Caregivers' Satisfaction of Teleconsultations and Associated Factors During COVID-19 Pandemic at Pediatric Clinics of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study.
Ahmed Ketema Abegaz, Abebe Habtamu Tamire, Hussen Asfaw
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Abstract
Background: The COVID-19 pandemic led to a paradigm shift in routine care delivery with the widespread transition to virtual care without demanding preconditions. Caregivers' satisfaction is a critical parameter to ensuring the quality of clinical service in the pediatric population. Despite this fact, such patient-related factors are under-investigated and poorly documented in developing countries such as Ethiopia. The study was aimed to assess caregivers' satisfaction regarding teleconsultations and associated factors during COVID-19 pandemic at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Methods: Health institution-based cross-sectional survey was conducted in randomly selected caregivers who were served with phone-based medical consultations during the pandemic. Data were collected by means of a pretested, structured interviewer-administered questionnaire. Data were entered into Excel 2016 and analyzed using SPSS version 26. Logistic regression models were used to predict the association of study variables and adjusted for possible confounders.
Results: Overall, 177 (61.5%) of participants reported satisfaction with the teleconsultation. Female caregivers (AOR=1.78; 95% CI 1.05, 3.01), having family support (AOR=2.6; 95% CI 1.45, 4.65), access to a nearby laboratory (AOR=2.18; 95% CI 1.24, 3.83), having access to nearby pharmacy (AOR=2.82; 95% CI 1.63, 4.86) were found to be predictors of caregivers' satisfaction with teleconsultation in the study area.
Conclusion: A considerable number of caregivers were satisfied with the teleconsultation service during the COVID-19 pandemic. It is important for healthcare providers and policy makers to strengthen the provision of teleconsultation service options for caregivers including women and those with better access to diagnostic centers and pharmacies. They should try to make teleconsultation caregiver-friendly.
背景:2019冠状病毒病大流行导致常规医疗服务模式发生转变，普遍向虚拟医疗过渡，无需任何先决条件。护理人员的满意度是确保儿科人群临床服务质量的关键参数。尽管如此，在埃塞俄比亚等发展中国家，对这些与患者相关的因素的调查和记录都很差。该研究旨在评估埃塞俄比亚亚的斯亚贝巴Tikur Anbessa专科医院COVID-19大流行期间护理人员对远程会诊及其相关因素的满意度。方法:以卫生机构为基础的横断面调查，随机选择在大流行期间接受电话医疗咨询的护理人员。数据是通过预先测试的、结构化的访谈者管理的问卷收集的。数据录入Excel 2016，使用SPSS 26进行分析。使用逻辑回归模型预测研究变量的相关性，并对可能的混杂因素进行调整。结果:总体而言，177名(61.5%)参与者对远程咨询表示满意。女性照护者(AOR=1.78;95% CI 1.05, 3.01)，有家庭支持(AOR=2.6;95% CI 1.45, 4.65)，就近实验室(AOR=2.18;95% CI 1.24, 3.83)，附近有药房(AOR=2.82;95% CI 1.63, 4.86)被发现是研究地区护理人员对远程咨询满意度的预测因子。结论:冠状病毒病疫情期间，相当一部分护理人员对远程会诊服务感到满意。医疗保健提供者和决策者必须加强向包括妇女在内的护理人员以及更容易进入诊断中心和药房的人提供远程咨询服务选择。他们应该尽量使远程咨询对护理人员友好。
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