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Table 2 Last visit responsiveness in percent by public and private in-patient care (n = 633, excluding NGO and other: n = 23)

From: Patient experiences and health system responsiveness in South Africa

In-patient care

Total

(n = 633)

Public

(n = 472)

Private

(n = 161)

OR (95% CI)

Age (Mean)

38.9

38.7

39.4

Public = 1.00

Private = 0.99 (0.98–1.05)

Female patient

60.4

63.3

51.7

Public = 1.00

Private = 1.61 (1.49–3.59)*

Education (Mean, range 1–7)

3.9

3.5

5.1

Public = 1.00

Private = 0.40 (0.34–0.48)***

Time to get to facility in minutes

37

42

26

Public = 1.00

Private = 1.02 (1.00–1.03)*

Provider fees (in Rand)

246

44

907

Public = 1.00

Private = 0.99 (0.99–1.00)***

Medicines costs (in Rand)

78

9

299

Public = 1.00

Private = 0.99 (0.98–0.99)***

Tests

32

7

115

Public = 1.00

Private = 0.99 (0.99–1.00)**

Transport

37

41

24

Public = 1.00

Private = 1.00 (0.99–1.01)

Number of people slept in same room (Mean)

5.8

6.6

3.5

Public = 1.00

Private = 1.22 (1.06–1.40)**

Patient satisfaction

    

1. Traveling time to the health care provider

67.8

61.2

87.5

Public = 1.00

Private = 0.23 (0.14–0.38)***

2. Waiting time

63.3

55.2

87.1

Public = 1.00

Private = 0.18 (0.11–0.31)***

3. Being greeted and talked to respectfully

70.6

63.3

92.0

Public = 1.00

Private = 0.15 (0.08–0.28)***

4. Respect for intimacy during physical examination

77.9

72.1

94.5

Public = 1.00

Private = 0.14 (0.07–0.30)***

5. Clarity of explanations

71.0

63.9

91.7

Public = 1.00

Private = 0.16 (0.08–0.31)***

6. Time for questions

63.0

55.0

86.4

Public = 1.00

Private = 0.19 (0.11–0.33)***

7. Possibility of obtaining information on other types of treatment

61.2

53.4

84.6

Public = 1.00

Private = 0.21 (0.13–0.35)***

8. Participation in treatment decision-making

60.6

50.4

90.6

Public = 1.00

Private = 0.11 (0.06–0.19)***

9. Privacy with health professionals

69.5

62.3

91.0

Public = 1.00

Private = 0.16 (0.09–0.30)***

10. Confidentiality of personal information

76.9

71.3

93.0

Public = 1.00

Private = 0.19 (0.10–0.36)***

11. Freedom to choose health care provider

55.7

45.8

84.4

Public = 1.00

Private = 0.11 (0.09–0.26)***

12. Cleanliness inside the health facility

72.6

65.8

92.6

Public = 1.00

Private = 0.15 (0.08–0.30)***

13. Available space in waiting and examination rooms

67.8

60.0

90.9

Public = 1.00

Private = 0.12 (0.07–0.22)***

14. Satisfactory health care provider skills

93.7

92.3

97.8

Public = 1.00

Private = 0.29 (0.09–0.88)***

15. Adequate equipment

91.8

89.9

97.2

Public = 1.00

Private = 0.26 (0.10–0.72)**

16. Adequate availability of medicines

89.7

87.8

95.3

Public = 1.00

Private = 0.44 (0.22–0.86)*

17. Ease of receiving visitors

73.9

67.1

94.1

Public = 1.00

Private = 0.13 (0.06–0.26)***

18. Ease of staying in contact with outside world

62.4

52.9

90.3

Public = 1.00

Private = 0.12 (0.08–0.88)***

   Total mean responsiveness (range 0–18)

12.9

11.7

16.3

Public = 1.00

Private = 0.70 (0.64–0.77)***

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