Evidence map›Paper›PMID 34886857›Full record

ArticleBMC health services research2021

A multidimensional study of public satisfaction with the healthcare system: a mixed-method inquiry in Ghana.

Padmore Adusei Amoah, Kingsley Atta Nyamekye, Ebenezer Owusu-Addo

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Padmore Adusei AmoahSchool of Graduate Studies, Institute of Policy Studies, Department of Applied Psychology, Lingnan University, 8 Castle Peak Rd., Tuen Mun, Hong Kong (SAR), China. pamoah@LN.edu.hk.ORCID http://orcid.org/0000-0002-8730-5805
Kingsley Atta NyamekyeDepartment of Planning and Sustainability- School of Geo-Sciences, University of Energy and Natural Resources, Sunyani, Ghana.
Ebenezer Owusu-AddoBureau of Integrated Rural Development, Kwame Nkrumah University of Science & Technology (KNUST), Private Mail Bag, University Post Office, Kumasi, Ghana.

Funding

Lam Woo Research Fund-Individual Grant Grant code: LWI20014Wellcome Trust 102338
6 · The paper itself

Abstract

backgroundMany governments in sub-Saharan Africa have recently sought to improve their health systems by increasing investment in healthcare facilities and introducing social insurance programmes. However, little is known about the impact of these intended improvements on public perceptions about the healthcare systems. This article examines whether and why people of different socioeconomic and ideological backgrounds are satisfied (or not) with the current healthcare system in Ghana from a social ecological perspective.

methodData were elicited from a cross-sectional mixed-method study conducted in four regions in Ghana in 2018. We used ordinal logistic regression and thematic analysis techniques to analyse the data.

resultsSatisfaction with the healthcare system was generally low. From our quantitative study, intrapersonal factors (e.g., being older and having good health and well-being status); interpersonal factors (e.g., linking social capital); community factors (e.g., living in rural areas); and organisational and public policy factors (e.g., trust in the health system, favouring welfare policies, and being interested in politics) were positively associated with satisfaction with the healthcare system. These were corroborated by the qualitative study, which showed that poor attitudes of health personnel, financial constraints, perceived poor health facilities, and perceived inefficacy of services contribute to dissatisfaction with the healthcare system.

conclusionStrategies to improve satisfaction with the healthcare system in Ghana should incorporate ecological perspectives by considering factors such as demographic profile, health needs, political orientation, issues of trust in the healthcare system, and the dynamics and impact of social relationships of populations concerned.

Indexed as

Health ServicesPersonal SatisfactionCross-Sectional StudiesGhanaHealth Services AccessibilityHumansGhanaHealthcare systemPublic satisfactionSocial capitalSocial ecology

Identifiers

PMID34886857
PMCPMC8656047

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.