What shapes patient's satisfaction in countries' health care systems?

Xesfingi, Sofia and Vozikis, Athanasios (2014): What shapes patient's satisfaction in countries' health care systems?

Abstract

Patient satisfaction is an important measure of health care quality as it offers information on the provider’s success at meeting clients’ expectations and is a key determinant of patients’ perspective behavioral intention. This paper studies the relationship between patient’s satisfaction of healthcare system and a set of socio-economic and health provision indicators. We first construct an index of patient’s satisfaction and then, at a second stage, this index is related to economic and health provision variables. Our empirical analysis relies on 31 countries and for four years. Our findings support a strong positive association between citizens’ satisfaction and public health expenditures, number of physicians and nurses, and the age of the patient, while there is a negative evidence for private health spending and number of hospital beds.

• Item Type: MPRA Paper
• Language: English
• Keywords: patient’s satisfaction, health care provision, public health, private health, healthcare quality
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health

References

Al-Refaie A. (2011). A Structural Model to Investigate Factors Affect Patient Satisfaction and Revisit Intention in Jordanian Hospitals. International Journal of Artificial Life Research, vol. 2(4), pp. 43-56.

Asubonteng P., McCleary K.J. and Swan J.E. (1996). SERVQUAL revisited: a critical review of service quality. The Journal of Services Marketing, vol. 10(6), pp. 62-81.

Bleich S.N., Özaltin E. and Murray C.J.L. (2009). How does satisfaction with the health-care system relate to patient experience? Bull World Health Organ, vol. 87(4), pp. 271-278.

Cheng S-H., Wei Y-J. and Chang, H-J. 2006. Quality Competition Among Hospitals: The Effects of Perceived Quality and Perceived Expensiveness on Health Care Consumers. American Journal of Medical Quality, vol. 21(1), pp. 68-75.

Donabedian A. (1988). The Quality of Care, How Can It Be Assessed? The Journal of the American Medical Association, Sept23/30, vol. 260(12), pp. 1743-1748.

Fidler A.H., Haslinger R.R., Hofmarcher M.M., Jesee M., Palu T. (2007). Incorporation of public hospitals: A “Silver Bullet” against overcapacity, managerial bottlenecks and resource constraints?: Case studies from Austria and Estonia. Health Policy, vol. 81(2-3), pp. 328-338.

Gerdtham U.G. and Jӧnsson B. (2000). International Comparison of Health Expenditures: Theory, Data and Econometric Analysis. Handbook of Health Economics, vol. 1(A), pp. 11-53.

Ghose A. and Adhsih V.S. (2011). Patient satisfaction with medical services: Hospital-based study. Health and Population, vol. 34 (4), pp. 232-242.

Gordo L. R. (2006). Effects of short- and long-term unemployment on health satisfaction: evidence from German data. Applied Economics, vol. 38(20), pp. 2335-2350

Huang J-A., Lai C-S., Tsai W-C., Hu W-H., Yang D-W. (2004). Determining Factors of Patient Satisfaction for Frequent Users of Emergency Services in a Medical Center, Journal of the Chinese Medical Association, vol. 67(8), pp. 403-410.

Kosnik L. (2006). Patient Flow: Reducing Delay in Healthcare Delivery. International Series in Operations Research and Management Science, vol. 91, pp. 101-122.

Kotzian P. (2009). Determinants of Satisfaction with Health Care System. The Open Political Science Journal, vol. 2(1), pp. 47-58.

Kringos D.S., Boerma W.G.W., Van der Zee J. and Groenewegen P.P. (2013a). Political, cultural and economic foundations of primary care in Europe. Social Science and Medicine, vol. 99(C), pp. 9-17.

Kringos D.S., Boerma W.G.W., Van der Zee J. and Groenewegen P.P. (2013b). Europe’ s strong primary care systems are linked to better population health, but also to higher health spending. Health Affairs, vol. 32(4), pp. 686-694.

Kutney-Lee A., McHugh M.D., Sloane D.M., Cimiotti J.P., Flynn L., Felber Neff D. and Aiken L.H. (2009). Nursing: A Key To Patient Satisfaction. Health Affairs, vol. 28(4), pp. 669-677.

McGlynn E.A. (1998). Choosing and evaluating clinical performance measures. The Joint Commission Journal on Quality Improvement, vol. 24(9), pp. 470-479.

Mummalaneni V., Gopalakrishna P. (1955). Mediators vs. Moderators of patient satisfaction. Journal of Health Care Marketing, vol. 15(4), pp.16-22.

Naidu A. (2009). Factors affecting patient satisfaction and healthcare quality. International Journal of Health Care Quality Assurance, vol. 22(4), pp. 366-381.

Owens D.J. and Batchelor C. 1996. Patient satisfaction and the elderly. Journal of Social Science & Medicine, vol. 42 (11), pp. 1483-1491.

Pascoe G.C. (1983). Patient satisfaction in primary health care: A Literature Review and Analysis. Evaluation and Program Planning, 6(3-4), pp. 185-210.

Patwardhan A. and Spencer C.H. (2012). Are patient surveys valuable as a service-improvement tool in health services? An overview. Journal of Healthcare Leadership, vol. 4, pp. 33-46.

Popescu L., Rat C., Rebeleanu A. (2007). Self-Assessed Health Status and Satisfaction With Health Care Services in The New Members States Of The European Union. Studia Universitatis Babes-Bolyai-Sociologia.

Raftopoulos V. (2005). A grounded theory for patients’ satisfaction with quality of hospital care. ICUs and Nursing Web Journal, vol. 22, pp. 1-15.

Reinhardt U.E., Hussey P.S. and Anderson G.F. (2002). Cross-National Comparisons of Health Systems Using OECD Data, 1999. Health Affairs, vol. 21(3), pp. 169-181.

Rubin H.R., Pronovost P. and Diette G. (2001). The advantages and disadvantages of process-based measures of health care. International Journal for Quality in Health Care, vol. 13(6), pp. 469-474.

Zhao F.L., Yue M., Yang H., Wang T., Wu J.H., Li S.C. (2011). Willingness to pay per quality-adjusted life year: is one threshold enough for decision-making?: results from a study in patients with chronic prostatitis. Med Care, vol. 49(3), pp. 267-72.