Quality of gynecological cancer care from the patient’s perspective at selected public hospitals, Addis Ababa, Ethiopia, 2025: Institution based cross-sectional study
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Date
2025
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Addis Ababa University
Abstract
Gynecologic cancers contribute significantly to global morbidity and mortality, with a pronounced impact in developing countries. Patients’ perception of care quality refers to patients’ view of services received and the results of the treatment and are monitored to assess the delivery and quality of healthcare, while patient experiences is a reflection of what actually happened during the care process. Evaluating healthcare from the patient's perspective
including both perceived quality and actual experiences is essential for improving care delivery.
Objective: To assess the quality of gynecological cancer care from the patient’s perspective and determine the influencing factors in public hospitals in Addis Ababa, Ethiopia, in 2025.
Methods: A Cross-sectional study was conducted at public hospitals in Addis Ababa from February 18 to March 18, 2025. A simple random sampling method was used to select 410 study participants and proportionally allocated to each hospital. Data was collected through face-to-face interviews. QPP-GynCa tool was used to measure patient perspective on the quality of gynecological cancer care. The data was collected through a Kobo data collector and then transferred to SPSS version 27 for analysis. Descriptive statistics, paired t-test and binary logistic regression analysis was used to see the association of different variables.
Result. Overall, 204 (49.8%) and 253 (61.7%) of the participants had high perceived reality and high subjective importance, to gynecological cancer care. All QPP dimensions show a statistically significant difference between what patients experienced and what they considered important with P-values < 0.001. With p-value < 0.05, higher education, income greater than 7000 ETB, ovarian cancer type were statistically associated with perceived realty of care.
Similarly, marital status, service charge, vaginal cancer type and 3rd and 6th chemotherapy cycle were significantly associated with subjective importance.
Conclusion: Women rated care importance was higher than their actual experience, indicating a gap in care quality. The study found that factors such as education, income, ovarian cancer diagnosis, marital status, service charge, vaginal cancer diagnosis, and chemotherapy cycles significantly impact patients' perception of gynecological cancer care quality.
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Keywords
Gynecologic cancer care, patient’s perspective, Perceived reality of care, subjective importance of care