Understanding public perception of the need for major change in Latin American healthcare systems

Ricardo Pérez-Cuevas, Frederico C. Guanais, Svetlana V. Doubova, Leonardo Pinzón, Luis Tejerina, Diana Pinto Masis, Marcia Rocha, Donna O. Harris, James MacInko

Research output: Contribution to journalArticle

Abstract

The opinions and experiences of the public regarding health services are valuable insights into identifying opportunities to improve healthcare systems. We analyzed the 2012-2013 Public Opinion Health Policy Survey carried out in Brazil (n=1486), Colombia (n=1485), El Salvador (n=1460), Jamaica (n=1480), México (n=1492) and Panama (n=1475). In these countries between 82 and 96% of participants perceived that their health systems needed fundamental changes. The most frequent barrier to access to healthcare was lack of the primary medical home, difficulties in obtaining medical care during the weekends and financial barriers. Type of health insurance and challenges in obtaining medical care during the weekends were associated with an increased opinion for the need for fundamental changes in healthcare systems, whereas having a primary medical home showed a protective effect. Focusing on tackling organizational and financial barriers and ensuring access to a primary medical home should be placed on the agenda of Latin American countries.

Original languageEnglish (US)
Pages (from-to)816-824
Number of pages9
JournalHealth Policy and Planning
Volume32
Issue number6
DOIs
StatePublished - 2017

Fingerprint

Patient-Centered Care
Delivery of Health Care
El Salvador
Panama
Jamaica
Public Opinion
Colombia
United States Public Health Service
Health Insurance
Health Policy
Health Surveys
Brazil
Public Health
Health

Keywords

  • Barrier to access
  • Brazil
  • Colombia
  • El Salvador
  • Healthcare systems
  • Jamaica
  • México
  • Panama
  • Public opinion

ASJC Scopus subject areas

  • Health Policy

Cite this

Pérez-Cuevas, R., Guanais, F. C., Doubova, S. V., Pinzón, L., Tejerina, L., Masis, D. P., ... MacInko, J. (2017). Understanding public perception of the need for major change in Latin American healthcare systems. Health Policy and Planning, 32(6), 816-824. https://doi.org/10.1093/heapol/czx020

Understanding public perception of the need for major change in Latin American healthcare systems. / Pérez-Cuevas, Ricardo; Guanais, Frederico C.; Doubova, Svetlana V.; Pinzón, Leonardo; Tejerina, Luis; Masis, Diana Pinto; Rocha, Marcia; Harris, Donna O.; MacInko, James.

In: Health Policy and Planning, Vol. 32, No. 6, 2017, p. 816-824.

