IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0280665.html
   My bibliography  Save this article

Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon

Author

Listed:
  • Jade Khalife
  • Björn Ekman
  • Walid Ammar
  • Fadi El-Jardali
  • Abeer Al Halabi
  • Elise Barakat
  • Maria Emmelin

Abstract

Background: Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them is needed. The lack of such knowledge limits the usefulness of including patient perspectives as components within pay-for-performance initiatives. This study aimed to explore patient perspectives on hospital care in Lebanon. It also aimed to contribute insights that may improve the national pay-for-performance initiative and to the knowledge on engaging patients towards person-centered health systems. Methods: We conducted a qualitative study using focus group discussions with persons recently discharged after hospitalization under the coverage of the Lebanese Ministry of Public Health. This study was implemented in 2017 and involved 42 participants across eight focus groups. Qualitative content analysis was used to analyze the information provided by participants. Results: Five overall themes supported by 17 categories were identified, capturing the meaning of the participants’ perspectives: health is everything; being turned into second class citizens; money and personal connections make all the difference; wanting to be treated with dignity and respect; and tolerating letdown, for the sake of right treatment. The most frequently prioritized statement in a ranking exercise regarding patient satisfaction was regular contact with the patient’s doctor. Conclusions: Patient perspectives include more than what is traditionally incorporated in measures of patient satisfaction and experience. Patient valuing of health and their perceptions on each of the health system, and access and quality of care should also be taken into account. Hospital pay-for-performance initiatives can be made more responsive through a broader consideration of these perspectives. More broadly, health systems would benefit from wider engagement of patients. We propose a framework relating patient perspectives to value-based healthcare and health system performance.

