Assessment of parents’ perceptions regarding quality of pediatric diabetic care in jimma university medical center

Abstract

Background: Standardized pediatrics diabetic care supported by family education is vital for the control of diabetes and prevention or delay of long-term complications among diabetic pediatrics. Though significant number of pediatrics is living with diabetes in Ethiopia, little is known about the perception of parents regarding quality of pediatrics diabetes care. Objective: The objective of this study was to assess parents’ perception regarding quality of pediatric diabetic care in Jimma University Medical Centre (JUMC). Methodology: Institution based cross-sectional study design was conducted from May 1 to June 30, 2017 at JUMC. All parents coming to the hospital with their kids were included in the study. Data were collected by using face-to-phase interview and document review for relevant clinical profiles. The data were checked, entered, and analyzed by using Epidata manager and SPSS 20 statistical packages. Descriptive statistics were used for relevant variables. Whereas, logistic regression was done to identify factors associated with perceived quality of pediatrics diabetic care in study area. A significance level () of 0.05 was used in all cases. Finally, the results were summarized and presented by tables, charts, graphs and statements. Result: Total of 110 parents were interviewed with a response rate of 80%. The mean age of the pediatric diabetics was 11.7 ± 2.9year. The mean score of overall quality of diabetic care reported by parents was 48.58 ± 11.31. The overall quality of pediatric diabetic care score achieved above the mean score is 54.5%. According to one item that measures the overall quality of diabetic care, 59.1% of parents reported that the overall quality of pediatrics diabetic care was of high quality. Of the total items of organizations and consultation, the high quality of diabetic care was reported by 59.1% and 62.7% regarding the ease of making new appointments and with the value of the services that their child's caregiver provided respectively. Among diabetes clinical care variables, the regression analysis indicated good counseling on health nutrition(AOR=18.48; P = 0.001), receiving medication review in the past 12 months (AOR=.030; p-value=.013) and ongoing structured on insulin therapy (AOR=16.31; P=0.038), management of psychological problems (OR= 15.06; p-value=.029) and access to a specialist diabetes team (AOR=36.11; P=0.001,) were independent significant predicators of high overall perception score for quality of diabetic care.Conclusion: Significant proportion of parents perceived the overall quality of service provision as low quality. Good counseling on health nutrition, receiving medication review in the past 12 months, ongoing structured on insulin therapy, management of psychological problems and access to a specialist diabetes team were the most significant factors attributed to higher quality of overall pediatrics diabetic care. Recommendations: For the improvement of the overall quality of pediatrics diabetic care the hospital should have an organized specialist diabetes team including trained physicians and nurses. Further qualitative research is needed for exploring the needs and parents’ contribution in the improvement of quality of pediatrics diabetic care.