Thesis Open Access

Practice to access and disclose of patient health information and associated factors among health care providers in public hospitals, Afar region, Northeastern Ethiopia

Adem Ali KAbo; Mulusew Andualem, Solomon Assefa

Abstract Introduction: Sharing patient health information (PHI) among healthcare providers is a crucial business process not only for saving limited healthcare resources but also for increasing patient’s healthcare quality. However, unauthorized access and disclosure may compromise patients trust towards health care provider and the health institutions. Objective:- To assess access and disclose practice toward patient health information and associated factors among health care providers' in public hospital in Afar region, Northeastern Ethiopia. Methodology: - Iinstitutional cross- sectional quantitative study supplement with qualitative study conducted from February to November 2014 in Afar region, Northea-stern Ethiopia. Self-administered questionnaire and semi structure interview used to collect the required data. EpiInfo version 7, Statistical package for social science (SPSS) version 20 applied to enter, and analysis data respectively. Frequencies, des-criptive statistics, bivariate and multivariate logistic regression analyses used to describe the study and association between independent and outcome variables. Odds ratio at 95% confidence level was used. Result: - Majority of the respondents, 107(53%) were access and disclose practice of patient health information without consent. However, 122 (61.4%) of the health care providers were access and disclose patient health information for health care management. The respondents who had negative attitude 2.138 more likely to access and disclose patient health information than those health care providers who had positive attitude [AOR=2.138, 95% CI: 1.134, 4.030]. In appropriate access and disclose of PHI can be society lost trust on organization and health care providers. Conclusion and Recommendation: Mmajority of the health care providers' have access and disclose practice of patient health information. Attitude, work experience, hospital management support and data clerk were the most important factor to appropriate access and disclose practice of PHI. The regional health Bureau would prepare awareness creation program for all health care providers in each hospital. Keywords: socio demography, access and disclosure practice, attitude, knowledge, organizational factors.

Presented on 02 06 2018
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