Publications by authors named "Miguel Sansebastian"
Article Synopsis
- A study in northern Sweden aimed to estimate and analyze the level of trust in the health system, finding that 68.5% of participants reported high trust.
- The research involved a survey of nearly 25,000 people, revealing that women, younger individuals, and those with lower education or facing economic stress tended to have less trust in the health system.
- The findings highlight the complexity of trust in health systems, emphasizing the need for further exploration of how sociodemographic factors and social capital influence this trust.
Background: Despite the growing importance of the Accountability for Reasonableness (A4R) framework in priority setting worldwide, there is still an inadequate understanding of the processes and mechanisms underlying its influence on legitimacy and fairness, as conceived and reflected in service management processes and outcomes. As a result, the ability to draw scientifically sound lessons for the application of the framework to services and interventions is limited. This paper evaluates the experiences of implementing the A4R approach in Mbarali District, Tanzania, in order to find out how the innovation was shaped, enabled, and constrained by the interaction between contexts, mechanisms and outcomes.
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