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Variation in patient satisfaction and characteristics of providers – findings based on the National Patient Survey in Swedish primary care Anna Häger Glenngård Lund University School of Economics and Management. Purpose. - PowerPoint PPT PresentationTRANSCRIPT
Lund University / School of Economics and Management
Variation in patient satisfaction and characteristics of providers – findings based on the National Patient Survey in Swedish primary care
Anna Häger Glenngård Lund University School of Economics and Management
Lund University / School of Economics and Management
Purpose
The purpose was to analyze variation in patient satisfaction with respect to
characteristics of providers in primary care.
Lund University / School of Economics and Management
Data from the National Patient Survey and register data from VGR, Skåne, & Halland
• Accessibility. What is your opinion about the waiting time?
• Responsiveness 1. Did you participate in decisions regarding your care and treatment as much as you wanted?
• Responsiveness 2. Were you attended to with respect and in a considerate way?
• Continuity.Do you usually get to see the same doctor/nurse?
• Quality. Was your need of care adequately taken care of?
• Overall satisfaction. Overall satisfaction with the visit?
• Characteristics of providers (size, location, owner, visits, ACG, CNI)
Lund University / School of Economics and Management
Results (1)
• Perceptions regarding the different aspects of patient satisfaction for both nurse and doctor visits were correlated: Providers that had satisfied patients regarding one question also tended to have satisfied patients regarding other questions.
• Systematic variation in patient satisfaction was found with respect to several different characteristics of providers, both structural, organizational and mix of registered individuals.
• Private providers were associated with higher patient satisfaction on an overall level but not when taking into account structural differences and mix of registered individuals. 2023-04-1
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Lund University / School of Economics and Management
Results (2)
• The mix of registered individuals was correlated to patient satisfaction:– High social deprivation – negative correlation– High overall illness – positive correlation
• A high proportion of all visits being with a doctor was associated with higher patient satisfaction. The number of visits per registered individual was not correlated with higher or lower patient satisfaction.
• A smaller number of registered individuals (size) were associated with a higher patient satisfaction.
• Being located in the two biggest cities in the sample (Malmö and Göteborg) was associated with a lower patient satisfaction.
Lund University / School of Economics and Management
Reflections
• Factors that are of relevance for how well providers perform according patient surveys are more or less possible to control for providers.
• Variation in patients´ assessment of provider performance with respect to structural differences and mix of registered individuals adds to the complexity of using aggregated comparative information about providers.
• From a patient perspective and from the perspective of choice systems to work in practice it is crucial with accurate information to base individual choice of providers upon.
2023-04-19