ArticleAfrican journal of primary health care & family medicine2021
Patient and health system determinants of experiences of care at primary health care clinics in eThekwini, KwaZulu-Natal, 2018.
Article in African journal of primary health care & family medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Rapid review of the ideal clinic realisation and maintenance programme among primary healthcare providers in the Gauteng Province, South Africa.BMJ open quality · 2025Article
- Assessing patients' experience of care in four referral hospitals: a cross-sectional survey of outpatients in two South African rural provinces.BMC health services research · 2024Article
- Ideal Clinic Realisation and Maintenance programme implementation in rural KwaZulu-Natal.African journal of primary health care & family medicine · 2024Article
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Abstract
backgroundRespect for persons includes three sub-elements: dignity, autonomy and confidentiality, whilst client orientation has four sub-elements: prompt attention, quality of basic amenities, access to social support for hospitalised individuals and choice of health providers.
aimThis study sought to determine patient and health system determinants of experiences of care.
settingStudy was conducted at primary health care clinics in eThekwini, KwaZula-Natal.
methodsA self-administered questionnaire was used to collect data from 384 patients who received ambulatory care at six primary health care facilities (three community healthcare centres and three clinics) between June 2018 and November 2018.
resultsThree hundred and sixty nine respondents were included in the study. Eighty one percent (299) of the respondents were female, 67.2% (248) were single and 89.7% (331) were black Africans. Fifty (13.6%) respondents reported their health status to be poor, whilst 47 (12.5%) reported excellent health, with the majority (72.0%) reporting 'good' or 'fair' health. The patients' experience score for the study population was 89.0% (IQR 81% - 98%). Patients who attended clinics had a 6.53 (p 0.001) times increased odds of reporting good patients' experience score compared with patients who attended community healthcare centres. Although ideal clinic status had a positive association with patients' experience score (odds ration [OR]: 1.75; p 0.05) this was not significant.
conclusionPatients attending clinics had a better experience compared with community health centres. Ideal clinic status showed a positive but not statistical significant association with good patient experiences. This may suggest that factors other than structural improvements play an important role in patients' experience.
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