Positive patient experiences have a positive impact on treatment outcomes through improved engagement with and adherence to providers' instructions and treatments. Therefore, an improved understanding of those patients' experiences is needed. Further, in the academic field, there are still relatively few studies that aim to explore what diabetic patients think about their disease and quality of care in Vietnam. Although Vietnam has systematized channels to help patients express complaints related to the health system, they do not work effectively in practice ( Ha et al., 2015). More attention needs to be paid to patients' emotional responses to illnesses and health providers' responsiveness toward such responses, which influence patients' overall quality of life ( Coulter et al., 2014). Moreover, diabetes is a chronic metabolic disorder that impacts not only the physical but also the social and mental wellbeing of people living with it. Therefore, improvements in the quality of diabetic care and the Vietnamese health care system are still needed. If the patient has to be hospitalized, they are at risk of falling into poverty, especially if they are non-resident, ineligible for insurance, or already struggling financially ( Vuong, 2015). Prevention and control of diabetes in the country face various challenges, such as a lack of awareness about diabetes among the population, weak coordination between sectors to create a supportive environment, and poor access to services for diabetes prevention, diagnosis, and treatment ( Ngoc et al., 2020). Even if patients are diagnosed and seeing doctors, the majority have poor glycemic and metabolic control ( Nguyen et al., 2020). In addition, the number of people with a pre-diabetic condition is estimated to be three times higher than those with diabetes ( WHO Representative Office for Vietnam, 2016). According to the World Health Organization report in 2016, it is estimated that one in every 20 Vietnamese adults has diabetes.
Vietnam war hospital conditions trial#
Difficulties with health insurance were also observed, and patients were rather passive in disease management and needed to be empowered through improved communication with doctors and other care providers.Ĭonclusion: These findings from our trial of introducing a qualitative study into service evaluation suggest that listening to patients can help health providers learn their perspectives and be more responsive to their needs.ĭiabetes mellitus is a global pandemic, with 79% of affected patients living in low- and middle-income countries ( International Diabetes Federation, 2019). SCAT analysis of three selected cases identified six themes: “Disregarding the disease at the early stage,” “Fear of complications,” “Satisfaction with hospital services and medical staff,” “Insurance-related problems,” “Long waiting times,” and “Communication barriers between patients and doctors.” Patients were satisfied with improved hospital facilities and services however, the overloading of one hospital led to long waiting times and communication difficulties with doctors. Results: The major categories of frequently used words were chronic health conditions, services, facilities, insurance, patient-doctor communication, and medication. The transcribed data were first subjected to quantitative text analysis using KH Coder to identify major categories of frequently used words, followed by a qualitative analysis of selected cases using the Steps for Coding and Theorization (SCAT) method. Methods: Interviews with five diabetic patients were conducted at a tertiary general hospital located in southern Vietnam.
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Objectives: This study aimed to fill the gap between Vietnamese diabetic patients' needs and care through a qualitative study asking about their experiences with diabetes and quality of care.
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2Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.1Endocrinology Department, People's Hospital 115, Ho Chi Minh City, Vietnam.Mai Trong Tri 1 *, Nguyen Thy Khue 2, Vo Tuan Khoa 1 and Aya Goto 3