IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v137y2023ics0168851023002014.html
   My bibliography  Save this article

Satisfaction with primary health care in Ukraine in 2016–2020: A difference-in-differences analysis on repeated cross-sectional data

Author

Listed:
  • Anufriyeva, Valentyna
  • Pavlova, Milena
  • Chernysh (Stepurko), Tetiana
  • Groot, Wim

Abstract

The aim of this study is to examine the general satisfaction with primary health care services in Ukraine among service users and nonusers before and after the implementation of the capitation reform in 2017–2020. Data from a repeated cross-sectional household survey ‘Health Index. Ukraine’ in 2016–2020 were used. The survey had a sample size of over 10 000 participants per survey round. Effects were estimated using difference-in-differences methods based on matched samples. Our findings show that in general, respondents are ‘rather satisfied’ with the services of district/family doctors and pediatricians. Satisfaction with family doctors comprised 72.1 % (users) and 69.2 % (nonusers) in 2016; and 75.3 % and 71.9 % in 2020. For pediatrician services, these shares were 73.6 % (users) and 71.1 % (nonusers) in 2016; 74.7 % and 70.2 % in 2020. Our study also revealed an increase in satisfaction with the district/family doctor over time. However, this does not seem to be due to the reform. The results for pediatrician services were mixed. Why satisfaction with primary care is fairly high and slightly increasing over time is unclear. However, we offer several possible explanations, such as low expectations of primary health care, subjective perception of quality of health care services, improved access and affordability, and general improvements in primary health care settings not directly linked to the reform.

