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

• Autores: Kruk, Margaret E.; Kapoor, Neena R.; Lewis, Todd P.; Arsenault, Catherine; Boutsikari, Eleni C.; Breda, João; Carai, Susanne; Croke, Kevin; Dayalu, Rashmi; Fink, Günther; Garcia, Patricia J.; Kassa, Munir; Mohan, Sailesh; Moshabela, Mosa; Nzinga, Jacinta; Oh, Juhwan; Okiro, Emelda A.; Prabhakaran, Dorairaj; SteelFisher, Gillian K.; Tarricone, Rosanna; Garcia Elorrio, Ezequiel
• Año de publicación: 2024
• Idioma: inglés
• Tipo de recurso: artículo
• Materia: PEOPLE'S VOICE SURVEY; POPULATION CONFIDENCE; HEALTH SYSTEM
• Institución: Consejo Nacional de Investigaciones Científicas y Técnicas

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.
Fil: Kruk, Margaret E.. Washington University in St. Louis; Estados Unidos
Fil: Kapoor, Neena R.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Lewis, Todd P.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Arsenault, Catherine. The George Washington University; Estados Unidos
Fil: Boutsikari, Eleni C.. WHO Regional Office for Europe; Grecia
Fil: Breda, João. World Health Organization ; Suiza
Fil: Carai, Susanne. WHO Regional Office for Europe; Grecia
Fil: Croke, Kevin. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Dayalu, Rashmi. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Fink, Günther. Swiss Tropical and Public Health Institute Swiss TPH; Suiza
Fil: Garcia, Patricia J.. Universidad Peruana Cayetano Heredia;
Fil: Kassa, Munir. Ministry Of Health; Etiopía
Fil: Mohan, Sailesh. Centre for Chronic Disease Control; India
Fil: Moshabela, Mosa. University of Cape Town; Sudáfrica
Fil: Nzinga, Jacinta. Wellcome Trust Research Laboratories Nairobi; Kenia
Fil: Oh, Juhwan. Seoul National University; Corea del Sur
Fil: Okiro, Emelda A.. Wellcome Trust Research Laboratories Nairobi; Kenia
Fil: Prabhakaran, Dorairaj. Centre for Chronic Disease Control; India
Fil: SteelFisher, Gillian K.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Tarricone, Rosanna. Bocconi University; Italia
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Universidad Peruana Cayetano Heredia;