INVESTIGATION OF PATIENT CARE AND HEALTH FACILITY INDICATORS IN A TERTIARY HOSPITAL IN SOUTHEAST NIGERIA- CAN WE GET IT RIGHT

Author(s)

Ogbonna BO1, Nwoke OM2, Onyeka TC3, Okeke CE4, Ogbonna AC2, Idoko L4
1Nnamdi Azikiwe University Awka, Nigeria, Awka, Nigeria, 2University of Nigeria Teaching Hospital Enugu, Enugu, Nigeria, 3College of Medicine UNN, Enugu campus, Nigeria, 4Nnamdi Azikiwe University Awka, Awka, Nigeria

OBJECTIVES: The World Health Organization (WHO) recommended regular audit of health facility services as a way of promoting quality improvement. Patient care and health facility indicators are indices for assessment of the quality of care and services in health facilities. This study investigated patient care and health facility indicators based on WHO standard to generate evidence-based information for interventions and further studies in promoting value-based healthcare services. METHODS: The study was a cross sectional descriptive study of a randomly selected hospital. The WHO’s data collection tool was adapted and used retrospectively to collect data from patients medical records. Patients were individually observed and interviewed at the consulting and dispensing sections to obtain data for patient care indicators. All patients who gave their informed consent were observed in the study. The data obtained were calculated based on WHO specifications and bench marked with the reference standards. The study lasted from February 2017 to September 2017. RESULTS: The average consulting time was 13.0 minutes (n=342), compared to WHO standard of 10 minutes. The average dispensing time was 1152 seconds (n=365), against WHO 180.0 seconds. The percentage of drugs actually dispensed was 68.7% (n=314), against a reference standard of 100.0%, while the percentage of drugs adequately labeled was 65.0% (n=311), against a reference standard of 100.0%. The patients’ knowledge of correct dosage was 83.3% (n=302), against a reference value of 100.0%. The percentage of key drugs available at the facility was 80.0% (n=309), against the WHO recommended reference value of 99.7%. CONCLUSIONS: The study showed poor patient care practices, an indication for interventions to promote value-based care. The availability of essential drugs felled below acceptable standards. It underscored the need for better planning, resource allocation, and interventions tailored towards improvement and better healthcare services.

Conference/Value in Health Info

2018-09, ISPOR Asia Pacific 2018, Tokyo, Japan

Value in Health, Vol. 21, S2 (September 2018)

Code

PHP37

Topic

Health Policy & Regulatory

Topic Subcategory

Health Disparities & Equity

Disease

Multiple Diseases

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