| Titre : | Voting with their feet : Public hospitals, health reform, and patient choices. (1998) |
| Auteurs : | D. ANSELL ; C. CWIAK ; S. DICK ; G. SCHIFF ; K. WRIGHT ; Cook County Hospital. Chicago. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 88, n° 3, 1998) |
| Pagination : | 439-441 |
| Langues: | Anglais |
| Mots-clés : | Malade ; Hôpital ; Service public ; Qualité ; Soins ; Soins ambulatoires ; Participation ; Financement soins ; Financement ; Etats Unis ; Amérique du Nord ; Amérique ; Système santé ; Réforme |
| Résumé : | [BDSP. Notice produite par INIST R0xeKw5j. Diffusion soumise à autorisation]. Objectives. This study identified public hospital patients'preferences under managed care and health reform. Methods. A cross-sectional survey of 348 ambulatory public hospital patients was conducted. Results. Patients reported a high degree of loyalty to the public hospital given several hypothetical reform scenarios. Those patients who stated they would remain at the hospital increased (from 74.2% to 85.5%) when care elsewhere required copayment for medications and physician visits. Conclusions. Patients at one public hospital reported a high likelihood of remaining in the public system, and this likelihood increased when copayment for services was required elsewhere. |

