TITLE:
Satisfaction of Health Care Users with the Quality of Health Care Services in Senegal: A Multi-Level Approach
AUTHORS:
Ndiack Fall
KEYWORDS:
Patients, Quality of Health Care, Satisfaction, Levels of Aggregation, Multilevel Analysis
JOURNAL NAME:
Modern Economy,
Vol.8 No.9,
September
28,
2017
ABSTRACT: This paper analyzes the satisfaction of health care users with the quality of health care in the different types of health
facilities in Senegal. The data used come from a survey of the Senegalese
health system. In this framework, the multi-level approach with three levels of
aggregation was used: patients (level 1), health facilities (level 2) and 14
administrative regions (level 3). The estimation results indicate a diversity, on the one hand, between regions, and on the other hand
between health facilities. In addition, the individual characteristics of the
patients have diverse effects across the levels of aggregation: the
significance of most of them differs with respect to the context (e.g., gender, education level, age, smoking
status and ownership of health insurance). While the waiting time and the
applied rate effects differ slightly in terms of significance, the former influences negatively the satisfaction when waiting time is less than the duration
of an appointment of the following day, whereas the level of satisfaction increases with the rate applied on health care.