Making healthcare more gender inclusive; experiences of older people with multiple disease conditions in primary care settings

Abstract

Background and Aim: To boost patients’ satisfaction of older people with multimorbidity, it is necessary to investigate the relevant factors of patient satisfaction and to examine the contrasts in the factors according to gender. This study aims to investigate the factors of healthcare satisfaction based on gender among individuals with multimorbidity in Niger state north central Nigeria. Methods: This is a descriptive cross-sectional study carried out between October 2021 to February 2022 among patients attending general outpatient department (GOPD) of 4 purposefully selected secondary hospitals in north-central Nigeria. A structured pre-tested questionnaire was used to elicit formation from 734 patients who were recruited into the study using a random sampling method. The selected participants have multimorbidity, aged 60 years or older and consented to participate in the study. The data were entered into JISC online data collection tool and exported to IBM SPSS version 27 for analysis. Mann-Whitney U test analysis was performed to compare the participant’s mean satisfaction level and gender. Results: The study reveals that males were more educated, but the females utilize the healthcare services more. It shows that females are less likely to be satisfied with factors that are linked to access and quality of healthcare, and financial burden of medical care. Whereas males are more likely to be satisfied with factors that relate to patient-physician interaction time and patient waiting time and confidence and trust in medical care. Conclusion: Acknowledgement of female and male patients needs and satisfaction with services will lead to more realistic implementations of health directed policies that will be fundamental for delivery of high-quality healthcare services

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