Table 2 Statements and factor scores
# | Statement | Factor | |||
|---|---|---|---|---|---|
1 | 2 | 3 | 4 | ||
1 | PHC centers provide convenient services to poor people | 3** | 0 | 0 | 0 |
2 | PHC centers provide mainly symptomatic treatment to patients | 3 | 1** | 2 | 4 |
3 | Physicians have many privileges and get scientific benefit from working at PHC centers | 1 | -1 | -1 | 0 |
4 | Referral of patients from PHC centers to specialists is within normal range | 2 | 2 | 2 | -2** |
5 | Crowding at PHC centers make physicians not having enough time to provide good care for patients | 2 | 2 | 4 | 3 |
6 | Weak infrastructure is important barrier to improve the PHC services | -3** | 3 | 3 | 3 |
7 | Application of family medicine will not control the irrational and repeated visits of patients | -1* | -2 | -2 | 1* |
8 | Physicians in PHC centers are tired and do not have motivation and energy to provide good care | -3** | 0 | 1 | -1** |
9 | There is lack of appreciation and incentives for PHC providers | -2** | 4 | 1** | 4 |
10 | Health education services are provided adequately in PHC centers | 2** | -4* | -2 | -3 |
11 | PHC centers provide mainly curative services with very little emphasis on prevention | -2** | 2** | 1 | 1 |
12 | There is uneven distribution of health staff between PHC centers | 0* | 3 | 3 | 2 |
13 | Statistical reporting and notification of diseases work well in the PHC centers | 4** | 2** | 1** | -3** |
14 | Necessary investigations are available in PHC centers | 1** | -3 | -3 | -1* |
15 | Generally, there is irrational use of drugs in PHC centers | 0** | 4* | 2 | 3 |
16 | PHC providers have sufficient opportunities for training and development courses | 0** | -3 | -4 | -3 |
17 | Provision of partial treatment instead of a full course treatment is an important reason for repeated visits | 3* | 3* | 1 | 1 |
18 | There is usually appropriate support and planning for PHC centers from DoH | 2** | -2** | -3* | -4** |
19 | Patients maintain a good relation and cooperation with PHC providers | 1 | -1* | 0 | 1 |
20 | Patients are given enough rights and privacy in the PHC centers | 1** | -1 | 0 | -1 |
21 | There is a rapid turnover of physicians in PHC centers | 1 | 3** | 2 | 1 |
22 | Most of laboratory results in PHC centers are accurate | 0 | 0 | 0 | -2* |
23 | Poor communication between PHC providers and patients is one of the main problems in PHC centers | -3** | -1 | -1 | 0 |
24 | There is a rapid turnover of trained health staff in PHC centers | -3* | 0* | -2 | -2 |
25 | Introducing higher initial user fees might make some patients, particularly the poor and uneducated, hesitate to visit PHC centers even if they are really ill | -2 | 0 | -3 | -2 |
26 | Physicians provide enough care and time to patients | -1 | -2 | -2 | -1 |
27 | There is good follow-up and monitoring of PHC centers from DoH | 0 | 0 | -1** | -4** |
28 | Many PHC providers work according to their private clinic interests | -1 | -2* | 0 | 0 |
29 | The DoH has a positive role in facilitating the supply and purchase of materials if regular supplies are not sufficient | 0 | -2 | -1 | -2 |
30 | The nursing profession is highly neglected in the PHC centers | -4** | 1 | 2 | 0** |
31 | The people in managerial positions in PHC centers are qualified and experienced | 0 | -1 | 0 | -1 |
32 | There is a need for separating the public and private health sectors | -1 | -1 | 3** | 2** |
33 | PHC centers need to open for longer hours during the day to provide better services | -2 | -3 | 1* | 0* |
34 | There is sufficient use of information technology in PHC centers | -1 | -4* | -3* | -1 |
35 | People have easy access to health services at PHC centers | 4* | 1 | -1** | 2 |
36 | PHC centers do not have important role in reducing load on hospitals | -4** | 1** | -2** | 2** |
37 | The staff in PHC centers are frustrated and poorly motivated due to their low salaries | -2* | 1 | -1 | 0 |
38 | Shortage in medication and medical supplies is an important obstacle in providing effective services at PHC centers | 3 | 2 | 3 | 3 |
39 | Most patients who visit health centers are really ill | 1 | 1 | -4** | 1 |
40 | Health services at PHC centers should be provided mainly by general practitioners and there is no need for specialists in health centers | -1* | -3 | 0* | -3 |
41 | The very low user fees encourage irrational and repeated visits of people to PHC centers | 2 | 0** | 4** | 2 |