Patient preferences and choices as a reflection of trust-A cluster analysis comparing postsurgical perceptions in a private and a public hospital
© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd..
BACKGROUND: Active participation of patients in managing their medical treatment is a major component of the patient empowerment process and may contribute to better clinical outcomes. Patient perceptions and preferences affect the patient-physician encounter in a variety of dimensions, such as patient autonomy, freedom of choice and trust in the healthcare system. The Israeli healthcare system is mostly publicly funded, with additional private healthcare services for surgery and other medical treatments. The aim of this study was to compare the perceptions and preferences of patients in the public and private hospitals in Israel.
METHODS: A cross-sectional study among 545 individuals who had surgical procedures at two hospitals in Israel (one public and one private). A structured questionnaire comprising 23 items was used to collect perceptions via personal telephone interviews. The responses were categorized into five clusters and compared by type of health services provider (public vs. private) and sociodemographic characteristics (gender, age and education level).
RESULTS: A hierarchical cluster analysis methodology identified five conceptual groups: trust, concern towards medical errors, dialogue between medical staff and the patient/patient's family, confidentiality and staff bias towards more informed patients, or those with supportive families. Four main themes that highlight patients' preferences were found: physical conditions, personal empowerment and perceived autonomy, patient experience and patient-provider encounter communication. Significant differences between the private and the public healthcare systems were found in four clusters: trust and patient care, patient's concerns, the extent of explanation and medical staff's commitment. Differences secondary to sociodemographic parameters were noticed: patients treated at the private hospital scored significantly higher items of trust, medical staff caring and the importance of choosing their treating surgeon, while patients treated at the public hospital scored higher staff commitment to the patient than those treated at the private hospital.
CONCLUSIONS: The study revealed the perceptions underlying the decisions of patients to undergo surgical procedures in public or private hospitals. Mutual learning could pave the way to better patient-physician encounters.
PATIENT OR PUBLIC CONTRIBUTION: Patients from the two hospitals were involved in this study by responding to the questionnaire. The data presented is based on the patient's responses.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
|---|---|
| Enthalten in: |
Health expectations : an international journal of public participation in health care and health policy - 25(2022), 5 vom: 14. Okt., Seite 2340-2354 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Barnea, Royi [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cluster analysis |
|---|
| Anmerkungen: |
Date Completed 31.10.2022 Date Revised 10.11.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1111/hex.13487 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM343535904 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM343535904 | ||
| 003 | DE-627 | ||
| 005 | 20231226020658.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1111/hex.13487 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1145.xml |
| 035 | |a (DE-627)NLM343535904 | ||
| 035 | |a (NLM)35833265 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Barnea, Royi |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Patient preferences and choices as a reflection of trust-A cluster analysis comparing postsurgical perceptions in a private and a public hospital |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 31.10.2022 | ||
| 500 | |a Date Revised 10.11.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd. | ||
| 520 | |a BACKGROUND: Active participation of patients in managing their medical treatment is a major component of the patient empowerment process and may contribute to better clinical outcomes. Patient perceptions and preferences affect the patient-physician encounter in a variety of dimensions, such as patient autonomy, freedom of choice and trust in the healthcare system. The Israeli healthcare system is mostly publicly funded, with additional private healthcare services for surgery and other medical treatments. The aim of this study was to compare the perceptions and preferences of patients in the public and private hospitals in Israel | ||
| 520 | |a METHODS: A cross-sectional study among 545 individuals who had surgical procedures at two hospitals in Israel (one public and one private). A structured questionnaire comprising 23 items was used to collect perceptions via personal telephone interviews. The responses were categorized into five clusters and compared by type of health services provider (public vs. private) and sociodemographic characteristics (gender, age and education level) | ||
| 520 | |a RESULTS: A hierarchical cluster analysis methodology identified five conceptual groups: trust, concern towards medical errors, dialogue between medical staff and the patient/patient's family, confidentiality and staff bias towards more informed patients, or those with supportive families. Four main themes that highlight patients' preferences were found: physical conditions, personal empowerment and perceived autonomy, patient experience and patient-provider encounter communication. Significant differences between the private and the public healthcare systems were found in four clusters: trust and patient care, patient's concerns, the extent of explanation and medical staff's commitment. Differences secondary to sociodemographic parameters were noticed: patients treated at the private hospital scored significantly higher items of trust, medical staff caring and the importance of choosing their treating surgeon, while patients treated at the public hospital scored higher staff commitment to the patient than those treated at the private hospital | ||
| 520 | |a CONCLUSIONS: The study revealed the perceptions underlying the decisions of patients to undergo surgical procedures in public or private hospitals. Mutual learning could pave the way to better patient-physician encounters | ||
| 520 | |a PATIENT OR PUBLIC CONTRIBUTION: Patients from the two hospitals were involved in this study by responding to the questionnaire. The data presented is based on the patient's responses | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a cluster analysis | |
| 650 | 4 | |a commitment | |
| 650 | 4 | |a patient's empowerment | |
| 650 | 4 | |a patient's preferences | |
| 650 | 4 | |a patient's trust | |
| 650 | 4 | |a private hospital | |
| 650 | 4 | |a public hospital | |
| 650 | 4 | |a surgical procedure | |
| 700 | 1 | |a Tur-Sinai, Aviad |e verfasserin |4 aut | |
| 700 | 1 | |a Levtzion-Korach, Osnat |e verfasserin |4 aut | |
| 700 | 1 | |a Weiss, Yossi |e verfasserin |4 aut | |
| 700 | 1 | |a Tal, Orna |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Health expectations : an international journal of public participation in health care and health policy |d 1995 |g 25(2022), 5 vom: 14. Okt., Seite 2340-2354 |w (DE-627)NLM097537896 |x 1369-7625 |7 nnns |
| 773 | 1 | 8 | |g volume:25 |g year:2022 |g number:5 |g day:14 |g month:10 |g pages:2340-2354 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1111/hex.13487 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 25 |j 2022 |e 5 |b 14 |c 10 |h 2340-2354 | ||