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Odunaiya N.1, Akinpelu A.1, Ogwu S.1
1University of Ibadan, Physiotherapy, Ibadan, Nigeria
Background: Heart disease is one of the top ten important causes of death in the world and its management is multidisciplinary. A large component of the cost incurred in treatment of heart diseases is expended on hospital-based care. Improvement in the care of patients with heart diseases may provide an opportunity to reduce the burden of heart diseases. Studies show that outcomes of care may be improved by relating the quality of care with patients' expectations and perceptions and by team spirit.
Assessing quality of care forms a broad approach to formulating evidence-based goals for patient care and is a significant part of continuous quality improvement plans. .This study was intended to determine health care providers´ and patients' perception of quality of care of patients with heart diseases in a Nigerian teaching hospital. The assessment of quality of care was conducted using structure, process and outcome of care.
Assessing quality of care forms a broad approach to formulating evidence-based goals for patient care and is a significant part of continuous quality improvement plans. .This study was intended to determine health care providers´ and patients' perception of quality of care of patients with heart diseases in a Nigerian teaching hospital. The assessment of quality of care was conducted using structure, process and outcome of care.
Purpose: This study aimed at determining health care providers and patients' perception of quality of care of patients with heart diseases in a Nigerian teaching hospital.
Methods: Ethical approval was obtained prior to commencement of the study and patient informed consent was also obtained. Descriptive survey and qualitative approach were used in this study. One hundred and twenty six patients with heart diseases and 28 health care professionals involved in the management of heart disease were recruited into this study through purposive sampling technique. Focus group discussion and in-depth interviews were the qualitative approach used while a questionnaire adapted from previous studies was used to collect quantitative data from the patients and health care professionals. The data were analyzed using descriptive statistics of percentages and graphs. The qualitative data were analyzed using thematic analysis. Quality of care was assessed through structure, process and outcome of care indices.
Results: The mean age of the patients was 55.31±15.64 years. Patients with heart diseases and health care providers perceived different aspects of the structure and process of care as poor. Areas that were perceived as poor were poor team work, poor staff strength, prolonged waiting time, poor health record keeping, and inadequate information on treatment.
Conclusion(s): Quality of care for cardiac patients at the Nigerian tertiary hospital was perceived as poor. There is the need for the improvement of the structure and process of care particularly team work to enhance quality of care for cardiac patients in Nigeria.
Implications: Inter professional collaboration and education needs enhancement to improve quality of care among patients with heart disease.
There is need for clinical guidelines and policies for its implementation in Nigeria.
Funding acknowledgements: This study was not funded
Topic: Cardiorespiratory
Ethics approval: UI/UCH ethics comittee
All authors, affiliations and abstracts have been published as submitted.
