The Effects of Health Care Financing Reform on Quality of Health Service: A Case of Private Wing Service in Addis Ababa Public Hospitals

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Addis Ababa University


Back ground: Health care financing reform is the main strategy designed to solve both the accessibility and the quality issues of the health care system of Ethiopia. Assessment the effect of this reform on the quality of health provided in the private wings of public hospital was the main objective of this study. The three aspects of quality, structural, process and the outcome of care were then assessed. Methods: A descriptive cross-sectional quantitative study was conducted at the outpatient private wing service. Quality of service was assessed using a structured questionnaire through clients exit interview. The data collection period was between the month of April and May/2013. Data was coded and analysis using SPSS version 16. 0. was done using Univariate, bivariate and multivariate logistic regression analysis method. Result: Better satisfaction rate of clients were reported on the professionals characteristics of courtesy and respect of clients, listening, explanation, advice and information sharing, which on average was 78.2 %. But a relatively low performance was observed in the service characteristics. Only 59 % of the clients were satisfied with the general cleanliness of the physical environment, 73.1 % had got the ordered laboratory service and only 22.8% of them had the prescribed medication. Conclusion and Recommendation: Implementation of the health care financing reforms has brought some improvements of quality and a rise in patient satisfaction in the private wings of public hospitals. Howe ever, much has to be done for full implementation of the health sector reforms to further improve the quality of service provided to community



Social Work