What is driving people's dissatisfaction with their own health care in 17 Latin American countries?

Background A number of expert reports have pointed to serious problems with health care in many Latin American countries and argued the need to reform and improve health-care systems. In addition, the Ministers of Health of the Americas have stated that health systems should be accountable to citize...

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Publicado en:Health Expectations Vol. 16; no. 2; pp. 155 - 164
Autores principales: Kim, Minah K., Blendon, Robert J., Benson, John M.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2013
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        10.1111/j.1369-7625.2012.00777.x
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        atl: What is driving people's dissatisfaction with their own health care in 17 Latin American countries?
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        au:
          Kim, Minah K.
          Blendon, Robert J.
          Benson, John M.
        affil: Takemi Fellow at the Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA; Associate Professor in the Department of Public Administration, Ewha Womans University, Seoul, South Korea
      sug:
        subj:
          Patient Satisfaction Statistics and Numerical Data
          Primary Health Care Evaluation
          Latin America
          Interviews
          Pearson's Correlation Coefficient
          Descriptive Statistics
          Data Analysis Software
          Human
          Probability Sample
          Male
          Female
          Adolescence
          Adult
          Health Care Costs
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background A number of expert reports have pointed to serious problems with health care in many Latin American countries and argued the need to reform and improve health-care systems. In addition, the Ministers of Health of the Americas have stated that health systems should be accountable to citizens. Objective This paper examines, in each of 17 Latin American countries, public dissatisfaction with the health care to which people have access, the proportion of people reporting problems with access to and the cost of health care and the factors that are most important in driving public dissatisfaction. Methods Data are drawn from a 2007 Latinobarómetro survey of 19 212 adults interviewed face-to-face in 17 Latin American countries. Results The proportion of people expressing dissatisfaction with their health care varies a great deal by country, as do the proportions reporting problems with access to and the cost of health care. Problems with access to care seem to matter most in trying to explain public dissatisfaction with their health care. More traditional measures of health outcomes and resources seem to matter less as drivers of dissatisfaction. Conclusions For governments trying to improve their citizens' satisfaction with the health care they receive, the highest priority would be improving people's basic access to health-care services. Also, it appears that democratic governments are seen as being more responsive to the public's needs in health care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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