Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union
Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union
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DOI：
10.1016/j.healthpol.2013.03.004
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发表时间：
2013-09-01
期刊：
影响因子：
3.3
通讯作者：
McKee, Martin
中科院分区：
文献类型：
--
作者：
Footman, Katharine;Roberts, Bayard;McKee, Martin
卫生系统绩效的衡量越来越多地包括医疗保健用户的意见，但很少有研究集中在一般人群对卫生系统的满意度。这项研究是第一次检查公众对前苏联（fSU）卫生系统的满意度。数据来自2001年和2010年在9个前苏联国家进行的两项相关研究，使用具有全国代表性的横断面调查。比较了2001年和2010年各国卫生系统满意度的普遍程度。通过比较对卫生系统和公共部门其他部分的满意度以及卫生保健使用者和非使用者的意见，进一步研究了满意度的模式。人口满意度的潜在决定因素进行了探讨，使用逻辑回归。就所有国家而言，对卫生系统的满意度从2001年的19.4%上升到2010年的40.6%，但各国差异很大。对卫生系统满意度的变化与公共部门的变化相似，非医疗保健使用者比使用者报告满意度的可能性略高。与较高满意度相关的特征包括年龄较小，教育程度较低，经济地位较高，居住在农村，健康状况较好，政治信任程度较高。我们的研究结果表明，满意度可以提供有用的洞察公众舆论对卫生系统的性能，特别是当与其他主观措施的满意度与政府的表现。(C)2013作者由Elsevier爱尔兰有限公司出版。保留所有权利。
Measurement of health system performance increasingly includes the views of healthcare users, yet little research has focussed on general population satisfaction with health systems. This study is the first to examine public satisfaction with health systems in the former Soviet Union (fSU). Data were derived from two related studies conducted in 2001 and 2010 in nine fSU countries, using nationally representative cross-sectional surveys. The prevalence of health system satisfaction in each country was compared for 2001 and 2010. Patterns of satisfaction were further examined by comparing satisfaction with the health system and other parts of the public sector, and the views of health care users and non-users. Potential determinants of population satisfaction were explored using logistic regression. For all countries combined, the level of satisfaction with health systems increased from 19.4% in 2001 to 40.6% in 2010, but varied considerably by country. Changes in satisfaction with the health system were similar to changes with the public sector, and non-users of healthcare were slightly more likely to report satisfaction than users. Characteristics associated with higher satisfaction include younger age, lower education, higher economic status, rural residency, better health status, and higher levels of political trust. Our results suggest that satisfaction can provide useful insight into public opinion on health system performance, particularly when used in conjunction with other subjective measures of satisfaction with government performance. (C) 2013 The Authors. Published by Elsevier Ireland Ltd. All rights reserved.