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Atabayeva A, Sarsenbayeva G, Maukayeva S, Anartaeva M, Khismetova Z, Tsigengagel O. Health-Related Quality of Life and Treatment Satisfaction of Patients with Blood Cancer in Kazakhstan: A Cross-Sectional Study. Asian Pac J Cancer Prev 2023; 24:2397-2403. [PMID: 37505772 PMCID: PMC10676497 DOI: 10.31557/apjcp.2023.24.7.2397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 07/07/2023] [Indexed: 07/29/2023] Open
Abstract
Blood cancer is the most prevalent health problem associated with poorer health-related quality of life (HRQoL). Associations between HRQoL and its determinants including physical, emotional, and functional domains are insufficiently investigated among blood cancer patients of Kazakhstan. We aimed to assess HRQoL and treatment satisfaction of blood cancer patients in Kazakhstan. METHODS This was a cross-sectional study, conducted from November 2022 to December 2022, which enrolled all adult blood cancer patients registered at the healthcare facilities of Semey. This study involved 87 respondents. A questionnaire of the authors' design and the SF-36 questionnaire were used to obtain the data, which was validated. RESULTS Out of 87 patients, 47 (54,0%) were males whose mean age was 35,72 ± 1,64 years and 40 (46,0%) were females with the mean age of 45,83 ± 1,57 years. None of the patients were very satisfied with their current clinical management and status monitoring and the overall rate of patient dissatisfied or somewhat dissatisfied was 48.9%. The two questions of "How long have you been seen by a hematologist?" (p=0,019) and "How do you evaluate the organization of medical care in the field of hematology?" (p=0,000) were predictors of patient satisfaction in multiple linear regression analysis. There was a significant difference in the individual SF-36 dimensions and overall QOL scored in different age group participants. CONCLUSIONS Overall, the study found that the five determinates affect QOL revealed significant differences between individual age groups and identified key determinants of patient dissatisfaction. Also, it is the first attempt to understand the experience of blood cancer patients in the healthcare system in Kazakhstan, and the results may contribute to a discussion between healthcare professionals and patients on initiatives that need to be taken to improve the quality of healthcare services provided.
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Affiliation(s)
- Aliya Atabayeva
- Department of Public Health, Semey Medical University, Semey, Kazakhstan.
| | - Gulzat Sarsenbayeva
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.
| | - Saule Maukayeva
- Department of Infectious Diseases, Dermatovenerology and Immunology, Semey Medical University, Semey, Kazakhstan.
| | - Maria Anartaeva
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.
| | - Zaituna Khismetova
- Department of Public Health, Semey Medical University, Semey, Kazakhstan.
| | - Oxana Tsigengagel
- Department of Development of Scientific Research Activity, Kh. Dosmukhamedov Atyrau University, Atyrau, Kazakhstan.
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Mahumud RA, Sultana M, Kundu S, Rahman MA, Mistry SK, Kamara JK, Kamal M, Ali MA, Hossain MG, Brooks C, Khan A, Alam K, Renzaho AMN. The burden of chronic diseases and patients' preference for healthcare services among adult patients suffering from chronic diseases in Bangladesh. Health Expect 2022; 25:3259-3273. [PMID: 36263949 DOI: 10.1111/hex.13634] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 08/30/2022] [Accepted: 10/04/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Low- and middle-income countries (LMICs) have a disproportionately high burden of chronic diseases, with inequalities in health care access and quality services. This study aimed to assess patients' preferences for healthcare services for chronic disease management among adult patients in Bangladesh. METHODS The present analysis was conducted among 10,385 patients suffering from chronic diseases, drawn from the latest Household Income and Expenditure Survey 2016-2017. We used the multinomial logistic regression to investigate the association of chronic comorbid conditions and healthcare service-related factors with patients' preferences for healthcare services. RESULTS The top four dimensions of patient preference for healthcare services in order of magnitude were quality of treatment (30.3%), short distance to health facility (27.6%), affordability of health care (21.7%) and availability of doctors (11.0%). Patients with heart disease had a 29% significantly lower preference for healthcare affordability than the quality of healthcare services (relative risk ratio [RRR] = 0.71; 0.56-0.90). Patients who received healthcare services from pharmacies or dispensaries were more likely to prefer a short distance to a health facility (RRR = 6.99; 4.80-9.86) or affordability of healthcare services (RRR = 3.13; 2.25-4.36). Patients with comorbid conditions were more likely to prefer healthcare affordability (RRR = 1.39; 1.15-1.68). In addition, patients who received health care from a public facility had 2.93 times higher preference for the availability of medical doctors (RRR = 2.93; 1.70-5.04) than the quality of treatment in the health facility, when compared with private service providers. CONCLUSIONS Patient preferences for healthcare services in chronic disease management were significantly associated with the type of disease and its magnitude and characteristics of healthcare providers. Therefore, to enhance service provision and equitable distribution and uptake of health services, policymakers and public health practitioners should consider patient preferences in designing national strategic frameworks for chronic disease management. PATIENT OR PUBLIC CONTRIBUTION Our research team includes four researchers (co-authors) with chronic diseases who have experience of living or working with people suffering from chronic conditions or diseases.
