilitation Science},
      volume = {6},
      number = {1},
      pages = {10-19},
      doi = {10.11648/j.rs.20210601.12},
      url = {https://doi.org/10.11648/j.rs.20210601.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210601.12},
      abstract = {Background: Patient centered care has become a central for the nation’s healthcare system all over the world. However the major issues facing healthcare systems around the world was not well explored. Therefore this study aims to identify facilitator and barriers to implement patient centered care practice in public hospitals in Benishangul Gumuze regional state, South West Ethiopia, 2019. Methods: Institution based Qualitative case study design was employed. Thirty two purposively selected participants from different category were interviewed. Ethical clearance sheet was obtained from Pawe health science college ethical review board. Seventeen face to face in depth interview, two focused group interview and systematic observation was conducted. Deductive analysis was employed manually to analyze text data. Results: The analysis result yields multiple driving and hindering factors of patient centered care practice. Information related factor, service expansion, feedback mechanism and health policy were identified as facilitators. In contrast patients’ health literacy level, health care provider characteristics, patient empowerment, shortage of resource, organizational capacity, shortage of specialty care, managerial skill, legislation related factor and organizational culture are identified as a barrier to practice patient centered care. Conclusion: Patient centered care practice in public hospitals had cheaply driven or hindered by multiple factors. Patient health literacy level, patient empowerment, and family and friend involvement in patient care were perceived as a tough barriers. Investing on the improvement of patient health literacy and patient empowerment may fasten the transformation of the current health care practice in to patient centered care practice in the healthcare setting.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia
    AU  - Tamiru Bogale
    Y1  - 2021/04/16
    PY  - 2021
    N1  - https://doi.org/10.11648/j.rs.20210601.12
    DO  - 10.11648/j.rs.20210601.12
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 10
    EP  - 19
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.rs.20210601.12
    AB  - Background: Patient centered care has become a central for the nation’s healthcare system all over the world. However the major issues facing healthcare systems around the world was not well explored. Therefore this study aims to identify facilitator and barriers to implement patient centered care practice in public hospitals in Benishangul Gumuze regional state, South West Ethiopia, 2019. Methods: Institution based Qualitative case study design was employed. Thirty two purposively selected participants from different category were interviewed. Ethical clearance sheet was obtained from Pawe health science college ethical review board. Seventeen face to face in depth interview, two focused group interview and systematic observation was conducted. Deductive analysis was employed manually to analyze text data. Results: The analysis result yields multiple driving and hindering factors of patient centered care practice. Information related factor, service expansion, feedback mechanism and health policy were identified as facilitators. In contrast patients’ health literacy level, health care provider characteristics, patient empowerment, shortage of resource, organizational capacity, shortage of specialty care, managerial skill, legislation related factor and organizational culture are identified as a barrier to practice patient centered care. Conclusion: Patient centered care practice in public hospitals had cheaply driven or hindered by multiple factors. Patient health literacy level, patient empowerment, and family and friend involvement in patient care were perceived as a tough barriers. Investing on the improvement of patient health literacy and patient empowerment may fasten the transformation of the current health care practice in to patient centered care practice in the healthcare setting.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Pawe Health Sciences College jointly with Bahirdar University, Pawe, Ethiopia

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