Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey

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 associ...

Täydet tiedot

Bibliografiset tiedot
Päätekijät: Kruk, ME, Kapoor, NR, Lewis, TP, Arsenault, C, Boutsikari, EC, Breda, J, Carai, S, Croke, K, Dayalu, R, Fink, G, Garcia, PJ, Kassa, M, Mohan, S, Moshabela, M, Nzinga, J, Oh, J, Okiro, EA, Prabhakaran, D, SteelFisher, GK, Tarricone, R, Garcia-Elorrio, E
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: Elsevier 2023
_version_ 1826311887264940032
author Kruk, ME
Kapoor, NR
Lewis, TP
Arsenault, C
Boutsikari, EC
Breda, J
Carai, S
Croke, K
Dayalu, R
Fink, G
Garcia, PJ
Kassa, M
Mohan, S
Moshabela, M
Nzinga, J
Oh, J
Okiro, EA
Prabhakaran, D
SteelFisher, GK
Tarricone, R
Garcia-Elorrio, E
author_facet Kruk, ME
Kapoor, NR
Lewis, TP
Arsenault, C
Boutsikari, EC
Breda, J
Carai, S
Croke, K
Dayalu, R
Fink, G
Garcia, PJ
Kassa, M
Mohan, S
Moshabela, M
Nzinga, J
Oh, J
Okiro, EA
Prabhakaran, D
SteelFisher, GK
Tarricone, R
Garcia-Elorrio, E
author_sort Kruk, ME
collection OXFORD
description 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 2024-03-07T08:17:53Z
format Journal article
id oxford-uuid:e7f2cede-aae7-497d-bbf0-c80d750eebd9
institution University of Oxford
language English
last_indexed 2024-03-07T08:17:53Z
publishDate 2023
publisher Elsevier
record_format dspace
spelling oxford-uuid:e7f2cede-aae7-497d-bbf0-c80d750eebd92024-01-08T17:16:14ZPopulation confidence in the health system in 15 countries: results from the first round of the People's Voice SurveyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e7f2cede-aae7-497d-bbf0-c80d750eebd9EnglishSymplectic ElementsElsevier2023Kruk, MEKapoor, NRLewis, TPArsenault, CBoutsikari, ECBreda, JCarai, SCroke, KDayalu, RFink, GGarcia, PJKassa, MMohan, SMoshabela, MNzinga, JOh, JOkiro, EAPrabhakaran, DSteelFisher, GKTarricone, RGarcia-Elorrio, EPopulation 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.
spellingShingle Kruk, ME
Kapoor, NR
Lewis, TP
Arsenault, C
Boutsikari, EC
Breda, J
Carai, S
Croke, K
Dayalu, R
Fink, G
Garcia, PJ
Kassa, M
Mohan, S
Moshabela, M
Nzinga, J
Oh, J
Okiro, EA
Prabhakaran, D
SteelFisher, GK
Tarricone, R
Garcia-Elorrio, E
Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey
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
work_keys_str_mv AT krukme populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT kapoornr populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT lewistp populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT arsenaultc populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT boutsikariec populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT bredaj populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT carais populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT crokek populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT dayalur populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT finkg populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT garciapj populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT kassam populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT mohans populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT moshabelam populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT nzingaj populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT ohj populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT okiroea populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT prabhakarand populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT steelfishergk populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT tarriconer populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey
AT garciaelorrioe populationconfidenceinthehealthsystemin15countriesresultsfromthefirstroundofthepeoplesvoicesurvey