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Primary care quality in Vietnam : perceptions and opinions of primary care physicians in commune health centers : a mixed-methods study
- Source :
- PLOS ONE, PLoS ONE, PLoS ONE, Vol 15, Iss 10, p e0241311 (2020)
- Publication Year :
- 2020
-
Abstract
- IntroductionMeasuring the performance of a primary care system is one of the very first steps to find out whether there is room for improvement. To obtain an objective and comprehensive view, this measurement should come from both the supply and demand sides of the system. Patients' experiences of primary care have been studied around the world, but much less energy has been invested in researching providers' perspectives. This research aims to explore how primary care physicians working at commune health centers in Vietnam evaluate their performance and their opinions on how to improve the quality of primary care services.Materials and methodsFirst, a quantitative study was conducted using the validated Vietnamese PCAT questionnaire-provider expanded version (VN PCAT PE) targeting all primary care physicians (PCPs) working at commune health centers in a province of Central Vietnam. Next, a qualitative study was carried out, consisting of in-depth interviews with PCPs, to better understand the results of the quantitative survey and gain insight on barriers of primary care services and how to overcome them.ResultsIn the quantitative portion of our study, 150 PCPs rated the quality of ongoing care and first contact in CHCs as the best (3.09 and 3.11 out of 4, respectively), and coordination as the worst performing core domain (2.53). Twenty-two PCPs also participated in our qualitative research. In regards to challenges that primary care physicians face during their daily practice, three central themes emerged: 1) patient factors such as client attitude and knowledge, 2) provider factors such as the burden of administrative work and lack of training opportunities, and 3) contextual factors such as low income and lack of resources including medicines and diagnostics. Participants recommended more health promotion campaigns in the media, increasing the number of services available at CHCs (such as being able to take blood samples), reducing the workload related to administration for CHC leaders, greater government subsidies, and providing more training courses for PCPs.ConclusionsFindings from this study offer a valuable view from the supply-side of the primary care system, specifically those who directly deliver primary care services. Along with the earlier study on consumers' evaluation of the Vietnamese primary care system, and literature from other low and middle-income countries, these findings offer emerging evidence for policymakers to improve the quality of primary care in Vietnam.
- Subjects :
- Male
Health Care Providers
Geographical Locations
0302 clinical medicine
Medicine and Health Sciences
Medical Personnel
030212 general & internal medicine
Qualitative Research
media_common
Allied Health Care Professionals
Multidisciplinary
030503 health policy & services
Subsidy
Workload
Middle Aged
Qualitative Studies
Professions
Vietnam
Work (electrical)
Research Design
language
Medicine
Engineering and Technology
Female
0305 other medical science
Psychology
Research Article
Biotechnology
Adult
COUNTRIES
Asia
Attitude of Health Personnel
Science
media_common.quotation_subject
Vietnamese
MEDLINE
Bioengineering
Research and Analysis Methods
Physicians, Primary Care
03 medical and health sciences
Nursing
Physicians
Humans
Quality (business)
Primary Care
Quality of Health Care
Primary Health Care
Biology and Life Sciences
language.human_language
Health Care
Health promotion
Health Care Facilities
People and Places
EXPERIENCE
Population Groupings
Medical Devices and Equipment
SYSTEM
Qualitative research
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLOS ONE, PLoS ONE, PLoS ONE, Vol 15, Iss 10, p e0241311 (2020)
- Accession number :
- edsair.doi.dedup.....9b12801fc5a489f02bb65f7d954a85ad