Patient satisfaction with availability of general practice: an international comparison

Wensing, Michel; Vedsted, Peter; Kersnik, Janko; Peersman, Wim; Klingenberg, Anja; Hearnshaw, Hilary; Hjortdahl, Per; Paulus, Dominique; Künzi, Beat; Mendive, Juan Manuel; Grol, Richard

doi:10.1093/oxfordjournals.intqhc.a002597

Cited by 105 publications

(111 citation statements)

References 12 publications

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“…Overall spending on healthcare provision is also an important factor in establishing a positive regard for health services and, at the end of the day, health services quality assurance [24]. Still, consistent with other studies [17,21], physicians density seem to be of primary importance for establishing a positive regard towards healthcare, when the other factors are also controlled for.…”

Section: Discussionsupporting

confidence: 69%

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: Discussionsupporting

confidence: 69%

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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“…Some of the findings, namely the difficulties that language or hearing-impaired patients have with telephone consulting, 17 technical difficulties with getting through on the phone to doctors' surgeries, 18 reduction in opportunistic screening, 11 and patients' unhappiness with receptionists requesting their medical details, 19,20 confirmed previous reports in the literature, and are therefore not discussed further. Instead, this study will focus on several novel insights in relation to the drivers behind the adoption of and use of telephone consulting, access to care, and safety and quality of care.…”

Section: Key Themes Identifiedmentioning

confidence: 54%

Telephone consulting in primary care: a triangulated qualitative study of patients and providers

McKinstry¹,

Watson²,

Pinnock³

et al. 2009

Br J Gen Pract

110

119

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Internationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of consulting differs from face-to-face encounters. AimTo understand patient and healthcare-staff perspectives on how telephone consulting differs from face-to-face consulting in terms of content, quality, and safety, and how it can be most appropriately incorporated into routine health care. Design of studyFocus groups triangulated by a national questionnaire. SettingPrimary care in urban and rural Scotland. MethodFifteen focus groups (n = 91) were conducted with GPs, nurses, administrative staff, and patients, purposively sampled to attain a maximum-variation sample. Findings were triangulated by a national questionnaire.

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“…Patient or provider characteristics do not explain more of this variation [21], but this is obviously a low percentage. The differences between countries may be associated with a wide range of factors, including the average quality of clinical performance in general practice, the organisation of primary care, characteristics of the patient population, and public expectations regarding primary care.…”

Section: Discussionmentioning

confidence: 86%

Impact of national health care systems on patient evaluations of general practice in Europe

et al. 2004

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Patient satisfaction with availability of general practice: an international comparison

Abstract: Patients favour small practices and full-time general practitioners, which contradicts developments in general practice in many countries. Policy makers should consider how the tensions between patients' views and organizational developments can be solved.

Cited by 105 publications

References 12 publications

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

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

Telephone consulting in primary care: a triangulated qualitative study of patients and providers

Impact of national health care systems on patient evaluations of general practice in Europe

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