Abstract
IntroductionThe 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.MethodsWe conducted weighted logistic regression analysis of data from 22,959 household representatives who participated in the nationally-representative 2010 General Household Survey (GHS).ResultsIn 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.ConclusionThe 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.
Highlights
The 1998 and 2003 Demographic and Health Surveys suggested increasing rates of dissatisfaction with health services in South Africa
After the DUs within the sampled primary sampling units (PSUs) are stratified by several socio-demographic characteristics, DUs are sampled from each PSU using a randomized probability proportional to size (RPPS) function that generates a national sample of DUs that matches key characteristics of the national census
88.5% of the respondents reported being satisfied with their last visit to their usual healthcare provider
Summary
The 1998 and 2003 Demographic and Health Surveys suggested increasing rates of dissatisfaction with health services in South Africa. Conclusion: 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. The plan calls for the establishment of a national customer care program and ombuds office to investigate and resolve complaints, and requires public hospitals to begin conducting annual satisfaction surveys [1]. This policy is designed, in part, to address negative perceptions toward the healthcare system that were highlighted by the 1998 and 2003 South Africa Demographic and Health Surveys (DHS). The specific objectives of this analysis are (1) to estimate the proportion of adult South Africans who report being satisfied with their most recent visit to their usual healthcare provider, (2) to compare the satisfaction rates of South Africans by population group (race/ethnicity) and income, and (3) to identify the factors associated with being satisfied with healthcare services
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