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ECONOMICAL RESEARCH

TITLE

Patient Dissatisfaction in Public and Private Healthcare Organizations: the Influence of Individual Characteristics

 Ol'ga A. Kislitsyna

Размер файла571-584
 Размер файла  2.828 MB Размер файла Full text

 

INDEX

RAR (Research Article Report)

JEL I10, I11
https://doi.org/10.52180/1999-9836_2024_20_4_7_571_584

AUTHOR

Ol'ga A. Kislitsyna

Institute of Economics of the Russian Academy of Sciences, Moscow, Russia

e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ORCID: http://orcid.org/0000-0002-4144-237X
SPIN-code: 7120-4122
RSCI Author ID: 76704
ResearcherID: E-3767-2012
Scopus Author ID: 8852460000 15

For citation

Kislitsyna O.A. Social Patient Dissatisfaction in Public and Private Healthcare Organizations: the Influence of Individual Characteristics.  Uroven' zhizni naseleniya regionov Rossii=Living Standards of the Population in the Regions of Russia. 2024;20(4):571–584. https://doi.org/10.52180/1999-9836_2024_20_4_7_571_584 (In Russ.)

Abstract

Consumer satisfaction/dissatisfaction is becoming a key indicator of the quality of medical services and the effectiveness of health systems. The purpose of this study was to examine the level of dissatisfaction with received medical care and the individual factors associated with it among patients in public and private health care institutions.

The information base of the study was a Sample observation of the health status of the population conducted by Rosstat in 2023 and covered a total of just over 120 thousand respondents, of which participants over 18 years of age who used health services during the past 12 months (about 90 thousand) were selected for further analysis. Patient dissatisfaction was considered as a dependent variable in multivariate logistic regressions. Socio-demographical and economical characteristics of the survey participants, their health characteristics and place of residence were used as independent variables.

It was found that a significant proportion of patients were satisfied with the medical care they received, while the level of dissatisfaction was higher in public health organizations (21.8%) than in private ones (7.6%). Women, older respondents, those who were married and/or had children under 18, who have received secondary or higher education, were employed in the private sector of the economy or had their own business, had poor health and complains about poor financial situation, lived in the city and in such Federal Districts as Siberian, Far Eastern, Southern, Northwestern, Volga, were more likely to express dissatisfaction with the medical care received in public health organizations. While dissatisfaction with services in private institutions was associated with only five factors: age, health, financial situation, type of settlement and district of residence. The reasons for dissatisfaction with medical services in public and private health organizations were compared. Population groups dissatisfied with medical care for specific reasons were identified.

 

Keywords 

satisfaction, public opinion, medical services, medical healthcare, determining factors, public health organizations, private health organizations, Sample observation of the health status of the population

AUTHOR'S BIOGRAFY

Kislitsyna A. Ol'ga – D-r of Econ., Principle investigator of the Institute of Economics of the Russian Academy of Sciences

References

 

