Preprint Article Version 1 This version is not peer-reviewed

Satisfaction Level of Tuberculosis Patients Regarding their Access to TB Care and Prevention Services, Delivered through Public Private Mix Model in Pakistan

Version 1 : Received: 20 September 2019 / Approved: 20 September 2019 / Online: 20 September 2019 (15:42:47 CEST)

A peer-reviewed article of this Preprint also exists.

Ali, S.M.; Anjum, N.; Naureen, F.; Rashid, A.; Tahir, A.; Ishaq, M.; Usman, M. Satisfaction Level of Tuberculosis Patients Regarding Their Access to TB Care and Prevention Services, Delivered Through a Public–Private Mix Model in Pakistan. Healthcare 2019, 7, 119. Ali, S.M.; Anjum, N.; Naureen, F.; Rashid, A.; Tahir, A.; Ishaq, M.; Usman, M. Satisfaction Level of Tuberculosis Patients Regarding Their Access to TB Care and Prevention Services, Delivered Through a Public–Private Mix Model in Pakistan. Healthcare 2019, 7, 119.

Journal reference: Healthcare 2019, 7, 119
DOI: 10.3390/healthcare7040119

Abstract

Objective: The private healthcare providers (PHCP) are believed to improve access to healthcare services in Public-Private Mix (PPM) projects, as they are considered first point of contact for healthcare. The purpose of this study was to know the satisfaction level of TB patients. Design: A questionnaire-based, cross-sectional study was carried out during November and December 2017 for 572 under-treatment patients registered with PHCPs in the PPM project. Lot quality assurance sampling technique was used to randomly select 19 districts from sample frame of 75 districts. In each selected district, data collector retrieved TB register of 8 months (Jan – Aug 2017) and systematically selected patients by fixed periodic interval. SPSS (version 24.0) was used to analyze the data. Results: Study included 53% (n=301) of males and 47% (n=271) of females, with mean age of 38 years (SD, ±18). Almost half of the participants were illiterate (51%, n=289) and 64% (n=365) were non-earning members of the family. In practice, most of the participants visit private providers (71%, n=407), including private hospital/clinic (44%) and traditional practitioners (27%; n=153). 55% of participants visited the current doctor because of clinic’s proximity to residence. 82% of the participants (n=469) were satisfied with the TB care services and 85% (n=488) said that they would recommend this clinic to others. Conclusion: PHCPs are preferred providers for individuals, which is consistent with findings of other studies. Though they are satisfied with TB care and services, interventions should be introduced to reduce the financial burden on the patient. Partnering PHCP is a way forward to ensure universal health coverage, health system strengthening and better health outcomes of the population.

Subject Areas

patient satisfaction; quality of care; private healthcare provider; public private mix model; tuberculosis control; health system

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