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Measuring people’s views on health system performance: Design and development of the people’s voice survey

  • Todd P. Lewis
  • , Neena R. Kapoor
  • , Amit Aryal
  • , Rodrigo Bazua-Lobato
  • , Susanne Carai
  • , Emma Clarke-Deelder
  • , Kevin Croke
  • , Rashmi Dayalu
  • , Laura Espinoza-Pajuelo
  • , Günther Fink
  • , Patricia J. Garcia
  • , Ezequiel Garcia-Elorrio
  • , Theodros Getachew
  • , Prashant Jarhyan
  • , Munir Kassa
  • , Soon Ae Kim
  • , Agustina Mazzoni
  • , Jesus Medina-Ranilla
  • , Sailesh Mohan
  • , Gebeyaw Molla
  • Mosa Moshabela, Inbarani Naidoo, Jacinta Nzinga, Juhwan Oh, Emelda A. Okiro, Dorairaj Prabhakaran, Javier Roberti, Gillian SteelFisher, Tefera Taddele, Ashenif Tadele, Xiaohui Wang, Roman Xu, Hannah H. Leslie, Margaret E. Kruk
  • Harvard T.H. Chan School of Public Health
  • Swiss Tropical and Public Health Institute Swiss TPH
  • University of Basel
  • World Health Organization
  • Universidad Peruana Cayetano Heredia
  • Institute for Clinical Effectiveness and Health Policy
  • Ethiopian Public Health Institute
  • Public Health Foundation of India
  • Federal Ministry of Health - Ethiopia
  • Korea Foundation for International Healthcare
  • Centre for Chronic Disease Control
  • Deakin University
  • College of Health Sciences
  • Human Sciences Research Council of South Africa
  • KEMRI-Wellcome Trust Research Programme
  • Seoul National University College of Medicine
  • KEMRI–Wellcome Trust Research Programme
  • University of Oxford
  • CONICET
  • Lanzhou University
  • Southern Medical University
  • University of California

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

• People should be at the center of health system performance assessment. Populations can provide critical insight on quality of care, confidence in health services, and health outcomes. • However, today’s measurement approaches overlook key dimensions of population perspective such as confidence in the health system. Surveys are rarely standardized to enable cross-country comparison. • The People’s Voice Survey (PVS) aims to fill this gap. The PVS is a novel multicountry survey of people’s perspective on health system performance. It measures a wide range of domains, including health status, health system utilization patterns, ratings of care quality, and confidence and trust in the health system. • The survey allows for a flexible, mixed mode design that uses telephone, online, and in-person data collection approaches to achieve a nationally representative sample of adults. Critically, the survey includes both health system users and non-users. It can be adapted for use in high-, middle-, and low-income countries. • We describe the motivation for this new instrument, the multistep collaborative development and validation process, and policy use cases for 19 countries participating in the first wave of data collection. • Findings from the survey can be used to integrate people’s voices into health system policymaking and guide strategic investments towards higher quality health systems.

Original languageEnglish
Article numbere1004294
JournalPLoS Medicine
Volume20
Issue number10 October
DOIs
StatePublished - Oct 2023

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