Table 1 Last visit responsiveness in percent by public or private out-patient care (n = 424, excluding NGO and other: n = 25)
From: Patient experiences and health system responsiveness in South Africa
Out-patient care | Total (n = 424) | Public (n = 267) | Private (n = 157) | OR (95% CI) |
|---|---|---|---|---|
Age (Mean) | 37.6 | 41.0 | 36.6 | Public = 1.00 Private = 1.02 (1.01–1.04)** |
Female patient | 61.6 | 69.1 | 49.2 | Public = 1.00 Private = 2.31 (1.49–3.59)*** |
Education (Mean, range 1–7) | 3.8 | 3.3 | 4.7 | Public = 1.00 Private = 0.56 (0.48–0.66)*** |
Seen by medical doctor | 53.5 | 36.6 | 81.7 | Public = 1.00 Private = 0.13 (0.08–0.22)*** |
Time to get to facility in minutes (Mean) | 29.3 | 33.5 | 21.0 | Public = 1.00 Private = 1.02 (1.00–1.04)* |
Provider fees (Mean in Rand) | 37.5 | 16.1 | 150.1 | Public = 1.00 Private = 0.98 (0.97–0.99)** |
Medicines costs (Mean in Rand) | 16.2 | 6.5 | 38.1 | Public = 1.00 Private = 0.97 (0.94–1.00)* |
Patient satisfaction | ||||
1. Traveling time to the health care provider | 64.6 | 54.3 | 81.0 | Public = 1.00 Private = 0.28 (0.17–0.46)*** |
2. Waiting time | 51.2 | 36.2 | 75.4 | Public = 1.00 Private = 0.19 (0.12–0.30)*** |
3. Being greeted and talked to respectfully | 69.2 | 59.7 | 84.7 | Public = 1.00 Private = 0.81 (0.26–2.48) |
4. Respect for intimacy during physical examination | 73.6 | 65.2 | 87.2 | Public = 1.00 Private = 0.60 (0.18–1.99) |
5. Clarity of explanations | 73.2 | 63.6 | 88.9 | Public = 1.00 Private = 0.22 (0.12–0.39)*** |
6. Time for questions | 64.5 | 52.7 | 83.7 | Public = 1.00 Private = 0.22 (0.13–0.37)*** |
7. Possibility of obtaining information on other types of treatment | 61.0 | 49.2 | 80.2 | Public = 1.00 Private = 0.24 (0.15–0.39)*** |
8. Participation in treatment decision-making | 58.0 | 48.5 | 73.5 | Public = 1.00 Private = 0.34 (0.21–0.54)*** |
9. Privacy with health professionals | 68.7 | 59.5 | 83.6 | Public = 1.00 Private = 0.29 (0.17–0.49)*** |
10. Confidentiality of personal information | 78.4 | 71.1 | 89.7 | Public = 1.00 Private = 0.28 (0.15–0.54)*** |
11. Freedom to choose health care provider | 56.9 | 42.2 | 80.8 | Public = 1.00 Private = 0.17 (0.11–0.28)*** |
12. Cleanliness inside the health facility | 72.7 | 62.6 | 89.1 | Public = 1.00 Private = 0.21 (0.11–0.38)*** |
13. Available space in waiting and examination rooms | 63.3 | 51.1 | 83.1 | Public = 1.00 Private = 0.21 (0.13–0.36)*** |
14. Satisfactory health care provider skills | 92.3 | 89.1 | 97.7 | Public = 1.00 Private = 0.32 (0.13–0.81)* |
15. Adequate equipment | 91.6 | 89.5 | 94.9 | Public = 1.00 Private = 0.52 (0.24–1.13) |
16. Adequate availability of medicines | 87.1 | 84.6 | 91.0 | Public = 1.00 Private = 0.52 (0.31–1.08) |
Total mean responsiveness (range 0–16) | 11.4 | 9.8 | 13.6 | Public = 1.00 Private = 0.78 (0.73–0.83)*** |