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Sökning: WFRF:(Gerdtham Ulf G) > (2020-2024) > The nurse did not e...

The nurse did not even greet me' : How informed versus non-informed patients evaluate health systems responsiveness in South Africa

Hompashe, Dumisani MacDonald (författare)
University of Fort Hare
Gerdtham, Ulf-G (författare)
Lund University,Lunds universitet,Nationalekonomiska institutionen,Ekonomihögskolan,Department of Economics,Lund University School of Economics and Management, LUSEM
Christian, Carmen S (författare)
University of the Western Cape
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Smith, Anja (författare)
Stellenbosch University
Burger, Ronelle (författare)
Stellenbosch University
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 (creator_code:org_t)
2021-04-23
2021
Engelska 9 s.
Ingår i: BMJ Global Health. - : BMJ. - 2059-7908. ; 6:4
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • INTRODUCTION: Universal Health Coverage is not only about access to health services but also about access to high-quality care, since poor experiences may deter patients from accessing care. Evidence shows that quality of care drives health outcomes, yet little is known about non-clinical dimensions of care, and patients' experience thereof relative to satisfaction with visits. This paper investigates the role of non-clinical dimensions of care in patient satisfaction.METHODS: Our study describes the interactions of informed and non-informed patients with primary healthcare workers at 39 public healthcare facilities in two metropolitan centres in two South African provinces. Our analysis included 1357 interactions using standardised patients (for informed patients) and patients' exit interviews (for non-informed patients). The data were combined for three types of visits: contraception, hypertension and tuberculosis. We describe how satisfaction with care was related to patients' experiences of non-clinical dimensions.RESULTS: We show that when real patients (RPs) reported being satisfied (vs dissatisfied) with a visit, it was associated with a 30% increase in the probability that a patient is greeted at the facilities. Likewise, when the RPs reported being satisfied (vs dissatisfied) with the visit, it was correlated with a 15% increase in the prospect that patients are pleased with healthcare workers' explanations of health conditions.CONCLUSION: Informed patients are better equipped to assess health-systems responsiveness in healthcare provision. Insights into responsiveness could guide broader efforts aimed at targeted education and empowerment of primary healthcare users to strengthen health systems and shape expectations for appropriate care and conduct.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Nyckelord

cross-sectional survey
health education and promotion
health policy
health systems evaluation
public health

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