Consumer-directed health care: promise or puffery?

Callahan, Daniel

doi:10.1017/s1744133108004490

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Callahan (2008) speaks about the scepticism regarding patient choice and also discusses "consumer-directed health care". He argues that the fundamental question is "whether thinking of the patient as a savvy consumer could ever make full sense in the face of complicated, emotionally charged illnesses and complex decision-making situations".…”

Section: Theoretical Backgroundmentioning

confidence: 99%

The Key Factors Influencing Clients’ Decision-Making in the Market of Selected Planned Healthcare in the Czech Republic

Staňková¹,

Horkelová²,

Lučzewská³

et al. 2017

JOC

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Considering the system, the economics and competitive attitudes in the healthcare market, we can certainly apply standard market tools that are usable in any competitive environment, however, with some limitations. The legal framework for the competitive healthcare services in the Czech Republic has been brought about by the privatization of the healthcare sector and private health care in accordance with Act No. 160/1992 Coll., which enabled the establishment of private health facilities. The law has also permitted clients to choose their specific healthcare establishment and their physician. On the other hand, it is also necessary to respect market specifics. A differentiated structure of health organizations is one of the main differences. Some health care organizations work as business entities and others are not-for-profit organizations whose primary objective is not profit. The type of healthcare utilized is the second difference in this environment. We can distinguish two types of healthcare: (1) acute or emergency and necessary healthcare and (2) planned healthcare. In an acute situation, involving emergency and necessary care, a client often does not take advantage of the opportunity to choose his/her healthcare provider, either due to pain or the need to solve the medical problem quickly. Regarding the planned care, a client has more time and options for choosing. Providers of planned healthcare services constitute part of a competitive environment and their task is to understand their clients' preferences and to customize their portfolio of healthcare services to meet those clients' specific needs. The purpose of the present article is to define the most important factors that influence the decision-making process of clients in the market of selected healthcare services (e.g. eye defects corrections, eyelid aesthetic treatment, orthopedic procedures, selected surgical procedures, planned childbirth and gynecological operations) and to identify the role and the importance of those factors in regard to the decision-making process. A partial aim is to find out whether there are differences in regard to the perception of the key factors that influence decision-making between men and women or between potential and real clients. The result of the research involves the evaluation of 786 questionnaires from clients or potential clients of healthcare services. They were evaluated using the Two-sample t-Test for equal means.

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Section: Theoretical Backgroundmentioning

confidence: 99%

The Key Factors Influencing Clients’ Decision-Making in the Market of Selected Planned Healthcare in the Czech Republic

Staňková¹,

Horkelová²,

Lučzewská³

et al. 2017

JOC

View full text Add to dashboard Cite

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“…Ascertaining public preferences for services can be conceptually and empirically challenging 11 . The choices people make in their everyday lives can be presumed to reveal their preferences across different combinations of goods and services.…”

Section: Introductionmentioning

confidence: 99%

Understanding parent preferences for NHS paediatric allergy services

Diwakar

Cummins

Roberts

2020

Clin Experimental Allergy

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The notion of equality of services as expounded in the NHS charter 1 is not evident in the way allergy services are delivered in the UK. 2 The prevalence of allergies is increasing 3,4 and NHS services are unable to keep up with this increasing demand. 5 Services are hampered by poor training of general practitioners, a considerable shortage in the number of available specialists and chronic lack of investment. 6 In order to meet the rising demand, services are often provided by specialists with little or no formal training in allergy. 2 Regional NHS services for allergy often develop in an ad hoc manner based on demand and availability of trained (or willing) specialists. 7 There are large swathes of the country without access to any specialist allergy services. 8 This "unmet need" 9 for specialist allergy services is

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“…[8, 9, 16, 26]). Attempts were also made to improve the matching of healthcare supply with consumer preferences (consumer-driven health care, see [6]).…”

Section: Introductionmentioning

confidence: 99%

Overcoming resistance against managed care – insights from a bargaining model

2017

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Recent healthcare reforms have sought to increase efficiency by introducing managed care (MC) while respecting consumer preferences by admitting choice between MC and conventional care. This article proposes an institutional change designed to let German consumers choose between the two settings through directing payments from the Federal Health Fund to social health insurers (SHIs) or to specialized MC organizations (MCOs). To gauge the chance of success of this reform, a game involving a SHI, a MCO, and a representative insured (RI) is analyzed. In a “three-player/three-cake” game the coalitions {SHI, MCO}, {MCO, RI}, and {SHI, RI} can form. Players’ possibility to switch between coalitions creates new outside options, causing the conventional bilateral Nash bargaining solution to be replaced by the so-called von Neumann-Morgenstern triple. These triples are compared to the status quo (where the RI has no threat potential) and related to institutional conditions characterizing Germany, the Netherlands, and Switzerland.

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Consumer-directed health care: promise or puffery?

Cited by 4 publications

References 20 publications

The Key Factors Influencing Clients’ Decision-Making in the Market of Selected Planned Healthcare in the Czech Republic

The Key Factors Influencing Clients’ Decision-Making in the Market of Selected Planned Healthcare in the Czech Republic

Understanding parent preferences for NHS paediatric allergy services

Overcoming resistance against managed care – insights from a bargaining model

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