Accessibility of End-Stage Renal Disease Patients to Health Care Services of a Specialized Hospital
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2023, Vol 3, Issue 01
Abstract
Objective:This study was conducted to assess accessibility of ESRD patients to health care services of a specialized hospital.Methods:The study was a cross-sectional study, which was conducted at the National Institute of Kidney Diseases and Urology (NIKDU), Sher-E-Bangla Nagar, Dhaka, Bangladesh during the period from January to December 2021. The study included 384 ESRD patients, who were selected by purposive sampling technique. Data were collected by face-to-face interview with a pretested, semi-structured questionnaire and data were analyzed by current Statistical Package for Social Sciences (SPSS) 25 version. Associations of the categorical data were assessed by using Chi-square (x2) test. Prior to data collection, informed written consent was taken from eachpatient.Results:The study revealed that males (67.2%) and females (32.8%) were portion with mean age of 48.2±12.1 years. More than three fourth (79.9%) were married and 32.3% had graduation and it’s above of education level while 1.6% were illiterate. One forth was housewives; average family size was 5.17 (±2.00) and average monthly family income was Tk.44820.31 (±48545.87). More than fifty percent (58%) of the patients had come to the hospital from 30 kilometer away. Aboutthree forth (75.3%) ofthepatients wentto the hospital by bus and 1.6% by rickshaw. Most of the patients (82%) were needed for admission within last one month and very fewer (10%) had got bed for admission. Average waiting time was 5.6 (±3.4) months to get dialysis schedule. Off all, 70.6 % got fewer prescribed drugs for dialysis treatment, majority (81.8%) got Femoral/Jugular catheterization service and only 2% got arteri-venous fistula services by the hospital. Among all participants, more than fifty percent (55.7%) got easy access for laboratory test and 28.1% got for radiological test. About half (56%) of the patients got cooperation by hospital staffs. It was found that males (46.5%) had significantly (p<0.05) average accessibility to the health care services than their counterpart females (21.8%). On the residency, rural patients (8.3%), had significantly (p<0.05) poor accessibility to health careservices than urban patients (4.4%). Majority (68%) ESRD patients had average level of accessibility to health care services followed by “good” (19.0%) and “poor” (13.0%). Conclusion: To improve the accessibility of the End-Stage Renal Disease patients to the health care services of a specialized hospital, associated problems must be overcome by effective measures and programinterventions.
Authors and Affiliations
Md. Abdul Jabbar, Dr. Hafiza Sultana, Rahima Parvin, Rawnak Zahan Rimu, Dr. Mohammad Rashidul Alam
Keywords
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- EP ID EP739727
- DOI 10.47191/ijmscrs/v3-i1-10
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