A Qualitative Assessment of People-Centeredness of Inpatient Tuberculosis Treatment Services in Armenia  

作　　者：Zaruhi Grigoryan Nune Truzyan Lusine Musheghyan Varduhi Petrosyan Zaruhi Grigoryan;Nune Truzyan;Lusine Musheghyan;Varduhi Petrosyan(Avedisian Onanian Center for Health Services Research and Development, Turpanjian School of Public Health, American University of Armenia, 40 Marshal Baghramyan, Yerevan, Republic of Armenia)

机构地区：[1]Avedisian Onanian Center for Health Services Research and Development, Turpanjian School of Public Health, American University of Armenia, 40 Marshal Baghramyan, Yerevan, Republic of Armenia

出　　处：《Journal of Tuberculosis Research》2021年第3期184-196,共13页结核病研究（英文）

摘　　要：</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">People-centered tuberculosis (TB) care promotes treatment adherence and outcomes. TB patients’ and families’ health education and protection of their rights are among the core components of people-centered care. We aimed to assess the level of people-centeredness of TB care as a proxy to quality in the largest inpatient unit of the National Pulmonology Center (NPC) in Armenia. <b></span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">We conducted a qualitative study by interviewing clinical and administrative staff, TB patients, and family members to learn their experiences about patient and family education and rights (PFE&R) protection practices focusing on two Joint Commission International (JCI) Standards for Hospital Accreditation. Mixed</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">conventional inductive and directed deductive content approach guided the analysis of data. <b></span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">The study revealed various gaps in the provided services. According to the TB physicians and nurses, they routinely educated patients and families and took actions to protect their rights. However, practices reported by TB providers varied across clinical departments and professionals and did not meet the recommendations of the JCI standards. The document review revealed that no written policies or procedures existed in the NPC inpatient unit to guide the implementation of PFE&R. Lastly, patients</span></span></span></span><span style="font-family:Verdana;"><sp</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">People-centered tuberculosis (TB) care promotes treatment adherence and outcomes. TB patients’ and families’ health education and protection of their rights are among the core components of people-centered care. We aimed to assess the level of people-centeredness of TB care as a proxy to quality in the largest inpatient unit of the National Pulmonology Center (NPC) in Armenia. <b></span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">We conducted a qualitative study by interviewing clinical and administrative staff, TB patients, and family members to learn their experiences about patient and family education and rights (PFE&R) protection practices focusing on two Joint Commission International (JCI) Standards for Hospital Accreditation. Mixed</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">conventional inductive and directed deductive content approach guided the analysis of data. <b></span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">The study revealed various gaps in the provided services. According to the TB physicians and nurses, they routinely educated patients and families and took actions to protect their rights. However, practices reported by TB providers varied across clinical departments and professionals and did not meet the recommendations of the JCI standards. The document review revealed that no written policies or procedures existed in the NPC inpatient unit to guide the implementation of PFE&R. Lastly, patients</span></span></span></span><span style="font-family:Verdana;"><sp

关 键 词：Patient Education Patient Rights Quality Assessment 

分 类 号：R73[医药卫生—肿瘤]