Evidence map›Paper›PMID 26039053›Full record

Trial reportPloS one2015

Perceptions and attitudes of health professionals in kenya on national health care resource allocation mechanisms: a structural equation modeling.

Patrick Opiyo Owili, Yi-Hsin Elsa Hsu, Jin-Yuan Chern, Chiung-Hsuan Megan Chiu, Bill Wang, Kuo-Cherh Huang, Miriam Adoyo Muga

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Patrick Opiyo OwiliSchool of Health Care Administration, Taipei Medical University, Taipei, Taiwan; International Health Program, Institute of Public Health, National Yang Ming University, Taipei, Taiwan.
Yi-Hsin Elsa HsuSchool of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
Jin-Yuan ChernDepartment of Health Care Administration, Chang Jung Christian University, Tainan, Taiwan.
Chiung-Hsuan Megan ChiuSchool of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
Bill WangDepartment of Health Care Administration, Asia University, Taichung, Taiwan.
Kuo-Cherh HuangSchool of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
Miriam Adoyo MugaInstitute of Community Health and Development, Great Lakes University of Kisumu, Kisumu, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care resource allocation is key towards attaining equity in the health system. However, health professionals' perceived impact and attitude towards health care resource allocation in Sub-Saharan Africa is unknown; furthermore, they occupy a position which makes them notice the impact of different policies in their health system. This study explored perceptions and attitudes of health professionals in Kenya on health care resource allocation mechanism.

methodWe conducted a survey of a representative sample of 341 health professionals in Moi Teaching and Referral Hospital from February to April 2012, consisting of over 3000 employees. We assessed health professionals' perceived impact and attitudes on health care resource allocation mechanism in Kenya. We used structural equation modeling and applied a Confirmatory Factor Analysis using Robust Maximum Likelihood estimation procedure to test the hypothesized model.

resultsWe found that the allocation mechanism was negatively associated with their perceived positive impact (-1.04, p < .001), health professionals' satisfaction (-0.24, p < .01), and professionals' attitudes (-1.55, p < .001) while it was positively associated with perceived negative impact (1.14, p < .001). Perceived positive impact of the allocation mechanism was negatively associated with their overall satisfaction (-0.08) and attitude (-0.98) at p < .001, respectively. Furthermore, overall satisfaction was negatively associated with attitude (-1.10, p <.001). On the other hand, perceived negative impact of the allocation was positively associated with overall satisfaction (0.29, p <.001) but was not associated with attitude.

conclusionThe result suggests that health care resource allocation mechanism has a negative effect towards perceptions, attitudes and overall satisfaction of health professionals who are at the frontline in health care. These findings can serve as a crucial reference for policymakers as the Kenyan health system move towards devolving the system of governance.

Indexed as

Attitude of Health PersonnelDelivery of Health CareHealth Care RationingModels, TheoreticalNational Health ProgramsAdultFemaleHumansKenyaMaleMiddle Aged

Identifiers

PMID26039053
PMCPMC4454489

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.