Accès ouvert

Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries

Article scientifique 2024 Anglais

Résumé

OBJECTIVES: To understand commonalities and differences in injured patient experiences of accessing and receiving quality injury care across three lower-income and middle-income countries. DESIGN: A qualitative interview study. The interviews were audiorecorded, transcribed and thematically analysed. SETTING: Urban and rural settings in Ghana, South Africa and Rwanda. PARTICIPANTS: 59 patients with musculoskeletal injuries. RESULTS: We found five common barriers and six common facilitators to injured patient experiences of accessing and receiving high-quality injury care. The barriers encompassed issues such as service and treatment availability, transportation challenges, apathetic care, individual financial scarcity and inadequate health insurance coverage, alongside low health literacy and information provision. Facilitators included effective information giving and informed consent practices, access to health insurance, improved health literacy, empathetic and responsive care, comprehensive multidisciplinary management and discharge planning, as well as both informal and formal transportation options including ambulance services. These barriers and facilitators were prevalent and shared across at least two countries but demonstrated intercountry and intracountry (between urbanity and rurality) variation in thematic frequency. CONCLUSION: There are universal factors influencing patient experiences of accessing and receiving care, independent of the context or healthcare system. It is important to recognise and understand these barriers and facilitators to inform policy decisions and develop transferable interventions aimed at enhancing the quality of injury care in sub-Saharan African nations.

Citer ce document

Kennedy, C., Ignatowicz, A., Odland, M., Abdul-Latif, A., Belli, A., Howard, A., Whitaker, J., Chu, K., Ferreira, K., Owolabi, E., Nyamathe, S., Tabiri, S., Ofori, B., Kunfah, S., Yakubu, M., Bekele, A., Alyande, B., Nzasabimana, P., Byiringiro, J., Davies, J. (2024). Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries. https://doi.org/10.1136/bmjopen-2023-082098

Accès au document

Texte intégral en lecture en ligne, réservé aux abonnés SPHAERO et aux membres de l'institution. Se connecter

Voir l'article sur le site de la revue

Auteur(s)

Ciaran Kennedy Agnieszka Ignatowicz Maria Lisa Odland Abdul-Malik Abdul-Latif Antonio Belli Anthony John Howard John Whitaker Kathryn Chu Karen Ferreira Eyitayo Omolara Owolabi Samukelisiwe Nyamathe Stephen Tabiri Bernard Ofori Sheba Mary Pognaa Kunfah Mustapha Yakubu Abebe Bekele Barnabas Alyande Pascal Nzasabimana Jean Claude Byiringiro Justine Davies

Statistiques

Consultations : 1

Téléchargements : 0