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      Determinants of Hospital Choice among Patients and Perceptions of the Same among Hospital Employees in a Tertiary Care Corporate Hospital in Mumbai, India

      , , ,
      The Open Public Health Journal
      Bentham Science Publishers Ltd.

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          Abstract

          Introduction:

          In recent times, the choice has become an important factor in healthcare as patients can compare hospitals and healthcare providers using the abundance of information at their disposal. Patients now want to be more involved in their treatment decision-making process and at times seek information about their conditions as well as different types of available treatment options. This makes them aware consumers. They hold the key to the domain of healthcare marketing and the best way to understand patients’ expectations is to understand the factors that affect their decision-making process.

          Methods:

          The prospective observational study was conducted on 252 patients and 56 employees of a tertiary care corporate hospital in Mumbai, using a structured questionnaire.

          Results:

          This study highlights the major factors that affect patients’ decisions when it comes to selecting a hospital. These factors are competent medical and support staff, emergency and laboratory services, the reputation of the hospital among the public, cost of services, hospital location and infrastructure. Looking at the same situation from an administrative employee’s perspective gives us an insight into how they think patients decide on a hospital.

          Discussion:

          The significance of this study is derived from this need of exploring the concept of patient choice from not only the consumer’s (patients’) perspective but service providers (employees) too. Patient choice factors and the service response to those factors form an important part of the patient experience with a provider, thus impacting their satisfaction.

          Conclusion:

          The study thus sheds light on the way patients select a hospital and the measures the hospital administration needs to take to increase their acceptance by the patients, leading to greater patient satisfaction and hence patient loyalty.

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          Most cited references22

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          Factors influencing healthcare service quality.

          The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context.
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            Factors affecting patient satisfaction and healthcare quality.

            The aim of this paper is to build a comprehensive conceptual model to understand and measure variables affecting patient satisfaction-based healthcare quality. A total of 24 articles from international journals were systematically reviewed for factors determining patient satisfaction and healthcare quality. Patient satisfaction is a multi-dimensional healthcare construct affected by many variables. Healthcare quality affects patient satisfaction, which in turn influences positive patient behaviours such as loyalty. Patient satisfaction and healthcare service quality, though difficult to measure, can be operationalized using a multi-disciplinary approach that combines patient inputs as well as expert judgement. The paper develops a conceptual model that needs to be confirmed empirically. Also, most research pertains to developed countries. Findings are presented that may not be generalized to developing nations, which may be quite different culturally. The paper has direct implications for health service providers. They are encouraged to regularly monitor healthcare quality and accordingly initiate service delivery improvements to maintain high levels of patient satisfaction. The paper collates and examines recent healthcare quality study findings. It presents a comprehensive, conceptual model encompassing research work and a holistic view of various aspects affecting patient satisfaction and healthcare quality. Although a large amount of healthcare quality research has been done, each studying a particular service, this paper comprehensively brings together various research findings.
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              Do patients and health care providers have discordant preferences about which aspects of treatments matter most? Evidence from a systematic review of discrete choice experiments

              Objectives To review studies eliciting patient and healthcare provider preferences for healthcare interventions using discrete choice experiments (DCEs) to (1) review the methodology to evaluate similarities, differences, rigour of designs and whether comparisons are made at the aggregate level or account for individual heterogeneity; and (2) quantify the extent to which they demonstrate concordance of patient and healthcare provider preferences. Methods A systematic review searching Medline, EMBASE, Econlit, PsycINFO and Web of Science for DCEs using patient and healthcare providers. Inclusion criteria: peer-reviewed; complete empiric text in English from 1995 to 31July 2015; discussing a healthcare-related topic; DCE methodology; comparing patients and healthcare providers. Design Systematic review. Results We identified 38 papers exploring 16 interventions in 26 diseases/indications. Methods to analyse results, determine concordance between patient and physician values, and explore heterogeneity varied considerably between studies. The majority of studies we reviewed found more evidence of mixed concordance and discordance (n=28) or discordance of patient and healthcare provider preferences (n=12) than of concordant preferences (n=4). A synthesis of concordance suggested that healthcare providers rank structure and outcome attributes more highly than patients, while patients rank process attributes more highly than healthcare providers. Conclusions Discordant patient and healthcare provider preferences for different attributes of healthcare interventions are common. Concordance varies according to whether attributes are processes, structures or outcomes, and therefore determining preference concordance should consider all aspects jointly and not a binary outcome. DCE studies provide excellent opportunities to assess value concordance between patients and providers, but assessment of concordance was limited by a lack of consistency in the approaches used and consideration of heterogeneity of preferences. Future DCEs assessing concordance should fully report the framing of the questions and investigate the heterogeneity of preferences within groups and how these compare.
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                Author and article information

                Journal
                The Open Public Health Journal
                TOPHJ
                Bentham Science Publishers Ltd.
                1874-9445
                December 20 2022
                December 20 2022
                : 15
                : 1
                Article
                10.2174/18749445-v15-e221205-2022-126
                cada8e4d-f84d-4fc2-a116-af89c41cc7ae
                © 2022

                Free to read

                https://creativecommons.org/licenses/by/4.0/legalcode

                History

                Medicine,Chemistry,Life sciences
                Medicine, Chemistry, Life sciences

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