Perceived quality of care among households ever enrolled in a community-based health insurance scheme in two districts of northeast Ethiopia: A community-based, cross-sectional study

Objectives: The purpose of this study was to examine how clients perceived the quality of health care they received and to identify associated factors both at the individual and facility levels.
Design: A community-based, cross-sectional study. 
Setting: Two rural districts of northeast Ethiopia, Tehulederie and Kallu.
Participants: 1081 rural households who had ever been enrolled in community-based health insurance and visited a health center at least once in the previous 12 months.  Furthermore, 194 health care providers participated in the study to provide cluster-level data.
Outcome measures: The outcome variable of interest was the perceived quality of care, which was measured using a 17-item scale. Respondents were asked to rate the degree to which they agreed on 5-point response items relating to their experiences with health care in the outpatient departments of nearby health centers. A multilevel linear regression analysis was used to identify predictors of perceived quality ...

研究目的：本研究旨在探究医疗服务对象对其所接受的医疗服务质量的感知状况，并从个体与机构两个层面识别相关影响因素。
研究设计：一项基于社区的横断面研究（cross-sectional study）。
研究现场：埃塞俄比亚东北部的特胡莱德里（Tehulederie）与卡卢（Kallu）两个农村地区。
研究对象：纳入1081户农村家庭，这些家庭均曾参保社区健康保险（community-based health insurance），且在过去12个月内至少前往卫生中心就诊1次。此外，另有194名医疗服务提供者参与本研究，以提供集群层面的数据。
结局指标：本研究的关注结局变量为医疗服务感知质量，采用包含17个条目的量表进行测量。研究对象需针对与自身在附近卫生中心门诊科室的就医体验相关的条目进行5点计分评分，以表明其对各条目的同意程度。本研究采用多层线性回归分析（multilevel linear regression analysis），以识别医疗服务感知质量的预测因素……