Table 4. Dissatisfaction with the health system among adults aged 50 years or older with chronic illness in six middle-income countries, 2007–2010.

Measure of dissatisfaction	China (n = 6558)	Ghana (n = 1327)	India (n = 2623)	Mexico (n = 1341)	Russian Federation (n = 2916)	South Africa (n = 1866)
Dissatisfaction with health-care servicesa
Proportion dissatisfied, % (95% CI)	6.3 (5.2 to 7.5)	4.5 (3.0 to 6.7)	14.7 (12.0 to 17.8)	20.8 (16.0 to 26.7)	16.8 (12.5 to 22.3)	18.9 (15.6 to 22.6)
Risk of dissatisfaction for nonusers versus users of outpatient care,b,c OR (95% CI)	1.56 (1.15 to 1.98)	1.61 (0.47 to 2.74)	1.05 (0.66 to 1.44)	1.65 (0.41 to 2.90)	1.68 (0.93 to 2.43)	1.39 (0.94 to 1.84)
Insufficient involvement in health-care decision-makingd
Proportion reporting insufficient involvement, % (95% CI)	5.0 (4.0 to 6.2)	9.8 (8.0 to 11.9)	13.7 (11.4 to 16.3)	19.1 (14.3 to 25.1)	15.5 (10.3 to 22.7)	19.7 (16.6 to 23.1)
Risk of insufficient involvement for nonusers versus users of outpatient care,b,c OR (95% CI)	1.88 (1.24 to 2.53)	1.47 (0.83 to 2.11)	1.24 (0.77 to 1.72)	1.07 (0.37 to 1.77)	1.79 (0.87 to 2.72)	1.53 (1.10 to 1.96)

CI: confidence interval; OR: odds ratio.

^a An individual was regarded as being dissatisfied with health-care services if he or she reported being “dissatisfied” or “very dissatisfied” with the way health-care services were run.

^b ORs and 95% CI were calculated using a logistic regression model that controlled for household income quintile.

^c A user of outpatient care was defined as an individual who received outpatient care in the 12 months before the Study on global ageing and adult health survey.

^d An individual was regarded as having insufficient involvement in health-care decision-making if he or she rated their involvement in decisions about what services were provided and where they were provided as “bad” or “very bad”.

Note: Chronic illness was defined as being diagnosed with at least one chronic disease. Percentages are weighted.