Patients' Priorities for Medical Care
Relatively little research has been done on the importance patients attach to various aspects of their medical care when their options are constrained. We studied priorities for care among 225 patients attending the medical clinics of a university teaching hospital. Eight attributes of medical care...
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| Veröffentlicht in: | Medical care 1983-02, Vol.21 (2), p.234-242 |
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| container_end_page | 242 |
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| container_issue | 2 |
| container_start_page | 234 |
| container_title | Medical care |
| container_volume | 21 |
| creator | Fletcher, Robert H. O'Malley, Michael S. Earp, Jo Anne Littleton, Terry A. Fletcher, Suzanne W. Greganti, M. Andrew Davidson, Richard A. Taylor, James |
| description | Relatively little research has been done on the importance patients attach to various aspects of their medical care when their options are constrained. We studied priorities for care among 225 patients attending the medical clinics of a university teaching hospital. Eight attributes of medical care were considered: continuity, coordination, comprehensiveness, availability, convenience, cost, expertise, and compassion. Priorities were established by the method of paired comparisons. Continuity of care was the highest priority for these patients, while cost and convenience were lowest. Priorities varied in subgroups of patients defined by demographic, illness, and utilization characteristics. Patients with acute problems preferred coordination and expertise, while those with chronic problems ranked continuity higher. Patients younger than 30 years old valued coordination most; older patients preferred continuity and comprehensiveness. Since all aspects of medical care cannot be provided to all people, and choices are necessary, patients' priorities should be considered when planning health services. |
| doi_str_mv | 10.1097/00005650-198302000-00010 |
| format | Article |
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Patients with acute problems preferred coordination and expertise, while those with chronic problems ranked continuity higher. Patients younger than 30 years old valued coordination most; older patients preferred continuity and comprehensiveness. Since all aspects of medical care cannot be provided to all people, and choices are necessary, patients' priorities should be considered when planning health services.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-198302000-00010</identifier><identifier>PMID: 6827876</identifier><language>eng</language><publisher>United States: J. B. 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Andrew</creatorcontrib><creatorcontrib>Davidson, Richard A.</creatorcontrib><creatorcontrib>Taylor, James</creatorcontrib><title>Patients' Priorities for Medical Care</title><title>Medical care</title><addtitle>Med Care</addtitle><description>Relatively little research has been done on the importance patients attach to various aspects of their medical care when their options are constrained. We studied priorities for care among 225 patients attending the medical clinics of a university teaching hospital. Eight attributes of medical care were considered: continuity, coordination, comprehensiveness, availability, convenience, cost, expertise, and compassion. Priorities were established by the method of paired comparisons. Continuity of care was the highest priority for these patients, while cost and convenience were lowest. Priorities varied in subgroups of patients defined by demographic, illness, and utilization characteristics. Patients with acute problems preferred coordination and expertise, while those with chronic problems ranked continuity higher. Patients younger than 30 years old valued coordination most; older patients preferred continuity and comprehensiveness. Since all aspects of medical care cannot be provided to all people, and choices are necessary, patients' priorities should be considered when planning health services.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Analysis of variance</subject><subject>Consumer Behavior</subject><subject>Delivery of Health Care</subject><subject>Demography</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Health care costs</subject><subject>Health insurance</subject><subject>Health Planning</subject><subject>Health Priorities</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>North Carolina</subject><subject>Patient care</subject><subject>Patient satisfaction</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Primary health care</subject><subject>Test ranges</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PwzAMhiMEGmPwD0DqBTgVnO_0iCa-pCF2gHOUpKnW0a0jaTXx7wl07IYly7L9vrb0IJRhuMFQyFtIwQWHHBeKAkldnhLDARpjTmUaM3WIxgCE5xJkcYxOYlwmhaScjNBIKCKVFGN0OTdd7dddvM7moW5DnbqYVW3IXnxZO9NkUxP8KTqqTBP92a5O0PvD_dv0KZ-9Pj5P72a5o1JAbsEWlnlZMlxWzrrSSuBYMEM9kcY44UhFsOCsMqSw2EhHVamUYkXlvQVFJ-hquLsJ7WfvY6dXdXS-aczat33UCqgCECwJ1SB0oY0x-EpvQr0y4Utj0D-E9B8hvSekfwkl68XuR29Xvtwbd0jSng37bdt0PsSPpt_6oBfeNN1C_wc-2c4H2zJ2bdhfTVwYZ0C_AaVxeGk</recordid><startdate>198302</startdate><enddate>198302</enddate><creator>Fletcher, Robert H.</creator><creator>O'Malley, Michael S.</creator><creator>Earp, Jo Anne</creator><creator>Littleton, Terry A.</creator><creator>Fletcher, Suzanne W.</creator><creator>Greganti, M. 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Andrew ; Davidson, Richard A. ; Taylor, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3760-b0b9b4e7d41dfcbcdb705164a3e27aac6c2f21654fa29b1a7c38d88849feeb083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Analysis of variance</topic><topic>Consumer Behavior</topic><topic>Delivery of Health Care</topic><topic>Demography</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Health care costs</topic><topic>Health insurance</topic><topic>Health Planning</topic><topic>Health Priorities</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>North Carolina</topic><topic>Patient care</topic><topic>Patient satisfaction</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Primary health care</topic><topic>Test ranges</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fletcher, Robert H.</creatorcontrib><creatorcontrib>O'Malley, Michael S.</creatorcontrib><creatorcontrib>Earp, Jo Anne</creatorcontrib><creatorcontrib>Littleton, Terry A.</creatorcontrib><creatorcontrib>Fletcher, Suzanne W.</creatorcontrib><creatorcontrib>Greganti, M. 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Andrew</au><au>Davidson, Richard A.</au><au>Taylor, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients' Priorities for Medical Care</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1983-02</date><risdate>1983</risdate><volume>21</volume><issue>2</issue><spage>234</spage><epage>242</epage><pages>234-242</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>Relatively little research has been done on the importance patients attach to various aspects of their medical care when their options are constrained. We studied priorities for care among 225 patients attending the medical clinics of a university teaching hospital. Eight attributes of medical care were considered: continuity, coordination, comprehensiveness, availability, convenience, cost, expertise, and compassion. Priorities were established by the method of paired comparisons. Continuity of care was the highest priority for these patients, while cost and convenience were lowest. Priorities varied in subgroups of patients defined by demographic, illness, and utilization characteristics. Patients with acute problems preferred coordination and expertise, while those with chronic problems ranked continuity higher. Patients younger than 30 years old valued coordination most; older patients preferred continuity and comprehensiveness. Since all aspects of medical care cannot be provided to all people, and choices are necessary, patients' priorities should be considered when planning health services.</abstract><cop>United States</cop><pub>J. B. Lippincott Co</pub><pmid>6827876</pmid><doi>10.1097/00005650-198302000-00010</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 1983-02, Vol.21 (2), p.234-242 |
| issn | 0025-7079 1537-1948 |
| language | eng |
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| source | Jstor Complete Legacy; MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Age Factors Aged Analysis of variance Consumer Behavior Delivery of Health Care Demography Evaluation Studies as Topic Female Health care costs Health insurance Health Planning Health Priorities Humans Male Middle Aged North Carolina Patient care Patient satisfaction Physician-Patient Relations Physicians Primary health care Test ranges |
| title | Patients' Priorities for Medical Care |
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