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A systematic review of population and patient perspectives and experiences as measured in Latin American and Caribbean surveys

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dc.contributor.author Medina Ranilla, Jesus Guillermo
dc.contributor.author Espinoza Pajuelo, Laura Angelica
dc.contributor.author Mazzoni, A
dc.contributor.author Roberti, J
dc.contributor.author García-Elorrio, E
dc.contributor.author Leslie, HH
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2023-12-05T17:47:57Z
dc.date.available 2023-12-05T17:47:57Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14605
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartofseries Health Policy and Planning
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Population surveys en_US
dc.subject Quality of care en_US
dc.subject Latin America and the Caribbean en_US
dc.subject Systematic review en_US
dc.subject Patient-reported experiences en_US
dc.subject.mesh Población
dc.subject.mesh Calidad de la Atención de Salud
dc.subject.mesh América Latina
dc.subject.mesh Caribe
dc.subject.mesh Revisión Sistemática
dc.subject.mesh Pacientes
dc.title A systematic review of population and patient perspectives and experiences as measured in Latin American and Caribbean surveys en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1093/heapol/czad083
dc.relation.issn 1460-2237


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