Speaker
Description
Introduction: In this day, healthcare systems have become focused on delivering person-centered care, not diseases-focused. Person-centered care encounters about exchanging information, seeing patients as person, taking mutual responsibility, agreeing on treatment alternatives, and seeing healthcare providers as person. Person-centred care in Ethiopia is an emerging concept in the healthcare system. However, there is no nationally pooled evidence on this topic. Therefore, this systematic review and meta-analysis was done to estimate pooled level of person-centered care and associated factors for health services in Ethiopia.
Methods: We adhered to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Electronic databases: Pub-Med, CINAHL, Web of Science and Google-Scholar were searched to retrieve the eligible articles. The included articles that fulfilled the inclusion criteria were further evaluated for quality. Data were extracted from the included studies using a pre-piloted Excel spreadsheet for windows. Statistical software, STATA version 17, was used to estimate effect sizes using random-effects model. Results were displayed using forest plots.
Results: Out of 912 records found, 16 articles with 9,279 participants were included in our systematic review and meta-analysis. Meta-analysis using random-effects model resulted the pooled level of person-centered care to be 58.33% (95% CI: 54.52%-62.15%, I2=93%). Private facility type (OR=0.30, 95% CI: 0.15-0.62), intimation with healthcare providers (OR=0.31, 95% CI: 0.19-0.50), ease to service access (OR=3.24, 95% CI: 2.4-4.38), facility attractiveness (OR=1.90, 95% CI: 1.35-2.67), privacy protection (OR=4.67, 95% CI: 1.7-12.85), and medication information (OR=2.27, 95% CI: 1.95-3.78) were pooled as statistically significant predictors of person-centered care.
Conclusion: In Ethiopia, health services have a moderately low pooled level of person-centred care. It was evidenced that studies with smaller sample sizes had a larger effect size for overall person-centred care. Our meta-analysis also showed that maternal health services have a higher person-centered care than treatment (curative) health services. Private facility type, intimation with healthcare providers, ease access to services, perceived attractiveness, privacy protection, and medication information are significant predictors for the level of person-centered care. Strengthening the collaborative approach is necessary to achieve mutual understanding regarding the person-centeredness concept in healthcare.
