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What influences the people's trust on public healthcare system in Bihar, India? A mixed methods study.


ABSTRACT:

Background

Lack of trust in healthcare systems results in underutilization, non-adherence to medications, poor healthcare outcomes, and catastrophic health expenditure. Literature on people's trust on public health care system is limited in India. This study aims to examine the people's trust in public healthcare system in Bihar and explore the factors influencing it.

Methods

We conducted the study employing a sequential explanatory design. A door-to-door survey of 360 adults (mean age 45 years, men 65%) selected through multi-stage random sampling from two districts of Bihar was conducted employing "public healthcare system trust scale". It was followed up with 16 in-depth interviews of purposively selected respondents with a low-level of trust. Survey data were analyzed us

SUBMITTER: Kumar A 

PROVIDER: S-EPMC11863908 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature