ArticleHealth expectations : an international journal of public participation in health care and health policy2009
Patients' priorities for ambulatory hospital care centres. A survey and discrete choice experiment among elderly and chronically ill patients of a Dutch hospital.
Article in Health expectations : an international journal of public participation in health care and health policy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Discrete choice experiments of pharmacy services: a systematic review.International journal of clinical pharmacy · 2016Pooled it
- A systematic review of barriers to optimal outpatient specialist services for individuals with prevalent chronic diseases: what are the unique and common barriers experienced by patients in high income countries?International journal for equity in health · 2015Pooled it
- Discrete choice experiments in health economics: a review of the literature.PharmacoEconomics · 2014Pooled it
- Expectations of cardiovascular patients: Which factors stand out in healthcare service delivery?BMC health services research · 2026Article
- Preferences for healthcare services among hypertension patients in China: a discrete choice experiment.BMJ open · 2021Article
- Preferences heterogeneity of health care utilization of community residents in China: a stated preference discrete choice experiment.BMC health services research · 2020Article
- Do patients choose community health services (CHS) for first treatment in China? Results from a community health survey in urban areas.Journal of community health · 2013Article
- Patient preferences for hospital quality: case study of iran.Iranian Red Crescent medical journal · 2013Article
- Modeling hospital infrastructure by optimizing quality, accessibility and efficiency via a mixed integer programming model.BMC health services research · 2013Article
- Determinants of patient choice of healthcare providers: a scoping review.BMC health services research · 2012Article
- Identifying Determinants for Traveled Distance and Bypassing in Outpatient Care: A Scoping Review.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors.
Funding
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Abstract
objectiveThis study established patients' preferences regarding the facilities in an adjacent centre for ambulatory hospital care. It also identified determinants of patients' choice to visit this centre instead of the regional hospital.
methodsA questionnaire survey among 1477 elderly and chronically ill people (response 72%) assessed patients' expectations regarding (a) quality of hospital care, (b) facilities in centres for ambulatory hospital care, and (c) future use of these centres. Additionally, 75 patients participated in discrete choice experiments about their decision to visit a centre for ambulatory hospital care or the regional hospital.
resultsRespondents prioritized facilities for examination and medical consultations in the ambulatory care centres. Half of the respondents also valued paramedic care, information desks and pharmacies as centre facilities. Most patients living near a future centre for ambulatory care would rather visit this centre than the regional hospital. However, they favoured seeing their familiar physician, short waiting lists and appointments scheduled consecutively on 1 day. If these aspects were not guaranteed at the adjacent centres, more patients chose to visit the hospital.
conclusionsAlthough patients value most facilities, they set clear priorities. Furthermore, this study showed three important conditions in the decision to visit an ambulatory care centre; (1) the possibility to see their familiar physician, (2) to have consecutive appointments, and (3) a short waiting list. These three factors were more important to patients than proximity. Thus, when choosing between a hospital and an adjacent centre for ambulatory care, quality aspects matter.
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