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Cross-National Comparisons

PERSPECTIVE

People’s Experience Versus People’s Expectations

Robert Blendon and colleagues compare results of a single survey question on satisfaction with "the way health care runs" in seventeen countries with the World Health Organization’s (WHO’s) systematic effort to measure levels of responsiveness, overall health system goal achievement, and the efficiency of health system resource use in 191 countries. The comparison, we believe, is useful because it highlights some fundamental limitations to comparing satisfaction over time and across populations and the importance of developing survey instruments that address some of these limitations. Unfortunately, in the course of their analysis, Blendon and colleagues misrepresent the WHO approach to measuring . . . [Full Text of this Article]

Comparing Apples With Oranges

 

The Role Of Expectations

 

WHO’s Strategy To Measure Responsiveness

 

Enhancing Comparability Of Survey Results

 

Concluding Comments

 

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