School of Public Health, MEDUNSA, University of Limpopo, Pretoria, South Africa.
PLoS One. 2010 Nov 9;5(11):e13909. doi: 10.1371/journal.pone.0013909.
In South Africa, the provision of primary health care is a basic service designed to be cost effective and bring healthcare as close as possible to the population, particularly to those people of low economic status. It is a service which is provided free of charge by the South African government and as part of the millennium health goals, it is intended that the service should be accessible to the populace and be effectively utilized.
This study was designed to investigate the accessibility and utilization of the primary health care services in three community health care centres in the Tshwane of the Gauteng Province, South Africa.
Data were obtained from participants attending three Community Health Care Centres in the Tshwane Region using self-administered structured questionnaires. A document review of the Community Health Care Centres records was conducted to investigate the utilization trends of the services provided and descriptive statistics were used to analyze the data obtained.
The results showed that the Community Health Care Centres in the Tshwane Region are accessible to most participants who lived within 5 km of such centres and who traveled 30 minutes or less to the clinic. Using a taxi or walking were found to be the most common means of transport used to gain access to such a clinic. The findings showed that generally, participants were satisfied with the services provided.
Participants of this study have access to the community health care centres in the Tshwane Region and there seems to be effective utilization by patients attending them.
在南非，提供初级卫生保健是一项基本服务，旨在具有成本效益，并使医疗保健尽可能接近人群，特别是那些经济地位较低的人群。这项服务由南非政府免费提供，作为千年卫生目标的一部分，该服务旨在让民众能够获得并有效利用。
本研究旨在调查南非豪登省特兰斯凯的三个社区卫生保健中心的初级卫生保健服务的可及性和利用情况。
使用自我管理的结构化问卷从参加三个特兰斯凯社区卫生保健中心的参与者那里获取数据。对社区卫生保健中心的记录进行了文件审查，以调查所提供服务的利用趋势，并使用描述性统计数据对获得的数据进行了分析。
结果表明，特兰斯凯地区的社区卫生保健中心对大多数居住在距离中心 5 公里以内且前往诊所的时间不超过 30 分钟的参与者来说是可及的。发现使用出租车或步行是最常见的到达诊所的交通工具。调查结果表明，一般来说，参与者对所提供的服务感到满意。
参加这项研究的参与者可以获得特兰斯凯地区的社区卫生保健中心的服务，而且似乎有患者有效地利用了这些服务。
