Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries
Objectives To understand commonalities and differences in injured patient experiences of accessing and receiving quality injury care across three lower-income and middle-income countries.Design A qualitative interview study. The interviews were audiorecorded, transcribed and thematically analysed.Se...
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/7/e082098.full |
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| author | Antonio Belli Justine Davies Stephen Tabiri John Whitaker Maria Lisa Odland Anthony Howard Abebe Bekele Agnieszka Ignatowicz Kathryn M Chu Abdul-Malik Abdul-Latif Karen Ferreira Pascal Nzasabimana Eyitayo O Owolabi Samukelisiwe Nyamathe Sheba Mary Pognaa Kunfah Mustapha Yakubu Ciaran Kennedy Bernard Ofori Barnabas Alyande Jean-Claude Byiringiro |
| author_facet | Antonio Belli Justine Davies Stephen Tabiri John Whitaker Maria Lisa Odland Anthony Howard Abebe Bekele Agnieszka Ignatowicz Kathryn M Chu Abdul-Malik Abdul-Latif Karen Ferreira Pascal Nzasabimana Eyitayo O Owolabi Samukelisiwe Nyamathe Sheba Mary Pognaa Kunfah Mustapha Yakubu Ciaran Kennedy Bernard Ofori Barnabas Alyande Jean-Claude Byiringiro |
| author_sort | Antonio Belli |
| collection | DOAJ |
| description | Objectives To understand commonalities and differences in injured patient experiences of accessing and receiving quality injury care across three lower-income and middle-income countries.Design A qualitative interview study. The interviews were audiorecorded, transcribed and thematically analysed.Setting Urban and rural settings in Ghana, South Africa and Rwanda.Participants 59 patients with musculoskeletal injuries.Results We found five common barriers and six common facilitators to injured patient experiences of accessing and receiving high-quality injury care. The barriers encompassed issues such as service and treatment availability, transportation challenges, apathetic care, individual financial scarcity and inadequate health insurance coverage, alongside low health literacy and information provision. Facilitators included effective information giving and informed consent practices, access to health insurance, improved health literacy, empathetic and responsive care, comprehensive multidisciplinary management and discharge planning, as well as both informal and formal transportation options including ambulance services. These barriers and facilitators were prevalent and shared across at least two countries but demonstrated intercountry and intracountry (between urbanity and rurality) variation in thematic frequency.Conclusion There are universal factors influencing patient experiences of accessing and receiving care, independent of the context or healthcare system. It is important to recognise and understand these barriers and facilitators to inform policy decisions and develop transferable interventions aimed at enhancing the quality of injury care in sub-Saharan African nations. |
| format | Article |
| id | doaj-art-1c70f38b6b9243f8a3dcaf70a8699032 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1c70f38b6b9243f8a3dcaf70a86990322025-08-20T02:13:20ZengBMJ Publishing GroupBMJ Open2044-60552024-07-0114710.1136/bmjopen-2023-082098Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countriesAntonio Belli0Justine Davies1Stephen Tabiri2John Whitaker3Maria Lisa Odland4Anthony Howard5Abebe Bekele6Agnieszka Ignatowicz7Kathryn M Chu8Abdul-Malik Abdul-Latif9Karen Ferreira10Pascal Nzasabimana11Eyitayo O Owolabi12Samukelisiwe Nyamathe13Sheba Mary Pognaa Kunfah14Mustapha Yakubu15Ciaran Kennedy16Bernard Ofori17Barnabas Alyande18Jean-Claude Byiringiro19National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Birmingham, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKGhana HUB of NIHR Global Surgery, Tamale, GhanaInstitute of Applied Health Research, University of Birmingham, Birmingham, UK5 Institute of Applied Health Research, University of Birmingham, Birmingham, UKLeeds Institute of Rheumatic and Musculoskeletal Medicine, School of Medicine, University of Leeds, Leeds, UKDepartment of Surgery, Addis Ababa University, Addis Ababa, Ethiopia10 University of Birmingham, Birmingham, UKDepartment of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South AfricaInstitute of Applied Health Research, University of Birmingham, Birmingham, UKDepartment of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South AfricaUniversity of Rwanda, Kigali, RwandaDepartment of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South AfricaDepartment of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South AfricaGhana HUB of NIHR Global Surgery, Tamale, Ghana2 School of Medicine and Health Sciences, University for Development Studies School of Medicine, Tamale, Northern Region, GhanaInstitute of Applied Health Research, University of Birmingham, Birmingham, UKGhana HUB of NIHR Global Surgery, Tamale, GhanaCenter for Equity in Global Surgery, University of Global Health Equity, Kigali, RwandaUniversity of Rwanda, Kigali, RwandaObjectives To understand commonalities and differences in injured patient experiences of accessing and receiving quality injury care across three lower-income and middle-income countries.Design A qualitative interview study. The interviews were audiorecorded, transcribed and thematically analysed.Setting Urban and rural settings in Ghana, South Africa and Rwanda.Participants 59 patients with musculoskeletal injuries.Results We found five common barriers and six common facilitators to injured patient experiences of accessing and receiving high-quality injury care. The barriers encompassed issues such as service and treatment availability, transportation challenges, apathetic care, individual financial scarcity and inadequate health insurance coverage, alongside low health literacy and information provision. Facilitators included effective information giving and informed consent practices, access to health insurance, improved health literacy, empathetic and responsive care, comprehensive multidisciplinary management and discharge planning, as well as both informal and formal transportation options including ambulance services. These barriers and facilitators were prevalent and shared across at least two countries but demonstrated intercountry and intracountry (between urbanity and rurality) variation in thematic frequency.Conclusion There are universal factors influencing patient experiences of accessing and receiving care, independent of the context or healthcare system. It is important to recognise and understand these barriers and facilitators to inform policy decisions and develop transferable interventions aimed at enhancing the quality of injury care in sub-Saharan African nations.https://bmjopen.bmj.com/content/14/7/e082098.full |
| spellingShingle | Antonio Belli Justine Davies Stephen Tabiri John Whitaker Maria Lisa Odland Anthony Howard Abebe Bekele Agnieszka Ignatowicz Kathryn M Chu Abdul-Malik Abdul-Latif Karen Ferreira Pascal Nzasabimana Eyitayo O Owolabi Samukelisiwe Nyamathe Sheba Mary Pognaa Kunfah Mustapha Yakubu Ciaran Kennedy Bernard Ofori Barnabas Alyande Jean-Claude Byiringiro Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries BMJ Open |
| title | Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries |
| title_full | Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries |
| title_fullStr | Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries |
| title_full_unstemmed | Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries |
| title_short | Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries |
| title_sort | commonalities and differences in injured patient experiences of accessing and receiving quality injury care a qualitative study in three sub saharan african countries |
| url | https://bmjopen.bmj.com/content/14/7/e082098.full |
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