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Title: Sehat Sahulat Program Effect on Patients Presenting to Secondary Level Hospital in Mardan
Authors: Ammad Ali, Saad Ali, Irsa Hidayat, Muhammad Ayub, Faiza Akbar, Ahsan Ali, Mashal Tamsil
Journal: Journal of Gandhara Medical and Dental Sciences (JGMDS)
Publisher: Gandhara University, Peshawar
Country: Pakistan
Year: 2022
Volume: 9
Issue: 4
Language: English
Keywords: health insurancesocial health protectionhealth finacing
OBJECTIVES
The aim was to find the difference between government and private hospitals at the Mardan secondary level for sehat sahulat card effect on patients for their selection of hospital, dates, and time issues for elective and emergency cases with department facilities.
METHODOLOGY
This quantitative cross-sectional study was conducted to see the difference between the government and private hospitals for sehat the sahulat program effect on patients. Patients care is important on both sides but to find out the difference where more work should be done to achieve universal global health under the Khyber Pakhtunkhwa government for the benefit of their people’s health.
RESULTS
Total patients 10112 visited District Head Quarter (DHQ) hospital from February 2021 to February 2022 while 5672 were in a private hospital in which the ratio for gynaecology was 19 % (854 pts. DHQ) and 31% (1652) private hospital. Medical admissions were 2224 (50%) for a government hospital and none for private while surgical admissions were 1379 (31%) for government and 2665 (50%) for private hospitals. The significant ratio for chi-sq was P<0.5
CONCLUSION
Government hospital flow of patients is more than the private sector in admission ratio for medical cases then surgical while private has more flow for surgical admission than medical with all facilities provided on the desk and timely managed at the time of admission. Seniorm consultant’s ratio of surgeries in private is more than in government hospitals.
To find the difference between government and private hospitals at the Mardan secondary level for the Sehat Sahulat card effect on patients regarding their selection of hospital, dates, and time issues for elective and emergency cases, and department facilities.
Quantitative cross-sectional study conducted at Mardan secondary-level hospitals. Data analyzed using SPSS version 24, with Fisher exact test performed for statistical P-value.
graph TD; A["Define Research Objective"] --> B["Conduct Quantitative Cross-Sectional Study"]; B --> C["Collect Data from Mardan Secondary Level Hospitals"]; C --> D["Analyze Data using SPSS v24"]; D --> E["Perform Fisher Exact Test"]; E --> F["Interpret Results"]; F --> G["Draw Conclusions"]; G --> H["Write Report"];
The Sehat Sahulat Program is a significant initiative for Universal Health Coverage (UHC) in Khyber Pakhtunkhwa. While government hospitals have a higher patient flow for medical cases, private hospitals excel in surgical admissions and provide facilities more readily. A major issue in government hospitals is the lack of equipment and instruments, leading patients to prefer private facilities. Pharmacy issues in government hospitals also need immediate attention.
- District Head Quarter (DHQ) hospital had 10112 patient visits from February 2021 to February 2022, while private hospitals had 5672 visits.
- Gynecology ratio was 19% (854 patients) at DHQ and 31% (1652 patients) in private hospitals.
- Medical admissions were 50% (2224 patients) for government hospitals and none for private.
- Surgical admissions were 31% (1379 patients) for government and 50% (2665 patients) for private hospitals.
- Private hospitals had more patient flow for surgical admissions than medical, while government hospitals had more flow for medical admissions than surgical.
- Senior consultant's ratio of surgeries was higher in private than in government hospitals.
The Sehat Sahulat Program is a crucial step towards UHC. Government hospitals need improvement in departments and equipment. Funds received should be utilized for departmental needs to enhance population health. Senior consultants should increase their practice in government hospitals. Addressing pharmacy issues and improving patient dealing processes in government hospitals are essential.
- The study period was from February 2021 to February 2022. (Confirmed by text)
- Total patients visiting DHQ hospital were 10112. (Confirmed by text)
- Medical admissions in government hospitals accounted for 50% of cases. (Confirmed by text)
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