The Perception of Adults in Manila About the Accessibility, Availability and Affordability of Private and Public Healthcare Services for Neurological Emergencies

Aedrielyn Pichay, Alessandra Beatrice Peña, Jeanina Lhainey Pisueña, Sabrina Peña, Emy Eloisa Piano, Nilo Delos Santos

Dec 2025 DOI 10.35460/2546-1621.2025-0078     Access   

Abstract

Introduction: Neurological emergencies can be life-threatening, requiring immediate care to prevent adverse outcomes. In the Philippines, where conditions like stroke are prevalent, timely access to healthcare is critical. This study assessed how adults in Manila perceive the accessibility, availability and affordability (AAA) of private and public healthcare services for neurological emergencies.

Methodology: A survey was conducted among 463 adults in Manila, achieving a valid response rate of 92.3% (427 responses analyzed). Participants represented diverse socioeconomic backgrounds. The survey explored perceptions regarding AAA of healthcare services for neurological emergencies.

Results: Across income levels (poor, middle, rich), participants favored private hospitals for accessibility and convenience, such as emergency room access and prompt care. Private hospitals were also preferred for availability of diagnostic equipment, medications, specialist expertise and 24/7 care. Public hospitals, however, were preferred for affordability, particularly for emergency visits, medications, tests, neurologist consultations and ambulance services.

Discussion: Findings reveal a clear preference split: private hospitals are valued for accessibility and resources, while public hospitals remain the affordable choice. This reflects ongoing systemic and socioeconomic challenges in Manila’s healthcare landscape.

Conclusion: The study provides actionable insights for policymakers and healthcare providers seeking to improve emergency neurological care. Addressing gaps in access and affordability can enhance patient outcomes and satisfaction while promoting more equitable healthcare delivery.

 

Keywords: Accessibility, Availability, Affordability, Healthcare services, Neurological Emergencies

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