Voting with their feet: patient exit and intergroup differences in propensity for switching usual source of care.
Many analysts advocate patient exit as a strategy for consumers who experience poor-quality care. Exit is believed to have the potential to improve patient welfare by having patients leave (or 'exit') poor-performing health care providers, thus signaling their dissatisfaction with the quality of car...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 29; no. 3; pp. 491 - 515 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Duke University Press
Jun2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106610765&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106610765 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Jun2004 vid: 29 iid: 3 pid: 154 pub: Duke University Press place: Durham, North Carolina artinfo: ui: 106610765 106610765 2005069701 10.1215/03616878-29-3-491 NLM15328875 106610765 ppf: 491 ppct: 24 formats: fmt: @attributes: type: P tig: atl: Voting with their feet: patient exit and intergroup differences in propensity for switching usual source of care. aug: au: Tai-Seale M affil: Texas A&M Univeristy System Health Science Center sug: subj: Consumer Attitudes Decision Making, Patient Patient Satisfaction Quality of Health Care Adult Aged Coefficient alpha Descriptive Statistics Factor Analysis Female Funding Source Insurance, Health Interviews Logistic Regression Male Middle Age Odds Ratio P-Value Patient Attitudes Physician-Patient Relations Probability Questionnaires Race Factors Random Sample Sex Factors Socioeconomic Factors Summated Rating Scaling Surveys Telephone Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Many analysts advocate patient exit as a strategy for consumers who experience poor-quality care. Exit is believed to have the potential to improve patient welfare by having patients leave (or 'exit') poor-performing health care providers, thus signaling their dissatisfaction with the quality of care they have received and thereby admonishing those providers to improve. However, the validity of exit as a signal of consumer dissatisfaction hinges on how closely it reflects dissatisfaction. Intergroup differences in the propensity to exit could also result in unintended consequences. This article examines the association between consumer experience and the decision to change one's usual care providers. It also investigates if there are any intergroup differences in the propensity for changing providers according to insurance status, gender, and race or ethnicity. Data come from household surveys conducted by the Center for Studying Health System Change. Results show significant intergroup differences in propensity for switching usual source of care for voluntary or involuntary reasons related to insurance, rural residency, age, income, race, and ethnicity. Policy implications of the empirical results on exit, voice, and consumerism are discussed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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