Suggested Citation

  • Anufriyeva, Valentyna & Pavlova, Milena & Chernysh (Stepurko), Tetiana & Groot, Wim, 2023. "Satisfaction with primary health care in Ukraine in 2016–2020: A difference-in-differences analysis on repeated cross-sectional data," Health Policy, Elsevier, vol. 137(C).
    • Handle: RePEc:eee:hepoli:v:137:y:2023:i:c:s0168851023002014
    DOI: 10.1016/j.healthpol.2023.104916
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851023002014
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104916?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kutzin, Joseph & Jakab, Melitta & Cashin, Cheryl, 2010. "Lessons from health financing reform in central and eastern Europe and the former Soviet Union," Health Economics, Policy and Law, Cambridge University Press, vol. 5(02), pages 135-147, April.
    2. Richard Blundell & Monica Costa Dias, 2000. "Evaluation methods for non-experimental data," Fiscal Studies, Institute for Fiscal Studies, vol. 21(4), pages 427-468, January.
    3. Kate E. Creevy & Joshua M. Akey & Matt Kaeberlein & Daniel E. L. Promislow, 2022. "An open science study of ageing in companion dogs," Nature, Nature, vol. 602(7895), pages 51-57, February.
    4. 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.
    5. Shalabh, 2022. "Modern data science with R," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 185(2), pages 735-736, April.
    6. Luck, J. & Peabody, J.W. & DeMaria, L.M. & Alvarado, C.S. & Menon, R., 2014. "Patient and provider perspectives on quality and health system effectiveness in a transition economy: Evidence from Ukraine," Social Science & Medicine, Elsevier, vol. 114(C), pages 57-65.
    7. Le, Tam-Tri, 2022. "Investing: NFTs? How about choosing science?," OSF Preprints 54wjh, Center for Open Science.
    8. Le, Tam-Tri, 2022. "Paying for the future - the cost of science," OSF Preprints f6k9u, Center for Open Science.
    9. Juan M. Villa, 2016. "diff: Simplifying the estimation of difference-in-differences treatment effects," Stata Journal, StataCorp LP, vol. 16(1), pages 52-71, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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).
    2. Adam, Lukman & Jin, Jia & Khan, Anwar, 2022. "Does the Indonesian farmer empowerment policy enhance the professional farmer? Empirical evidence based on the difference-in-difference approach," Technology in Society, Elsevier, vol. 68(C).
    3. Gautier, Pieter & van Vuuren, Aico & Siegmann, Arjen, 2007. "The Effect of the Theo van Gogh Murder on House Prices in Amsterdam," CEPR Discussion Papers 6175, C.E.P.R. Discussion Papers.
    4. Vincent Law, 2011. "Is Reaction to Terrorist Attacks a Localised Phenomenon?," Crawford School Research Papers 1110, Crawford School of Public Policy, The Australian National University.
    5. I.Igal Magendzo, 2002. "Are Devaluations Really Contractionary?," Working Papers Central Bank of Chile 182, Central Bank of Chile.
    6. Torsten Persson & Guido Tabellini & Francesco Trebbi, 2003. "Electoral Rules and Corruption," Journal of the European Economic Association, MIT Press, vol. 1(4), pages 958-989, June.
    7. Laura Bottazzi & Marco da Rin, 2003. "Financing Entrepreneurial Firms in Europe: Facts, Issues, and Research Agenda," CESifo Working Paper Series 958, CESifo.
    8. Sansone, Dario, 2019. "Pink work: Same-sex marriage, employment and discrimination," Journal of Public Economics, Elsevier, vol. 180(C).
    9. Estrellado, Emmanuel & Charoensilp, Pimmada & Yamada, Shoko, 2023. "The effects of game-based soft skills training: A quasi-experiment with Ethiopian garment workers," International Journal of Educational Development, Elsevier, vol. 101(C).
    10. Sourafel Girma & Steve Thompson & Peter Wright, 2006. "International Acquisitions, Domestic Competition and Firm Performance," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 13(3), pages 335-349.
    11. Haiyang Lu & Peng Nie & Alfonso Sousa-Poza, 2021. "The Effect of Parental Educational Expectations on Adolescent Subjective Well-Being and the Moderating Role of Perceived Academic Pressure: Longitudinal Evidence for China," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(1), pages 117-137, February.
    12. Aki Kangasharju, 2007. "Do Wage Subsidies Increase Employment in Subsidized Firms?," Economica, London School of Economics and Political Science, vol. 74(293), pages 51-67, February.
    13. Eleftherios Giovanis & Oznur Ozdamar, 2021. "Regional employment support programs and multidimensional poverty of youth in Turkey," Eurasian Economic Review, Springer;Eurasia Business and Economics Society, vol. 11(4), pages 583-609, December.
    14. Matthias Arnold, Jens & Javorcik, Beata S., 2009. "Gifted kids or pushy parents? Foreign direct investment and plant productivity in Indonesia," Journal of International Economics, Elsevier, vol. 79(1), pages 42-53, September.
    15. Girma, Sourafel & Görg, Holger, 2003. "Evaluating the Causal Effects of Foreign Acquisition on Domestic Skilled and Unskilled Wages," IZA Discussion Papers 903, Institute of Labor Economics (IZA).
    16. Ashimwe, Olive, 2016. "An Economic Analysis Of Impact Of Weather Index-Based Crop Insurance On Household Income In Huye District Of Rwanda," Research Theses 265675, Collaborative Masters Program in Agricultural and Applied Economics.
    17. Hai-Anh H. Dang & Trung X. Hoang & Ha Nguyen, 2021. "The Long-Run and Gender-Equalizing Impacts of School Access: Evidence from the First Indochina War," Economic Development and Cultural Change, University of Chicago Press, vol. 70(1), pages 453-484.
    18. Alessandra Catozzella & Marco Vivarelli, 2016. "The possible adverse impact of innovation subsidies: some evidence from Italy," International Entrepreneurship and Management Journal, Springer, vol. 12(2), pages 351-368, June.
    19. Patricia Augier & Olivier Cadot & Marion Dovis, 2013. "Imports and TFP at the firm level: the role of absorptive capacity," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 46(3), pages 956-981, August.
    20. Edwards, Sebastian & Magendzo, I. Igal, 2006. "Strict Dollarization and Economic Performance: An Empirical Investigation," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 38(1), pages 269-282, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:137:y:2023:i:c:s0168851023002014. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.