Satisfaction with healthcare services in South Africa: results of the national 2010 General Household Survey.

Satisfaction with healthcare services in South Africa: results of the national 2010 General Household Survey.
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DOI:
10.11604/pamj.2014.18.172.4084
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发表时间:
2014
期刊:
The Pan African medical journal
影响因子:
--
通讯作者:
Hasumi T
Hasumi T
中科院分区:
其他
文献类型:
--
作者:
Jacobsen KH;Hasumi T

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1998年和2003年的人口和健康调查表明,南非对保健服务的不满率不断上升。这项分析的目的是检查2010年全国医疗保健满意率。我们对2010年全国性综合住户调查(GHS)的22,959名住户代表的数据进行了加权logistic回归分析。总的来说,88.5%的参与者对他们最后一次访问他们通常的医疗保健提供者感到满意或非常满意,其中包括84.6%的访问公共提供者和97.3%的咨询私人提供者。南非黑人(87.0%)和低收入家庭(月收入低于2500兰特的家庭占86.3%)的满意度低于南非白色人(96.0%)和高收入家庭(月收入至少8000兰特的家庭占94.0%)(p<0.001)。然而,在调整供应商类型后,种族/民族和收入水平的满意度几乎没有差异。分析表明,在南非的种族/族裔群体和收入水平的医疗服务满意度的差异是由于在很大程度上使用私人提供者的不同比率。
The 1998 and 2003 Demographic and Health Surveys suggested increasing rates of dissatisfaction with health services in South Africa. The goal of this analysis was to examine national healthcare satisfaction rates in 2010. We conducted weighted logistic regression analysis of data from 22,959 household representatives who participated in the nationally-representative 2010 General Household Survey (GHS). In total, 88.5% of participants were somewhat or very satisfied with their last visit to their usual healthcare provider, including 84.6% of those visiting a public provider and 97.3% of those consulting a private provider. Satisfaction rates were lower for black South Africans (87.0%) and low income households (86.3% of households with monthly incomes less than 2500 rands) than for white South Africans (96.0%) and high income households (94.0% of those with monthly incomes of at least 8000 rands) (p<0.001). However, after adjusting for provider type, there were few differences in satisfaction rates by race/ethnicity and income level. The analysis suggests that differences in satisfaction with healthcare services in South Africa by racial/ethnic group and income level are due in large part to different rates of use of private providers.