| dc.description.abstract | Background:
Diabetes poses a significant public health challenge in Bangladesh, with specialized healthcare facilities
playing a crucial role in its management. Understanding how different stakeholders perceive diabetes care
quality is essential for enhancing patient outcomes and healthcare delivery.
Objectives:
This qualitative study aimed to explore and compare perceptions and experiences of diabetes care quality
among patients, attendants, healthcare workers, and physicians at Chattogram General Diabetic Hospital,
Bangladesh.
Methods:
A phenomenological cross-sectional qualitative design was employed. In-depth interviews (IDI) were
conducted with 18 patients (9 outdoor, 9 indoor), and Key Informant Interviews (KII) with 18 healthcare
providers (9 non-physician healthcare workers, 9 physicians). Thematic analysis was performed using an
inductive coding approach.
Results:
Affordability, characterized by free consultations and low-cost diagnostics, emerged as the primary driver
of healthcare access and adherence, particularly among lower-income populations. High patient
satisfaction was associated with empathetic, culturally sensitive communication, hygienic facilities, and
structured multidisciplinary care pathways. Notable barriers included limited diagnostic facilities,
infrastructural constraints, and the absence of formal psychosocial support systems. Continuous quality
improvement practices, including audit cycles and telehealth innovations, mitigated some resource
limitations.
Conclusions:
Chattogram General Diabetic Hospital effectively delivers patient-centered and affordable diabetes care,
demonstrating the importance of integrating human factors and structured multidisciplinary protocols in
specialized settings. Strategic investments in diagnostic and infrastructural expansion, psychosocial
support integration, workforce training, digital innovation, and sustained financial subsidies are
recommended to further enhance care quality, accessibility, and equity. | en_US |
| dc.subject | Diabetes, Quality of care, Perception, Affordability, Patient satisfaction, Healthcare workers, Multidisciplinary care, Bangladesh | en_US |
