Patient’s Utility for Various Attributes of Diabetes Care Services

Mishra, Vinaytosh; Samuel, Cherian; Sharma, Seema

doi:10.1177/2277975218798134

Cited by 7 publications

(4 citation statements)

References 41 publications

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“…Another finding of this study was waiting time, hospital reputation, and distance to the hospital identified as relatively less important attributes than other attributes. It was similar to another DCE study as these attributes are listed under less important attributes compared to hospital quality attributes [ 13 , 15 , 58 ]. The minimal strength of waiting time and distance were supported by the evidence that patients will travel further and wait longer for a higher-quality hospital [ 15 ].…”

Section: Discussionmentioning

confidence: 83%

Effect of hospital attributes on patient preference among outpatient attendants in Wolaita Zone, Southern Ethiopia: discrete choice experiment study

Lendado

Bitew

Elias

et al. 2022

BMC Health Serv Res

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Background Patient preference has preceded the use of health care services, and it has been affected by different hospital attributes. Meanwhile, the number of patients receiving vital health intervention is particularly low in Ethiopia. Therefore, this study aimed to determine the effect of hospital attributes on patient preference for outpatients in the Wolaita area in September 2020. Methods A discrete choice experimental study was applied to determine the effect of hospital attributes on patient preference with a sample size of 1077. The experimental survey was conducted among outpatient attendants selected through a systematic random sampling approach. Six key attributes (competence of healthcare providers; availability of medical equipment and supplies; cost of service; wait time; distance; and hospital reputation) deduced from various hospital attributes were used to elicit the patient preferences. The data was collected from participants through the Open Data Kit application. A random effect probit model with marginal willingness to pay measure and partially log-likelihood analysis was applied to extract important attributes. We used STATA version 15 software for analysis, and the fitness of the model was verified by the calculated p-value for the Wald chi-square with a cut-point value of 0.05. Result One thousand forty-five patients who received outpatient care participated in the study. The random effect probit results have shown that all hospital attributes included in the study were significantly valued by patients while choosing the hospital (p-value < 0.001). Meanwhile, based on marginal willingness to pay and partial log-likelihood analysis, the competence of health care providers was identified as the most important attribute followed by the availability of medical equipment and supplies in hospitals. Conclusion and recommendation The results suggested that the quality of health care providers and availability of medical equipment and supply in hospitals would be primary interventional points for improving the patient preference of hospitals. Assessment, education, and training are recommended for enhancing the quality of health care providers. And stock balance checks, inspections, and accreditation are believed to be valuable for improving the availability of equipment and supply in hospitals.

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Section: Discussionmentioning

confidence: 83%

Effect of hospital attributes on patient preference among outpatient attendants in Wolaita Zone, Southern Ethiopia: discrete choice experiment study

Lendado

Bitew

Elias

et al. 2022

BMC Health Serv Res

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“…The factors making a destination a preferred medical tourism destination is cost, quality, language, and ease of travel. The extant literature suggests that quality is one of the most important criteria for the selection of a healthcare provider (Mishra et al, 2019 ). A website listing the healthcare tourism destination in India lists only a few healthcare providers from eastern Uttar Pradesh.…”

Section: Discussionmentioning

confidence: 99%

Framework for Promotion of Medical Tourism: A Case of India

Mishra

Sharma

2021

JGBC

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Medical tourism is quickly growing in developing countries. The healthcare players have recognized it as a potential area for economic diversification. The major factors affecting medical tourism in a country are cost, quality, language, and ease of travel. The healthcare services in India cost significantly lower than in western countries and the middle east. That is one of the reasons behind India attracting customers from these countries. The government promotes India as a premier healthcare destination and has made policies to ease travel for medical tourism purposes. Quality has been one of the important criteria for the selection of healthcare providers even for price-conscious customers. This study uses the case of the eastern part of the state of Uttar Pradesh to investigate the reason behind the low penetration of medical tourism in the region. The study identifies factors affecting medical tourism in post-COVID times and maps them with enablers using a focus group discussion. The study further uses SERVQUAL, a multidimensional research instrument to measure service quality by capturing patient’s expectations and perceptions along five dimensions of service quality. The study contributes to the existing literature in two ways. It provides the framework for the promotion of medical tourism in a region. Second, it provides future directions for research in the area of medical tourism in the post-COVID world.

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“…Healthcare quality plays an important role in the selection of a healthcare facility (Mishra et al. , 2019).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Healthcare quality plays an important role in the selection of a healthcare facility (Mishra et al, 2019). For example, a study undertaken in Turkey identified poor quality as the most significant barrier to the development of medical tourism (Cavmak and Cavmak, 2020).…”

Section: Healthcare Qualitymentioning

confidence: 99%

Understanding barriers to inbound medical tourism in the United Arab Emirates from a provider's perspective

Mishra

Rana

2022

WHATT

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PurposeThe purpose of the study is to identify the important barriers to the development of medical tourism in the United Arab Emirates (UAE). Further, it aims to establish a relationship among these barriers and propose a framework to overcome them.Design/methodology/approachThe study uses a narrative review of the literature to identify barriers to medical tourism development (MDT) in the UAE. Using a graph theory-based Total Interpretive Structural Modelling (TISM) approach to explaining the hierarchy of the identified barriers and interpret the relationship links. The study further uses Cross-impact matrix multiplication applied to classification (MICMAC) analysis to validate the finding of the study and derive conclusions.FindingsThe study identifies barriers related to MDT as (1) Policies and Regulations (2) Government support (3) Healthcare costs (4) Healthcare Capacity (5) Healthcare Quality (6) Medical Insurance (7) Facilitator and Marketing (8) International Relations (9) Ease of Travel, and (10) Religion, Culture, and Language. The study concludes that Healthcare Cost, Healthcare Quality, and the inapplicability of international medical insurance are the most important barriers. More than fifty percent of barriers fall under the linkage quadrant in MICMAC analysis which reflects that overcoming one barrier helps in overcoming other barriers as well.Originality/valueThis study is one of the most comprehensive accounts of the barriers to MDT in the UAE and strategies to overcome these barriers. To the best of our knowledge, we were not able to find a similar study.

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Patient’s Utility for Various Attributes of Diabetes Care Services

Cited by 7 publications

References 41 publications

Effect of hospital attributes on patient preference among outpatient attendants in Wolaita Zone, Southern Ethiopia: discrete choice experiment study

Effect of hospital attributes on patient preference among outpatient attendants in Wolaita Zone, Southern Ethiopia: discrete choice experiment study

Framework for Promotion of Medical Tourism: A Case of India

Understanding barriers to inbound medical tourism in the United Arab Emirates from a provider's perspective

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