Patient satisfaction with care is associated with personal choice of physician

Kalda, Ruth; Põlluste, Kaja; Lember, Margus

doi:10.1016/s0168-8510(02)00160-4

Cited by 48 publications

(34 citation statements)

References 13 publications

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“…Patient satisfaction with the service they receive has become part of healthcare quality assurance [23] and the evaluation of general healthcare services outcomes [24]. Studies on healthcare satisfaction can very broadly be classified into two separate categories: the first is patient satisfaction with (particular) healthcare services [6,7,9,17,[25][26][27][28][29], and the other is often referred to as public satisfaction with or support for the healthcare system in general [30][31][32][33][34]. Studies in these two areas differ significantly in terms of conceptualisation, methodology, goals and aims.…”

Section: Introductionmentioning

confidence: 99%

Public evaluation of health services across 21 European countries: The role of culture

Borisova

Martinussen

Rydland

et al. 2017

Scand J Public Health

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Aim. This paper examines role of cultural values in understanding people's satisfaction with health services across Europe.Methods. We used multilevel linear regression analysis on the 7 th round of the European Social Survey (ESS) from 2014, including approximately 40,000 respondents from 21 countries. Preliminary intraclass correlation analyses lead us to believe that some explanations of variance in the dependent variable were to be found at the country level. In search of country-level explanations, we attempted to account for the role of national culture in influencing citizens' attitudes towards health systems. This was done by using Hofstede's dimensions of power distance (PDI), individualism (IDV), masculinity (MAS), and uncertainty avoidance (UAI), giving each country in the survey a mean aggregated score.Results. In our first model with individual level variables, being female, having low or medium education, experiencing financial strain, and reporting bad health and unmet medical needs were negatively associated with individual satisfaction with national healthcare systems, with the latter variable showing the strongest effect. After including Hofstede's cultural dimensions in our multilevel model, we found that the power distance index variable had a negative effect on the dependent variable, significant at a 0.1 level. Conclusions.It is possible that in national cultures associated with autocracy and hierarchy, citizens are likely to evaluate their national health system more negatively.

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Section: Introductionmentioning

confidence: 99%

Public evaluation of health services across 21 European countries: The role of culture

Borisova

Martinussen

Rydland

et al. 2017

Scand J Public Health

View full text Add to dashboard Cite

show abstract

“…For example, Cooper et al (2011) find that a reform in the English National Health Service reduced mortality significantly by giving patients the freedom of choice which hospital they want to be transferred 5 to. Kalda et al (2003) and Schmittdiel et al (1997) find that giving patients the option to choose the physician providing primary care leads to higher overall patient satisfaction.…”

mentioning

confidence: 99%

Medical Insurance and Free Choice of Physician Shape Patient Overtreatment: A Laboratory Experiment

et al. 2014

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In a laboratory experiment designed to capture key aspects of the interaction between physicians and patients, we study the effects of medical insurance and competition in the guise of free choice of physician, including observability of physicians' market shares. Medical treatment is an example of a credence good: only the physician knows the appropriate treatment, the patient does not. Even after a consultation, the patient is not sure whether he received the right treatment or whether he was perhaps overtreated. We find that with insurance, moral hazard looms on both sides of the market: patients consult more often and physicians overtreat more often than in the baseline condition. Competition decreases overtreatment compared to the baseline and patients therefore consult more often. When the two institutions are combined, competition is found to partially offset the adverse effects of insurance: most patients seek treatment, but overtreatment is moderated.

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“…The results of this study demonstrated that about half of respondents were sufficiently informed about the transition to the new PHC system and about two thirds of respondents were registered on the patient list of a FD. 68% of the respondents were satisfied with their primary care doctor [21], and the satisfaction with care was associated with personal choice of FD [22]. Further studies demonstrated a rather high satisfaction as well.…”

Section: Patient Satisfaction and Acceptability Of Phc Systemmentioning

confidence: 87%

“…The first study was conducted in October 1998, ten months after the formal implementation of list system and gate-keeping principles [21,22]. The results of this study demonstrated that about half of respondents were sufficiently informed about the transition to the new PHC system and about two thirds of respondents were registered on the patient list of a FD.…”

Section: Patient Satisfaction and Acceptability Of Phc Systemmentioning

confidence: 97%