Original Research

Patient and health system determinants of experiences of care at primary health care clinics in eThekwini, KwaZulu-Natal, 2018

Avashri Harrichandparsad, Ozayr H. Mahomed
African Journal of Primary Health Care & Family Medicine | Vol 13, No 1 | a2884 | DOI: https://doi.org/10.4102/phcfm.v13i1.2884 | © 2021 Avashri Harrichandparsad (Naidoo), Ozayr Haroon Mahomed | This work is licensed under CC Attribution 4.0
Submitted: 22 December 2020 | Published: 30 September 2021

About the author(s)

Avashri Harrichandparsad, Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa
Ozayr H. Mahomed, Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa

Abstract

Background: Respect 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.

Aim: This study sought to determine patient and health system determinants of experiences of care.

Setting: Study was conducted at primary health care clinics in eThekwini, KwaZula-Natal.

Methods: A 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.

Results: Three 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.

Conclusion: Patients 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.


Keywords

patients’ experience; primary health care clinics; health system; patient factors; ideal clinic

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Crossref Citations

1. Patient experience of care in sub-Saharan Africa: A narrative overview
Emmanuel Kumah
International Journal of Healthcare Management  first page: 1  year: 2023  
doi: 10.1080/20479700.2023.2265666