Objective: To explore the role of citizenship status as a predictor of general satisfaction with healthcare services in Qatar, including potential interaction with utilization and health insurance coverage type.
Design: A cross-sectional survey conducted in 2012.
Setting: A household survey in the State of Qatar in the Arab Gulf.
Participants: A nationally representative sample of 2750 citizens and noncitizens aged 18 years and older.
Main Outcome: General satisfaction status with Qatar's healthcare system.
Measures: Citizenship status, healthcare utilization, health insurance type.
Results: Citizens were significantly less likely to be satisfied with Qatar's healthcare system than noncitizens (odds ratio (OR) = 0.30, P < 0.001). The association between private health insurance and overall satisfaction was not significantly different between citizens and noncitizens (P = 0.19). However, the association between utilization of healthcare services and overall satisfaction was moderated by citizenship (P < 0.001). Among citizens, non-users were less likely to be satisfied than recent users (OR = 1.88, P < 0.05), while the opposite pattern was observed among noncitizens (OR = 0.51, P < 0.05). These patterns persisted even after controlling for potential confounders.
Conclusions: The study revealed significant population differences in satisfaction between recent users and non-users within citizenship groups. These differences may stem from different expectations with respect to healthcare services. Understanding these expectations may have important policy implications for cross-cultural contexts.
- expectation-based satisfaction
- experience-based satisfaction
- general satisfaction
- health insurance
- healthcare utilization
- normative expectations.
- Qatari citizens
- White-Collar migrants
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health