Your browser doesn't support javascript.
loading
Population assessment of health system performance in 16 countries.
Kruk, Margaret E; Sabwa, Shalom; Lewis, Todd P; Aniebo, Ifeyinwa; Arsenault, Catherine; Carai, Susanne; Garcia, Patricia J; Garcia-Elorrio, Ezequiel; Fink, Günther; Kassa, Munir; Mohan, Sailesh; Moshabela, Mosa; Oh, Juhwan; Pate, Muhammad Ali; Nzinga, Jacinta.
Afiliación
  • Kruk ME; Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, United States of America (USA).
  • Sabwa S; Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, United States of America (USA).
  • Lewis TP; Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, United States of America (USA).
  • Aniebo I; Ministry of Health and Social Welfare of Nigeria, Abuja, Nigeria.
  • Arsenault C; Milken Institute School of Public Health, George Washington University, WashingtonDC, USA.
  • Carai S; WHO Office on Quality of Care and Patient Safety, Athens, Greece.
  • Garcia PJ; School of Public Health, Cayetano Heredia University, Lima, Peru.
  • Garcia-Elorrio E; Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
  • Fink G; University of Basel and Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
  • Kassa M; Ministry of Health, Addis Ababa, Ethiopia.
  • Mohan S; Public Health Foundation of India, New Delhi, India.
  • Moshabela M; College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
  • Oh J; Seoul National University College of Medicine, Seoul, Republic of Korea.
  • Pate MA; Ministry of Health and Social Welfare of Nigeria, Abuja, Nigeria.
  • Nzinga J; KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
Bull World Health Organ ; 102(7): 486-497B, 2024 Jul 01.
Article en En | MEDLINE | ID: mdl-38933481
ABSTRACT

Objective:

To demonstrate how the new internationally comparable instrument, the People's Voice Survey, can be used to contribute the perspective of the population in assessing health system performance in countries of all levels of income.

Methods:

We surveyed representative samples of populations in 16 low-, middle- and high-income countries on health-care utilization, experience and confidence during 2022-2023. We summarized and visualized data corresponding to the key domains of the World Health Organization universal health coverage framework for health system performance assessment. We examined correlation with per capita health spending by calculating Pearson coefficients, and within-country income-based inequities using the slope index of inequality.

Findings:

In the domain of care effectiveness, we found major gaps in health screenings and endorsement of public primary care. Only one in three respondents reported very good user experience during health visits, with lower proportions in low-income countries. Access to health care was rated highest of all domains; however, only half of the populations felt secure that they could access and afford high-quality care if they became ill. Populations rated the quality of private health systems higher than that of public health systems in most countries. Only half of respondents felt involved in decision-making (less in high-income countries). Within countries, we found statistically significant pro-rich inequalities across many indicators.

Conclusion:

Populations can provide vital information about the real-world function of health systems, complementing other system performance metrics. Population-wide surveys such as the People's Voice Survey should become part of regular health system performance assessments.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accesibilidad a los Servicios de Salud Límite: Humans Idioma: En Revista: Bull World Health Organ Año: 2024 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accesibilidad a los Servicios de Salud Límite: Humans Idioma: En Revista: Bull World Health Organ Año: 2024 Tipo del documento: Article Pais de publicación: Suiza