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

Tamiru Bogale

doi: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.

Highlights

Patient centered care has become a central for the nation’s healthcare system all over the world. the major issues facing healthcare systems around the world was not well explored
Informational factor, stakeholder and partner support, service expansion, monitoring and feedback mechanism, national policy and team spirit are perceived as a facilitating factor to practice patient centered care in public hospitals of the region
What we learn from this is improving the hospital performance based on Ethiopian hospital reform implementation guideline (EHRIG) standards means making the foundation for patient centered care practice

Summary

Introduction

Patient centered care has become a central for the nation’s healthcare system all over the world. the major issues facing healthcare systems around the world was not well explored. Patient empowerment, and family and friend involvement in patient care were perceived as a tough barriers. According to the Picker Institute, patient-centered care has eight delineated dimensions, including: respect for the patient’s values, preferences, and expressed needs; information and education; access to care; emotional support to relieve fear and anxiety; involvement of family and friends; continuity and secure transition between health care settings; physical comfort; and coordination of care. The approach gets the emphasis from health policy makers to make the health care system more efficient to achieve the need of the patient at the primary health care level and it has become a central for the nation’s healthcare system all over the world [6-10]

Objectives

Methods

Results

Discussion

Conclusion