Titre :
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Voting with their feet : Public hospitals, health reform, and patient choices. (1998)
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Auteurs :
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D. ANSELL ;
C. CWIAK ;
S. DICK ;
G. SCHIFF ;
K. WRIGHT ;
Cook County Hospital. Chicago. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 88, n° 3, 1998)
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Pagination :
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439-441
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Langues:
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Anglais
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Mots-clés :
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Malade
;
Hôpital
;
Service public
;
Qualité
;
Soins
;
Soins ambulatoires
;
Participation
;
Financement soins
;
Financement
;
Etats Unis
;
Amérique du Nord
;
Amérique
;
Système santé
;
Réforme
|
Résumé :
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[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.
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