Do patients' information requirements for choice in health care vary with their socio-demographic characteristics?
File(s)ChoiceSurveySPIRALVERSION.docx (87.33 KB)
Accepted version
Author(s)
Laverty, AA
Dixon, A
Millett, C
Type
Journal Article
Abstract
Objectives
This study examines whether the information used to inform hospital choice, and the sources of that information, varies with patients’ socio-demographic characteristics. It also examines whether information used by patients to inform choice is associated with attending their local hospital.
Methods
A survey of 1033 patients who were offered a choice of hospital provider for elective treatment in England. Logistic regression was used to examine associations between patient characteristics and information used to inform choice of a hospital provider and sources of information used.
Results
Factors most important to patients in choosing a hospital were quality of care, cleanliness, standard of facilities and reputation. While quality of care and related factors are important to the majority of patients, those with lower levels of education were more likely to report that location and appointment times were important. Those who thought quality important were more likely to attend their local hospital provider. The main sources of information used to inform choice of hospital were own experience, family and friends and the general practitioner (GP). Patients who sought advice from their GP or booking advisors were less likely to attend their local hospitals.
Conclusions
Differences among patients as to what factors are important when choosing a hospital provider and what information and support they access suggest there needs to be a variety of information sources and support available to promote choice. Greater shared decision making through active involvement and support by GPs or booking advisors may be required if they are to make choices in line with their preferences.
This study examines whether the information used to inform hospital choice, and the sources of that information, varies with patients’ socio-demographic characteristics. It also examines whether information used by patients to inform choice is associated with attending their local hospital.
Methods
A survey of 1033 patients who were offered a choice of hospital provider for elective treatment in England. Logistic regression was used to examine associations between patient characteristics and information used to inform choice of a hospital provider and sources of information used.
Results
Factors most important to patients in choosing a hospital were quality of care, cleanliness, standard of facilities and reputation. While quality of care and related factors are important to the majority of patients, those with lower levels of education were more likely to report that location and appointment times were important. Those who thought quality important were more likely to attend their local hospital provider. The main sources of information used to inform choice of hospital were own experience, family and friends and the general practitioner (GP). Patients who sought advice from their GP or booking advisors were less likely to attend their local hospitals.
Conclusions
Differences among patients as to what factors are important when choosing a hospital provider and what information and support they access suggest there needs to be a variety of information sources and support available to promote choice. Greater shared decision making through active involvement and support by GPs or booking advisors may be required if they are to make choices in line with their preferences.
Date Issued
2013-05-28
Date Acceptance
2013-05-01
Citation
Health Expectations, 2013, 18 (5), pp.1127-1138
ISSN
1369-7625
Publisher
Wiley
Start Page
1127
End Page
1138
Journal / Book Title
Health Expectations
Volume
18
Issue
5
Copyright Statement
© 2013 John Wiley & Sons Ltd. This is the accepted version of the following article, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/hex.12086/abstract
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000365046700042&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Public, Environmental & Occupational Health
information requirements
patient choice of provider
Quality-of-care
Performance data
Hospitals
Surgery
Impact
Information requirements
Patient choice of provider
Public Health
Public Health And Health Services
Nursing
Psychology
Publication Status
Published