Table 6. Multinomial logistic regression model of association between categorised perceived quality of care and service provider for the overall perceived quality score and for each domain (N= 753).
Domain/Scale item | Quality category | CHWs versus PHFWs (unadjusted) | CHWs vs PHFWs (unadjusted) |
---|---|---|---|
Financial access | Low quality | 1.0 | 1.0 |
Medium quality | 4.6 (3.17-6.85) | 5.2 (3.5-8.01) | |
High quality | 7.3 (4.94-10.88) | 7.8(5.27-11.01) | |
Organizational access | Medium versus low | 17.1(10.17-28.93) | 19.2 (10.88-33.80) |
High versus low | 78.5 (38.97-158.34) | 87.5 (41.60-184.03) | |
Visit based continuity | Medium versus low | 0.2 (0.14-0.31) | 0.2 (0.13-0.31) |
High versus low | 0.0 (0.02-0.09) | 0.4 (0.03-0.10) | |
Patient competence | Medium versus low | 4.9 (3.18-7.49) | 4.7 (3.02-7.50) |
High versus low | 10.9 (5.96-20.01) | 9.1 ( 5.35-15.63) | |
Preventive counselling | Medium versus low | 3.2 (2.14-4.72) | 2.5 (1.70-3.98) |
High versus low | 4.7 (3.13-7.02) | 3.6 (2.37-5.73) | |
Physical examination | Medium versus low | 4.4 (2.87-6.86) | 4.7(3.31-6.80) |
High versus low | 7.4 (4.39-12.62) | 8.2 (5.25-12.87) | |
communication | Medium versus low | 4.9 (3.28-7.28) | 4.8 (3.08-7.47) |
High versus low | 11.5(6.88-18.08) | 16.4 (9.61-28.04) | |
Interpersonal treatment | Medium versus low | 4.7 (3.27-6.74) | 5.0 (3.42-7.41) |
High versus low | 12.3 (7.66-19.87) | 12.3 (7.38-20.41) | |
Trust | Medium versus low | 3.1 (2.10-4.52) | 3.1 (2.07-4.82) |
High versus low | 5.4 ( 3.55-8.13) | 4.5 (2.84-7.01) |
The reference category for service provider is PHFWs; the reference category for perceived quality of care is low quality and is always equal to one.
Models for integration and longitudinal continuity were excluded because of sample size violation.
Other covariates included in each of the models were socio-economic status, previous visit to a CHW or PHFW, education level, type of disease and duration between the interview and the health provider visit.