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Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa
Thesis (MFamMed)--Stellenbosch University, 2017.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613877235089408 |
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| access_status_str | Open Access |
| author | Eksteen, Lawson |
| author2 | Mash, Robert |
| author_browse | Eksteen, Lawson Mash, Robert |
| author_facet | Mash, Robert Eksteen, Lawson |
| author_sort | Eksteen, Lawson |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MFamMed)--Stellenbosch University, 2017. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/102547 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:06.958Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/102547 Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa Eksteen, Lawson Mash, Robert Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Patient satisfaction -- South Africa Medical care -- Customer services -- South Africa Primary health care -- South Africa UCTD Thesis (MFamMed)--Stellenbosch University, 2017. ENGLISH SUMMARY: Background: Effective primary care is vital for improving health outcomes. Patient-centred consultations are im-portant and one way of assessing this is to evaluate patient satisfaction. The Medical Interview Sat-isfaction Scale (MISS) has not been used in South Africa. Aim: To test validity and reliability of the MISS and evaluate patient satisfaction with consultations. Setting: Primary care facilities in the Helderberg sub-district, South Africa Methods: The MISS tool was adapted and validated by a panel of experts. The internal consistency was eval-uated on 150 consultations. The level of patient satisfaction on 23 items, in consultations by nurses and doctors, was measured. Respondents indicated agreement with each item on a scale (1=very strongly disagree, 7=very strongly agree). Results: The wording of the items were adapted and translated into Afrikaans and Xhosa. There was good overall internal consistency (Cronbach alpha 0.889), but not in all subscales. Patients were most satisfied with rapport (Median score 6.2 (IQR 5.3-5.9)) and understanding of their concerns, fears and beliefs (5.7 (IQR 5.1-6.3)). They were less satisfied with the ability to foster an acceptable man-agement plan (5.5 (IQR 4.5-6.5)) and with accuracy of information (5.0 (IQR 4.2-5.8)). Scores for nurses and doctors were not significantly different. Conclusion: Further work is needed to improve the reliability of MISS subscales in the South African context and the best internal consistency was found with 21 items. Patients showed high levels of satisfac-tion with primary care consultations, although other studies suggest this may reflect low expecta-tions rather than high quality consultations. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar https://academic.oup.com/fampra/article/36/3/310/5091262?login=true Masters 2017-11-06T07:18:01Z 2017-12-11T10:23:42Z 2017-11-06T07:18:01Z 2017-12-11T10:23:42Z 2017-12 Thesis http://hdl.handle.net/10019.1/102547 en_ZA Stellenbosch University 21 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Patient satisfaction -- South Africa Medical care -- Customer services -- South Africa Primary health care -- South Africa UCTD Eksteen, Lawson Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title | Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title_full | Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title_fullStr | Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title_full_unstemmed | Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title_short | Evaluating patient satisfaction with primary care consultations in the Helderberg sub-district of South Africa |
| title_sort | evaluating patient satisfaction with primary care consultations in the helderberg sub district of south africa |
| topic | Patient satisfaction -- South Africa Medical care -- Customer services -- South Africa Primary health care -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/102547 |
| work_keys_str_mv | AT eksteenlawson evaluatingpatientsatisfactionwithprimarycareconsultationsinthehelderbergsubdistrictofsouthafrica |