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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)***
  1. ***P < .001; **P < .01; *P < .05