Utilization of day surgery services at upper hill medical centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness

Odhiambo, Mildred Adhiambo; Njuguna, Susan; Waireri-Onyango, Rachel; Mulimba, Josephat; Ngugi, P M

doi:10.11604/pamj.2015.22.28.4913

Cited by 5 publications

(5 citation statements)

References 4 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings also show that the staff observe the conditions of occupational health. This result is in line with the findings of Odhiambo et al [24] and Montgomery [17] that the human element is the most important element in the health service where the success of the health service depends on the experiences and qualifications of the health staff and the way they deal with the patients. This finding also matches with the study of Li, et al [8] that hospitals should care for health personnel and provide an appropriate work environment both internally and externally.…”

Section: Results Of the Third Sectionsupporting

confidence: 92%

“…Also, Stessel, et al [26] examined prevalence and predictors of quality of recovery at home after day surgery and Gilliard, et al [25] proposed a methodology to estimate the potential to move inpatient to one day surgery. Furthermore, Odhiambo, et al [24] discussed how utilization of day surgery services was influenced by medical providers, patient awareness and cost. The present study offers a set of new variables examined in none of the above studies.…”

mentioning

confidence: 99%

“…The study also found that the level of radiology devices in all day surgery centers was very poor. The study recommended the establishment of quality control and quality assurance committees to encourage the application of quality standards in day-surgery centers.Odhiambo, et al[24] conducted a study titled, "Utilization of day surgery services at Upper hill Medical Centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness" sought to establish how utilization of day surgery services was influenced by medical providers, patient awareness and cost among other factors. The study design was cross sectional with self-administered questionnaires used to collect…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Factors Influencing the Success of Day Surgery at Prince Sultan Military Medical City (PSMMC)

Almarzook¹

2020

BJSTR

View full text Add to dashboard Cite

This study aimed to identify the factors influencing the success of day surgery at Prince Sultan Military Medical City (PSMMC) in Riyadh. The study aimed to identify the effect of (administrative procedures -surgical preparations -medical staff -laboratory and ray equipment, and medical care) on the success of day surgery at Prince Sultan Military Medical City (PSMMC). In order to achieve these goals, the researcher used the descriptive analytical approach and used the questionnaire instrument in order to collect the data from the research sample. Population of the study comprised all the medical staff at PSMMC in Riyadh. The researcher distributed (175) questionnaires on the research sample and (161) questionnaires were put for study. The study concluded that the research sample estimated the administrative procedures with a mean score (3.78), the research sample estimated the surgical preparations with a mean score (3.22), the research sample estimated the medical staff with a mean score (3.41), the research sample estimated the laboratory and ray equipment with a mean score (3.53) the research sample estimated the medical care with a mean score (3.66), and the research sample estimated the success of day cases with a mean score (3.67). Also, the findings showed that there is a correlational relationship between the independent variables and the dependent variable. The study recommended the need to benefit from the international standards in day surgery unit's management to ensure the quality of the health service. The study also recommended establishing a department for the quality and development of day surgery to develop the equipment in day surgery units and to modernize the technological systems that contribute to the provision of high-quality care service.

show abstract

Section: Results Of the Third Sectionsupporting

confidence: 92%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Factors Influencing the Success of Day Surgery at Prince Sultan Military Medical City (PSMMC)

Almarzook¹

2020

BJSTR

View full text Add to dashboard Cite

show abstract

“…Furthermore, ambulatory surgery is comparable to inpatient stay with regard to patient safety and acceptability [12][13][14]. Despite strong evidence in HICs suggesting that ambulatory surgery is safer and more cost-effective compared to hospitalization, it has not achieved widespread practice in LMICs due to concerns regarding postoperative healthcare infrastructure and the safety of day surgery [15]. Kyabirwa Surgical Center (KSC) in Jinja, Uganda, is the first freestanding facility to provide exclusively ambulatory surgeries to the surrounding rural population.…”

Section: Introductionmentioning

confidence: 99%

Ambulatory Surgery Center in Rural Uganda: A Novel Approach to Providing Surgical Care

