Towards patient-centred care in Ghana: health system responsiveness, self-rated health and experiential quality in a nationally representative survey

摘要: Introduction Person-centredness, including patient experience and satisfaction, is a foundational element of quality care. Evidence indicates that poor satisfaction are drivers underutilisation healthcare services, which in turn major driver avoidable mortality. However, there limited information about care at the population level, particularly low-income middle-income countries. Methods A multistage cluster sample design was used to obtain nationally representative women reproductive age Ghana. Women were interviewed their homes regarding demographic characteristics, recent care-seeking with care, patient-reported outcomes, and—using questions from World Health Survey Responsiveness Module—the seven domains responsiveness outpatient assess experience. Using Poisson regression log link, we assessed relationship between as well outcomes. Results who reported more responsive likely be educated, have good access received private facility. Controlling for respondent visit highest levels significantly report excellent meeting needs (prevalence ratio (PR)=13.0), (PR=20.8), being very recommend facility others (PR=1.4), self-rated health (PR=4.0) mental (PR=5.1) lowest levels. Discussion These findings support emerging global consensus not luxuries but essential components high-performing systems, highlight need nuanced systematic measurement these areas inform priority setting improvement efforts.