TY  - JOUR
PY  - 2024//
TI  - Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries
JO  - BMJ open
A1  - Kennedy, Ciaran
A1  - Ignatowicz, Agnieszka
A1  - Odland, Maria Lisa
A1  - Abdul-Latif, Abdul-Malik
A1  - Belli, Antonio
A1  - Howard, Anthony
A1  - Whitaker, John
A1  - Chu, Kathryn M.
A1  - Ferreira, Karen
A1  - Owolabi, Eyitayo O.
A1  - Nyamathe, Samukelisiwe
A1  - Tabiri, Stephen
A1  - Ofori, Bernard
A1  - Pognaa Kunfah, Sheba Mary
A1  - Yakubu, Mustapha
A1  - Bekele, Abebe
A1  - Alyande, Barnabas
A1  - Nzasabimana, Pascal
A1  - Byiringiro, Jean-Claude
A1  - Davies, Justine
SP  - e082098
EP  - e082098
VL  - 14
IS  - 7
N2  - OBJECTIVES: To understand commonalities and differences in injured patient experiences of accessing and receiving quality injury care across three lower-income and middle-income countries. <br><br>DESIGN: A qualitative interview study. The interviews were audiorecorded, transcribed and thematically analysed. SETTING: Urban and rural settings in Ghana, South Africa and Rwanda. PARTICIPANTS: 59 patients with musculoskeletal injuries. <br><br>RESULTS: We found five common barriers and six common facilitators to injured patient experiences of accessing and receiving high-quality injury care. The barriers encompassed issues such as service and treatment availability, transportation challenges, apathetic care, individual financial scarcity and inadequate health insurance coverage, alongside low health literacy and information provision. Facilitators included effective information giving and informed consent practices, access to health insurance, improved health literacy, empathetic and responsive care, comprehensive multidisciplinary management and discharge planning, as well as both informal and formal transportation options including ambulance services. These barriers and facilitators were prevalent and shared across at least two countries but demonstrated intercountry and intracountry (between urbanity and rurality) variation in thematic frequency. <br><br>CONCLUSION: There are universal factors influencing patient experiences of accessing and receiving care, independent of the context or healthcare system. It is important to recognise and understand these barriers and facilitators to inform policy decisions and develop transferable interventions aimed at enhancing the quality of injury care in sub-Saharan African nations.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2023-082098
ID  - ref1
ER  -