Patient-Health Care Interaction in Care Plan and its Associated Factors in Public Hospitals in Addis Ababa, Ethiopia: a Facility-Based Cross-Sectional Study
| dc.contributor.advisor | Anteneh Belete | |
| dc.contributor.author | Tigist Mesfin | |
| dc.date.accessioned | 2025-08-07T06:35:47Z | |
| dc.date.available | 2025-08-07T06:35:47Z | |
| dc.date.issued | 2024-06-13 | |
| dc.description.abstract | BACKGROUND: Chronic diseases, also known as Noncommunicable diseases (NCDs), account for 71% of deaths globally with the majority occurring in Low-and middle-income countries (LMICs). More than one-third of all deaths in Ethiopia are due to NCDs. As per the World Health Organization (WHO), better clinical outcome of NCDs was strategized to be achieved through engaging and empowering individuals in their care, i.e., activating patients to have the necessary knowledge, skill, and willingness to self-manage, and promoting healthy behavior through different interventions. The health care approach in the in-patient setup creates an intimidating environment for patients to have an effective patient-health care interaction. OBJECTIVE: The aim of the study was to assess patient-health care interaction in care plan and associated factors contributing to poor patient-health care interaction among patients with NCDs admitted to public hospitals in Addis Ababa, Ethiopia. METHODS: A facility-based cross-sectional study was conducted in randomly selected public hospitals in Addis Ababa. A systematic sampling method was used to recruit 372 adult patients who had the main types of NCDs receiving in-patient medical service from five selected hospitals. Patient activation measure-22 tool was used to assess the level of patient-health care interaction in care plan. Patient satisfaction was measured using the Picker Patient Experience Questionnaire-15. Pre-test was done involving 5% of the sample size calculated prior to the actual data collection. Data were collected using face-to-face interview through interviewer-administered structured questionnaire. Collected data were entered to Epi Info and exported to SPSS version 26 for data cleaning and analysis. Descriptive and logistic regression analysis methods were carried out to compute frequency and identify factors associated with patient-health care interaction. RESULTS: 80% of the patients had high activation with median Patient Activation Measure (PAM) of 63 (IQR 57- 66). On bivariate logistic regression analysis, factors significantly associated with patient activation were age, gender, marital status, educational background, employment status, monthly income, NCD type, and patient satisfaction. Multivariate logistic regression analysis showed the odds of a patient with no formal education having high activation was 73.8% less than a patient with higher education (AOR=0.262 , 95% CI: 0.069 - 1.001). Similarly, the odds of a patient with no monthly income having high activation level was 68.2% less when compared to a patient having monthly income of >2500 ETB (AOR=0.318, 95% CI: 0.11 - 0.87). Patients who had good satisfaction with the health care viii provided were 2 times more likely to be activated than patients with poor satisfaction (AOR= 2.34, 95% CI:1.32 - 4.15). CONCLUSION Most patients in the study were beginning to engage in recommended health behaviors, i.e., attained level 3 of activation with some patients already being proactive about their health and engaged in most recommended health behaviors (level 4) thus showing a good patient-health care interaction with care plan. Having higher education and higher income as well better satisfaction with provided care are strong predictors of having higher patient activation. Recognizing determinants of patient activation will help promote better health outcomes for individuals with NCDs and encourage health care providers to focus on tailoring a personalized care plan for their patients. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6169 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Patient-health care interaction | |
| dc.title | Patient-Health Care Interaction in Care Plan and its Associated Factors in Public Hospitals in Addis Ababa, Ethiopia: a Facility-Based Cross-Sectional Study | |
| dc.type | Thesis |