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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Bypassing proximal health care facilities for acute care: A survey of patients in a Ghanaian Accident and Emergency Centre
Tropical Medicine and International Health, Volume 17, No. 6, Year 2012
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Description
Objective To characterise the population that presents to the Accident and Emergency Centre (AEC) at Komfo Anokye Teaching Hospital (KATH) and to identify risk factors associated with bypassing proximal care facilities. Methods A structured questionnaire was verbally administered to patients presenting to the AEC over 2weeks. The questionnaire focused on the use of health care resources and characteristics of current illness or injury. Measures recorded include demographics, socioeconomic status, chief complaint, transportation and mobility, reasons for choosing KATH and health care service utilisation and cost. Results The total rate of bypassing proximal care was 33.9%. On multivariate analysis, factors positively associated with bypassing included age older than 38years (OR: 2.18, P 0.04) and prior visits to facility (OR 2.88, P 0.01). Bypassers were less likely to be insured (OR 0.31, P 0.01), to be seeking care due to injury (OR 0.42, P 0.03) and to have previously sought care for the problem (OR 0.10, P<0.001). Conclusions Patients who bypass facilities near them to seek care at an urban AEC in Ghana do so for a combination of reasons including familiarity with the facility, chief complaint and insurance status. Understanding bypassing behaviour is important for guiding health care utilisation policy decisions and streamlining cost-effective, appropriate access to care for all patients. © 2012 Blackwell Publishing Ltd.
Authors & Co-Authors
Yaffee, A. Q.
Unknown Affiliation
Whiteside, Lauren K.
Unknown Affiliation
Oteng, Rockefeller A.
Unknown Affiliation
Carter, Patrick M.
Unknown Affiliation
Donkor, Peter
Unknown Affiliation
Rominski, Sarah Danielson
Unknown Affiliation
Kruk, Margaret Elizabeth
Unknown Affiliation
Cunningham, Rebecca M.
Unknown Affiliation
Statistics
Citations: 31
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1111/j.1365-3156.2012.02984.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ghana