Health Care Choices in the United States and the Constrained Consumer: A Marketing Systems Perspective on Access and Assortment in Health Care

Mittelstaedt, John D.; Duke, Charles R.; Mittelstaedt, Roberta A.

doi:10.1509/jppm.28.1.95

Cited by 34 publications

(40 citation statements)

References 19 publications

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“…This article contributes to the growing research on the importance of reducing barriers (i.e., poor HIL) to health‐care access (see Mittelstaedt, Duke, and Mittelstaedt ). Results of the regression analysis demonstrate LOC, cognitive style, and financial knowledge are strongly associated with HIL, where individuals with an external LOC (H1), less analytical cognitive style (H2), and poor subjective knowledge (H3a) are generally at greatest risk of poor HIL.…”

Section: Discussionmentioning

confidence: 93%

Examining Antecedents of Health Insurance Literacy: The Role of Locus of Control, Cognitive Style, and Financial Knowledge

O’Connor¹,

Kabadayi²

2019

Journal of Consumer Affairs

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Today's consumer is expected to make health‐care decisions that have serious implications for their welfare. However, a major barrier to these decisions is a basic lack of understanding of health insurance. A critical first step is to examine drivers of health insurance literacy and in turn offer interventions that can have a positive impact on consumer welfare. This article explores the relationship between relevant consumer psychographics, financial knowledge, and demographics with health insurance literacy. Results indicate that while demographics play a role, the degree to which consumers believe a situation or event is under their own control (i.e., locus of control), how they process information (i.e., cognitive style), and consumer's financial confidence (i.e., subjective knowledge) is a critical indicator of their health insurance literacy. Cluster analysis reveals three “faces” of health insurance literacy.

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Section: Discussionmentioning

confidence: 93%

Examining Antecedents of Health Insurance Literacy: The Role of Locus of Control, Cognitive Style, and Financial Knowledge

O’Connor¹,

Kabadayi²

2019

Journal of Consumer Affairs

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“…These findings reflect those of Mittelstaedt et al . () as well as Huff and Cotte (), who found that time pressure brings negative emotions to the childcare choice process. Although the accommodation model (Chaudry et al ., ) is a more advanced framework drawing from previous literature, it fails to recognise that factors like time pressure will ‘interfere’ with the process of decision‐making, which is already a product of contextual constraints and social norms.…”

Section: Resultsmentioning

confidence: 95%

Parental choice of childcare in England: Choosing in phases and the split market

Chen

Bradbury

2019

British Educational Res J

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This article explores how parents choose childcare settings for their pre‐school children within a context of complex policy on eligibility for free provision and a developing market. Using data from interviews with 17 mainly middle‐class parents in England, we explore in detail how parents go about choosing a childcare setting and the different phases of this process. This adds further nuance to the existing literature on choosing practices and the dysfunction and inequalities of a neoliberal childcare market, and also updates the discussion to include recent policy developments such as the provision of ‘30 hours free childcare’ for 3 and 4‐year‐olds. We conclude that parental choosing involves a series of decisions in two or three phases, which start from practical considerations, followed by quality comparison and then back to practical constraints if a decision has not been made. The options open to parents are split between not only those able to accommodate shorter ‘free’ provision and those that require longer periods of childcare to work, but also between those with children under three and above. Contrary to previous findings in this area, this split may work to the disadvantage of some middle‐class families, whose children attend lower‐quality settings as a result.

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“…For instance, various studies have been conducted at government-funded hospitals on social health insurance [35], health care benefits [36] or health care management education [37]. Even studies relevant to consumer buying behaviour tend to be carried out at local public hospitals rather than foreign providers and in mature economies such as US [38], UK [39] or Australia [40] or in neighbouring countries such as India and Sri Lanka. As seen above, Vietnamese research focuses mostly on the economics of social health insurance and affordability, with few considerations for non-financial factors.…”

Section: The Research Gapmentioning

confidence: 99%

Patient Perception and Choice Factors Related to International Hospitals: A Study in Ho Chi Minh City, Vietnam

Bucatariu¹,

George²

2017

J Health Med Inform

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In the background of stagnant home markets, health care firms from mature economies are looking for opportunities in developing markets such as Vietnam. Various studies on marketing of health care from developed economies show convenience, specialties, reputation, and word of mouth as major choice factors for hospitals. The limited number of consumer behaviour articles from developing economies has contradictory findings for private and public hospitals with no mention of international hospitals. In this paper, the authors investigate the choice criteria and consumer perceptions of international hospitals in Ho Chi Minh City. Findings imply that younger consumers prefer private care as they suffer from minor illnesses and prioritize convenience, customer service and comfortable facilities. Some older patients are more conservative, seeking government sites due to trust, familiarity and insurance coverage. Irrespective of age and income, all those who experienced international hospitals where left with a lasting positive impression of the caring consultation and staff, modern equipment, and 'VIP feel' of facilities, with price quoted as the main barrier.

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Health Care Choices in the United States and the Constrained Consumer: A Marketing Systems Perspective on Access and Assortment in Health Care

Cited by 34 publications

References 19 publications

Examining Antecedents of Health Insurance Literacy: The Role of Locus of Control, Cognitive Style, and Financial Knowledge

Examining Antecedents of Health Insurance Literacy: The Role of Locus of Control, Cognitive Style, and Financial Knowledge

Parental choice of childcare in England: Choosing in phases and the split market

Patient Perception and Choice Factors Related to International Hospitals: A Study in Ho Chi Minh City, Vietnam

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