Patient experiences in a public primary health care clinic: A South African case study

Óscar Brito Fernandes (), Mukhethwa Netshiombo, László Gulácsi, Niek S. Klazinga, Márta Péntek and Petra Baji
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Óscar Brito Fernandes: Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
Mukhethwa Netshiombo: Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
László Gulácsi: Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
Niek S. Klazinga: Department of Public and Occupational Health, University of Amsterdam, Amsterdam, The Netherlands
Márta Péntek: Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary

Society and Economy, 2020, vol. 42, issue 3, 333-347

Abstract: The South African Ministry of Health has recognized experiences of care as key to strengthen patient-centred care. This case study aims to measure patient-reported experiences of care at a clinic in South Africa, and its associations with the respondents’ sociodemographic characteristics. A survey was conducted in 2019 on a convenience sample of 179 respondents. Questions on experiences of care were based on a standardised set of questions by the Organization for Economic Co-operation and Development (OECD). Logistic regression was used to examine the effects of respondents’ characteristics on their experiences. The proportion of respondents who reported that a nurse spent adequate time with them during consultation was significantly higher among literate respondents (92.3 vs. 79.5%). Those who reported past negative experiences were significantly more likely to report a positive experience in regard to perceiving adequate consulting time (odds ratio 5 3.865, with a 95% confidence interval between 1.555 and 9.607), receiving easy-to-understand explanations (4.308; 1.665–11.145), being given the opportunity to ask questions (2.156; 1.013–4.589) and shared decision–making (3.822; 1.728–8.457). The results can spur comparisons with other clinics in a similar setting and inform key stakeholders on aspects of the care experience that need greater improvement within the national framework for quality and safety assurance and patient experience measurement.

Keywords: primary health care; patient experiences; patient-centred care; South Africa; Sibasa Clinic (search for similar items in EconPapers)
JEL-codes: C83 I19 (search for similar items in EconPapers)
Date: 2020
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