title: Examining health equity through satisfaction and confidence of patients in primary healthcare in the Republic of Trinidad and Tobago.
abstract: Surveys of patient satisfaction are widely used for identifying priorities and problems in healthcare reforms. The present study examined satisfaction and confidence of patients in public healthcare in Trinidad and Tobago. Data were gathered by interviewing a random sample (n = 280) of primary healthcare (PHC) patients. Level of patient satisfaction was high but not constant. Results of interviews showed that patients with a higher monthly income (p = 0.032) and patients who most recently used private medical care (p = 0.037) had lower levels of satisfaction with health services. Employment had an effect on satisfaction (p = 0.065), significant among patients who had recently accessed private medical care (p = 0.039). Patients using PHC clinics preferred private care to public care. Confidence in public care decreased with increasing complexity of the medical condition. These preliminary results support continued efforts in health-sector reforms and call for the enhancement of data on satisfaction through more comprehensive qualitative data-collection methods.
authors.affiliation: Department of Anthropology, University of Toronto, Ontario, Canada M5S 1A1, Canada. alanna.rudzik@utoronto.ca
authors.forename: Alanna E F
authors.initials: AE
authors.lastname: Rudzik
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006302:Health Services Research; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards* / Q000706:statistics & numerical data; D017149:Private Sector / Q000592:standards / Q000706:statistics & numerical data; D017150:Public Sector / Q000592:standards* / Q000706:statistics & numerical data; D011787:Quality of Health Care; D012044:Regression Analysis; D012923:Social Class; D012935:Social Justice; D012959:Socioeconomic Factors; D014300:Trinidad and Tobago