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http://hdl.handle.net/20.500.12358/28626
TitleBarriers to managing and delivery of care to war-injured survivors or patients with non-communicable disease: a qualitative study of Palestinian patients’ and policy-makers’ perspectives
Title in Arabicالعوائق التي تحول دون إدارة وتقديم الرعاية للناجين من مصابي الحرب أو المرضى المصابين بأمراض غير معدية: دراسة نوعية لوجهات نظر المرضى الفلسطينيين وواضعي السياسات
Abstract

Background: Improving access to optimal quality of care is a core priority and ambitious health policy goal in spite of impediments, threats and challenges in Palestine. Understanding the factors that may impede quality of care is essential in developing an effective healthcare intervention for patient with non-communicable disease (NCD) or war-injured survivors. Methods: Qualitative interviews were performed using a purposive sampling strategy of 18 political-key informants, 10 patients with NCD and 7 war-injured survivors from different health facilities in Gaza Strip. A semi-structured interview guide was developed for data collection. The interviews were audio recorded and transcribed verbatim. Important field notes of the individual interviews were also reported. Thematic-driven analytic approach was used to identify key themes and patterns. Results: From the policy maker’s perspective, the following important barriers to accessing optimal healthcare for patients with NCD or war-injured survivors’ treatment were identified; 1) organizational/structural 2) availability 3) communication 4) personnel/lack of staff 5) financial and political barriers. Patient with NCD or war-injury had similar experiences of barriers as the policy makers. In addition, they also identified socioeconomic, physical and psychological barriers for accessing optimal healthcare and treatment. Conclusions: The main perceived barriers explored through this study will be very interesting and useful if they are considered seriously and handled carefully, in order to ensure efficient, productive, cost-effective intervention and delivery of a high-standard quality of care and better disease management.

Authors
Mosleh, Marwan
Aljeesh, Yousef
Dalal, Koustuv
Eriksson, Charli
Carlerby, Heidi
Viitasara, Eija
TypeJournal Article
Date2020-12
LanguageEnglish
Subjects
Barriers
NCD
survivors
Policy makers
Healthcare
Palestine
War injured
Published inBMC Health Services Research
Series20
Citation
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  • Staff Publications- Faculty of Nursing [140]
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The institutional repository of the Islamic University of Gaza was established as part of the ROMOR project that has been co-funded with support from the European Commission under the ERASMUS + European programme. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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The institutional repository of the Islamic University of Gaza was established as part of the ROMOR project that has been co-funded with support from the European Commission under the ERASMUS + European programme. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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