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.
| Original language | English |
|---|---|
| Pages (from-to) | 333-347 |
| Number of pages | 15 |
| Journal | Society and Economy |
| Volume | 42 |
| Issue number | 3 |
| Early online date | 30 Jul 2020 |
| DOIs | |
| Publication status | Published - 1 Aug 2020 |
Bibliographical note
Funding Information:The authors would like to extend their appreciation to Sibasa Clinic and its staff for their cooperation. We are also grateful to the respondents in the study. The development and execution of the survey was funded by the South African Department of Higher Education and Training. The contribution of OBF, LG, NK and PB occurred within a Marie Skłodowska-Curie Innovative Training Network (HealthPros – Healthcare Performance Intelligence Professionals) that has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement Nr. 765141 (https://healthpros-h2020.eu). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Ethical clearance was obtained from the Limpopo Province Research and Ethics Committee of the Premier’s office (REC-111513-038). Consent was obtained from all respondents involved. The answers of respondents were anonymized before analysis.
Funding Information:
The authors would like to extend their appreciation to Sibasa Clinic and its staff for their cooperation. We are also grateful to the respondents in the study. The development and execution of the survey was funded by the South African Department of Higher Education and Training. The contribution of OBF, LG, NK and PB occurred within a Marie Sk?odowska-Curie Innovative Training Network (HealthPros Healthcare Performance Intelligence Professionals) that has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement Nr. 765141 (https://healthpros-h2020.eu). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Ethical clearance was obtained from the Limpopo Province Research and Ethics Committee of the Premier's office (REC-111513-038). Consent was obtained from all respondents involved. The answers of respondents were anonymized before analysis.
Publisher Copyright:
© 2020 The Author(s)
Keywords
- Patient experiences
- Patient-centred care
- Primary health care
- Sibasa Clinic
- South Africa