World Physiotherapy Africa Region Conference System, 10th WCPT Africa Region Congress

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PATIENT SATISFACTION WITH REHABILITATION SERVICES AT PHC LEVEL
Nondwe B Mlenzana, Jose M Frantz

Last modified: 2014-01-18

Abstract


More than a decade ago, literature had highlighted that there is a need to understand the patients’ view on service delivery and explore whether health professionals acknowledge patient views and make relevant adjustments. Recently, patient satisfaction was identified as a good indicator in measuring effectiveness of a health care service. Rehabilitation services are internationally recognised as one of the key components of heath care. In South Africa, a Primary Health Care (PHC) approach was incorporated in health services since 1994. In South Africa the importance has been recognised as is evident in the current 2020 health plan. Causes of physical disability could be a direct complication of non-communicable diseases such as diabetes. Thus the aim of this study was to explore the satisfaction of people with physical disabilities regarding rehabilitation services at the selected rehabilitation centres in the Western Cape. This study employed a qualitative research approach using focus group discussions. The target population for this study involved all patients who presented with physical disabilities attending selected rehabilitation centres in the Western Cape, South Africa. A total of 43 patients were telephonically contacted to participate in this study and only 29 participants came for focus group discussions. Ethical clearance to conduct the study was obtained from the Ethics Committee of the University of the Western Cape (project registration number: 10/1/3) and the Western Cape Department of Health. Access to the patient information was obtained from the facility managers of the selected centres and written informed consent was obtained from all participants. All focus group discussions were tape-recorded after consent was obtained from the participants. During the focus group discussions the perceptions and satisfaction of patients regarding rehabilitation services were explored. The information obtained during the focus group discussions were transcribed verbatim by an independent person who did not take part in the data collection process. Thematic content analysis in the form of themes and categories was used for data analysis. Among the 29 participants, the mean age was 53 years with a range from 19 -78 years. Seventeen of the participants were female and 12 were male. The diagnosis of the participants included nine cerebrovascular accidents, nine neuromuscular disorders, six orthopaedic conditions like a fracture, three degenerative disorder like osteoarthritis and two lower limb amputations as a result of diabetes. Six main themes emerged which included initial reaction to the disability, patient’s response to referral for rehabilitation, access to rehabilitation services, therapists interaction during rehabilitation, treatment sessions and equipment. Within each theme several categories and subcategories emerged. The main conclusion drawn from this study is that patients were still dissatisfied with service providers regarding treatment sessions, waiting times and issuing of assistive devices. However, the patient outcomes of treatment were a positive aspect of rehabilitation services. Thus there continues to be a gap in the rehabilitation service delivery. Policy makers need to take the concerns of the patients into consideration so as to improve service delivery.


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