Admission Pattern and Extent of Resident Engagement in a Public Hospital Private-Wing surgical practice: Experience from St. Paul’s Hospital Millennium Medical College; Addis Ababa, Ethiopia

Abstract

Objective: Establishment of private wing in public hospitals is one of the Ministry of health of Ethiopia’s health sector financial reform program which was launched in 2008. This study was initiated to illuminate the experiences on admission pattern and engagement of residents inprocedures in private wing within a public hospital.

Methodology:A hospital based retrospective study on surgical procedures was performed from September 2013 to August 2016. Data were collected by using structured questionnaire and analyzed with SPSS version 20.1. Quantitative and qualitative data were used in the analysis.

Results: A total of 4995 patients were admitted and operated in the private wing; out of which 56.7% were females and 43.3% were males. Cholelithiasis is the leading cause of admission accounting to 44.9% of the general surgery admission followed by thyroid pathologies and hernias. BPH is the leading cause of admission followed by urolithiasis and urethral stricture in the urology unit. Residents have been involved in 62.7% private wing procedures. These procedures ranges from excision of soft tissue mass to abdominoperineal resection.

Conclusion: Cholelithiasis, thyroid pathologies and hernias were common surgical pathologies threated in the private wing. Surgical residents were the primary assistant in most procedures. The private wing admission in a public hospital has opened a new window of opportunity in addressing the increased demand of surgical services and increased the engagement of surgical residents’ to a multitude of surgical procedures.