Why do patients change their general practitioner? Suggestions on corrective actions

Buja, Alessandra; Cavinato, M; Perissinotto, Egle; Rausa, Giuseppe; Mastrangelo, Giuseppe; Toffanin, Roberto

doi:10.1007/s11845-010-0571-6

Cited by 13 publications

(14 citation statements)

References 14 publications

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“…Based on a systematic literature review and the analysis of similar questionnaires applied in other medical and dental studies, 3,13‐19 an initial item pool was created. It was evaluated and discussed by a panel of experts considering content validity, resulting in a preliminary version of the questionnaire with 32 questions.…”

Section: Methodsmentioning

confidence: 99%

Patients’ criteria for choosing a dentist: Comparison between a university‐based setting and private dental practices

Lamprecht

Struppek

Heydecke

et al. 2020

J of Oral Rehabilitation

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Most clinical studies in dentistry are conducted in university‐based settings. However, whether findings can be generalised to private dental practices is not clear. Aims of this study were to determine patients’ criteria for choosing a dentist, and to assess whether criteria differ between patients in university dental clinic and private dental practices. In this cross‐sectional study, a convenience sample of 300 subjects involving dental patients of a university dental clinic and private dental practices, and subjects from general population (each n = 100) were included. Criteria for choosing a dentist were assessed with a 31‐item questionnaire, covering socio‐demographic characteristics, qualifications, psychosocial skills, practice structure, practice offers and accessibility, with a 6‐point ordinal rating scale ranging from "very crucial”‐(5) to “not crucial at all"‐(0). A total of 189 subjects (63%) provided completed questionnaires for analyses. Dentists’ psychosocial skills (mean 4.4) were rated as most important when choosing a dentist, whereas socio‐demographic characteristics were of almost no significance (mean 1.0). Significant differences between settings were observed only for practice offers and accessibility with highest ratings in university setting. However, after controlling for potential confounders, ratings differed only slightly and not statistically significantly. In conclusion, dentists’ psychosocial skills appear to be most important criteria for choosing a dentist. Setting‐related differences in criteria seem to be likely but obviously result from differences in socio‐demographic characteristics.

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Section: Methodsmentioning

confidence: 99%

Patients’ criteria for choosing a dentist: Comparison between a university‐based setting and private dental practices

Lamprecht

Struppek

Heydecke

et al. 2020

J of Oral Rehabilitation

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“…Previous studies reported that patients commonly mentioned non-clinical explanations as reasons for changing physicians such as low satisfaction with the current physicians or moving to a 29,30 Based on such reports, in the current study, it was assumed that patients change their physicians for some reason and would not mix prescriptions from different providers. The current study also assumed that physicians would make prescriptions for their new patients comprehensively, not just for filling a part of medicines that the patients already had from different physicians.…”

Section: Medication Adherencementioning

confidence: 98%

The impact of medication adherence on health outcomes for chronic metabolic diseases: A retrospective cohort study

Han

Suh

Lee

et al. 2014

Research in Social and Administrative Pharmacy

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“…Thus, our data suggest that preferences for a different involvement level could be relatively controllable by the caregivers, considering that, to a large extent, they seem to depend on the attitude of the GP in the previous visits and to the longterm 'personal' relationship between a patient and his/her GP, that is different from the occasional contacts with a specialist. Patients, in Italy, are in fact free to choose their GP at the age of 18 and once they make their final choice they hardly change it [37]. Consequently, this long term relationship, built over the years and most of the times based on reciprocal trust should not require patients' total involvement during each consultation.…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity in Preferences for Primary Care Consultations: Results from a Discrete Choice Experiment

Seghieri¹

2013

ijsmr

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Purpose: The increasing importance of flexibility in the general practitioner (GP)-patient consultation approach in primary care requires healthcare managers and physicians to find a balance among all the potentially important characteristics of consultation. This study used a discrete choice experiment (DCE) to assess patients' preferences for different attributes of GP consultation and how the rate at which they traded between different attributes is affected by socio-demographic characteristics and past experiences with primary care services. Methods: A survey was conducted to a sample of 6970 residents in Tuscany region, Italy. Besides socio-demographic characteristics the survey collected information about participants' past experience with GP consultation in the last 12 months. Moreover, participants were asked to select their preferred option in a series of pairwise choices, defined by the following attributes: level of involvement in decision making, amount of information received from the GP and waiting time for the visit. Results: Results revealed that receiving information from the GP was more important than being involved in the decisions and that, approximately, a complete involvement had the same importance as a partial involvement. Participants' past experience with GP's consultation appeared to have the greatest influence on the involvement level. The amount of information required by the respondents was also influenced by a complex interplay of personal and contextual factors. Conclusions: This large-scale study extends the body of literature on DCE applications for different GP consultation approaches, providing new information about the influence that patients' socio-demographic characteristics and past experiences could have on consultation preferences.

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Why do patients change their general practitioner? Suggestions on corrective actions

Cited by 13 publications

References 14 publications

Patients’ criteria for choosing a dentist: Comparison between a university‐based setting and private dental practices

Patients’ criteria for choosing a dentist: Comparison between a university‐based setting and private dental practices

The impact of medication adherence on health outcomes for chronic metabolic diseases: A retrospective cohort study

Heterogeneity in Preferences for Primary Care Consultations: Results from a Discrete Choice Experiment

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