Artículo
A systematic review of population and patient perspectives and experiences as measured in Latin American and Caribbean surveys
Medina Ranilla, Jesús; Espinoza, Laura Angélica; Mazzoni, Agustina; Roberti, Javier Eugenio
; Garcia Elorrio, Ezequiel
; Leslie, Hannah Hogan; García, Patricia Jannet
Fecha de publicación:
09/2023
Editorial:
Oxford University Press
Revista:
Health Policy And Planning
ISSN:
0268-1080
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
High-quality health systems must provide accessible, people-centred care to both improve health and maintain population trust in health services. Furthermore, accurate measurement of population perspectives is vital to hold health systems accountable and to inform improvement efforts. To describe the current state of such measures in Latin America and the Caribbean (LAC), we conducted a systematic review of facility and population-based assessments that included patient-reported experience and satisfaction measures. Five databases were searched for publications on quantitative surveys assessing healthcare quality in Spanish-or Portuguese-speaking LAC countries, focusing on the domains of processes of care and quality impacts. We included articles published since 2011 with a national sampling frame or inclusion of multiple subnational regions. We tabulated and described these articles, identifying, classifying and summarizing the items used to assess healthcare quality into the domains mentioned earlier. Of the 5584 publications reviewed, 58 articles met our inclusion criteria. Most studies were cross-sectional (95%), assessed all levels of healthcare (57%) and were secondary analyses of existing surveys (86%). The articles yielded 33 unique surveys spanning 12 LAC countries; only eight of them are regularly administered surveys. The most common quality domains assessed were satisfaction (in 33 out of 58 articles, 57%), evidence-based/effective care (34%), waiting times (33%), clear communication (33%) and ease of use (31%). Items and reported ratings varied widely among instruments used, time points and geographical settings. Assessment of patient-reported quality measures through population-and facility-based surveys is present but heterogeneous in LAC countries. Satisfaction was measured frequently, although its use in accountability or informing quality improvement is limited. Measurement of healthcare quality in LAC needs to be more systematic, regular, comprehensive and to be led collaboratively by researchers, governments and policymakers to enable comparison of results across countries and to effectively inform policy implementation.
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Articulos(CIESP)
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Citación
Medina Ranilla, Jesús; Espinoza, Laura Angélica; Mazzoni, Agustina; Roberti, Javier Eugenio; Garcia Elorrio, Ezequiel; et al.; A systematic review of population and patient perspectives and experiences as measured in Latin American and Caribbean surveys; Oxford University Press; Health Policy And Planning; 38; 10; 9-2023; 1225-1241
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