  1. Bleich S.N., Özaltin E., Murray C.J.L. How does satisfaction with healthcare system relate to patient experience? Bull World Health Organ. 2009;87(4):271– https://doi.org/10.2471/blt.07.050401
  2. Blendon R.J., Leitman R., Morrison I., et al. Satisfaction with health systems in ten nations. Health Aff (Millwood). 1990;9(2):185–192. https://doi.org/10.1377/hlthaff.9.2.185
  3. Kang L., Zhang T., Xian B., et al. Public satisfaction with health system after healthcare reform in China. Health Res Policy Syst. 2023;21(2):128. https://doi.org/10.1186/s12961-023-01067-6
  4. Hekkert K.D., Cihangir S., Kleefstra S.M., et al. Patient satisfaction revisited: a multilevel approach. Soc Sci Med. 2009;69(1):68–75. https://doi.org/10.1016/j.socscimed.2009.04.016
  5. Hall J.A., Milburn M.A., Epstein A.M. A causal model of health status and satisfaction with medical care. Med Care. 1993;31(1):84–94. https://doi.org/10.1097/00005650-199301000-00007
  6. Sadovoy M.A., Kobyakova O.S., Deev I.A., et al. Satisfaction with the quality of medical care: “you can’t please everyone” or “the patient is always right”? Byulleten' sibirskoj mediciny=Bulletin of Siberian Medicine. 2017;16(1):152–161. https://doi.org/10.20538/1682-0363-2017-1-152-161 (In Russ.)
  7. Kharitonov S.V., Lyamina N.P., Zaitsev V.P. Factors in the formation of patient satisfaction with medical care. Klinicheskaya medicina=Clinical medicine. 2020;98(2):98–105 (In Russ.)
  8. Tyufilin D.S., Chigrina V.P., Medvedev V.A., et al. Satisfaction with medical care in the Russian Federation: factors influencing the assessment. Menedzher zdravoohraneniya=Healthcare manager. 2023;8:68–80. (In Russ.)
  9. Menshikova L.I., Dyachkova M.G., Vyazmin A.M., et al. Satisfaction of patients of the Arkhangelsk region with primary health care. Social'nye aspekty zdorov'ya naseleniya=Social aspects of population health. 2013;33(5):5. (In Russ.)
  10. Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care. 1999;11(4):319–328. https://doi.org/10.1093/intqhc/11.4.319
  11. Deshpande S.P., Deshpande S.S. Factors influencing consumer satisfaction with health care. Health Care Manag (Frederick). 2014;33(3):261–26 https://doi.org/10.1097/HCM.0000000000000024
  12. Hanson K., Gilson L., Goodman C., et al. Is private health care the answer to the health problems of the world’s poor? PLoS Med. 2008;5(11): https://doi.org/10.1371/journal.pmed.0050233
  13. Borsa A., Bejarano G., Ellen M., et al. Evaluating trends in private equity ownership and impacts on health outcomes, costs, and quality: systematic review. 2023;382:e075244. https://doi.org/10.1136/bmj-2023-075244
  14. Kaabi S., Varughese B., Singh R. Public and Private Healthcare System in Terms of both Quality and Cost: A Review. Journal of Clinical and Diagnostic Research. 2022;16(8):1–8. https://doi.org/10.7860/JCDR/2022/55387.16742
  15. Berendes S., Heywood P., Oliver S., et al. Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies. PLoS Med. 2011;8(4):e1000433. https://doi.org/10.1371/journal.pmed.1000433
  16. Kalaja R. Determinants of Patient Satisfaction with Health Care: A Literature Review. 2022;6(1):43–54. https://doi.org/10.2478/ejnsm-2023-0005
  17. Farahani M.F., Shamsikhani S., Hezaveh M.S. Patient satisfaction with nursing and medical care in hospitals affiliated to arak university of medical sciences in 2009. Nursing and Midwifery Studies. 2014;3(3):e14022. https://doi.org/17795/nmsjournal14022
  18. Tam J. Linking quality improvement with patient satisfaction: a study of a health service center. Marketing Intelligence & Planning. 2007;25(7):732–745 https://doi.org/1108/02634500710834197
  19. Akthar N., Nayak S., Pai P.Y. Determinants of patient satisfaction in Asia: Evidence from systematic review of literature. Clinical Epidemiology and Global Health. 2023;23(4):101393. https://doi.org/10.1016/j.cegh.2023.101393
  20. Batbaatar E., Dorjdagva J., Luvsannyam A., et al. Determinants of patient satisfaction: a systematic review. Perspect Public Health. 2017;137(2):89–101. https://doi.org/10.1177/1757913916634136
  21. Tateke T., Woldie M., Ololo S. Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia. Afr J Prim Health Care Fam Med. 2012;4(1):384. https://doi.org/10.4102/phcfm.v4i1.384
  22. Anbori A., Ghani S.N., Yadav H., et al. Patient satisfaction and loyalty to the private hospitals in Sana’a, Yemen. Int J Qual Health C. 2010;22(4):310–315. https://doi.org/10.1093/intqhc/mzq029
