Health Policy Manag.
2024 Jun;34(2):211-221. 10.4332/KJHPA.2024.34.2.211.
Factors Affecting the Negative Perception of Public Hospitals among Local Residents
- Affiliations
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- 1Chungcheongbuk-do Public Health Policy Institute, Cheongju, Korea
- 2Department of Biomedical Convergence Graduate School, Chungbuk National University, Cheongju, Korea
- 3Institute of Health & Science Convergence, Chungbuk National University, Cheongju, Korea
- 4Department of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju, Korea
- 5Chungbuk National University College of Medicine, Cheongju, Korea
- KMID: 2562578
- DOI: http://doi.org/10.4332/KJHPA.2024.34.2.211
Abstract
- Background
The public health crisis caused by coronavirus disease 2019 emphasizes the need to expand and strengthen public hospitals. However, the overall perception of public hospitals remains negative. This negative perception can hinder the roles and functions of public hospitals, so this study aims to analyze the factors affecting negative perceptions of public hospitals.
Methods
We used data from a survey on the public healthcare of Chungcheongbuk-do residents conducted by the Chungcheongbuk-do Public Health Policy Institute, and 1,916 adults aged 19 or older who responded to the survey were included in the study. Logistic regression analysis was used to analyze the impact of experiences with public hospitals use and evaluations of public healthcare and public hospital policies on the negative perception of public hospitals.
Results
The experience of not using public hospitals (adjusted odds ratio [aOR], 1.69; 95% confidence interval [CI], 1.04–2.74) and negative evaluations of public healthcare and public hospital policies were found to significantly impact negative perceptions of public hospitals. In public healthcare policies, negative evaluations of the provision of essential medical care (aOR, 4.14; 95% CI, 2.59–6.62), regional disparities (aOR, 1.59; 95% CI, 1.02–2.49), coverage (aOR, 1.99; 95% CI, 1.25–3.16), and quality of care (aOR, 2.39; 95% CI, 1.50–3.80) were significantly associated with negative perceptions of public hospitals. In public hospital policies, negative evaluations of facilities and equipment (aOR, 3.74, 95% CI, 2.36–5.94), medical specialties and services (aOR, 1.91; 95% CI, 1.21–3.01), and quality of medical service (aOR, 2.71; 95% CI, 1.72–4.25) were also significantly associated with negative perceptions of public hospitals.
Conclusion
This study emphasizes the need to improve perceptions of public hospitals by considering the experience with public hospitals use and evaluation of public healthcare and public hospital policies.
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