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Does increased standardisation in health care mean less responsiveness towards individual patients expectations? : A register based study in Swedish primary care

Glenngård, Anna LU and Anell, Anders LU (2017) In SAGE Open 5.
Abstract
Objective:
We explore whether standardisation in health care based on evidence on group level and a public health perspective is in conflict with responsiveness towards individual patient’s expectations in Swedish primary care.

Methods:
Using regression analysis, we study the association between patient views about providers’ responsiveness and indicators reflecting provider’s adherence to evidence-based guidelines, controlled for characteristics related to providers, including patient mix and degree of competition facing providers. Data were taken from two Swedish regions in years 2012 and 2013.

Results:

Patients’ views about responsiveness are positively correlated with variables... (More)
Objective:
We explore whether standardisation in health care based on evidence on group level and a public health perspective is in conflict with responsiveness towards individual patient’s expectations in Swedish primary care.

Methods:
Using regression analysis, we study the association between patient views about providers’ responsiveness and indicators reflecting provider’s adherence to evidence-based guidelines, controlled for characteristics related to providers, including patient mix and degree of competition facing providers. Data were taken from two Swedish regions in years 2012 and 2013.

Results:

Patients’ views about responsiveness are positively correlated with variables reflecting provider’s adherence to evidence-based guidelines regarding treatment of elderly and risk groups, drug reviews and prescription of antibiotics. A high overall illness, private ownership and a high proportion of all visits being with a doctor are positively associated with patient views about responsiveness. The opposite relation was found for a high social deprivation among enrolled individuals and size of practice. There was no systematic variation with respect to the degree of competition facing providers.

Conclusion:
Results suggest that responsiveness towards individual patient expectations is compatible with increased standardisation in health care. This is encouraging for health care providers as they are challenged to balance increased demands from both patients and payers. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
standardisation in health care, responsiveness, primary care
in
SAGE Open
volume
5
pages
8 pages
publisher
Sage Open
ISSN
2158-2440
DOI
10.1177/2050312117704862
language
English
LU publication?
yes
id
bc32aec2-35ae-43ba-89a4-8b1a6a9ac738
date added to LUP
2017-05-12 08:38:27
date last changed
2017-05-13 03:00:03
@article{bc32aec2-35ae-43ba-89a4-8b1a6a9ac738,
  abstract     = {<b>Objective:</b><br/>We explore whether standardisation in health care based on evidence on group level and a public health perspective is in conflict with responsiveness towards individual patient’s expectations in Swedish primary care.<br/><br/><b>Methods:</b><br/>Using regression analysis, we study the association between patient views about providers’ responsiveness and indicators reflecting provider’s adherence to evidence-based guidelines, controlled for characteristics related to providers, including patient mix and degree of competition facing providers. Data were taken from two Swedish regions in years 2012 and 2013.<br/><b><br/>Results:</b><br/>Patients’ views about responsiveness are positively correlated with variables reflecting provider’s adherence to evidence-based guidelines regarding treatment of elderly and risk groups, drug reviews and prescription of antibiotics. A high overall illness, private ownership and a high proportion of all visits being with a doctor are positively associated with patient views about responsiveness. The opposite relation was found for a high social deprivation among enrolled individuals and size of practice. There was no systematic variation with respect to the degree of competition facing providers.<br/><br/><b>Conclusion:</b><br/>Results suggest that responsiveness towards individual patient expectations is compatible with increased standardisation in health care. This is encouraging for health care providers as they are challenged to balance increased demands from both patients and payers.},
  author       = {Glenngård, Anna and Anell, Anders},
  issn         = {2158-2440},
  keyword      = {standardisation in health care,responsiveness,primary care},
  language     = {eng},
  pages        = {8},
  publisher    = {Sage Open},
  series       = {SAGE Open},
  title        = {Does increased standardisation in health care mean less responsiveness towards individual patients expectations? : A register based study in Swedish primary care},
  url          = {http://dx.doi.org/10.1177/2050312117704862},
  volume       = {5},
  year         = {2017},
}