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.
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.