Patients’ choice between public and private hospital emergency departments: a cross‐sectional survey

He, Jun; Hou, Xiang-Yu; Toloo, Ghasem Sam; FitzGerald, Gerry

doi:10.1111/1742-6723.12841

Cited by 5 publications

(3 citation statements)

References 10 publications

(13 reference statements)

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“…However, the education variable, which was mostly higher, reflects the characteristics of the patients of this hospital. These findings show that patients who have access to private medical care have higher socioeconomic status, sometimes determined by having higher levels of education, thus corroborating an Australian study showing that patients usually visit EDs in private hospitals when they have higher purchasing power (24) . Regarding the medical specialty variable, the findings show that most patients seek care for their clinical complaints.…”

Section: Discussionsupporting

confidence: 80%

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

et al. 2021

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Objectives: to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department. Methods: a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration). Results: of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level. Conclusions: despite low protocol adherence, the intervention resulted in higher reported pain relief.

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Section: Discussionsupporting

confidence: 80%

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

et al. 2021

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“…Furthermore using a five-likert scale the study investigated the perception of the patients on the factors for choice of healthcare delivery at public hospitals. By focusing on health provider characteristics the results show that the patients strongly agreed and agree on treatment cost [16] and [23][24][25] distance from the hospital [23] and [25][26][27], location of the hospital [23] and medicine availability [23][24] as the key indicators.…”

Section: Discussionmentioning

confidence: 99%

Patient’s Perception on Factors for Choice of Healthcare Delivery at Public Hospitals in Dodoma City

Mwaseba¹,

Mwang’onda²,

Juma³

2018

CAJPH

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Globally health is regarded as a human capital and thus healthcare delivery is treated as of crucial importance to all communities. Both non-price and price factors play a significant role in determining the patient's choice for healthcare delivery providers. Recently public hospitals have shown to face fairly growing community expectations, though they still perceived to have low quality healthcare, thus the intent of the study. Employing Chi-square and five point likert scale questions patient's choice and perception were assessed. The results show that there is greater relationship between age and patient's choices to attend at public hospitals, while education, sex and patient's occupation were not significant. Moreover, treatment cost, distance from the hospital, and location of the hospital and medicine availability were key indicators for patient's choice. Improvement of medicine availability and reduction of treatment cost is needed so as to attract patients in public hospitals. Since patient's choices are not completely rational, further research should be done on health outcome factors that influence patient's choice in order to integrate healthcare provider and health outcome factors towards improvements of quality health services at public hospitals.

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“…Pongsupap and Lerberghe believed that the drug cost of private medical institutions was at least twice that of public medical institutions [7]. Private medical institutions faced the obstacle of patient out-of-pocket costs [8]. Overall, previous research has shown differences in health costs between public and private medical institutions.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Medical Choice on Health Costs of Middle-Aged and Elderly Patients with Chronic Disease: Based on Principal-Agent Theory

Guo

et al. 2022

IJERPH

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(1) Background: The discussion on how to reduce the health costs of chronic disease patients has become an important public health issue. Limited research has been conducted on how chronic disease patients’ medical choice of public and private medical institutions affect health costs. (2) Methods: This study used the panel data composed of the China Health and Retirement Longitudinal Survey (CHARLS) from 2011 to 2018, adopted the quasi-natural experimental research method, and set up a control group and an experimental group that chose public medical institutions and private medical institutions, to analyze the association between the medical choice and health costs of chronic disease patients. (3) Results: Compared with chronic disease patients who chose private medical institutions, patients who chose public medical institutions increased their total cost by 44.9%, total out-of-pocket cost by 22.9%, and decreased the total out-of-pocket ratio by 0.117%, total drug cost out-of-pocket ratio by 0.075%, and drug cost ratio by 0.102%. (4) Conclusions: According to the triple principal-agent relationships, the resource advantages given by the government to public medical institutions, the salary incentive system of medical institutions, and the information asymmetry advantage held by physicians may be important factors for the increase in health costs for chronic disease patients.

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Patients’ choice between public and private hospital emergency departments: a cross‐sectional survey

Cited by 5 publications

References 10 publications

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

Patient’s Perception on Factors for Choice of Healthcare Delivery at Public Hospitals in Dodoma City

The Effect of Medical Choice on Health Costs of Middle-Aged and Elderly Patients with Chronic Disease: Based on Principal-Agent Theory

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