Expectations of healthcare quality: A cross-sectional study of internet users in 12 low- and middle-income countries

Sanam Roder-DeWan, Anna D Gage, Lisa R Hirschhorn, Nana A Y Twum-Danso, Jerker Liljestrand, Kwanele Asante-Shongwe, Viviana Rodríguez, Talhiya Yahya and Margaret E Kruk

PLOS Medicine, 2019, vol. 16, issue 8, 1-17

Abstract: Background: High satisfaction with healthcare is common in low- and middle-income countries (LMICs), despite widespread quality deficits. This may be due to low expectations because people lack knowledge about what constitutes good quality or are resigned about the quality of available services. Methods and findings: We fielded an internet survey in Argentina, China, Ghana, India, Indonesia, Kenya, Lebanon, Mexico, Morocco, Nigeria, Senegal, and South Africa in 2017 (N = 17,996). It included vignettes describing poor-quality services—inadequate technical or interpersonal care—for 2 conditions. After applying population weights, most of our respondents lived in urban areas (59%), had finished primary school (55%), and were under the age of 50 (75%). Just over half were men (51%), and the vast majority reported that they were in good health (73%). Over half (53%) of our study population rated the quality of vignettes describing poor-quality services as good or better. We used multilevel logistic regression and found that good ratings were associated with less education (no formal schooling versus university education; adjusted odds ratio [AOR] 2.22, 95% CI 1.90–2.59, P

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pmed00:1002879

DOI: 10.1371/journal.pmed.1002879

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