Patients’ perceptions of health system responsiveness in ambulatory care in Germany
Autor: | Adelheid Kuhlmey, Bernhard Gibis, Susanne Schnitzer, Julia Röttger, Reinhard Busse, F Tille |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Social Determinants of Health media_common.quotation_subject Trust 03 medical and health sciences Dignity 0302 clinical medicine Ambulatory care Germany Surveys and Questionnaires Health care Ambulatory Care medicine Humans Confidentiality 030212 general & internal medicine Social determinants of health Aged media_common Physician-Patient Relations business.industry 030503 health policy & services General Medicine Middle Aged Health equity Patient Satisfaction Family medicine Personal Autonomy Ambulatory Female 0305 other medical science business Autonomy |
Zdroj: | Patient Education and Counseling. 102:162-171 |
ISSN: | 0738-3991 |
Popis: | Objective To identify overall levels of health system responsiveness and the associations with social determinants for ambulatory health care in Germany from a user perspective. Methods This analysis drew on a 2016 health survey sample of 6113 adults in Germany. Responsiveness was measured for general practitioners (GPs) and specialists (SPs) along the domains trust, dignity, confidentiality, autonomy and communication. Bivariate and multivariate logistic regression techniques were applied. Results Over 90% of all patients assessed their last GP and SP visit as good regarding trust, dignity, autonomy and communication, but only half for confidentiality in the doctor office (GP visits: 50.3%; SP visits: 52.4%). For GP visits, patients’ young age of 18–34 years showed most associations with poor assessment of the domains, for SP visits a current health problem as the reason for the last consultation. Conclusion While overall responsiveness levels for ambulatory care are high, ratings of confidentiality are distressing. Particularly patients’ young age and bad health are associated with a poor assessment of responsiveness. Practice implications Measures to improve doctor office infrastructure and to enhance responsiveness towards patients under the age of 35 years and those with health problems are vital to increase responsiveness. |
Databáze: | OpenAIRE |
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