The Effects of Health Care Financing ]{cform on Quality of Health Service: A Case of Private Wi ng Service in Addis Ababa Public Hospitals
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Date
2013-11
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Addis Ababa University
Abstract
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 obj ective 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 serv ice. 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/20l3. Data was coded and analysis using SPSS version 16. O. 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
serv ice 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.
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Effects of Health Care Financing reform on Quality of Health Service