Ensuring Safety of Patients in Complex Health Systems: A Focus on Primary Healthcare Service Relations in Nigeria.
Patient-centered healthcare is a goal for all health systems. However, given the inherent complexities of the health system as one with many nonlinear and dynamic components, the safety of patients could be affected. Therefore, there is the need to study these complexities to manage them toward opti...
| Publicado en: | Health & Social Work Vol. 48; no. 1; pp. 54 - 64 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=161722578&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 161722578 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03607283 HSW jtl: Health & Social Work issn: 03607283 maglogo: N pubinfo: dt: Feb2023 vid: 48 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 161722578 10.1093/hsw/hlac041 ppf: 54 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 278KB tig: atl: Ensuring Safety of Patients in Complex Health Systems: A Focus on Primary Healthcare Service Relations in Nigeria. aug: au: Uzochukwu, Benjamin Agwu, Prince Okeke, Chinyere Uzochukwu, Adaora Onwujekwe, Obinna affil: is professor, Department of Community Medicine is lecturer, Department of Social Work is lecturer, Department of Community Medicine is lecturer, Department of Business Administration is professor, Department of Health Administration, University of Nigeria , Enugu, Nigeria su: Nigeria Evaluation of medical care Patient-centered care Interviewing Social justice Primary health care Qualitative research Labor supply Interprofessional relations Job satisfaction Medical practice Patient safety Conceptual structures Judgment sampling Endowments sug: subj: Evaluation of medical care Patient-centered care Interviewing Social justice Primary health care Qualitative research Labor supply Interprofessional relations Job satisfaction Medical practice Patient safety Nigeria Grantmaking Foundations Temporary Help Services Conceptual structures Judgment sampling Endowments keyword: complex health systems health financing health service delivery health workforce patient satisfaction complex health systems health financing health service delivery health workforce patient satisfaction ab: Patient-centered healthcare is a goal for all health systems. However, given the inherent complexities of the health system as one with many nonlinear and dynamic components, the safety of patients could be affected. Therefore, there is the need to study these complexities to manage them toward optimal service delivery. The present study is a qualitative inquiry into the complexities of primary healthcare (PHC) in Nigeria and effects on patients' safety across four PHC facilities in Enugu state in southeast Nigeria. It utilizes a framework that draws on the components of interprofessional collaboration, inclusive of health financing and health workforce satisfaction, to understand the complex PHC system and patient safety. The study findings show that the PHC system in the study area performs suboptimally on the three counts, which implies poor management of the complexities of the system such that patients are highly susceptible to harm. Making a commitment to addressing the shortcomings present in each of the three components will help to decomplexify PHC in line with the World Health Organization agenda of achieving resilient and strong health systems. Importantly, optimizing the psychosocial space in Nigeria's PHC by employing qualified social workers and other psychosocial professionals is crucial for patient safety and a range of psychosocial activities that can enhance job satisfaction of health workers. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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