| i. |
Secondary information on Service Quality: Through secondary data collection and literature review, information is proposed to be collected quality parameters, some of which are: |
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a. |
Responsiveness |
h. |
Competence |
b. |
Reliability |
i. |
Courtesy |
c. |
Access |
j. |
Patient’s Demand |
d. |
Security |
k. |
Empathy |
e. |
Communication |
l. |
Assurance |
f. |
Understanding |
m. |
Reliability |
g. |
Credibility & reputation |
n. |
Credibility & reputation |
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| ii. |
Information from Health Care providers: Some of the proposed information to be collected are |
a. |
Awareness & prevention efforts |
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• |
Service facilities offered for the non-communicable diseases (CVD, CKD & Diabetes) & level of awareness of symptoms, causes & preventative techniques of these |
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Level of awareness of various types of treatments available of each NCD |
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Type of IEC material on display & offered to patients |
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Counseling for prevention of such diseases |
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b. |
Facilities available for diagnosis, treatment & rehabilitation |
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Number of qualified personnel & Scope of services offered within the facility for each NCD (CKD, CVD & Diabetes) |
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Diagnosis process followed and types of treatments offered |
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Reasons for non-availability of certain services, if any |
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Number of patients in last 1 year for each NCD & average number of visits per patient |
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Administration of various types of tests & treatment of other health problems |
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Monitoring of medication & nutritional counseling offered for each NCD |
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Alternate therapies offered/ counseled like foot therapy, aerobics, strength training, weight management etc |
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Infrastructural capacity of the facility (number of rooms, patient capacity, machines etc) |
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c. |
Cost of Care |
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Cost of the treatment (all types) |
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Subsided costs offered to the poor, if any |
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Cost for hospitalization (per day basis) |
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Consultant’s cost per visit |
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Indirect & other costs of the Facility, if any. |
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| iii. |
Beneficiary Population: Tentative information areas are: |
a. |
Awareness levels |
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Awareness, symptoms and causes of various NCDs (specifically CKD, CVD & Diabetes) |
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Knowledge about preventive techniques and treatment available/ known about each NCD |
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Sources of information on the above (spontaneous & aided) and type of information gathered from each source of information |
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Type of service facilities available for each NCD |
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Recall of any IEC material on any NCD (CKD, CVD & Diabetes), message from the same and any change in behaviour post exposure to the IEC material |
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b. |
Diagnosis, Treatment & re-habilitation procedure |
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Initial symptoms experienced and age at which disease was diagnosed |
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Duration of illness |
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Type of doctor, service facility first visited and techniques used first time for diagnosis or details of referral given |
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Counseling/ guidance/ advice/ type of treatment offered post-diagnosis |
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Type of service facility for final treatment – Govt. or Private (at primary, secondary or tertiary Level) & details of frequency of visits required |
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Details of any other health problem along with the core disease and the treatment sought |
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Type of in-home care required for the post-treatment & availability of medication nearby. |
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Details of rehabilitation offered, if any |
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Details of IEC material provided to patient – if possible to observe & record the same Any other alternate therapy being followed |
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Reasons or barriers for not seeking treatment or stopping it midway, after diagnosis of NCD, if any |
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c. |
Satisfaction and expectation from type of service received |
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Expectation from the service facility when first diagnosed with the disease |
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Satisfaction levels on various parameters (e.g. medical personnel, facilities available, promptness in response, therapy/ treatment being offered/ undergone, etc.) |
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d. |
Cost of care – Direct & indirect |
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Cost of the treatment – all types to be recorded |
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Cost for hospitalization (per day basis) |
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Details of any subsidized cost offered |
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Consultant’s cost per visit |
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Indirect and other costs such as wage loss, transportation etc. |
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