Suggested Citation

  • Jade Khalife & Björn Ekman & Walid Ammar & Fadi El-Jardali & Abeer Al Halabi & Elise Barakat & Maria Emmelin, 2023. "Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon," PLOS ONE, Public Library of Science, vol. 18(8), pages 1-24, August.
    • Handle: RePEc:plo:pone00:0280665
    DOI: 10.1371/journal.pone.0280665
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0280665
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0280665&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0280665?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kruk, Margaret Elizabeth & Freedman, Lynn P., 2008. "Assessing health system performance in developing countries: A review of the literature," Health Policy, Elsevier, vol. 85(3), pages 263-276, March.
    2. Wensing, Michel & Jung, Hans Peter & Mainz, Jan & Olesen, Frede & Grol, Richard, 1998. "A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain," Social Science & Medicine, Elsevier, vol. 47(10), pages 1573-1588, November.
    3. Hung-Wen Yeh & Byron Gajewski & David Perdue & Angel Cully & Lance Cully & K. Greiner & Won Choi & Christine Daley, 2014. "Sorting it out: pile sorting as a mixed methodology for exploring barriers to cancer screening," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(5), pages 2569-2587, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pundziene, Asta & Sermontyte-Baniule, Rima & Rialp-Criado, Josep & Chesbrough, Henry, 2023. "Indirect effect of open innovation on clinical and economic value creation in digital healthcare: A comparative study of European countries," Journal of Business Research, Elsevier, vol. 159(C).
    2. Alessandro Bitetto & Paola Cerchiello & Charilaos Mertzanis, 2021. "A data-driven approach to measuring epidemiological susceptibility risk around the world," DEM Working Papers Series 200, University of Pavia, Department of Economics and Management.
    3. Chen, Yi & Ding, Shuai & Zheng, Handong & Zhang, Youtao & Yang, Shanlin, 2018. "Exploring diffusion strategies for mHealth promotion using evolutionary game model," Applied Mathematics and Computation, Elsevier, vol. 336(C), pages 148-161.
    4. Ashill, Nicholas J. & Rod, Michel, 2011. "Burnout processes in non-clinical health service encounters," Journal of Business Research, Elsevier, vol. 64(10), pages 1116-1127, October.
    5. Thang Dang, 2018. "Do the more educated utilize more health care services? Evidence from Vietnam using a regression discontinuity design," International Journal of Health Economics and Management, Springer, vol. 18(3), pages 277-299, September.
    6. Kim, Rockli & Rajpal, Sunil & Joe, William & Corsi, Daniel J. & Sankar, Rajan & Kumar, Alok & Subramanian, S.V., 2019. "Assessing associational strength of 23 correlates of child anthropometric failure: An econometric analysis of the 2015-2016 National Family Health Survey, India," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    7. Zia Ullah & Mohammed Ali Bait Ali Sulaiman & Syed Babar Ali & Naveed Ahmad & Miklas Scholz & Heesup Han, 2021. "The Effect of Work Safety on Organizational Social Sustainability Improvement in the Healthcare Sector: The Case of a Public Sector Hospital in Pakistan," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
    8. Gerring, John & Thacker, Strom C. & Enikolopov, Ruben & Arévalo, Julián & Maguire, Matthew, 2013. "Assessing health system performance: A model-based approach," Social Science & Medicine, Elsevier, vol. 93(C), pages 21-28.
    9. Jiaqi Chen & Song Xu & Jing Gao, 2020. "The Mixed Effect of China’s New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    10. Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    11. Nancy A Scott & Taryn Vian & Jeanette L Kaiser & Thandiwe Ngoma & Kaluba Mataka & Elizabeth G Henry & Godfrey Biemba & Mary Nambao & Davidson H Hamer, 2018. "Listening to the community: Using formative research to strengthen maternity waiting homes in Zambia," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-16, March.
    12. Bramesfeld, Anke & Klippel, Ulrike & Seidel, Gabriele & Schwartz, Friedrich W. & Dierks, Marie-Luise, 2007. "How do patients expect the mental health service system to act? Testing the WHO responsiveness concept for its appropriateness in mental health care," Social Science & Medicine, Elsevier, vol. 65(5), pages 880-889, September.
    13. Claudiu Cicea & Corina Marinescu & Nicolae Pintilie, 2021. "New Methodological Approach for Performance Assessment in the Bioenergy Field," Energies, MDPI, vol. 14(4), pages 1-19, February.
    14. Nakaima, April & Sridharan, Sanjeev & Gardner, Bob, 2013. "Towards a performance measurement system for health equity in a local health integration network," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 204-212.
    15. Vahidin Jeleskovic & Benjamin Schwanebeck, 2012. "Assessment of a spatial panel model for the efficiency analysis of the heterogonous healthcare systems in the world," MAGKS Papers on Economics 201248, Philipps-Universität Marburg, Faculty of Business Administration and Economics, Department of Economics (Volkswirtschaftliche Abteilung).
    16. Wenhua Wang & Elizabeth Maitland & Stephen Nicholas & Jeannie Haggerty, 2019. "Determinants of Overall Satisfaction with Public Clinics in Rural China: Interpersonal Care Quality and Treatment Outcome," IJERPH, MDPI, vol. 16(5), pages 1-12, February.
    17. Yelin Fu & Yubing Sui & Hao Luo & Biao Han, 2020. "Application of Social Choice Theory to Modify the Value Measure of Health Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 148(3), pages 1005-1019, April.
    18. de Vries, H. & van de Klundert, J.J. & Wagelmans, A.P.M., 2014. "The Roadside Healthcare Facility Location Problem," Econometric Institute Research Papers EI 2014-09, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    19. Macq, Jean & Martiny, Patrick & Villalobos, Luis Bernardo & Solis, Alejandro & Miranda, Jose & Mendez, Hilda Cecilia & Collins, Charles, 2008. "Public purchasers contracting external primary care providers in Central America for better responsiveness, efficiency of health care and public governance: Issues and challenges," Health Policy, Elsevier, vol. 87(3), pages 377-388, September.
    20. Pablo Villalobos Dintrans, 2020. "Health Systems, Aging, and Inequity: An Example from Chile," IJERPH, MDPI, vol. 17(18), pages 1-9, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0280665. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.