Evidence map›Paper›PMID 34928184›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Patients' Shift from Public to Private Primary Health Care Providers in Lithuania: Analysis of the Main Reasons.

Paulius Žvinakis, Roberta Kalibataitė, Vytenis Kalibatas

Open access · goldAbstract read
In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 66% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Why Do Primary Care Patients Change Their Physicians: An Overview of the Literature.International journal of environmental research and public health · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Paulius ŽvinakisDepartment of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Roberta KalibataitėDepartment of Dental and Oral Pathology, Faculty of Odontology, 475578Lithuanian University of Health Sciences, Kaunas, Lithuania.
Vytenis KalibatasDepartment of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0002-5923-8166
Lithuanian University of Health Sciences · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLithuania is one of the countries where public and private primary health care (PHC) providers compete for patients. Patients continuously shift from public to PHC providers, but an analysis of the main reasons was never performed. This study aimed to analyze the reasons why patients shift from public to private PHC providers and identify the associations between the reasons and demographic characteristics of the patients.

methodsA cross-sectional study based on a phone questionnaire was conducted among patients who shifted from public to private primary health care (PHC) providers. A total of 810 phone calls were made, and 572 telephone surveys were completed. The response rate was 70.49%. The difference between the proportions was assessed using the Z-test. The association between categorical variables was assessed using the chi-square test.

resultsThe study identified the following main reasons: long queues to obtain family physician appointments (23.6%), inconvenient location of public's institution department (20.1%), patients relocating (19.2%), enrolment at a former family physician who transitioned from a public to private PHC institution (10.5%), and long waiting time at the family physician's office for the appointment (9.4%). Some statistically significant correlations were found between the specific reasons for shifting from public to private PHC organizations and patients' demographic characteristics.

conclusionsPersonal reasons are the most common reasons for shifting from public to private PHC providers (43.36% of the respondents), following the reasons related exclusively to the family physician (25.17%) and related PHC institutions only (24.9%).

Indexed as

Physicians, FamilyPrimary Health CareCross-Sectional StudiesHumansLithuaniaSurveys and Questionnairesfamily physicianspatient acceptance of health careprimary health careprivate sectorpublic sector

Identifiers

PMID34928184
PMCPMC8724985
OpenAlexW4200600396

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.