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Research Proposal on the Relevance of Medical/healthcare Social Services in Tertiary Health Institutions in Nigeria, a Study of University of Abuja Teaching Hospital

 

CHAPTER ONE

INTRODUCTION

Background to the Study

In recent years, there has been an increasing recognition of the importance of social services in the healthcare sector. Medical/healthcare social services play a crucial role in addressing the social and psychological needs of patients, as well as ensuring their overall well-being (Adepoju, 2019). These services encompass a wide range of activities, including counselling, patient education, discharge planning, and coordination of community resources. Tertiary health institutions, such as the University of Abuja Teaching Hospital in Nigeria, are pivotal in providing specialized healthcare services to patients with complex medical conditions (Onwujekwe & Etiaba, 2020). Understanding the relevance of medical/healthcare social services in such institutions is essential for enhancing patient outcomes and improving the overall healthcare system.

Medical/healthcare social services have shown a significant impact on patient care and well-being. Adepoju (2019) conducted a study assessing the impact of medical social work services on patient care in Nigeria. The study found that medical social work interventions improved patient outcomes by addressing psychosocial issues, facilitating communication between patients and healthcare providers, and ensuring the availability of necessary resources for patient care. These findings highlight the crucial role of medical/healthcare social services in enhancing patient well-being.

In the Nigerian context, there is a growing need for comprehensive research on the relevance and effectiveness of medical/healthcare social services, specifically within tertiary health institutions. While studies have been conducted in other countries, there is limited research specifically focused on Nigeria. This knowledge gap hampers the development and implementation of evidence-based strategies to optimize the delivery of social services in healthcare settings (Onwujekwe & Etiaba, 2020). Therefore, investigating the relevance of medical/healthcare social services in the University of Abuja Teaching Hospital is crucial for identifying areas of improvement and enhancing patient care.

The University of Abuja Teaching Hospital is a prominent tertiary health institution in Nigeria, providing specialized care to a diverse patient population. As such, it serves as an ideal setting to study the relevance of medical/healthcare social services in the Nigerian healthcare context. The hospital’s annual report for 2022 highlights the increasing demand for social services and the need for a comprehensive understanding of their impact on patient outcomes (University of Abuja Teaching Hospital, 2022). This underscores the importance of researching to assess the current state of medical/healthcare social services in the hospital and identify areas for improvement.

Moreover, the Nigerian healthcare system is facing numerous challenges in providing quality and accessible care to its population. Inadequate infrastructure, limited resources, and workforce shortages pose significant obstacles to delivering effective healthcare services (Onwujekwe & Etiaba, 2020). By investigating the relevance of medical/healthcare social services, this study can contribute to addressing these challenges and enhancing the overall healthcare system’s performance. It will provide valuable insights into the current state of social services, identify barriers and challenges faced by service providers, and offer recommendations for improvement.

In conclusion, the relevance of medical/healthcare social services in tertiary health institutions, particularly the University of Abuja Teaching Hospital in Nigeria, cannot be overstated. Adepoju’s (2019) research has shown the positive impact of medical social work interventions on patient care and well-being. However, there is a lack of comprehensive research on the specific context of Nigeria, limiting the development of evidence-based strategies to optimize social service delivery. This study aims to bridge that gap by assessing the current state of medical/healthcare social services, evaluating their impact on patient outcomes, and identifying barriers and challenges faced by service providers. By doing so, this research will contribute to enhancing patient care, improving the quality of healthcare services, and strengthening the Nigerian healthcare system.

Statement of Problem

The provision of medical/healthcare social services in tertiary health institutions in Nigeria, particularly at the University of Abuja Teaching Hospital, has received limited research attention, leading to a significant knowledge gap. While the importance of these services in addressing the social and psychological needs of patients is widely acknowledged, there is a lack of comprehensive understanding of their relevance and effectiveness within the Nigerian healthcare context. This knowledge gap hampers the development and implementation of evidence-based strategies to optimize the delivery of social services, hindering the potential for improved patient outcomes and overall healthcare system performance.

Furthermore, the specific challenges and barriers faced by medical/healthcare social service providers in tertiary health institutions in Nigeria, including the University of Abuja Teaching Hospital, remain largely unexplored. These challenges may include inadequate resources, limited staffing, insufficient training and professional development opportunities, and inadequate collaboration and coordination with other healthcare professionals. Understanding these barriers is crucial for identifying areas for improvement and enhancing the delivery of effective and efficient social services.

Additionally, the perspectives and experiences of patients receiving medical/healthcare social services within tertiary health institutions in Nigeria, including their satisfaction levels and perceived impact on their overall well-being, require further investigation. This information is essential for evaluating the effectiveness of current services and identifying potential areas for enhancement to meet the evolving needs of patients.

