Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey
Summary: Population confidence is essential to a well functioning health system. Using data from the People's Voice Survey—a novel population survey conducted in 15 low-income, middle-income, and high-income countries—we report health system confidence among the general population and analyse i...
Main Authors: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2024-01-01
|
Series: | The Lancet Global Health |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2214109X23004990 |
_version_ | 1827584874593124352 |
---|---|
author | Margaret E Kruk, ProfMD Neena R Kapoor, MSc Todd P Lewis, PhD Catherine Arsenault, PhD Eleni C Boutsikari, MSc João Breda, PhD Susanne Carai, MD Kevin Croke, PhD Rashmi Dayalu, MPH Günther Fink, PhD Patricia J Garcia Munir Kassa, MD Sailesh Mohan, MD Mosa Moshabela, MBChB PhD Jacinta Nzinga, PhD Juhwan Oh, MD PhD Emelda A Okiro, PhD Dorairaj Prabhakaran, MD MSc Gillian K SteelFisher, PhD Rosanna Tarricone, PhD Ezequiel Garcia-Elorrio, MD PhD |
author_facet | Margaret E Kruk, ProfMD Neena R Kapoor, MSc Todd P Lewis, PhD Catherine Arsenault, PhD Eleni C Boutsikari, MSc João Breda, PhD Susanne Carai, MD Kevin Croke, PhD Rashmi Dayalu, MPH Günther Fink, PhD Patricia J Garcia Munir Kassa, MD Sailesh Mohan, MD Mosa Moshabela, MBChB PhD Jacinta Nzinga, PhD Juhwan Oh, MD PhD Emelda A Okiro, PhD Dorairaj Prabhakaran, MD MSc Gillian K SteelFisher, PhD Rosanna Tarricone, PhD Ezequiel Garcia-Elorrio, MD PhD |
author_sort | Margaret E Kruk, ProfMD |
collection | DOAJ |
description | Summary: Population confidence is essential to a well functioning health system. Using data from the People's Voice Survey—a novel population survey conducted in 15 low-income, middle-income, and high-income countries—we report health system confidence among the general population and analyse its associated factors. Across the 15 countries, fewer than half of respondents were health secure and reported being somewhat or very confident that they could get and afford good-quality care if very sick. Only a quarter of respondents endorsed their current health system, deeming it to work well with no need for major reform. The lowest support was in Peru, the UK, and Greece—countries experiencing substantial health system challenges. Wealthy, more educated, young, and female respondents were less likely to endorse the health system in many countries, portending future challenges for maintaining social solidarity for publicly financed health systems. In pooled analyses, the perceived quality of the public health system and government responsiveness to public input were strongly associated with all confidence measures. These results provide a post-COVID-19 pandemic baseline of public confidence in the health system. The survey should be repeated regularly to inform policy and improve health system accountability. |
first_indexed | 2024-03-08T23:37:35Z |
format | Article |
id | doaj.art-4041867a3a75484aa647b7cf41a01e4a |
institution | Directory Open Access Journal |
issn | 2214-109X |
language | English |
last_indexed | 2024-03-08T23:37:35Z |
publishDate | 2024-01-01 |
publisher | Elsevier |
record_format | Article |
series | The Lancet Global Health |
spelling | doaj.art-4041867a3a75484aa647b7cf41a01e4a2023-12-14T05:22:50ZengElsevierThe Lancet Global Health2214-109X2024-01-01121e100e111Population confidence in the health system in 15 countries: results from the first round of the People's Voice SurveyMargaret E Kruk, ProfMD0Neena R Kapoor, MSc1Todd P Lewis, PhD2Catherine Arsenault, PhD3Eleni C Boutsikari, MSc4João Breda, PhD5Susanne Carai, MD6Kevin Croke, PhD7Rashmi Dayalu, MPH8Günther Fink, PhD9Patricia J Garcia10Munir Kassa, MD11Sailesh Mohan, MD12Mosa Moshabela, MBChB PhD13Jacinta Nzinga, PhD14Juhwan Oh, MD PhD15Emelda A Okiro, PhD16Dorairaj Prabhakaran, MD MSc17Gillian K SteelFisher, PhD18Rosanna Tarricone, PhD19Ezequiel Garcia-Elorrio, MD PhD20Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA; Correspondence to: Prof Margaret E Kruk, Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA 02115, USADepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Global Health, George Washington University Milken Institute School of Public Health, Washington, DC, USADivision of Country Health Policies and Systems, WHO Athens Quality of Care Office, WHO Regional Office for Europe, Athens, GreeceDivision of Country Health Policies and Systems, WHO Athens Quality of Care Office, WHO Regional Office for Europe, Athens, GreeceDivision of Country Health Policies and Systems, WHO Athens Quality of Care Office, WHO Regional Office for Europe, Athens, GreeceDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel, SwitzerlandDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USAMinister's Office, Ministry of Health, Addis Ababa, EthiopiaPublic Health