Research output: Contribution to journalArticle

Pérez-Cuevas, R, Guanais, FC, Doubova, SV, Pinzón, L, Tejerina, L, Masis, DP, Rocha, M, Harris, DO & MacInko, J 2017, 'Understanding public perception of the need for major change in Latin American healthcare systems', Health Policy and Planning, vol. 32, no. 6, pp. 816-824. https://doi.org/10.1093/heapol/czx020
Pérez-Cuevas, Ricardo ; Guanais, Frederico C. ; Doubova, Svetlana V. ; Pinzón, Leonardo ; Tejerina, Luis ; Masis, Diana Pinto ; Rocha, Marcia ; Harris, Donna O. ; MacInko, James. / Understanding public perception of the need for major change in Latin American healthcare systems. In: Health Policy and Planning. 2017 ; Vol. 32, No. 6. pp. 816-824.
@article{def98deb511d46a9a4bc7e2064807af8,
title = "Understanding public perception of the need for major change in Latin American healthcare systems",
abstract = "The opinions and experiences of the public regarding health services are valuable insights into identifying opportunities to improve healthcare systems. We analyzed the 2012-2013 Public Opinion Health Policy Survey carried out in Brazil (n=1486), Colombia (n=1485), El Salvador (n=1460), Jamaica (n=1480), M{\'e}xico (n=1492) and Panama (n=1475). In these countries between 82 and 96{\%} of participants perceived that their health systems needed fundamental changes. The most frequent barrier to access to healthcare was lack of the primary medical home, difficulties in obtaining medical care during the weekends and financial barriers. Type of health insurance and challenges in obtaining medical care during the weekends were associated with an increased opinion for the need for fundamental changes in healthcare systems, whereas having a primary medical home showed a protective effect. Focusing on tackling organizational and financial barriers and ensuring access to a primary medical home should be placed on the agenda of Latin American countries.",
keywords = "Barrier to access, Brazil, Colombia, El Salvador, Healthcare systems, Jamaica, M{\'e}xico, Panama, Public opinion",
author = "Ricardo P{\'e}rez-Cuevas and Guanais, {Frederico C.} and Doubova, {Svetlana V.} and Leonardo Pinz{\'o}n and Luis Tejerina and Masis, {Diana Pinto} and Marcia Rocha and Harris, {Donna O.} and James MacInko",
year = "2017",
doi = "10.1093/heapol/czx020",
language = "English (US)",
volume = "32",
pages = "816--824",
journal = "Health Policy and Planning",
issn = "0268-1080",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Understanding public perception of the need for major change in Latin American healthcare systems

AU - Pérez-Cuevas, Ricardo

AU - Guanais, Frederico C.

AU - Doubova, Svetlana V.

AU - Pinzón, Leonardo

AU - Tejerina, Luis

AU - Masis, Diana Pinto

AU - Rocha, Marcia

AU - Harris, Donna O.

AU - MacInko, James

PY - 2017

Y1 - 2017

N2 - The opinions and experiences of the public regarding health services are valuable insights into identifying opportunities to improve healthcare systems. We analyzed the 2012-2013 Public Opinion Health Policy Survey carried out in Brazil (n=1486), Colombia (n=1485), El Salvador (n=1460), Jamaica (n=1480), México (n=1492) and Panama (n=1475). In these countries between 82 and 96% of participants perceived that their health systems needed fundamental changes. The most frequent barrier to access to healthcare was lack of the primary medical home, difficulties in obtaining medical care during the weekends and financial barriers. Type of health insurance and challenges in obtaining medical care during the weekends were associated with an increased opinion for the need for fundamental changes in healthcare systems, whereas having a primary medical home showed a protective effect. Focusing on tackling organizational and financial barriers and ensuring access to a primary medical home should be placed on the agenda of Latin American countries.

AB - The opinions and experiences of the public regarding health services are valuable insights into identifying opportunities to improve healthcare systems. We analyzed the 2012-2013 Public Opinion Health Policy Survey carried out in Brazil (n=1486), Colombia (n=1485), El Salvador (n=1460), Jamaica (n=1480), México (n=1492) and Panama (n=1475). In these countries between 82 and 96% of participants perceived that their health systems needed fundamental changes. The most frequent barrier to access to healthcare was lack of the primary medical home, difficulties in obtaining medical care during the weekends and financial barriers. Type of health insurance and challenges in obtaining medical care during the weekends were associated with an increased opinion for the need for fundamental changes in healthcare systems, whereas having a primary medical home showed a protective effect. Focusing on tackling organizational and financial barriers and ensuring access to a primary medical home should be placed on the agenda of Latin American countries.

KW - Barrier to access

KW - Brazil

KW - Colombia

KW - El Salvador

KW - Healthcare systems

KW - Jamaica

KW - México

KW - Panama

KW - Public opinion

UR - http://www.scopus.com/inward/record.url?scp=85021828885&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021828885&partnerID=8YFLogxK

U2 - 10.1093/heapol/czx020

DO - 10.1093/heapol/czx020

M3 - Article

VL - 32

SP - 816

EP - 824

JO - Health Policy and Planning

JF - Health Policy and Planning

SN - 0268-1080

IS - 6

ER -