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Affiliation(s)
- Rashidul A Mahumud
- Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh.,NHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.,School of Business, Faculty of Business, Education, Law and Arts, and Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Marufa Sultana
- Deakin Health Economics, School of Health and Social Development, Deakin University, Geelong, Victoria, Australia
| | - Satyajit Kundu
- Department of Biochemistry and Food Analysis, Patuakhali Science and Technology University, Patuakhali, Bangladesh
| | - Md A Rahman
- Development Studies Discipline, Khulna University, Khulna, Bangladesh
| | - Sabuj K Mistry
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.,ARCED Foundation, Mirpur, Dhaka, Bangladesh.,Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Joseph K Kamara
- Regional Director, Humanitarian & Emergency Affairs, World Vision International, East Africa Regional Office, Karen, Nairobi, Kenya
| | - Mostafa Kamal
- BL Deakin Business School, Faculty of Business and Law, Deakin University, Geelong, Victoria, Australia
| | - Mohammad A Ali
- School of Business, Faculty of Business, Education, Law and Arts, and Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia.,Quality Use of Medicines and Pharmacy Research Centre (QUMPRC), Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Md G Hossain
- Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh
| | - Cristy Brooks
- Translational Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia.,School of Medicine, Western Sydney University, Sydney, New South Wales, Australia
| | - Asaduzzaman Khan
- School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
| | - Khorshed Alam
- School of Business, Faculty of Business, Education, Law and Arts, and Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia
| | - Andre M N Renzaho
- Translational Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia.,School of Medicine, Western Sydney University, Sydney, New South Wales, Australia.,Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia
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Alhomrani M, Alsanie WF, Abdulaziz O, Salih MM, Alamri A, Asdaq SMB, Alamri AS. Satisfaction of psychologically impaired patients with health-care services: A Saudi Arabian perspective. Front Public Health 2022; 10:1000833. [PMID: 36249223 PMCID: PMC9558901 DOI: 10.3389/fpubh.2022.1000833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 09/15/2022] [Indexed: 01/26/2023] Open
Abstract
Psychological problems affect a sizable portion of the population, and they require special care. In the current study, we aimed to assess patient satisfaction with the healthcare system at one of the multispecialty hospitals in Riyadh, Saudi Arabia, as well as to identify potential factors that can have an impact on patient satisfaction. A validated pre-tested questionnaire including features to evaluate general hospital services (HS-6 items), nursing services (NS-3 items), pharmacy services (PS-7 items), and a standard patient satisfaction questionnaire (PSQ-18 item) was administered to patients who had been receiving therapy for their psychological disease for the past 3 months. Using binary and multiple regression analysis, the strengths of the associations between sociodemographic factors and patient satisfaction measures were evaluated. The results were expressed as adjusted odds ratios (AOR), which were deemed significant when the P value was < 0.05. Sixty-six percent of the 258 study participants were men, and sixty percent of them were between the ages of 18 and 35 years. The bulk of survey respondents (74%) were employed, married, and well-educated. Our research revealed that those who were employed (AOR, HS-2.5; NS-2.65, PS-2.32), have a higher education (AOR, HS-2.23, NS-2.63, PS-2.82), male gender (AOR, HS-1.12, NS-1.08, PS-1.86) and between the ages of 18 and 35 years (AOR, HS-1.48, NS-1.53, PS-1.67) were more likely to be satisfied with general hospital, nursing, and pharmacy services. Further, those who were married had 1.43 and 1.21 times more chance of satisfaction with the pharmacy and nursing services, respectively, compared to singles. Additionally, those with employment had odds of being satisfied that were 2.4 times higher, highly educated individuals had odds that were 2.1 times higher, participants between the ages of 18 and 35 had odds that were 1.51 times higher, and men had odds that were 1.41 times higher on the patient satisfaction questionnaire scale (PSQ-18). Overall, the study participants' satisfaction with general hospital, nursing, and pharmacy services was 70, 76.3, and 83.3%, respectively, compared to only 61.2% on the PSQ-18. Participants in the survey awarded the hospital amenities, pharmacy services, and nursing care high ratings. The medical care, however, fell short of expectations. The study's findings suggest that action needs to be taken to enhance healthcare system services, particularly in the psychological departments of the medical organization.
