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Preventive healthcare uptake in private hospitals in Nigeria: a cross-sectional survey (Nisa premier hospital)
BMC Health Services Research ( IF 2.8 ) Pub Date : 2020-04-01 , DOI: 10.1186/s12913-020-05117-5
Joshua N. T. Ofoli , Timi Ashau-Oladipo , Stephen S. Hati , Lile Ati , Victor Ede

Understanding the features of preventive care uptake is critical for assessing the performance and viability of primary care in any healthcare system. There are gaps in previous studies that focused on primary healthcare features, challenges and way forward in Nigeria but were mainly public sector focused and do not characterize the features of preventive care. Since private healthcare sector remains the most accessed and utilized in Nigeria, this study sought to characterize the features of uptake of preventive care to better understand the current preventive healthcare landscape. A descriptive cross-sectional study, using survey questionnaire were randomly administered to adult patients attending the Family Medicine Out-Patient Department (OPD) at Nisa Premier Hospital, Jabi Abuja. The study was conducted over a three-month period. (January to June 2017). Data collected were analyzed using SPSS version 23 (IBM SPSS, Chicago, IL, USA). Descriptive statistics in the form of frequency and percentage were used to report the results. A total of 381 participants completed the survey. The results revealed that while an over overwhelming majority (> 90%) of participants indicated knowledge of benefits of preventive care, and preferred interventions aimed at preventing a disease before they occur, 48% preferred interventions aimed at reducing disease or injury impact or interventions aimed at ameliorating the impact of ongoing disease or injury with long lasting effect (43%). Unfortunately, less than 40% of respondents would visit the hospital when their health condition is not serious. Important barriers to uptake of preventive care were revealed as cost (45%), distance to the healthcare provider (36%) and lack of health insurance (33%), whereas poor education (19%), social norms (13%) as well as cultural and religious beliefs (10%) towards accessing certain health services appeared to be lesser barriers. Although people are aware of the benefits of preventive care, its uptake will greatly be enhanced through improved health insurance coverage, refocusing primary healthcare functions on preventive rather than curative care and instituting policies that mandatorily prescribe uptake for the insured, both at the individual and the insurer’s level.

中文翻译:

尼日利亚私立医院的预防性医疗保健吸收情况:横断面调查(Nisa首屈一指的医院)

了解预防性护理的使用特征对于评估任何医疗体系中初级护理的性能和可行性至关重要。以前的研究存在一些差距,这些差距集中在尼日利亚的主要医疗保健特征,挑战和前进方向上,但主要集中在公共部门,没有体现预防保健的特征。由于私人医疗保健部门仍然是尼日利亚访问最多和利用最多的部门,因此本研究旨在表征预防性保健的采用特征,以更好地了解当前的预防性保健前景。使用调查问卷的描述性横断面研究被随机分配给Jabi Abuja Nisa Premier医院家庭医学门诊部(OPD)的成年患者。该研究历时三个月。(2017年1月至6月)。使用SPSS 23版(IBM SPSS,美国伊利诺伊州芝加哥)分析收集的数据。使用频率和百分比形式的描述性统计报告结果。共有381名参与者完成了调查。结果表明,虽然绝大多数(> 90%)的参与者表示对预防保健的益处有所了解,并且倾向于在疾病发生之前进行预防的首选干预措施,但仍有48%的受访者倾向于旨在减少疾病或伤害影响的干预措施或针对性的干预措施。可以长期改善疾病或伤害的影响(43%)。不幸的是,当他们的健康状况不严重时,不到40%的受访者会去医院就诊。成本(45%)显示出采用预防护理的重要障碍,与医疗保健提供者的距离(36%)和缺乏医疗保险(33%),而受教育程度低(19%),社会规范(13%)以及文化和宗教信仰(10%)的人们似乎无法获得某些医疗服务减少障碍。尽管人们意识到预防保健的好处,但通过改善医疗保险覆盖范围,将主要医疗保健功能重新定位于预防保健而非治疗保健以及制定强制规定被保险人对个人和被保险人摄取的政策,可以大大提高其接受率。保险公司的水平。
更新日期:2020-04-01
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