TABLE 2.
Rescoring of items scored < 100% in part 2a and scoring all new items (parts 2a and 2b).
| Item code | Domains and items (questions) | % agreement |
|---|---|---|
| C. First contact – access | ||
| C13NGT | Are the signboards (signage/instructions) at your CHC clear? | 100 |
| C14NGT | Is the staff friendly and approachable? | 100 |
| C15& 16NGT | Is it easy to lay a complaint or compliment or make a suggestion at your CHC? (C15) | |
| Is there a complaints/suggestion box at your CHC? (C16) | 100 | |
| C4NGT | Are you able travel safely to your CHC? | 67 |
| C5NGT | Is it difficult to get to your CHC? Yes/No. If yes, please explain. | 57 |
| C6NGT | How long does it take you to get to your CHC? | Removed by simple consensus |
| C17NGT | How much does it cost you to get to your CHC? | 86 |
| C6* | When your CHC is closed on Saturday and Sunday and you get sick, would someone from there see you the same day? | 46 |
| C7* | When your CHC is closed and you get sick during the night, would someone from there see you that night? | 54 |
| C5 | When your CHC is closed is there a phone number you can call when you get sick? | 71 |
| C11bNGT | Is it difficult for you to get a second opinion when necessary? | 81 |
| D. Continuity of care (ongoing care) | ||
| D15b& cNGT | If response to D15 is 4 or 3, then: ‘Where would you go?’ (D15b) | 90 |
| If response to D15 is 4 or 3, then: ‘Why would you change?’ (D15c) | ||
| D4 | If you have a question about your health, can you phone your CHC and talk to the doctor or nurse who treated you before? | 83 |
| D14 | Can you change your CHC if you want to? (Retained because D15b and c were added) | 67 |
| E. Co-ordination | ||
| E9bNGT | How long did it take for you to be given your appointment by your CHC? | 95 |
| E9cNGT | From the time that you were given your appointment date, how long before you actually saw the specialist? | 90 |
| F. Co-ordination (information systems) | ||
| E14NGT | Would the CHC assist you to get medical-legal or insurance reports if required? | 71 |
| G. Comprehensiveness (services available) | ||
| G26NGT | Checking for weight problems? | 95 |
| G27NGT | Access to termination of pregnancy services at or via your CHC if required? | 100 |
| H. Comprehensiveness (services provided) | ||
| H15NGT | Advice and treatment on sexually transmitted infections | 100 |
| H9* | Ask if you have a gun, its storage or its security | 10 |
| K. Culturally competent | ||
| K4bNGT | Do you think your CHC understands/respects your culture? | 100 |
| K4cNGT | Do you feel comfortable discussing religious or cultural issues that affect your health with the staff at the CHC? | 100 |
| P. PHC team (new domain) (items agreed on by simple consensus) | ||
| P1. | Can you see a social worker if you need to? E.g. for help with counselling for a family problem or advice about social services? | - |
| P2. | Can you see a physiotherapist (and occupational therapist) at your CHC if you need to? E.g. to help with muscle sprains or movement following a stroke. | - |
| P3. | Can you be visited in your home by a community health worker linked to your CHC if you need it? E.g. for home-based care for TB, HIV or basic care such as wound dressings. | - |
| P4. | Can you be seen by a health promoter/dietician for advice on these topics? | - |
| P5. | Can you be seen by a mental health worker at your CHC for help with any mental health problems? | - |
| P6. | Can you be seen by a dental/oral health worker at/or linked to your CHC if you need it? E.g. any problems with your teeth. | - |
| P7. | Can a child (under 12 yrs) be seen at your CHC? | - |
ZA PCAT validation.
DELPHI-NGT comments and additional questions.
7 Participants; score 0–3; max score per item = 21, that is 100% agreement.
NGT, items added via Delphi-NGT process; CHC, community health centre.
*, Retained in the printed version; explained in discussion section.