ReviewThe Lancet. Global health2024
Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey.
Review in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Healthcare Workers' Workplace Violence in Colombia: Influence of Structure-Based Factors.American journal of industrial medicine · 2026Article
- Predictors of low trust in national healthcare systems in 30 countries.BMC health services research · 2026Article
- Cognitive Testing of the People's Voice Survey Instrument to Assess Adults' and Adolescents' Experience in European Healthcare Systems.Healthcare (Basel, Switzerland) · 2026Article
- Health system use and experience among people with poor mental health: A cross-sectional analysis of the People's Voice Survey in 18 countries.PLoS medicine · 2026Article
- Population expectations of primary care quality in 18 countries: a cross-sectional analysis of data from the People's Voice Survey.The Lancet. Primary care · 2026Article
- Community perspectives on health professionals' competence for quality primary health care in Amhara region, Ethiopia: a qualitative study.Human resources for health · 2026Article
- Quality of care in an era of global challenges: a transformational vision for WHO European Region and beyond.European journal of public health · 2026Article
- Patient-reported outcome and experience measures in primary care: a scoping review of systematic collection and use.BMC health services research · 2026Article
- Development of the National Strategy for Quality of Care and Patient Safety for Greece: co-creation process and lessons learnt.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- From regulation to real legal cases: physician-patient disputes as a lens on universal health coverage governance in China, 2015-2025.Frontiers in public health · 2026Article
- Health insurance in Nigeria: Findings from the People's Voice Survey.PLOS global public health · 2026Article
- Article
- Public satisfaction and trust towards the health system in China and associated factors: a mixed-methods study.BMC public health · 2025Article
- Facilitators and barriers to health professionals' competence in delivering quality primary health care in the digital era in Amhara region, Ethiopia: an exploratory qualitative study.BMC primary care · 2025Article
- Questions regarding medication-related issues raised by legislators in the Indian parliament, 2017-2024.BMC public health · 2025Article
- Article
- The role of health and health systems in shaping political engagement and rebuilding trust in democratic institutions.The Lancet regional health. Europe · 2025Review
- Assessment of Health System Readiness and Quality of Dementia Services in Peru: Protocol for a Qualitative Study With Stakeholder Interviews and Documentation Review.JMIR research protocols · 2025Article
- Confidence in China's healthcare system: a focus on lower-middle class.Health economics review · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
21 authors at 13 institutions in 13 countries.
Funding
Abstract
Population confidence is essential to a well functioning health system. Using data from the People's Voice Survey-a novel population survey conducted in 15 low-income, middle-income, and high-income countries-we report health system confidence among the general population and analyse its associated factors. Across the 15 countries, fewer than half of respondents were health secure and reported being somewhat or very confident that they could get and afford good-quality care if very sick. Only a quarter of respondents endorsed their current health system, deeming it to work well with no need for major reform. The lowest support was in Peru, the UK, and Greece-countries experiencing substantial health system challenges. Wealthy, more educated, young, and female respondents were less likely to endorse the health system in many countries, portending future challenges for maintaining social solidarity for publicly financed health systems. In pooled analyses, the perceived quality of the public health system and government responsiveness to public input were strongly associated with all confidence measures. These results provide a post-COVID-19 pandemic baseline of public confidence in the health system. The survey should be repeated regularly to inform policy and improve health system accountability.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.