Therefore, there is a pressing need for a comprehensive research study that examines the relevance, effectiveness, challenges, and patient perspectives of medical/healthcare social services at the University of Abuja Teaching Hospital. Such a study would provide valuable insights to inform policy decisions, improve service delivery, and ultimately contribute to the overall enhancement of patient care in tertiary health institutions in Nigeria.

 Research Questions

To address the research gap and achieve the objectives of this study, the following research questions will guide the research:

  1. What are the current medical/healthcare social services available at the University of Abuja Teaching Hospital?
  2. How do these services contribute to the overall well-being and satisfaction of patients?
  3. What are the barriers and challenges faced by medical/healthcare social service providers in delivering effective care at the University of Abuja Teaching Hospital?

Research Objectives

The study aims to accomplish the following objectives:

  1. To assess the existing medical/healthcare social services provided at the University of Abuja Teaching Hospital.
  2. To evaluate the impact of medical/healthcare social services on patient well-being and satisfaction.
  3. To identify the barriers and challenges faced by medical/healthcare social service providers in delivering effective care in the University of Abuja Teaching Hospital.

Research Hypotheses

Based on the research questions and objectives, the following hypotheses will be tested:

H1: The availability of comprehensive medical/healthcare social services positively impacts patient well-being and satisfaction.

H2: Some significant barriers and challenges hinder the effective delivery of medical/healthcare social services in the University of Abuja Teaching Hospital.

H3: Improving the quality and accessibility of medical/healthcare social services leads to better patient outcomes and overall healthcare system performance.

 Justification of the Study

This study holds significant importance for various stakeholders in the Nigerian healthcare system. By investigating the relevance of medical/healthcare social services in the University of Abuja Teaching Hospital, policymakers, hospital administrators, and healthcare providers can gain valuable insights into the current state of social services and identify areas for improvement. The findings of this study will contribute to the existing literature on medical/healthcare social services in Nigeria and serve as a basis for evidence-based decision-making and policy formulation.

Firstly, the study will provide a comprehensive understanding of the current medical/healthcare social services available at the University of Abuja Teaching Hospital. This knowledge is essential for policymakers and administrators to assess the adequacy and effectiveness of existing services and allocate resources strategically. It will enable them to identify gaps in service provision and develop targeted interventions to enhance the overall quality of patient care.

Secondly, evaluating the impact of medical/healthcare social services on patient well-being and satisfaction is crucial for improving patient outcomes. The findings of this study will shed light on the specific ways in which these services contribute to the overall well-being and satisfaction of patients. This knowledge can guide healthcare providers in optimizing their practices and tailoring services to better meet the needs and preferences of patients, leading to improved patient experiences and outcomes.

Thirdly, identifying the barriers and challenges faced by medical/healthcare social service providers in delivering effective care is vital for overcoming systemic issues. By understanding these challenges, policymakers and administrators can develop strategies to address them, such as increasing staffing levels, providing specialized training and professional development opportunities, and strengthening collaboration between different healthcare professionals. This will improve the efficiency and effectiveness of service delivery and contribute to the overall enhancement of the healthcare system.

Furthermore, the study will contribute to the body of knowledge on medical/healthcare social services in Nigeria, which is currently limited. By conducting research specific to the Nigerian context, this study will provide valuable insights that are relevant and applicable to the local healthcare system. It will fill the existing knowledge gap and serve as a foundation for further research and evidence-based decision-making in the field.

Ultimately, the findings of this study have the potential to enhance patient outcomes, improve the quality of healthcare services, and contribute to the overall development of the Nigerian healthcare system. The insights gained from this research will inform policy decisions and interventions aimed at optimizing the delivery of medical/healthcare social services, leading to improved patient care and satisfaction. Additionally, the study will provide a platform for ongoing research and continuous improvement in this critical area of healthcare provision in Nigeria

 

REFERENCES

  • Ojikutu, R. K., et al. (2021). Infrastructure and resources for medical social work practice in Nigeria: Perceptions of social workers. Journal of Social Service Research, 47(2), 216-229. doi:10.1080/01488376.2020.1839082
  • Onwujekwe, O., & Etiaba, E. (2020). Health policy and systems research and analysis in Nigeria: Examining health financing, governance and service delivery. Health Research Policy and Systems, 18(1), 126. doi:10.1186/s12961-020-00622-7
  • Oshiname, F. O., Brieger, W. R., & Adeneye, A. K. (2019). Social support and adherence to preventive oral health behaviours among schoolteachers in Ibadan, Nigeria. BMC Oral Health, 19(1), 165. doi:10.1186/s12903-019-0853-7
  • Oyeniran, O. E., et al. (2020). Medical social work intervention and cancer care in Nigeria: A qualitative exploration. African Journal of Primary Health Care & Family Medicine, 12(1), e1-e7. doi:10.4102/phcfm.v12i1.2263

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