Formulation and pilot test of tuberculosis patient score card (TB-PSC) in selected public health care facilities of Himachal Pradesh, India

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引用次数: 0

Abstract

Background

Community engagement is advocated to improve quality of services using community score card. Current study was done with the objective to formulate the TB-PSC and to carry out its feasibility assessment at three selected public healthcare facilities of Himachal Pradesh, India.

Methods

A mixed-method study design was adopted for the study and was carried out from April 2022 to March 2023. A total of 36 IDIs and four FGDs were carried out to conceptualize, and formulate the structure, components, and scoring mechanisms of TB-CSC. To assess the effect of TB-PSC at three primary health centres (PHCs), pre- and post-study design was used for change in level of satisfaction adapting patient satisfaction questionnaire (PSQ-18).

Results

Based on gathered information from IDIs and FGDs, TB-PSC was developed. It comprised of a total of 22 questions related to four domains of availability (9), accessibility (4), and quality (5) of services along with perceived stigma and discrimination (4). TB-PSC was implemented for five months in each PHC in interface-meetings. Mean PSQ score was observed to be significantly high (2.5 vs 2.6) after intervention.

Conclusion

TB-PSC implementation is feasible in interface meetings and makes them more participatory and effective.

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在印度喜马偕尔邦选定的公共卫生保健设施中制定结核病患者记分卡并进行试点测试
背景:提倡社区参与,利用社区评分卡提高服务质量。本研究旨在制定肺结核社区评分卡,并在印度喜马偕尔邦的三个选定公共医疗机构进行可行性评估:研究采用混合方法研究设计,于 2022 年 4 月至 2023 年 3 月进行。共进行了 36 次 IDI 和 4 次 FGD,以构思和制定 TB-CSC 的结构、组成部分和评分机制。为了评估 TB-PSC 在三家初级保健中心(PHC)的效果,采用了研究前和研究后的设计,以了解患者满意度问卷(PSQ-18)的满意度变化情况:根据从 IDI 和 FGD 收集到的信息,编制了结核病满意度调查表(TB-PSC)。该问卷共包含 22 个问题,分别涉及服务的可用性(9 个)、可及性(4 个)、质量(5 个)以及感知到的耻辱和歧视(4 个)四个方面。TB-PSC 在每个初级保健中心的接口会议上实施了五个月。据观察,干预后的平均 PSQ 得分明显较高(2.5 vs 2.6):结论:在接口会议中实施 TB-PSC 是可行的,并能使会议更具参与性和有效性。
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来源期刊
Indian Journal of Tuberculosis
Indian Journal of Tuberculosis Medicine-Infectious Diseases
CiteScore
2.80
自引率
0.00%
发文量
103
期刊介绍: Indian Journal of Tuberculosis (IJTB) is an international peer-reviewed journal devoted to the specialty of tuberculosis and lung diseases and is published quarterly. IJTB publishes research on clinical, epidemiological, public health and social aspects of tuberculosis. The journal accepts original research articles, viewpoints, review articles, success stories, interesting case series and case reports on patients suffering from pulmonary, extra-pulmonary tuberculosis as well as other respiratory diseases, Radiology Forum, Short Communications, Book Reviews, abstracts, letters to the editor, editorials on topics of current interest etc. The articles published in IJTB are a key source of information on research in tuberculosis. The journal is indexed in Medline
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