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Vignettes describing poor-quality care. All respondents received vignette A. A subset of respondents also received vignette B, C, or D. Please see S1 Appendix for full survey instrument and S2 Appendix for survey screenshot. https://doi.org/10.1371/journal.pmed.1002879.g001
Source publication
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 surve...
Context in source publication
Context 1
... good, very good, or excellent rating is considered a measure of low expectation of service quality. All respondents were shown a vignette about a routine clinic visit for hypertension management (Fig 1). In this visit, the nurse does not check the patient's blood pressure or ask about his symptoms but changes his medicine and is courteous ("A. ...
Citations
... Person-centred care (PCC)-which refers to providing care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions-is a key component of quality of care. 1 Research indicates that there is a discrepancy between the healthcare sought by patients and the care patients receive. [2][3][4] PCC is an approach aimed at accommodating patients' desired care to minimise this discrepancy, and emphasises treating patients with dignity and respect and involving them in all decisions about their health. 5 In addition, PCC involves providing people with the education and support they need to make decisions and participate in their own care. ...
Introduction
Person-centred care (PCC) is provision of care that is respectful of and responsive to individual patient preferences, needs and values, and ensures that patient values guide all clinical decisions. While there is a large body of evidence on the benefits of PCC in high-income countries, little research exists on PCC in Ghana and Sub-Saharan Africa at large. Most studies on PCC have focused on maternity care as part of the global movement of respectful maternity care. The few studies on patient experiences and health system responsiveness beyond maternal health also highlight gaps in patient experience and satisfaction as well as discrimination in health facilities, which leads to the most vulnerable having the poorest experiences. The protocol for this scoping review aims to systematically map the extent of literature focused on PCC in Ghana by identifying patient expectations and preferences, barriers and facilitators, and interventions.
Methods and analysis
The protocol will be guided by the Arksey and O’Malley methodological framework and recommendations by Levac et al . A comprehensive search strategy will be used to search for published articles in PubMed, EMBASE, Web of Science and the African Journals Online from their inception to August 2022. Grey literature and reference lists of included studies will also be searched. Two independent reviewers will perform the literature search, eligibility assessments and study selection. Any disagreements will be resolved through discussion with a third reviewer. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram for the scoping reviews will be used to outline the study selection process. Extracted data from the included articles will be synthesised and reported under key concepts derived from the outcomes of the scoping review.
Ethics and dissemination
This scoping review does not require ethical approval. The findings will be disseminated through publications and conference presentations.
Scoping review registration
OSF Registration DOI 10.17605/OSF.IO/ZMDH9.
... Similarly, the results of this study indicated that these three countries also had the highest numbers of YLDs due to glaucoma among the "B&R" nations in 2019. The elevated prevalence and YLDs numbers of glaucoma in China, India, and Indonesia can potentially be attributed to their status as the three most populous nations in the region [15], accounting for 31.8%, 31.5%, and 6.2% of the population, respectively. ...
Background
Analyzing the glaucoma burden in "Belt and Road" (B&R) countries based on age, gender, and risk factors from 1990 to 2019 in order to provide evidence for future prevention strategies.
Methods
We applied global burden of disease(GBD) 2019 to compare glaucoma prevalence and Years lived with disabilities (YLDs) from 1990 to 2019 in the B&R countries. Trends of disease burden between 1990 and 2019 were evaluated using the average annual percent change and the 95% uncertainty interval (UI) were reported.
Results
From 1990 to 2019, most B&R countries showed a downward trend in age-standardized prevalence and YLDs (all P < 0.05). Additionally, only the age-standardized YLDs in males of Pakistan has a 0.35% increase (95%CI:0.19,0.50,P < 0.001), and most B&R countries has a decline(all P < 0.05) in age-standardized YLDs in every 5 years age group after 45 years old except for Pakistan(45–79 years and > 85 years), Malaysia(75–84 years), Brunei Darussalam(45–49 years), Afghanistan(70–79 years). Finally, in all Central Asian countries, the age-standardized YLDs due to glaucoma caused by fasting hyperglycemia demonstrated have an increase between 1990 and 2019 (all P < 0.05), but Armenia and Mongolia have a decrease between 2010 and 2019 (all P < 0.05).
Conclusion
The prevalence of glaucoma continues to pose a significant burden across regions, ages, and genders in countries along the "B&R". It is imperative for the "B&R" nations to enhance health cooperation in order to collaboratively tackle the challenges associated with glaucoma.
