Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Oct 6;20(10):e1004294.
doi: 10.1371/journal.pmed.1004294. eCollection 2023 Oct.

Measuring people's views on health system performance: Design and development of the People's Voice Survey

Todd P Lewis  1 , Neena R Kapoor  1 , Amit Aryal  2   3 , Rodrigo Bazua-Lobato  1 , Susanne Carai  4 , Emma Clarke-Deelder  2 , Kevin Croke  1 , Rashmi Dayalu  1 , Laura Espinoza-Pajuelo  5 , Günther Fink  2   3 , Patricia J Garcia  5 , Ezequiel Garcia-Elorrio  6 , Theodros Getachew  7 , Prashant Jarhyan  8 , Munir Kassa  9 , Soon Ae Kim  10 , Agustina Mazzoni  6 , Jesus Medina-Ranilla  5 , Sailesh Mohan  8   11   12 , Gebeyaw Molla  7 , Mosa Moshabela  13 , Inbarani Naidoo  14 , Jacinta Nzinga  15 , Juhwan Oh  16 , Emelda A Okiro  17   18 , Dorairaj Prabhakaran  8   11 , Javier Roberti  6   19 , Gillian SteelFisher  20 , Tefera Taddele  7 , Ashenif Tadele  7 , Xiaohui Wang  21 , Roman Xu  22 , Hannah H Leslie  23 , Margaret E Kruk  1
Affiliations

Measuring people's views on health system performance: Design and development of the People's Voice Survey

Todd P Lewis et al. PLoS Med. .

Abstract

Todd Lewis and co-authors discuss development and use of the People's Voice Survey for health system assessment.

PubMed Disclaimer

Conflict of interest statement

I have read the journal’s policy and the authors of this manuscript have the following competing interests: MEK is a member of the Editorial Board of PLOS Medicine. EAO is acting as a Consultant to AstraZeneca. HHL is an Academic Editor for PLOS Global Public Health.

Figures

Fig 1
Fig 1. People’s Voice Survey framework.
Notes: People care about outcomes beyond good health, which include trusting that the system can meet their needs, confidence that they can afford services, and endorsement of health system performance. These perceptions are informed by processes of care, including system competence (e.g., whether the health system provides coordinated, easy-to-use care integrated across platforms), care competence (e.g., provision of high-quality care from knowledgeable, high-skilled providers), and user experience (e.g., good customer service and respect). These processes and outcomes are underpinned by the foundations of the health system, including health status, demographic characteristics, patient activation, and expectations of care.
Fig 2
Fig 2. Participating countries planned for the first wave of the People’s Voice Survey.
*In Argentina, the People’s Voice Survey was conducted in the Province of Mendoza only. Map shapefile available from the World Bank at: https://datacatalog.worldbank.org/search/dataset/0038272.
Fig 3
Fig 3. Development and validation steps of the People’s Voice Survey.
See this image and copyright information in PMC

References

    1. Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018;392:2203–2212. doi: 10.1016/S0140-6736(18)31668-4 - DOI - PMC - PubMed
    1. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al.. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018/09/10 ed. 2018;6: e1196–e1252. doi: 10.1016/S2214-109X(18)30386-3 - DOI - PMC - PubMed
    1. Rowe AK, Rowe SY, Peters DH, Holloway KA, Chalker J, Ross-Degnan D. Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review. Lancet Glob Health. 2018;6:e1163–e1175. doi: 10.1016/S2214-109X(18)30398-X - DOI - PMC - PubMed
    1. Semrau KEA, Hirschhorn LR, Marx Delaney M, Singh VP, Saurastri R, Sharma N, et al.. Outcomes of a Coaching-Based WHO Safe Childbirth Checklist Program in India. N Engl J Med. 2017;377:2313–2324. doi: 10.1056/NEJMoa1701075 - DOI - PMC - PubMed
    1. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3:e001570. doi: 10.1136/bmjopen-2012-001570 - DOI - PMC - PubMed