Service Delivery of Hemodialysis Centers among Public Hospitals in Region III: An Evaluation

Abstract

The affordability and accessibility of hemodialysis treatment in public hospitals have increased unlike decades before. While there is significant progress, constraining factors and problems exist in hemodialysis service delivery hindering this progress and health outcomes. This study aimed to evaluate the level and identify the problems of service delivery of hemodialysis centres to create evidence-based proposed measures and recommendations. The study used a descriptive quantitative research design wherein data was collected by surveying 93 hemodialysis staff in three tertiary hospitals using a Likert scale survey and multiple-choice questionnaire. The study determined that overall level of service delivery has a very satisfactory rating of 3.71. Therefore, the hospitals have sufficient knowledgeable staff, necessary materials and equipment that can deliver quality care and service to an increasing volume of patients while ensuring the patient’s satisfaction; however, the hospitals can further improve the availability, the quality, and the maintenance of the materials and equipment. Moreover, respondents identified these seven service delivery indicators to be the common service delivery problems they encountered. These findings indicate the need for better resource allocation and interagency collaboration to further assess the identified problems, undertake possible interventions, and strengthen local and public healthcare system policymaking.