User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries
Summary: High-quality care is essential for improving health outcomes, although many health systems struggle to maintain good quality. We use data from the People's Voice Survey—a nationally representative survey conducted in 14 high-income, middle-income, and low-income countries—to describe u...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-01-01
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| Series: | The Lancet Global Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214109X23004953 |
| _version_ | 1797391813912297472 |
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| author | Todd P Lewis, PhD Munir Kassa, MD Neena R Kapoor, MSc Catherine Arsenault, PhD Rodrigo Bazua-Lobato, MD Rashmi Dayalu, MPH Günther Fink, PhD Theodros Getachew, PhD Prashant Jarhyan, PhD Hwa-Young Lee, PhD Agustina Mazzoni, MD Jesus Medina-Ranilla, MD Inbarani Naidoo, PhD Ashenif Tadele, MSc Margaret E Kruk, ProfMD |
| author_facet | Todd P Lewis, PhD Munir Kassa, MD Neena R Kapoor, MSc Catherine Arsenault, PhD Rodrigo Bazua-Lobato, MD Rashmi Dayalu, MPH Günther Fink, PhD Theodros Getachew, PhD Prashant Jarhyan, PhD Hwa-Young Lee, PhD Agustina Mazzoni, MD Jesus Medina-Ranilla, MD Inbarani Naidoo, PhD Ashenif Tadele, MSc Margaret E Kruk, ProfMD |
| author_sort | Todd P Lewis, PhD |
| collection | DOAJ |
| description | Summary: High-quality care is essential for improving health outcomes, although many health systems struggle to maintain good quality. We use data from the People's Voice Survey—a nationally representative survey conducted in 14 high-income, middle-income, and low-income countries—to describe user-reported quality of most recent health care in the past 12 months. We described ratings for 14 measures of care competence, system competence, and user experience and assessed the relationship between visit quality factors and user recommendation of the facility. We disaggregated the data by high-need and underserved groups. The proportion of respondents rating their most recent visit as high quality ranged from 25% in Laos to 74% in the USA. The mean facility recommendation score was 7·7 out of 10. Individuals with high needs or who are underserved reported lower-quality services on average across countries. Countries with high health expenditure per capita tended to have better care ratings than countries with low health expenditure. Visit quality factors explained a high proportion of variation in facility recommendations relative to facility or demographic factors. These results show that user-reported quality is low but increases with high national health expenditure. Elevating care quality will require monitoring and improvements on multiple dimensions of care quality, especially in public systems. |
| first_indexed | 2024-03-08T23:38:09Z |
| format | Article |
| id | doaj.art-cd9fb2e4bf094188add32b621bf44f0a |
| institution | Directory Open Access Journal |
| issn | 2214-109X |
| language | English |
| last_indexed | 2024-03-08T23:38:09Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Global Health |
| spelling | doaj.art-cd9fb2e4bf094188add32b621bf44f0a2023-12-14T05:22:49ZengElsevierThe Lancet Global Health2214-109X2024-01-01121e112e122User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countriesTodd P Lewis, PhD0Munir Kassa, MD1Neena R Kapoor, MSc2Catherine Arsenault, PhD3Rodrigo Bazua-Lobato, MD4Rashmi Dayalu, MPH5Günther Fink, PhD6Theodros Getachew, PhD7Prashant Jarhyan, PhD8Hwa-Young Lee, PhD9Agustina Mazzoni, MD10Jesus Medina-Ranilla, MD11Inbarani Naidoo, PhD12Ashenif Tadele, MSc13Margaret E Kruk, ProfMD14Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA; Correspondence to: Dr Todd P Lewis, Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA 02115, USAMinister's Office, Ministry of Health, Addis Ababa, EthiopiaDepartment 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 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, Allschwil, Switzerland; University of Basel, Basel, SwitzerlandHealth System & Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, EthiopiaPublic Health Foundation of India, Gurugram, IndiaGraduate School of Public Health and Healthcare Management, The Catholic University of Korea, Seoul, South KoreaInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, ArgentinaSchool of Public Health, Cayetano Heredia University, Lima, PeruCentre for Community Based Research, Public Health, Societies & Belonging, Human Sciences Research Council, Durban, South AfricaHealth System & Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, EthiopiaDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USASummary: High-quality care is essential for improving health outcomes, although many health systems struggle to maintain good quality. We use data from the People's Voice Survey—a nationally representative survey conducted in 14 high-income, middle-income, and low-income countries—to describe user-reported quality of most recent health care in the past 12 months. We described ratings for 14 measures of care competence, system competence, and user experience and assessed the relationship between visit quality factors and user recommendation of the facility. We disaggregated the data by high-need and underserved groups. The proportion of respondents rating their most recent visit as high quality ranged from 25% in Laos to 74% in the USA. The mean facility recommendation score was 7·7 out of 10. Individuals with high needs or who are underserved reported lower-quality services on average across countries. Countries with high health expenditure per capita tended to have better care ratings than countries with low health expenditure. Visit quality factors explained a high proportion of variation in facility recommendations relative to facility or demographic factors. These results show that user-reported quality is low but increases with high national health expenditure. Elevating care quality will require monitoring and improvements on multiple dimensions of care quality, especially in public systems.http://www.sciencedirect.com/science/article/pii/S2214109X23004953 |
| spellingShingle | Todd P Lewis, PhD Munir Kassa, MD Neena R Kapoor, MSc Catherine Arsenault, PhD Rodrigo Bazua-Lobato, MD Rashmi Dayalu, MPH Günther Fink, PhD Theodros Getachew, PhD Prashant Jarhyan, PhD Hwa-Young Lee, PhD Agustina Mazzoni, MD Jesus Medina-Ranilla, MD Inbarani Naidoo, PhD Ashenif Tadele, MSc Margaret E Kruk, ProfMD User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries The Lancet Global Health |
| title | User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries |
| title_full | User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries |
| title_fullStr | User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries |
| title_full_unstemmed | User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries |
| title_short | User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries |
| title_sort | user reported quality of care findings from the first round of the people s voice survey in 14 countries |
| url | http://www.sciencedirect.com/science/article/pii/S2214109X23004953 |
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