Inez M Greven, Paul E Downing, Richard Ramsey
Linking person perception and person knowledge in the human brain
Social cognitive and affective neuroscience
patients negative experience health care delivery bypass primary healthcare facilities instead seek care hospitals dearth evidence role users perceptions quality care outpatient visits primary care facilities study aimed examine relationship perceived quality care number outpatient visits nearby health centers communitybased crosssectional study conducted two rural districts northeast ethiopia among 1081 randomly selected rural households visited outpatient units nearby health center least previous 12 months data collected using intervieweradministered questionnaire via electronic data collection platform multivariable analysis performed using zerotruncated negative binomial regression model determine association variables degree association assessed using incidence rate ratio statistical significance determined 95 confidence interval typical household makes roughly four outpatient visits nearby health center annual per capita visit 099 mean perceived quality care 628 scale 010 sd 105 multivariable analysis revealed perceived quality care strongly associated number outpatient visits irr 1257 95 ci 1094 1374 particular significant association found dimensions provider communication irr 1052 95 ci 1012 1095 information provision irr 1088 95 ci 1058 1120 access care irr 1058 95 ci 1026 1091 service users perceptions quality care promote outpatient visits primary healthcare facilities effective provider communication information provision access care quality dimensions especially important regard concerted efforts required improve quality care relies service users perceptions special emphasis improving health care providers communication skills removing facilitylevel access barriers