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Affiliation(s)
- Majid Alhomrani
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia,Centre of Biomedical Sciences Research (CBSR), Deanship of Scientific Research, Taif University, Taif, Saudi Arabia
| | - Walaa F. Alsanie
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia,Centre of Biomedical Sciences Research (CBSR), Deanship of Scientific Research, Taif University, Taif, Saudi Arabia
| | - Osama Abdulaziz
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Magdi M. Salih
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Abdulwahab Alamri
- Department of Pharmacology and Toxicology, College of Pharmacy, University of Hail, Hail, Saudi Arabia
| | - Syed Mohammed Basheeruddin Asdaq
- Department of Pharmacy Practice, College of Pharmacy, AlMaarefa University, Riyadh, Saudi Arabia,*Correspondence: Syed Mohammed Basheeruddin Asdaq
| | - Abdulhakeem S. Alamri
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia,Centre of Biomedical Sciences Research (CBSR), Deanship of Scientific Research, Taif University, Taif, Saudi Arabia
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Al-Kalbani H, Al-Saadi T, Al-Kumzari A, Al-Bahrani H. Public’s Perception and Satisfaction on the Health Care System in Sultanate of Oman: A Cross-Sectional Study. ANNALS OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES (INDIA) 2020. [DOI: 10.1055/s-0040-1721554] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Abstract
Objective There are no “gold standard” parameters to measure patient satisfaction regarding the health care system provided by the government. Most of the developed countries have well-structured health care systems, and they depend on patient satisfaction to evaluate and optimize performance and activities of such systems. The study was conducted to evaluate the Omani population’s satisfaction toward public and private health care systems existing in the country.
Materials and Methods A cross-sectional study was conducted with a predesigned and pretested questionnaire that was sent to all regions of the Sultanate of Oman via an electronic link. The questionnaire included 22 questions divided into two sections: (1) public and private health care systems in Oman, and (2) abroad treatments.
Results The response rate of the 11 Oman’s governorates was 73.9%. There was an association between gender, age, marital status, and the level of education with the preference for local private hospital’s treatment (p < 0.001). Both males (88.1%) and females (83.9%) preferred to be treated by Omani doctors. The association between gender and the preference to be treated by the Omani doctors was statistically significant (p = 0.016). There was a significant relationship between the overall patient satisfaction regarding the treatment that they received and all of the following parameters: well-trained nurses, competency of doctors, professional behavior, and skill level of the staff. On the other hand, 88% of the participants were unhappy about appointment waiting times to be seen in the tertiary-care hospital.
Conclusion The study showed that most of the participants have preferred to be treated by Omani physicians and nurses, however, hospitals need to make operational and working changes in order to decrease the appointment waiting time, as this was found to be one of the most common reasons for population dissatisfaction.
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Affiliation(s)
- Humaid Al-Kalbani
- Department of Ophthalmology, Al-Buraimi Hospital, Ministry of Health, Sultanate of Oman
| | - Tariq Al-Saadi
- Department of Neurosurgery, Khoula Hospital, Muscat, Sultanate of Oman
- Department of Neurology and Neurosurgery, Montreal Neurological Institute-McGill University, Montreal, Canada
| | - Ahmed Al-Kumzari
- Department of Pediatric, Sultan Qaboos University Hospital, Oman Medical Speciality Board, Muscat, Sultanate of Oman
| | - Hassan Al-Bahrani
- Department of Pediatric, Sultan Qaboos University Hospital, Oman Medical Speciality Board, Muscat, Sultanate of Oman
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