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AuthorKhaled, Salama M.
AuthorShockley, Bethany
AuthorAbdul Rahim, Hanan F.
Available date2017-02-28T10:39:33Z
Publication Date2016-11-24
Publication NameInternational Journal for Quality in Health Care
Identifierhttp://dx.doi.org/10.1093/intqhc/mzw131
CitationSalma M. Khaled, Bethany Shockley, Hanan F. Abdul Rahim; The effects of citizenship status on service utilization and general satisfaction with healthcare: a cross-cultural study. Int J Qual Health Care 2016 1-8.
ISSN1353-4505
URIhttp://hdl.handle.net/10576/5320
AbstractObjective: To explore the role of citizenship status as a predictor of general satisfaction with healthcare services in Qatar, including potential interaction with utilization and health insurance coverage type. Design: A cross-sectional survey conducted in 2012. Setting: A household survey in the State of Qatar in the Arab Gulf. Participants: A nationally representative sample of 2750 citizens and noncitizens aged 18 years and older. Main Outcome: General satisfaction status with Qatar’s healthcare system. Measures: Citizenship status, healthcare utilization, health insurance type. Results: Citizens were significantly less likely to be satisfied with Qatar’s healthcare system than noncitizens (odds ratio (OR) = 0.30, P < 0.001). The association between private health insurance and overall satisfaction was not significantly different between citizens and noncitizens (P = 0.19). However, the association between utilization of healthcare services and overall satisfaction was moderated by citizenship (P < 0.001). Among citizens, non-users were less likely to be satisfied than recent users (OR = 1.88, P < 0.05), while the opposite pattern was observed among noncitizens (OR = 0.51, P < 0.05). These patterns persisted even after controlling for potential confounders. Conclusions: The study revealed significant population differences in satisfaction between recent users and non-users within citizenship groups. These differences may stem from different expectations with respect to healthcare services. Understanding these expectations may have important policy implications for cross-cultural contexts.
Languageen
PublisherOxford University Press
Subjectgeneral satisfaction
healthcare utilization
inpatient
outpatient
Qatari citizens
White-Collar migrants
health insurance
expectation-based satisfaction
experience-based satisfaction
normative expectations
TitleThe effects of citizenship status on service utilization and general satisfaction with healthcare: a cross-cultural study
TypeArticle
Pagination1-8
ESSN1464-3677
dc.accessType Open Access


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