Asili Ansari, fahimeh and sima, rafiei (2021) Survey of patients' preferences in using VIP services of teaching hospitals of Qazvin University of Medical Sciences in 2021. Masters thesis, Qazvin University of Medical Siences,Qazvin,Iran.
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Abstract
Abstract Background and Aim: There is significant evidence that confirms the constructive effects of public-private partnerships in various areas of health care delivery. Due to the significant benefits of this method, including increased responsiveness, availability and quality of services, this strategy has been used by health policy makers in most developed countries for many years in order to make optimal use of the maximum capacity of VIP services. But what is certain is that the successful realization of this requires the creation of the necessary infrastructure to encourage patients to use the private services of the health sector to meet the goals of efficiency and effectiveness, as well as patient satisfaction. Therefore, the aim of this study was to investigate patients' preferences in using VIP services of Qazvin University of Medical Sciences teaching hospitals. Materials & Methods: The present study is an analytical and cross-sectional study in which the data collection process was performed from July to October 2016 from all patients admitted to the teaching hospitals of Qazvin University of Medical Sciences. In the present study, a researcher-made questionnaire of Discrete Choice Experiment (DCE) was used to collect data. After determining the components and related levels, patients' preferences in relation to different scenarios based on the use of VIP services were evaluated. . In order to answer the objectives of the study, the data were analyzed using logistic regression after entering STATA software version 13. Results: The results of the study showed that according to the estimated estimates, the greatest effect on patients' preference for private hospital services was related to "reduction of waiting time" (β = 0.82) followed by "access to supplementary insurance coverage" (0.68 = β), "Continuity of care" (β = 0.42), "Minimum tariff for medical services" (β = 0.21), "Appropriate hotel services" (β = 0.13) and "Good doctor interaction" (β = 0.04) . Findings show that all components are important in order (including: waiting time, supplementary insurance coverage, continuity of care, medical tariffs, hotel services and physician-patient interaction) except the nurse-patient interaction based on patients' decision It affects the choice of medical service and this effect is statistically significant (P≤0.05). In fact, reducing waiting time to less than a week increased patients' preference for private services by 2.5 times, and having supplemental insurance coverage increased this choice by 1.5 times. Continuity of service has also increased patients' preference for using VIP services to more than 1.5 times compared to providing non-integrated, incoherent and lacking continuity services. Discussion and Conclusion: The most effective factor in patients' preferences was the reduction of waiting time, access to adequate insurance coverage, continuity of care, reduction of tariffs for medical services and appropriate hoteling. Therefore, adopting policies that can improve the quality of components in the provision of services such as better hoteling, establish more effective relationships with patients and provide comprehensive clinical information to them, reduce waiting time and continuity of care, increase patients' desire to benefit from VIP services On the other hand, taking appropriate arrangments so that people are not exposed to financial damage caused by heavy medical care costs, for example, appropriate insurance coverage and reduction of medical tariffs and bringing it closer to public sector tariffs can be Effective steps were taken in this optimal use of the potentials of this sector. Keywords: Preferences, Medical Services, Private Sector, Patient.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RN Health > RN1004 Health Care Management |
| Divisions: | University Thesis > Faculty of Health > Health Care Management |
| Depositing User: | Health School Students |
| Date Deposited: | 29 Jun 2021 06:02 |
| Last Modified: | 29 Jun 2021 06:02 |
| URI: | http://eprints.qums.ac.ir/id/eprint/10844 |
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