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Reasons for and perceptions of patients with minor ailments bypassing local primary health care facilities

机译：轻度疾病患者绕过当地初级卫生保健机构的原因和看法

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Introduction: Despite having access to several clinics and health centres in their local communities, numerous patients opt to go directly to hospitals for non-emergencies and minor ailments. Reasons for this include their perceptions of the quality of primary health care services, the attitudes and perceptions of health workers, opening hours of clinics, community involvement and participation, and drug and equipment availability as well as the quality of infrastructure. Perceptions of size, a lack of specialty care and limited services were most frequently mentioned as reasons why patients bypassed their local primary health care facilities. Aim: This study aimed to identify the reasons given by patients presenting with minor ailments, for bypassing their local primary health care facilities in the Greater Tzaneen municipal area to Letaba Hospital. Methods: A cross-sectional descriptive study was performed at Letaba Hospital over a three-month period, from 23 June 2008 to 15 August 2008, in which non-referred patients presenting with minor ailments were randomised and entered into the study on a voluntary basis. A preset questionnaire was utilised for data-collection purposes. A total of 293 participants were included in the study. The questionnaire aimed to determine the demographic profile of patients who present with minor ailments at hospital, to explore the reasons why these patients bypass their local clinics and to evaluate their knowledge, perceptions and attitudes regarding their local clinics. Results: Most patients indicated that they came to the hospital because they wanted to be seen by a doctor, followed by the request to see a dentist. The study identified that patients expressed both positive and negative opinions concerning their local clinics. Conclusion: Numerous factors influence the service-seeking behaviour of rural patients. Patients bypass their local clinics due to perceptions regarding the quality of health care services at the hospital. Improving the quality aspects of clinics and enhancing the services rendered will not only increase the utilisation of clinic services, but also reduce hospital overcrowding.
机译：简介：尽管可以访问当地社区的多家诊所和医疗中心，但仍有许多患者选择直接因非急症和小病而去医院。这样做的原因包括他们对基层医疗服务质量的看法，对医务工作者的态度和看法，诊所的开放时间，社区参与和参与，药品和设备的可获得性以及基础设施的质量。人们经常提到规模感知，缺乏专科护理和有限的服务，这是患者绕开其当地初级卫生保健设施的原因。目的：本研究旨在确定患有轻度疾病的患者绕过大察嫩市辖区当地的初级卫生保健机构前往莱塔巴医院的原因。方法：从2008年6月23日至2008年8月15日，在Letaba医院进行了为期三个月的横断面描述性研究，随机将未转诊且有轻度疾病的患者转入自愿参加的研究。预设调查表用于数据收集目的。该研究总共包括293名参与者。该调查表旨在确定在医院中有轻微疾病的患者的人口统计资料，探讨这些患者绕开当地诊所的原因，并评估他们对当地诊所的知识，看法和态度。结果：大多数患者表示他们之所以来医院是因为他们希望得到医生的诊治，随后又要求去看牙医。研究发现，患者对当地诊所表达了正面和负面的意见。结论：许多因素影响农村患者的就诊行为。由于对医院医疗服务质量的看法，患者绕开了当地诊所。改善诊所的质量和改善提供的服务不仅会增加诊所服务的利用率，而且会减少医院的人满为患。

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