... High scores obtained from this question used by various researchers indicate that the perception of service quality is high. [41][42][43] The Short Assessment of Patient Satisfaction (SAPS). The Short Assessment of Patient Satisfaction (SAPS) is a brief and reliable scale that can be used to assess patients' satisfaction with their treatment. ...
Introduction
Patient-centered communication is a type of communication that takes place between the provider and the patient.
Objectives
It is aimed to reveal the effects of patient-centered communication on patient engagement, health-related quality of life, perception of service quality and patient satisfaction.
Method
The study was conducted by applying multiple regression analysis to the data obtained from 312 patients with cancer treated in a training and research hospital affiliated to the Ministry of Health in Diyarbakır, Türkiye.
Results
More than half of the patients were female and had stage 4 cancer. Different types of cancer were detected (breast cancer, cancer of the digestive organs, lymphatic and hematopoietic cancer, cancer of the genital organs, cancer of the respiratory organs, etc.). It can be stated that the average values obtained by patients from patient-centered communication and its sub-dimensions are high. There are positive, moderate and low and significant relationships between the overall patient-centered communication and patient engagement, patient satisfaction, service quality perception and quality of life. It was statistically revealed that patient-centered communication positively affected patient engagement, health-related quality of life, service quality perception, and patient satisfaction.
Conclusion
Patient-centered communication positively affects various short and medium-term health outcomes and this study offers suggestions for improving patient-provider communication.
... Pooled logistic regression results for association between confidence and individual, health system, and political factors confidence and endorsement and complicating crosscountry comparison. 84 We interpret the findings here with regard to those differences and note country-specific contexts that could influence results. Fourth, people in the USA have little experience with publicly provided health care and might therefore provide a less informed rating than respondents in other countries. ...
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.
... One of the most reliable ways to predict patient satisfaction with care is through expectations of care, which have a positive correlation with satisfaction, according to various studies [7]. On the contrary, Roder-DeWan et al. (2019) hypothesized that people with low expectations of care are more likely to be satisfied with even substandard care [18]. The complex relationship between how people evaluate care and being satisfied with it requires good measuring tools for both expectations of and satisfaction with care, and a cautious interpretation of the results is needed. ...
... In our study, decision making about attending antenatal care and distance from health facilities were significantly associated with satisfaction with antenatal care. There is no consensus on factors associated with satisfaction with antenatal care in the literature, but the following factors have been reported in many works in the literature to be significantly associated with a client's satisfaction with antenatal care; education, level of income, type of pregnancy, history of stillbirth, age, gender, waiting time, doctors' communication behavior, patient trust level, employment, residence, privacy, cleanness, distance from health facilities, respect, good physical environment, availability of adequate human resources, medicines, and supplies, interpersonal behavior, privacy, promptness, cognitive care, perceived provider competency, emotional wellbeing, ANC visits, gestational age, and spending money out of pocket [8,10,18,25,26]. Satisfaction with antenatal care is a complex phenomenon and is affected by a lot of factors, so careful consideration is required in the planning and implementation of care strategies to satisfy as many women as possible, thus ensuring that they continue to use healthcare services. ...
Women’s satisfaction has been found to be a good indicator of quality of care and is associated with the utilization of healthcare services. Women’s needs and satisfaction could be improved through the provision of high-quality antenatal care services. This study assessed women’s expectations of and satisfaction with antenatal care and their associated factors in a semiurban setting in Tanzania. A cross-sectional survey using the Expectations and Satisfaction with the Prenatal Care Questionnaire (PESPC) was used to measure pregnant women’s expectations of and satisfaction with antenatal care in the two districts of Kibaha and Bagamoyo, involving 338 pregnant women. The data were analyzed using SPSS version 26. In the expectation subscale, women had high expectations for personalized care (78.4%), other services (from a social worker and nutritionist) (68.8%), and complete care (being taken care of on time, receiving excellent care, and receiving information without prompting) (60.9%), while expectations for continuity of care were the lowest (38.9%). In the satisfaction subscale, women were highly satisfied with providers’ care (being cared for with respect, healthcare provision, the way they were made to feel, and the ability to ask questions) (88.9%), while the least satisfying aspect was system characteristics (e.g., waiting times, scheduling, parking, tests and examinations, and facilities) (63.4%). Distance from a health facility was a significant predictor of both women’s expectations of and satisfaction with antenatal care services, while age and number of pregnancies were also significant predictors of antenatal care expectations. To meet expectations for quality antenatal care services and improve satisfaction with antenatal care, policymakers should improve system characteristics, including the availability of human resources and medical supplies, increased consultation time, flexible schedules, and reduced waiting time. Additionally, ensuring the accessibility of evidence-based health information is important for increasing health literacy among pregnant women.
