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Adesanya T, Gbolahan O, Ghannam O, et al. Exploring the responsiveness of public and private hospitals in lagos, Nigeria. J Public Health Res. 2012;1(1):2-6doi: 10.4081/jphr.2012.e2.
Adesanya, T., Gbolahan, O., Ghannam, O., Miraldo, M., Patel, B., Verma, R., & Wong, H. (2012). Exploring the responsiveness of public and private hospitals in lagos, Nigeria. Journal of public health research, 1(1), 2-6. https://doi.org/10.4081/jphr.2012.e2
Adesanya, Tomilola, et al. "Exploring the responsiveness of public and private hospitals in lagos, Nigeria." Journal of public health research vol. 1,1 (2012): 2-6. doi: https://doi.org/10.4081/jphr.2012.e2
Adesanya T, Gbolahan O, Ghannam O, Miraldo M, Patel B, Verma R, Wong H. Exploring the responsiveness of public and private hospitals in lagos, Nigeria. J Public Health Res. 2012 Feb 14;1(1):2-6. doi: 10.4081/jphr.2012.e2. eCollection 2012 Feb 17. PMID: 25170439; PMCID: PMC4140314.
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J Public Health Res. 2012 Feb 14;1(1):2-6. doi: 10.4081/jphr.2012.e2. eCollection 2012 Feb 17.

Exploring the responsiveness of public and private hospitals in lagos, Nigeria.

Journal of public health research

Tomilola Adesanya, Olayinka Gbolahan, Obadah Ghannam, Marisa Miraldo, Bhavesh Patel, Rishi Verma, Heather Wong

Affiliations

  1. Brighton & Sussex Medical School, Brighton, UK.
  2. Imperial College School of Medicine, Sir Alexander Fleming Building, South Kensington Campus, London.
  3. Healthcare Management Group, Imperial College Business School, London.

PMID: 25170439 PMCID: PMC4140314 DOI: 10.4081/jphr.2012.e2

Abstract

According to the World Health Report 2000, health system responsiveness is proposed as one of the three key objectives of any health system. This multi-domain concept describes how well a health system responds to the expectations of their users concerning the non-health enhancing aspects of care. In this study we aim to compare the levels of responsiveness experienced by users of private and publicly managed hospitals in Nigeria, and through these insights, to propose recommendations on how to improve performance on this measure. This quantitative, cross-sectional study uses a questionnaire that is adapted from two responsiveness surveys designed by the World Health Organization (WHO). Researchers collected responses from 520 respondents from four hospitals in Lagos, Nigeria. Analysis of the data using statistical techniques found that significant differences exist between the performance of public and private hospitals on certain domains of responsiveness, with privately operated hospitals performing better where differences exist. Users of private hospitals also reported a higher level of overall satisfaction. Private hospitals were found to perform particularly better on the domains of dignity, waiting times, and travel times. These findings have implications for the management of public hospitals in focusing their efforts on improving their performance in low scoring domains. Performance in these hospitals can be improved by emphasis on staff training and demand management.

Keywords: health system performance; public and private providers; responsiveness

References

  1. BMC Health Serv Res. 2009 Jul 14;9:117 - PubMed
  2. Health Aff (Millwood). 2001 May-Jun;20(3):21-4 - PubMed
  3. J Natl Med Assoc. 2008 Sep;100(9):1052-8 - PubMed
  4. Afr J Med Med Sci. 2005 Jun;34(2):133-40 - PubMed
  5. Nig Q J Hosp Med. 2009 Jan-Mar;19(1):47-52 - PubMed
  6. Soc Sci Med. 2008 May;66(9):1939-50 - PubMed
  7. Niger J Clin Pract. 2010 Dec;13(4):371-8 - PubMed
  8. Bull World Health Organ. 2009 Apr;87(4):271-8 - PubMed
  9. BMC Health Serv Res. 2007 Jul 02;7:99 - PubMed
  10. Public Health. 2005 Jul;119(7):582-6 - PubMed
  11. Afr J Reprod Health. 2008 Dec;12(3):71-92 - PubMed

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