Inpatients' awareness of admission reasons and management plans of their clinical conditions at a tertiary hospital in South Africa.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Health Knowledge, Attitudes, Practice* ; Patient Care Management* ; Tertiary Care Centers*; Inpatients/*psychology; Adult ; Disease Management ; Female ; Hospitalization ; Humans ; Male ; Middle Aged ; South Africa ; Surveys and Questionnaires ; Young Adult
    • Abstract:
      Background: Inpatient awareness of the reason for their admission and the planned management enhances patient compliance and empowers patients to be resourceful in subsequent consultations. The objective of this study was to determine patients' awareness of their clinical conditions while admitted to an academic hospital.
      Methods: A survey was conducted at Dr George Mukhari Academic Hospital in Pretoria, from 6 to 17 December 2010, on 264 inpatients drawn from a population of 837 through a systematic sampling method. Data on inpatient awareness were collected using a researcher-administered questionnaire, which was available in English, as well as isiZulu and Setswana. Components of patients' global awareness were clinical diagnosis, necessity for admission, planned management, possible condition cause(s), duration of admission, and planned investigations, operations and procedures. We conducted regression analysis on possible predictors of global awareness: age, marital status, occupation and educational level. The SAS (Release 9.2) was used for data analysis.
      Results: One hundred and thirty-six inpatients (51.5%) had global awareness of their clinical conditions and management plans. High degrees of awareness were reported on clinical diagnosis 206 (78.0%), reason for admission 203 (76.9%), planned management 206 (78.0%), and current medication 222 (84.1%). Fifty (18.9%) respondents were aware of their estimated admission duration. Patients who were informed of admission duration were likely to be informed of their planned management (p < 0.01). When health care practitioners did not volunteer information, most respondents (>69%) did not seek information. When information was provided, the majority of respondents (>70%) reported understanding the information. The proportion of patients who acknowledged the shared responsibility by the health care practitioner and the patient to raise awareness among the inpatients was significantly more than those who did not (p = 0.03). Patients' age, marital status, occupation and educational level were not predictors of global awareness (p > 0.05).
      Conclusions: The proportions of respondents who were aware of the different aspects of health care ranged from 18.9% to 84.1%. About half of respondents had global awareness of their admission reasons and management plans. Raising awareness of patients' clinical conditions should be part of the health care practitioner-patient encounter.
    • References:
      Soc Sci Med. 1991;32(5):541-8. (PMID: 2017721)
      Am J Prev Med. 2002 Oct;23(3):207-14. (PMID: 12350454)
      Health Aff (Millwood). 1991 Winter;10(4):254-67. (PMID: 1778560)
      BMJ. 1994 Dec 10;309(6968):1542-6. (PMID: 7819893)
      S Afr Med J. 1995 Dec;85(12):1273-8. (PMID: 8600583)
      J Gen Intern Med. 1998 Dec;13(12):791-8. (PMID: 9844076)
      J Gen Intern Med. 1999 Jan;14 Suppl 1:S34-40. (PMID: 9933493)
      J Gen Intern Med. 2005 Jun;20(6):531-5. (PMID: 15987329)
      J Am Med Inform Assoc. 2006 Mar-Apr;13(2):121-6. (PMID: 16357345)
      J Gen Intern Med. 2007 Jun;22(6):782-6. (PMID: 17431697)
      BMJ. 2007 Jul 7;335(7609):24-7. (PMID: 17615222)
      J Hosp Med. 2008 May;3(3):238-46. (PMID: 18570334)
      Arch Intern Med. 2008 Nov 10;168(20):2268-75. (PMID: 19001205)
      S Afr Med J. 2008 Nov;98(11):862, 864. (PMID: 19177891)
      Patient Educ Couns. 2009 May;75(2):155-61. (PMID: 19036551)
      Med Care. 2009 Aug;47(8):826-34. (PMID: 19584762)
      Nat Rev Gastroenterol Hepatol. 2010 Sep;7(9):515-25. (PMID: 20703237)
      Breast. 2012 Jun;21(3):416-8. (PMID: 22381153)
      J Obstet Gynaecol. 2012 Oct;32(7):652-6. (PMID: 22943711)
      Evid Rep Technol Assess (Full Rep). 2011 Mar;(199):1-941. (PMID: 23126607)
      BMC Public Health. 2012;12:1093. (PMID: 23253445)
      BMC Cardiovasc Disord. 2013;13:54. (PMID: 23915151)
      Afr J Prim Health Care Fam Med. 2014;6(1):E1-8. (PMID: 26245394)
      PLoS Med. 2007 Jul 24;4(7):e238. (PMID: 17676945)
      Ann Trop Paediatr. 1999 Mar;19(1):75-81. (PMID: 10605525)
      Health Promot Int. 2001 Sep;16(3):289-97. (PMID: 11509466)
      Ann Intern Med. 2002 May 21;136(10):765-76. (PMID: 12020146)
      Am J Public Health. 2002 Aug;92(8):1278-83. (PMID: 12144984)
      World Health Forum. 1991;12(1):29-33. (PMID: 1859594)
    • Publication Date:
      Date Created: 20150419 Date Completed: 20160630 Latest Revision: 20181202
    • Publication Date:
      20250114
    • Accession Number:
      PMC4359431
    • Accession Number:
      10.1186/s12913-015-0754-y
    • Accession Number:
      25889177