AUTHOR=Vora Kranti , Saiyed Shahin , Mavalankar Dileep , Baines Lyndsay S. , Jindal Rahul M. 

TITLE=Trust Deficit in Surgical Systems in an Urban Slum in India Under Universal Health Coverage: A Mixed Method Study

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604924

DOI=10.3389/ijph.2022.1604924

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> We carried out a mixed method study to understand why patients did not avail of surgical care in an urban slum in India.</p><p><bold>Methods:</bold> In our earlier study, we found that out of 10,330 people, 3.46% needed surgery; 42% did not avail of surgery (unmet needs). We conducted a follow-up study to understand reasons for not availing surgery, 141 in met needs, 91 in unmet needs. We administered 2 instruments, 16 in-depth interviews and 1 focused group discussion.</p><p><bold>Results:</bold> Responses from the 2 groups for “the Socio-culturally Competent Trust in Physician Scale for a Developing Country Setting” scale did not have significant difference except for, prescription of medicines, patients with unmet needs were less likely to agree (<italic>p</italic> = 0.076). Results between 2 groups regarding “Patient perceptions of quality” did not show significant difference except for doctors answering questions where a higher proportion of unmet need group agreed (<italic>p</italic> = 0.064). Similar observations were made in the in depth interviews and focus group.</p><p><bold>Conclusion:</bold> There is a need for understanding trust issues with health service delivery related to surgical care for marginalized populations.</p>