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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