... First, similar to other internet-based surveys, this analysis does not represent populations without internet access. However, this method has been used in other analyses and provides an overview of the mental health burden during the pandemic from countries across the income spectrum, which can be challenging using other methods [70,71]. Future research should invest in more representative methods to ensure that we have a full picture of the prevalence of mental illness across the full population. ...
Purpose
The Covid-19 pandemic has exacted a significant physical, financial, social, and emotional toll on populations throughout the world. This study aimed to document the association between pandemic stressors and mental health during the pandemic across countries that differ in cultural, geographic, economic, and demographic factors.
Methods
We administered an online survey randomly in Brazil, China, Germany, Egypt, India, Indonesia, Nigeria, and the United States from September 2020 to November 2020. This survey included questions on Covid-19-related stressors as well as the Patient Health Questionnaire-2 and the Primary Care PTSD Checklist to screen for depression and post-traumatic stress disorder (PTSD) symptoms, respectively. We performed bivariable and multivariable regression analyses to assess the prevalence and odds ratios of overall depression symptoms and probable PTSD and in relation to stressors across countries.
Results
Among 8754 respondents, 28.9% (95% CI 27.5–30.0%) experienced depression symptoms, and 5.1% (95% CI 4.5–6.0%) experienced probable PTSD. The highest prevalence of depression symptoms was in Egypt (41.3%, 95% CI 37.6–45.0%) and lowest in the United States (24.9%, 95% CI 22.3–27.7%). The highest prevalence of probable PTSD was in Brazil (7.3%, 95% CI 5.6–9.4%) and the lowest in China (1.2%, 95% CI 0.7–2.0%). Overall, experiencing six or more Covid-19-related stressors was associated with both depression symptoms (OR 1.90, 95% CI 1.46–2.48) and probable PTSD (OR 13.8, 95% CI 9.66–19.6).
Conclusion
The association between pandemic related stressors and the burden of adverse mental health indicators early in the Covid-19 pandemic transcended geographic, economic, cultural, and demographic differences between countries. The short-term and long-term impacts of the pandemic on mental health should be incorporated in efforts to tackle the consequences of Covid-19.
... can allow participants to answer questions easily due to anonymity. 63 Therefore, a more accurate response could have been obtained. Third, the study only included individuals whose native language was Japanese. ...
Background
Psychological distress is prevalent worldwide and can lead to the development of mental conditions such as major depression and anxiety disorders. It is essential to assess the severity of patient-reported outcomes to provide effective treatment for psychological distress. The Kessler Psychological Distress Scale (K6) is one of the most widely used psychological distress scales. However, the smallest detectable change (SDC) of the K6 score has not been elucidated. Therefore, the current study aimed to determine the SDC of the K6 score in a Japanese adult population.
Methods
Participants aged 20–59 years who are native Japanese speakers were recruited from the panel list of a web research firm. The K6 score was assessed at baseline (T1) and at 2-week follow-up (T2). SDCs were calculated at the individual (SDCind) and group (SDCgroup) levels. Intraclass correlation coefficient agreement (ICCagreement) was calculated to assess test–retest reliability and Cronbach’s alpha to evaluate internal consistency.
Results
A total of 3254 (1627 [50%] female) responded at T1 and T2. The mean (standard deviation) K6 scores were 5.71 (5.84) at T1 and 5.65 (5.83) at T2. The SDCind and SDCgroup of the K6 score were 8.47 (35.31%) and 0.15 (0.63%), respectively. The ICCagreement was 0.73, and the Cronbach’s alpha was 0.94.
Conclusion
Our study provided evidence on the reliability and interpretation of the K6 score. Calculating the SDC of the K6 score can help identify the significance of changes in psychological distress over time and can determine the efficacy of interventions for psychological distress.
... Secondly, patients in the region reported higher levels of satisfaction with their healthcare services than the England average. This may be because people in the North East of England have low expectations of the healthcare system, or they are grateful for any care that they are able to receive, despite the challenges they face in accessing care [32,33]. Within the region, there were differences among patients living in higher health disparate areas versus less health disparate areas. ...
Background:
Psychiatric medications play a vital role in the management of mental health disorders. However, the COVID-19 pandemic and subsequent lockdown limited access to primary care services, leading to an increase in remote assessment and treatment options to maintain social distancing. This study aimed to investigate the impact of the COVID-19 pandemic lockdown on the use of psychiatric medication in primary care settings.