Foundation of India, New Delhi, IndiaCollege of Health Sciences, University of KwaZulu–Natal, Durban, South AfricaHealth Economics Research Unit, KEMRI–Wellcome Trust Research Programme, Nairobi, KenyaSeoul National University College of Medicine, Seoul, South KoreaPopulation and Health Impact Surveillance Group, KEMRI–Wellcome Trust Research Programme, Nairobi, Kenya; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UKPublic Health Foundation of India, New Delhi, IndiaDepartment of Health Policy and Management, Harvard T H Chan School of Public Health, Boston, MA, USADepartment of Social and Political Science, Bocconi University, Milan, ItalySchool of Public Health, Universidad Peruana Cayetano Heredia, Lima, Peru; Health Care Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, ArgentinaSummary: Population confidence is essential to a well functioning health system. Using data from the People's Voice Survey—a novel population survey conducted in 15 low-income, middle-income, and high-income countries—we report health system confidence among the general population and analyse its associated factors. Across the 15 countries, fewer than half of respondents were health secure and reported being somewhat or very confident that they could get and afford good-quality care if very sick. Only a quarter of respondents endorsed their current health system, deeming it to work well with no need for major reform. The lowest support was in Peru, the UK, and Greece—countries experiencing substantial health system challenges. Wealthy, more educated, young, and female respondents were less likely to endorse the health system in many countries, portending future challenges for maintaining social solidarity for publicly financed health systems. In pooled analyses, the perceived quality of the public health system and government responsiveness to public input were strongly associated with all confidence measures. These results provide a post-COVID-19 pandemic baseline of public confidence in the health system. The survey should be repeated regularly to inform policy and improve health system accountability.http://www.sciencedirect.com/science/article/pii/S2214109X23004990 |
spellingShingle | Margaret E Kruk, ProfMD Neena R Kapoor, MSc Todd P Lewis, PhD Catherine Arsenault, PhD Eleni C Boutsikari, MSc João Breda, PhD Susanne Carai, MD Kevin Croke, PhD Rashmi Dayalu, MPH Günther Fink, PhD Patricia J Garcia Munir Kassa, MD Sailesh Mohan, MD Mosa Moshabela, MBChB PhD Jacinta Nzinga, PhD Juhwan Oh, MD PhD Emelda A Okiro, PhD Dorairaj Prabhakaran, MD MSc Gillian K SteelFisher, PhD Rosanna Tarricone, PhD Ezequiel Garcia-Elorrio, MD PhD Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey The Lancet Global Health |
title | Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey |
title_full | Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey |
title_fullStr | Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey |
title_full_unstemmed | Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey |
title_short | Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey |
title_sort | population confidence in the health system in 15 countries results from the first round of the people s voice survey |
url | http://www.sciencedirect.com/science/article/pii/S2214109X23004990 |
work_keys_str_mv | AT margaretekrukprofmd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT neenarkapoormsc populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT toddplewisphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT catherinearsenaultphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT elenicboutsikarimsc populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT joaobredaphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT susannecaraimd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT kevincrokephd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT rashmidayalumph populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT guntherfinkphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT patriciajgarcia populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT munirkassamd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT saileshmohanmd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT mosamoshabelambchbphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT jacintanzingaphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT juhwanohmdphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT emeldaaokirophd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT dorairajprabhakaranmdmsc populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT gillianksteelfisherphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT rosannatarriconephd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey AT ezequielgarciaelorriomdphd populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey |