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Patient experiences in a public primary health care clinic: A South African case study

Fernandes, Óscar Brito and Netshiombo, Mukhethwa and Gulácsi, László and Klazinga, Niek S. and Péntek, Márta and Baji, Petra Patient experiences in a public primary health care clinic: A South African case study. Society and Economy, 42 (3). pp. 333-347. DOI https://doi.org/10.1556/204.2020.00014

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Official URL: https://doi.org/10.1556/204.2020.00014


Abstract

The South African Ministry of Health has recognized experiences of care as key to strengthen patient-centred care. This case study aims to measure patient-reported experiences of care at a clinic in South Africa, and its associations with the respondents' sociodemographic characteristics. A survey was conducted in 2019 on a convenience sample of 179 respondents. Questions on experiences of care were based on a standardised set of questions by the Organization for Economic Co-operation and Development (OECD). Logistic regression was used to examine the effects of respondents' characteristics on their experiences. The proportion of respondents who reported that a nurse spent adequate time with them during consultation was significantly higher among literate respondents (92.3 vs. 79.5%). Those who reported past negative experiences were significantly more likely to report a positive experience in regard to perceiving adequate consulting time (odds ratio = 3.865, with a 95% confidence interval between 1.555 and 9.607), receiving easy-to-understand explanations (4.308; 1.665–11.145), being given the opportunity to ask questions (2.156; 1.013–4.589) and shared decision–making (3.822; 1.728–8.457). The results can spur comparisons with other clinics in a similar setting and inform key stakeholders on aspects of the care experience that need greater improvement within the national framework for quality and safety assurance and patient experience measurement.

Item Type:Article
Uncontrolled Keywords:primary health care, patient experiences, patient-centred care, South Africa, Sibasa Clinic
JEL classification:C83 - Survey Methods; Sampling Methods
I19 - Health: Other
Subjects:Social welfare, insurance, health care
DOI:https://doi.org/10.1556/204.2020.00014
ID Code:6147
Deposited By: Veronika Vitéz
Deposited On:04 Dec 2020 13:04
Last Modified:04 Dec 2020 13:04

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