MỘT SỐ YẾU TỐ LIÊN QUAN TỚI VIỆC SỬ DỤNG DỊCH VỤ CHĂM SÓC SỨC KHOẺ CỦA BỆNH NHÂN ĐIỀU TRỊ ARV TẠI PHÒNG KHÁM NGOẠI TRÚ, BỆNH VIỆN ĐA KHOA TỈNH BẮC NINH

Abstract

Objective: The study was conducted to find out some factors related to healthcare service utilization of patients on ARV treatment in outpatient clinics, Bac Ninh general hospital. Methods: Cross-sectional descriptive study using quantitative research method (with 215 patients on ARV treatment) combined qualitative research method (in-depth interview with 2 health workers and 2 group discussions with 17 patients on ARV treatment) during the period from January 2018 to June 2018. Results and conclusions: The study analyzed 19 factors related to the use of health care services among patients on ARV treatment and the results had 10 related factors that were statistically significant, including a number of factors. (1) Predisposing factors: There was an association between sex (OR = 1.932, P <0.05) and area of ​​residence (OR = 2.162, p <0.05) of the patient on ARV treatment in the 6 months prior to the survey with the use of health care services. (2) Reinforcing factors: There is a relationship between the support person and the use of health care services of patients on ARV treatment who were ill in the 6 months prior to the survey. (3) Enabling factors: The enthusiastic health worker attitude (OR = 4,788, p <0.05) and the good service quality (OR = 11,163, p <0.05) of the service providers have an impact on the utinization of health care services at the outpatient clinic in Bac Ninh general hospital.