  23. Hoxha R., Kosevska E., Berisha M., et al. Predictive factors for patient satisfaction in public and private hospitals in Kosovo (Original research). 2019;12. https://doi.org/10.56801/seejph.vi.144
  24. Akbar F., Rivai F., Awang A. The differences of patient satisfaction level in public and private hospitals in Makassar, Indonesia. Enfermería Clínica. 2020;30:165–169. https://doi.org/10.1016/j.enfcli.2020.06.038
  25. Ghazanfar A., Idress I.N., Zia Z., et al. Comparison of patient’s satisfaction levels in public and private tertiary care centres. J Pak Med Assoc. 2017;67(8):1305–1308
  26. Sheshi I., Issa Y., Aderibigbe S., et al. Comparative Study of Enrollee Satisfaction with Private and Public Health Care Providers of Community Based Health Insurance Scheme in Edu LGA, Kwara State. Current Journal of Applied Science and Technology. 2020;39(32):77–84. https://doi.org/10.9734/cjast/2020/v39i3231003
  27. Zarei A., Arab M., Froushani A.R., et al. Service quality of private hospitals: the Iranian Patients’ perspective. BMC Health Serv Res. 2012;12:31. http://dx.doi.org/10.1186/1472-6963-12-31
  28. Goodair B., Reeves A. The effect of health-care privatisation on the quality of care. Lancet Public Health. 2024;9(3):e199-e206. https://doi.org/10.1016/S2468-2667(24)00003-3
  29. Hollingsworth B., Dawson P.J., Maniadakis N. Efficiency measurement of health care: A review of nonparametric methods and applications. 1999;2(3):161–172. https://doi.org/10.1023/a:1019087828488
  30. Hollingsworth B. Non-parametric and parametric applications measuring efficiency in health care. Health Care Management Science. 2003;6(4):203–2 https://doi.org/10.1023/a:1026255523228
  31. Hollingsworth B. The measurement of efficiency and productivity of health care delivery. Health Economics. 2008;17(10):1107–11 https://doi.org/10.1002/hec.1391
  32. Lee K., Yang S., Choi M. The association between hospital ownership and technical efficiency in a managed care environment. J Med Syst. 2009;33(4):307–315. https://doi.org/10.1007/s10916-008-9192-2
  33. Nguyen Thi P.L, Briançon S., Empereur F., et al. Factors determining inpatient satisfaction with care. Soc Sci Med. 2002;54(4):493–504. https://doi.org/10.1016/s0277-9536(01)00045-4
  34. Jaipaul C.K., Rosenthal G.E. Are older patients more satisfied with hospital care than younger patients? J Gen Intern Med. 2003;18(1):23–30. https://doi.org/10.1046/j.1525-1497.2003.20114.x
  35. Xiao H., Barber J.P. The effect of perceived health status on patient satisfaction. Value Health J Int Soc Pharmacoeconomics Outcomes Res. 2008;11(4):719–725. https://doi.org/10.1111/j.1524-4733.2007.00294.x
  36. Dayasiri M.B., Lekamge E.L. Predictors of patient satisfaction with the quality of healthcare in Asian Hospitals. Australas Med J. 2010;3:739–744. https://doi.org/10.4066/AMJ.2010.375
  37. Jawaid A., Ahmed N., Alam S.N., et al. Patient's experiences and satisfaction from surgical outpatient department of a tertiary care teaching hospital. Pak J Med Sci. 2009;25(3):439–442
  38. Akbar F.H., Ayuandyka U. Gender and age differences in patient satisfaction with dental care in the urban and rural areas of Indonesia: Pilot pathfinder survey. Pesqui Bras Odontopediatria Clin Integr. 2018;18(1):1–9. https://doi.org/10.4034/PBOCI.2018.181.80
  39. Yuan Y. Public satisfaction with health care system in 30 countries: The effects of individual characteristics and social contexts. Health Policy. 2021;125(10):1359–1366. https://doi.org/10.1016/j.healthpol.2021.08.005
  40. Becker G., Newsom E. Socioeconomic status and dis-satisfaction with healthcare among chronically ill African Americans. Am J Public Health. 2003;93(5):742–74 https://doi.org/ 10.2105/ajph.93.5.742
  41. Danish K., Khan U., Chaudhry T., et al. Patient satisfaction; An experience at IIMC-T Railway Hospital. Rawal Med J. 2008;33(2):245-248.
  42. Kislitsyna O.A., Chubarova T.V. Assessment of the health care system in Russia: experience of constructing a regional rating. Vestnik Instituta ekonomiki Rossijskoj akademii nauk=Bulletin of the Institute of Economics of the Russian Academy of Sciences. 2021;3:35–71. https://doi.org/10.52180/2073-6487_2021_3_35_71 (In Russ.)
  43. Ulumbekova G.E., Ginoyan A.B. Rating of the effectiveness of healthcare systems in the regions of the Russian Federation in 2019. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ=ORGZDRAV: news, opinions, training. VSHOUZ Bulletin. 2021;7(1):4–16. https://doi.org/10.33029/2411-8621-2021-7-1-4-16 (In Russ.)