Multilevel logistic regression results: adjusted ORs (AORs) with 95% CI (N=25 745 patients, N=319 facilities, N=32 states)
| Individual level variables | Positive verbal/non-verbal communication | Opportunity to share health concerns | Resolution of doubts | Excellent global experience rating |
| AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | |
| Male sex | 1.18(1.11to1.26) | 1.06 (0.94 to 1.21) | 0.98 (0.87 to 1.12) | 1.07 (0.98 to 1.17) |
| Age | ||||
| 18–33 years | Ref | Ref | Ref | Ref |
| 34–48 years | 1.08 (0.94 to 1.23) | 0.83 (0.72 to0.95) | 0.90 (0.79 to 1.02) | 1.04 (0.93 to 1.16) |
| 49–62 years | 1.16(1.01to1.32) | 0.83 (0.72 to0.97) | 0.95 (0.81 to 1.11) | 1.23(1.10to1.38) |
| 63–99 years | 1.30(1.12to1.50) | 0.82 (0.70 to0.96) | 0.98 (0.85 to 1.14) | 1.22(1.07to1.39) |
| Level of education | ||||
| Less than primary school | Ref | Ref | Ref | Ref |
| Less than high school | 0.90 (0.80 to 1.02) | 1.01 (0.81 to 1.25) | 1.07 (0.96 to 1.19) | 1.13(1.01to1.26) |
| High school or more | 0.84 (0.76 to0.94) | 1.14 (0.92 to 1.41) | 1.18(1.05to1.34) | 1.35(1.16to1.57) |
| Visit type | ||||
| Curative | Ref | Ref | Ref | Ref |
| Preventive | 1.02 (0.85 to 1.22) | 0.27 (0.24 to0.30) | 1.26(1.05to1.50) | 1.07 (0.88 to 1.30) |
| Dental | 1.37(1.05to1.79) | 1.09 (0.73 to 1.64) | 1.22 (0.89 to 1.68) | 1.21 (0.91 to 1.62) |
| Reason for visit | ||||
| Diseases of the circulatory system | Ref | Ref | Ref | Ref |
| Endocrine, nutritional and metabolic diseases | 1.02 (0.88 to 1.18) | 1.01 (0.82 to 1.24) | 0.88 (0.73 to 1.06) | 0.95 (0.83 to 1.09) |
| Other | 0.89 (0.75 to 1.04) | .87 (0.72 to 1.05) | 0.69 (0.57 to0.83) | 0.95 (0.81 to 1.12) |
| Diseases of the respiratory system | 0.94 (0.82 to 1.08) | 1.16 (0.84 to 1.61) | .96 (0.76 to 1.23) | 0.95 (0.82 to 1.09) |
| Factors influencing health status and contact with health services | 1.12 (0.90 to 1.38) | 0.38 (0.30 to0.49) | 1.03 (0.82 to 1.30) | 1.14 (0.93 to 1.39) |
| Pregnancy, childbirth and the puerperium | 1.30(1.02to1.67) | 0.93 (0.73 to 1.20) | 0.89 (0.71 to 1.10) | 1.08 (0.88 to 1.34) |
| Diseases of the musculoskeletal system and connective tissue | 0.82 (0.66 to 1.02) | 0.82 (0.65 to 1.03) | 0.74 (0.57 to0.97) | 1.01 (0.89 to 1.20) |
| Diseases of the digestive system | 0.88 (0.73 to 1.06) | 0.86 (0.64 to 1.14) | 0.75 (0.55 to 1.03) | 0.86 (0.72 to 1.03) |
| Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified | 0.89 (0.71 to 1.11) | 0.88 (0.67 to 1.17) | 0.58 (0.48 to0.72) | 1.04 (0.87 to 1.25) |
| Injury, poisoning and certain other consequences of external causes | 0.88 (0.73 to 1.06) | 0.62(0.50to0.77) | 0.70 (0.52 to0.95) | 0.90 (0.74 to 1.09) |
| Facility level variables | AOR (95% CI) IOR | AOR (95% CI) IOR | AOR (95% CI) IOR | AOR (95% CI) IOR |
| Number of consultation rooms | ||||
| AOR | 1.65 (0.88 to 3.36) | 0.93 (0.37 to 2.34) | 0.85 (0.41 to 1.74) | 1.04 (0.51 to 2.10) |
| IOR | 0.92 to 2.95 | 0.50 to 1.72 | 0.45 to 1.60 | 0.43 to 2.49 |
| Presence of: | ||||
| Diabetes programme | ||||
| AOR | 1.02 (0.88 to 1.19) | 1.08 (0.81 to 1.45) | 1.11 (0.92 to 1.36) | 0.99 (0.82 to 1.19) |
| IOR | 0.57 to 1.83 | 0.59 to 2.00 | 0.59 to 2.10 | 0.41 to 2.38 |
| Nutritionist | ||||
| AOR | 1.00 (0.84 to 1.19) | 1.07 (0.83 to 1.40) | 0.95 (0.73 to 1.25) | 1.10 (0.89 to 1.35) |
| IOR | 0.56 to 1.56 | 0.58 to 1.99 | 0.51 to 1.79 | 0.46 to 2.63 |
| Nurses room | ||||
| AOR | 0.87 (0.69 to 1.10) | 0.97 (0.67 to 1.40) | 0.98 (0.72 to 1.33) | 0.92 (0.79 to 1.08) |
| IOR | 0.49 to 1.56 | 0.52 to 1.79 | 0.52 to 1.84 | 0.38 to 2.21 |
| Patient population size | ||||
| AOR | 0.32 (0.13 to0.74) | 0.43 (0.21 to0.90) | 0.48 (0.25 to0.93) | 1.19 (0.48 to 2.91) |
| IOR | 0.18 to 0.56 | 0.23 to 0.80 | 0.26 to 0.90 | 0.49 to 2.85 |
| State levelvariable | ||||
| Percent poverty in state (minimum=20%; vs maximum=76%) | ||||
| AOR | 1.12 (0.69 to 1.82) | 0.82 (0.50 to 1.35) | 0.48 (0.50 to 1.67) | 0.74 (0.42 to 1.30) |
| IOR | 0.62 to 2.02 | 0.46 to 1.47 | 0.42 to 1.97 | 0.33 to 1.67 |
AOR, adjusted OR; IOR, interval OR.