Person-centered care in Uganda: analysis of responsiveness, patient satisfaction, patient-reported health outcomes, and trust among adults (ORIGINAL ARTICLE)
Dublin Core
Title
Person-centered care in Uganda: analysis of responsiveness, patient satisfaction, patient-reported health outcomes, and trust among adults (ORIGINAL ARTICLE)
Subject
patient-centered care, responsiveness, patient satisfaction
Description
Objectives: Person-centeredness and patient experience are key components of high-quality health systems. The World Health Organization
defines seven domains of health system responsiveness, and there is a growing body of research that uses these domains as a proxy for
experiential quality.
Methods: We examined overall levels of responsiveness across the domains and across demographic and visit characteristics in Uganda. We also
explored the relationship between responsiveness and patient satisfaction, self-rated health outcomes, and trust. This study uses data from a
nationally-representative cross-sectional household survey conducted in Uganda in 2019. Respondents who had sought care in the last 6 months
were asked questions about responsiveness of care during their most recent visit. We compared demographic and visit characteristics in total
and between respondents within the highest and lowest responsiveness and also explored the distribution of the responsiveness index across
all responsiveness domains. Finally, we assessed the relationship between responsiveness quintiles and the highest rating of our outcomes
using Poisson regression. Our six outcomes fell within three categories: patient satisfaction, patient-reported health outcomes, and trust.
Results: Of the 4823 men and women surveyed, 2924 (60.6%) visited a healthcare facility in the last 6 months, and the total weighted study
sample of those who visited a healthcare facility was 2827. Respondents who reported high responsiveness were more likely to be wealthier,
urban dwellings, and with higher levels of education, and more likely to have greater access to care, to see the same provider at each visit, and
to have gone to a private facility. We found that respondents reporting higher responsiveness were significantly more likely to report the highest
rating on all six outcomes.
Conclusions: Our findings suggest that responsiveness is a central component of high-quality health systems and that efforts to improve health
outcomes must look beyond technical quality.
defines seven domains of health system responsiveness, and there is a growing body of research that uses these domains as a proxy for
experiential quality.
Methods: We examined overall levels of responsiveness across the domains and across demographic and visit characteristics in Uganda. We also
explored the relationship between responsiveness and patient satisfaction, self-rated health outcomes, and trust. This study uses data from a
nationally-representative cross-sectional household survey conducted in Uganda in 2019. Respondents who had sought care in the last 6 months
were asked questions about responsiveness of care during their most recent visit. We compared demographic and visit characteristics in total
and between respondents within the highest and lowest responsiveness and also explored the distribution of the responsiveness index across
all responsiveness domains. Finally, we assessed the relationship between responsiveness quintiles and the highest rating of our outcomes
using Poisson regression. Our six outcomes fell within three categories: patient satisfaction, patient-reported health outcomes, and trust.
Results: Of the 4823 men and women surveyed, 2924 (60.6%) visited a healthcare facility in the last 6 months, and the total weighted study
sample of those who visited a healthcare facility was 2827. Respondents who reported high responsiveness were more likely to be wealthier,
urban dwellings, and with higher levels of education, and more likely to have greater access to care, to see the same provider at each visit, and
to have gone to a private facility. We found that respondents reporting higher responsiveness were significantly more likely to report the highest
rating on all six outcomes.
Conclusions: Our findings suggest that responsiveness is a central component of high-quality health systems and that efforts to improve health
outcomes must look beyond technical quality.
Creator
Jocelyn Fifield, Griffith A. Bell, Lisa R. Hirschhorn, Simon P.S. Kibira, June-Ho Kim , Fredrick Makumbi, Elizabeth Nabiwemba, Dan Schwarz, FredWabwire-Mangen, and Hannah L. Ratcliffe
Source
DOI : https://doi.org/10.1093/ijcoms/lyac005
Publisher
Oxford University Press
Date
4 May 2022
Contributor
Sri wahyuni
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Jocelyn Fifield, Griffith A. Bell, Lisa R. Hirschhorn, Simon P.S. Kibira, June-Ho Kim , Fredrick Makumbi, Elizabeth Nabiwemba, Dan Schwarz, FredWabwire-Mangen, and Hannah L. Ratcliffe, “Person-centered care in Uganda: analysis of responsiveness, patient satisfaction, patient-reported health outcomes, and trust among adults (ORIGINAL ARTICLE),” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11120.