%0 Journal Article
%T Patient-Provider Interaction in Primary Healthcare Facilities in Tanzania: Findings from Star Rating Assessment
%A Erick Kinyenje
%A Mbwana M. Degeh
%A Omary A. Nassoro
%A Radenta P. Bahegw
%A Joseph C. Hokororo
%A Talhiya A. Yahya
%A Chrisogone J. German
%A Mohamed A. Mohamed
%A Ruth R. Ngowi
%A Yohanes S. Msigwa
%A Laura E. Marandu
%A Syabo M. Mwaisengela
%A Upendo Kimaro
%A Janeth S. Masuma
%A Faraja Msemwa
%A Michael Habtu
%A Grace Saguti
%A Eliudi S. Eliakimu
%J Journal of Service Science and Management
%P 642-659
%@ 1940-9907
%D 2023
%I Scientific Research Publishing
%R 10.4236/jssm.2023.165034
%X <strong>Background:</strong> <span style=\"font-family:;\" \"=\"\">Effective patient-provider interaction plays a critical role in ensuring high-quality
healthcare. Tanzania implemented the Star Rating Assessment (SRA) program since
2015/2016</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">to evaluate
service delivery quality in primary healthcare (PHC). The SRA evaluates various
aspects, including patient-provider interaction. This study analyzes data from the
latest nationwide assessment conducted in 201</span><span style=\"font-family:;\" \"=\"\">7</span><span style=\"font-family:;\" \"=\"\">/201</span><span style=\"font-family:;\" \"=\"\">8</span><span style=\"font-family:;\" \"=\"\"> to provide
insights into the status of Tanzanian facilities in this area and identify potential
influencing factors.<b> Methods: </b>The quality of patient-provider interaction
was assessed using five indicators: provider</span><span style=\"font-family:;\" \"=\"\">¡¯</span><span style=\"font-family:;\" \"=\"\">s friendliness, thorough history-taking, complete examination,
effective communication of diagnosis and treatment, and sufficient time spent with
the patient. Facilities scoring at least four indicators (</span><span><span></span></span><span style=\"font-family:;\" \"=\"\">80%) were deemed
to have good interaction. Proportions of facilities with good interaction overall
and for each indicator were determined. Multiple logistic regression analysis was
performed to investigate the associations between </span><span style=\"font-family:;\" \"=\"\">good interaction
and different characteristics of PHC facilities, including location (rural or urban),
facility level (dispensary, health center, or hospital), ownership (public or private),
gender of the facility¡¯s in-charge, and type of provider (nurse, clinician, or other
non-clinical staff). Associations were considered statistically significant if the <i>p</i>-value was less than 0.05.<b> Results: </b>In our study, we included 6663 primary healthcare (PHC) facilities, of which
50.3% (3350) exhibited good interaction. The lowest scores were recorded for complete
patient examination (50.4%) and thorough history taking (51.5%). The findings suggested
that privately owned facilities, urban facilities, and facilities overseen by male
facility in-charges were associated with good interaction. Provider type, consultation
room facilities, and tracer medicines availability showed no significant associations
with the quality of interaction. <b>Conclusion: </b>The quality level of
%K Patient-Provider Interaction
%K Primary Health Care
%K Star Rating Assessment
%K Tanzania
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=128550