Evaluation of the privatization of health care from the user's perspective
Description
The purpose of the study was to determine the impact of privatisation in health care on the quality of health services. The research is an evaluation from the point of view of users, as only these are the most relevant evaluators - they are the only ones who experience health services and their experience of health services is comprehensive (from ordering, through the visit of various specialists to the achievement of health services - improvement of health status). In order to measure the impact of privatisation on the quality of health services, we carefully planned the sample of users by selecting the same number of users from a public doctor, a concessionaire and a pure private individual (sampling is explained in detail in the methodology). Their assessments of the quality of services were then compared with each other and the answers were controlled according to sociodemographic variables. Of course, the questionnaire includes even more topics: assessment of changes in health care, health insurance (facts, opinions and experiences of users about health insurance), aspirations of users regarding health services and behavioural patterns of users in case of dissatisfaction with the service. In a special pole there are also sociodemographic characteristics of users. The content of the questionnaire was based on a comprehensive study of the theory of the quality of health services. We used the dimensions of service quality from the internationally established SERVQUAL questionnaire, but due to the financial limitations of the research, we used a different scale of answers (in the mentioned international questionnaire, all questions are repeated twice - first as an aspiration, then as an actual experience). In the research, we repeated some questions of SJM 99/2 - Viewpoints on Health and Health: B3, B21, C16, F13, F15, and we repeated some questions from the study Communication with the Lung Patient (1998): B16, B19, B20, C15.
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https://www.adp.fdv.uni-lj.si/opisi/pddzdr98 |
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