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Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union

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  • Footman, Katharine
  • Roberts, Bayard
  • Mills, Anne
  • Richardson, Erica
  • McKee, Martin

Abstract

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.

Suggested Citation

  • Footman, Katharine & Roberts, Bayard & Mills, Anne & Richardson, Erica & McKee, Martin, 2013. "Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union," Health Policy, Elsevier, vol. 112(1), pages 62-69.
    • Handle: RePEc:eee:hepoli:v:112:y:2013:i:1:p:62-69
    DOI: 10.1016/j.healthpol.2013.03.004
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    4. Aida Isabel Tavares & Pedro Lopes Ferreira, 2020. "Public satisfaction with health system coverage, empirical evidence from SHARE data," International Journal of Health Economics and Management, Springer, vol. 20(3), pages 229-249, September.
    5. Vakulenko Veronika & Mattei Giorgia, 2023. "Reforming the Public Sector in Eastern European and Former Soviet Union Countries: A Systematic Literature Review," Central European Journal of Public Policy, Sciendo, vol. 17(1), pages 55-79, June.
    6. Habibov, Nazim & Cheung, Alex & Auchynnikava, Alena, 2017. "Does social trust increase willingness to pay taxes to improve public healthcare? Cross-sectional cross-country instrumental variable analysis," Social Science & Medicine, Elsevier, vol. 189(C), pages 25-34.
    7. Hartwig, Renate & Japaridze, Dimitri & Khetsuriani, Nana & Vollmer, Sebastian, 2024. "Information signal and medical diagnosis: Audit study evidence from Georgia," Ruhr Economic Papers 1112, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
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    10. Le, Nga & Groot, Wim & Tomini, Sonila & Tomini, Florian, 2018. "Health insurance and patient satisfaction: Evidence from the poorest regions of Vietnam," MERIT Working Papers 2018-040, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    11. Yuan, Yaqi, 2021. "Public satisfaction with health care system in 30 countries: The effects of individual characteristics and social contexts," Health Policy, Elsevier, vol. 125(10), pages 1359-1366.
    12. Joan Costa-Font & Gilberto Turati, 2018. "Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?," Regional Studies, Taylor & Francis Journals, vol. 52(7), pages 974-985, July.
    13. Park, Kisoo & Park, Jumin & Kwon, Young Dae & Kang, Yoonjeong & Noh, Jin-Won, 2016. "Public satisfaction with the healthcare system performance in South Korea: Universal healthcare system," Health Policy, Elsevier, vol. 120(6), pages 621-629.
    14. Armenak Antinyan & Thomas Bassetti & Luca Corazzini & Filippo Pavesi, 2020. "Trust in the Healthcare System and COVID-19 Treatment in the Developing World. Survey and Experimental Evidence from Armenia," Working Papers 2020:10, Department of Economics, University of Venice "Ca' Foscari".
    15. Vladyslav Shovkovyi & Anastasiya Ivanova & Andreii Tarasenko, 2018. "Health in transitions: case of Republic of Moldova," Suchasni ekonomichni doslidzhennja, Kyiv School of Economics, vol. 1(1), pages 51-63.
    16. Schneider, Simone M. & Popic, Tamara, 2018. "Cognitive determinants of healthcare evaluations – A comparison of Eastern and Western European countries," Health Policy, Elsevier, vol. 122(3), pages 269-278.
    17. repec:kse:modern:v:1:y:2018:i:1:p:51-63 is not listed on IDEAS
    18. Simone M Schneider, 2020. "Beyond endogeneity in analyses of public opinion: Evaluations of healthcare by the foreign born across 24 European countries," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-20, June.
    19. Wanwan Zheng & Yuqing Liang & Woon Seek Lee & Youngwook Ko, 2023. "The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
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