Comparison of trust in public vs private health care providers in rural Cambodia

Sachiko Ozawa, Damian G. Walker

Research output: Contribution to journalArticle

Abstract

How trust in providers affects health care-seeking behaviour is not well understood. Focus groups and household surveys were conducted in Cambodia to examine how villagers describe their trust in public and private providers, and to assess whether a difference exists in provider trust levels. Our findings suggest the reasons for trusting public and private providers differ, and that villagers' trust in and relationship with providers is one of the important considerations affecting where they seek care. People believed that public providers were 'honest' and 'sincere', did not 'bad mouth people' and explained the 'status of [the] disease'. Villagers trusted public providers for their skills and abilities, and for an effective referral system. In contrast, respondents noted that seeing private providers was 'comfortable and easy', that they 'come to our home' and patients can 'owe [them] some money'. Private providers were trusted for being very friendly and approachable, extremely thorough and careful, and easy to contact. Among those who sought care in the past 30 days, trust in the health care provider was listed as the fifth and second most important consideration for choosing public or private providers, respectively. This study illustrates the importance of trust as a unique concept that can affect people's choice of health care providers in a low-income country.

Original languageEnglish (US)
JournalHealth Policy and Planning
Volume26
Issue numberSUPPL. 1
DOIs
StatePublished - Jul 2011

Fingerprint

Cambodia
Health Personnel
Patient Acceptance of Health Care
Aptitude
Focus Groups
Mouth
Referral and Consultation

Keywords

  • health financing
  • health seeking behaviour
  • health systems
  • public/private
  • Trust

ASJC Scopus subject areas

  • Health Policy

Cite this

Comparison of trust in public vs private health care providers in rural Cambodia. / Ozawa, Sachiko; Walker, Damian G.

In: Health Policy and Planning, Vol. 26, No. SUPPL. 1, 07.2011.

Research output: Contribution to journalArticle

Ozawa, Sachiko ; Walker, Damian G. / Comparison of trust in public vs private health care providers in rural Cambodia. In: Health Policy and Planning. 2011 ; Vol. 26, No. SUPPL. 1.
@article{e210b09c936b4184a3be95098d4ae7c5,
title = "Comparison of trust in public vs private health care providers in rural Cambodia",
abstract = "How trust in providers affects health care-seeking behaviour is not well understood. Focus groups and household surveys were conducted in Cambodia to examine how villagers describe their trust in public and private providers, and to assess whether a difference exists in provider trust levels. Our findings suggest the reasons for trusting public and private providers differ, and that villagers' trust in and relationship with providers is one of the important considerations affecting where they seek care. People believed that public providers were 'honest' and 'sincere', did not 'bad mouth people' and explained the 'status of [the] disease'. Villagers trusted public providers for their skills and abilities, and for an effective referral system. In contrast, respondents noted that seeing private providers was 'comfortable and easy', that they 'come to our home' and patients can 'owe [them] some money'. Private providers were trusted for being very friendly and approachable, extremely thorough and careful, and easy to contact. Among those who sought care in the past 30 days, trust in the health care provider was listed as the fifth and second most important consideration for choosing public or private providers, respectively. This study illustrates the importance of trust as a unique concept that can affect people's choice of health care providers in a low-income country.",
keywords = "health financing, health seeking behaviour, health systems, public/private, Trust",
author = "Sachiko Ozawa and Walker, {Damian G.}",
year = "2011",
month = "7",
doi = "10.1093/heapol/czr045",
language = "English (US)",
volume = "26",
journal = "Health Policy and Planning",
issn = "0268-1080",
publisher = "Oxford University Press",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Comparison of trust in public vs private health care providers in rural Cambodia

AU - Ozawa, Sachiko

AU - Walker, Damian G.

PY - 2011/7

Y1 - 2011/7

N2 - How trust in providers affects health care-seeking behaviour is not well understood. Focus groups and household surveys were conducted in Cambodia to examine how villagers describe their trust in public and private providers, and to assess whether a difference exists in provider trust levels. Our findings suggest the reasons for trusting public and private providers differ, and that villagers' trust in and relationship with providers is one of the important considerations affecting where they seek care. People believed that public providers were 'honest' and 'sincere', did not 'bad mouth people' and explained the 'status of [the] disease'. Villagers trusted public providers for their skills and abilities, and for an effective referral system. In contrast, respondents noted that seeing private providers was 'comfortable and easy', that they 'come to our home' and patients can 'owe [them] some money'. Private providers were trusted for being very friendly and approachable, extremely thorough and careful, and easy to contact. Among those who sought care in the past 30 days, trust in the health care provider was listed as the fifth and second most important consideration for choosing public or private providers, respectively. This study illustrates the importance of trust as a unique concept that can affect people's choice of health care providers in a low-income country.

AB - How trust in providers affects health care-seeking behaviour is not well understood. Focus groups and household surveys were conducted in Cambodia to examine how villagers describe their trust in public and private providers, and to assess whether a difference exists in provider trust levels. Our findings suggest the reasons for trusting public and private providers differ, and that villagers' trust in and relationship with providers is one of the important considerations affecting where they seek care. People believed that public providers were 'honest' and 'sincere', did not 'bad mouth people' and explained the 'status of [the] disease'. Villagers trusted public providers for their skills and abilities, and for an effective referral system. In contrast, respondents noted that seeing private providers was 'comfortable and easy', that they 'come to our home' and patients can 'owe [them] some money'. Private providers were trusted for being very friendly and approachable, extremely thorough and careful, and easy to contact. Among those who sought care in the past 30 days, trust in the health care provider was listed as the fifth and second most important consideration for choosing public or private providers, respectively. This study illustrates the importance of trust as a unique concept that can affect people's choice of health care providers in a low-income country.

KW - health financing

KW - health seeking behaviour

KW - health systems

KW - public/private

KW - Trust

UR - http://www.scopus.com/inward/record.url?scp=79960379283&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960379283&partnerID=8YFLogxK

U2 - 10.1093/heapol/czr045

DO - 10.1093/heapol/czr045

M3 - Article

C2 - 21729914

AN - SCOPUS:79960379283

VL - 26

JO - Health Policy and Planning

JF - Health Policy and Planning

SN - 0268-1080

IS - SUPPL. 1

ER -