Pneumoconiosis is a chronic and slowly progressive parenchymal lung disease. Estimates suggest that about 68,000 ex-miners in Botswana will develop or have already developed pneumoconiosis. However, most of these cases do not know they have the disease because of the poor quality of care in primary healthcare settings and weak implementation of the Occupational Diseases in the Mines and Works (ODMW) Act.
This dissertation was a health service research framed from the systems approach using the chronic care model as a theoretical tool. The study employed a concurrent, convergent parallel mixed method research which combined quantitative and qualitative methods of inquiry. The quantitative arm of the study evaluated whether the Botswana primary care settings meet ‘reasonably good standards’ of the pneumoconiosis quality of care measured on the chronic care model. The chronic care model measures quality of care on a 0 to 11 scale, where “0” denotes lack of quality care and “11” stands for optimal quality of care. Reasonably good quality of care comprises scores between 6 and 8 on the scale. The qualitative arm of the study assessed the implementation of the ODMW Act in the Botswana primary healthcare settings. The study mixed quantitative and qualitative results at the interpretation stage to determine the extent to which quality of care for pneumoconiosis and the ODMW Act implementation promote equitable access to pneumoconiosis services among ex-miners in Botswana. (Abstract shortened by ProQuest.)
|Advisor:||Johnson, James A.|
|Commitee:||Gabaitiri, Lesego, Haidar, Salma|
|School:||Central Michigan University|
|School Location:||United States -- Michigan|
|Source:||DAI-B 77/08(E), Dissertation Abstracts International|
|Subjects:||Health sciences, Public policy, Health care management|
|Keywords:||Chronic care model, Health service research, Mixed methods, Pneumoconiosis, Systems approach|
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