Exploring public perceptions of South African private and public hospitals and preferences for health care providers

[摘要] Introduction: The intention of this study is to explore how members of the South African publicperceive private and public hospitals in the country. A better understanding ofboth positive and negative perceptions can guide improvements in public sectorservices and strengthen public confidence in the health system.Methodology: Eight focus groups, delineated in terms of race and experience with thepublic/private sectors were run. Thematic content analysis was used in analyses.Results: There was an almost-automatic perception that private hospitals are 'better than”public hospitals. However with further exploration, a much more nuanced set ofperceptions, acknowledging positive and negative components of each sector,emerged.Discussion: The key concepts arising from this study focussed around issues of trust and theacceptability of health services, which includes discipline, responsiveness,assurance, respect and dignity, choice of health care provider, confidentiality andcommunication .Currently within the introduction of a National Health Insurancev(NHI) system in South Africa, trust and acceptability of health services are crucialdeterminants of the extent of the buy-in that the public will demonstrate towardsthe planned changes.

[发布机构] University of the Witwatersrand