Abasi,

Okello Damoi,

Turumanya Kalumuna

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: Despite evidence that ambulatory surgery is safe with faster recovery compared to in-patient hospitalization, surgeons in low- and middle-income countries like Uganda have been hesitant to embrace this practice. Kyabirwa Surgical Center (KSC) is the first freestanding ambulatory surgery center (ASC) in rural Uganda. We aim to report the impact of a rural ASC since its establishment, in alleviating surgically-treatable morbidity within its catchment area. Methods: KSC is located in Jinja, Uganda. The center’s electronic medical record was used to analyze the utilization of services, and the Uganda Bureau of Statistics was used to calculate KSC’s catchment area. Effectiveness was calculated using disability-adjusted life years (DALYs) averted. Results: Between July 2019 and December 2021, 7,391 patients (57.7% female, 42.3% male) visited KSC from a catchment area of 570,790 people. Of 1,355 procedures, 64.6% were general surgery, 21.3% endoscopy, 9.2% gynecological/genitourinary), 2.8% ENT, 1.5% colorectal, and 0.6% orthopedics. There were no postoperative hospital admissions for complications or mortalities. From the seven most common procedures with an associated disability weight, 2,193.16 total DALYs were averted. Conclusion: ASCs can be effective in addressing surgical care gaps in Uganda by increasing the yearly surgical capacity of the local catchment area and averting DALYs within the population.

show abstract

“…Ambulatory surgery has grown in developed countries in the last 50 years and it has increasingly become more established in developing countries as well. [1][2][3] It is considered a safe, efficient and cost-effective level of care contributing to patient satisfaction and improved quality of life. [4][5][6] Patients initially proposed for ambulatory surgery across the different medical specialties can be rejected and redirected to inpatient care.…”

Section: Introductionmentioning

confidence: 99%

What Leads to a Patient Refusal for Ambulatory Surgery? A Logistic Regression Prediction Model Based on a 5-year Retrospective Analysis of Patients with Abdominal Wall Hernia

et al. 2022

View full text Add to dashboard Cite

Introduction: Ambulatory surgery has proven benefits in patient wellbeing and cost reduction in healthcare systems. However, some patients referred for ambulatory surgery are refused and directed instead towards inpatient care, which generates several drawbacks. The reasons for this refusal have not been yet studied. The aim of this study is to identify, retrospectively, significant variables associated with patient refusal for ambulatory surgery and develop a mathematical tool able to predict with strong accuracy those who will be rejected.Material and Methods: Over a 5-year period (2014 - 2018), all patients that underwent abdominal hernia repair in our hospital in an inpatient setting, and that had been previously refused for ambulatory surgery, were analysed for a total of 94 variables. A multivariate logistic regression model was developed to identify risk factors associated with refusal using data from 136 patients (65 refused vs 71 accepted). A prediction index for refusal in ambulatory surgery - IRAS - was derived and tested (n = 62 patients).Results: The risk index included five significant risk factors: type 2 diabetes mellitus [OR 14.669 (2.982; 72.154)], physical status [OR 49.155 (15.532; 155.555)], prior malignancy [OR 14.518 (2.653; 79.441)], prior abdominal surgery [OR 3.455 (1.006; 11.866)] and usage of antiplatelet agents [OR 25.600 (4.309; 152.066)]. All risk factors were associated with a high risk of refusal (OR between 3.455 for history of prior abdominal surgery and 49.155 according to the American Society of Anaesthesiologists physical status classification). Defining five points as the maximum IRAS score that predicts suitability for ambulatory surgery resulted in a positive predictive value of 93.55% and negative predictive value of 87.10%.Discussion: Significant patient variables for refusal of an ambulatory procedure were determined and an easy to use risk index - IRAS - was built that is able to predict with good accuracy which patients will be refused.Conclusion: IRAS is a useful tool that can contribute to reduce time to surgery and improve patients’ quality of life.

show abstract

Utilization of day surgery services at upper hill medical centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness

Cited by 5 publications

References 4 publications

The Factors Influencing the Success of Day Surgery at Prince Sultan Military Medical City (PSMMC)

The Factors Influencing the Success of Day Surgery at Prince Sultan Military Medical City (PSMMC)

Ambulatory Surgery Center in Rural Uganda: A Novel Approach to Providing Surgical Care

What Leads to a Patient Refusal for Ambulatory Surgery? A Logistic Regression Prediction Model Based on a 5-year Retrospective Analysis of Patients with Abdominal Wall Hernia

Contact Info

Product

Resources

About