Methods:
We conducted a retrospective claims-based analysis of anonymized monthly aggregate practice-level data on anxiolytics and hypnotics use from 322 general practitioner (GP) practices in the North East of England, where health disparities are known to be higher. Participants were all residents who took anxiolytics and hypnotics from primary care facilities for two financial years, from 2019/20 to 2020/21. The primary outcome was the volume of Anxiolytics and Hypnotics used as the standardized, average daily quantities (ADQs) per 1000 patients. Based on the OpenPrescribing database, a random-effect model was applied to quantify the change in the level and trend of anxiolytics and hypnotics use after the UK national lockdown in March 2020. Practice characteristics extracted from the Fingertips data were assessed for their association with a reduction in medication use following the lockdown.
Results:
This study in the North East of England found that GP practices in higher health disparate regions had a lower workload than those in less health disparate areas, potentially due to disparities in healthcare utilization and socioeconomic status. Patients in the region reported higher levels of satisfaction with healthcare services compared to the England average, but there were differences between patients living in higher versus less health disparate areas. The study highlights the need for targeted interventions to address health disparities, particularly in higher health disparate areas. The study also found that psychiatric medication use was significantly more common in residents living in higher health disparate areas. Daily anxiolytics and hypnotics use decreased by 14 items per 1000 patients between the financial years 2019/20 and 2020/21. A further nine items per 1000 decreased for higher health disparate areas during the UK national lockdown.
Conclusions:
People during the COVID-19 lockdown were associated with an increased risk of unmet psychiatric medication demand, especially for higher health disparate areas that had low-socioeconomic status.
... Emotion-based health services will be far more effective than patient-centered health services that do not involve wholehearted positive emotional services from medical workers and their doctors. Furthermore, Gage et al. (2019), who examined low-middle income health services in 12 countries, including Indonesia, revealed that when patients' expectations of hospital health services are perceived as low, this will reduce the patient's level of trust in-home services. Hospital and low expectations will affect the credibility of the hospital concerned. ...
This study aims to determine the impact of the internationalization of several types of A and B hospitals in Manado and its surroundings. The Ministry of Tourism declared Manado as one of the main destinations in Indonesia. How promote and bring in foreign tourists must be accompanied by security guarantees, the main ones being health insurance and access to international insurance when in tourist destinations. The research method was carried out by convenient purposive sampling at the inns and hotels of tourists. The results of the research stated that all foreign tourists have positive perceptions and beliefs about the existence and services of international hospitals in Manado; the thing that still makes them doubtful is the completeness of international standard hospital facilities. Still, these doubts can be overcome with reassurance with evidence.Keywords: Hospital Internationalization, Perception, Foreign tourist, hospital facilities
... A possible explanation for those findings might be that, for women to be completely satisfied with all aspects of WPCQ, factors like education or parity could be more important than language proficiency-which only comes into play when women are already incompletely satisfied. Indeed, some previous studies indicated a link between educational attainment and quality ratings of maternity services, with women of high educational level having higher expectations and, thus, perceiving a lower quality of care [37][38][39]. Another study on women's perceptions of prenatal care quality reported a limited impact of sociodemographic factors, but a significant positive association with parity-multiparous women had their expectations trimmed by previous contacts with maternity care [40]. ...
Background
Despite the potentially significant impact of women-prenatal care provider communication quality (WPCQ) on women’s perinatal health, evidence on the determinants of those perceptions is still lacking, particularly among migrant women.
Methods
We aimed to examine the effect of women’s host-country language proficiency on their perceived WPCQ. We analyzed the data of 1210 migrant and 1400 native women who gave birth at Portuguese public hospitals between 2017 and 2019 and participated in the baMBINO cohort study. Migrants’ language proficiency was self-rated. Perceived WPCQ was measured as a composite score of 9 different aspects of self-reported communication quality and ranged from 0 (optimal) to 27.
Results
A high percentage of women (29%) rated communication quality as “optimal”. Zero-inflated regression models were fitted to estimate the association between language proficiency and perceived WPCQ. Women with full (aIRR 1.35; 95% CI 1.22,1.50), intermediate (aIRR 1.41; 95% CI 1.23,1.61), and limited (aIRR 1.72; 95% CI 1.45,2.05) language proficiencies were increasingly more likely to have lower WPCQ when compared to natives.
Conclusions
Facilitating communication with migrant women experiencing language barriers in prenatal care could provide an important contribution to improving prenatal care quality and addressing potential subsequent disparities in perinatal health outcomes.
