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 - Jan 1 2017

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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., Rocha, M., Harris, D. O., & 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