Vouchers for primary healthcare services in an ageing world? The perspectives of elderly voucher recipients in Hong Kong.
Abstract: Considering the ageing population in economically advanced regions across the world, measures are necessary to enhance the health of the older population as well as contain public healthcare spending. Hong Kong implements the Elderly Health Care Voucher Scheme (EHCVS), providing older peop...
| Publicado en: | Health & Social Care in the Community Vol. 26; no. 3; pp. 374 - 383 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2018
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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=128973579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128973579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: May2018 vid: 26 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 128973579 128973579 128973579 10.1111/hsc.12523 128973579 ppf: 374 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Vouchers for primary healthcare services in an ageing world? The perspectives of elderly voucher recipients in Hong Kong. aug: au: Lai, Angel Hor‐Yan Kuang, Zoey Yam, Carrie Ho‐Kwan Ayub, Shereen Yeoh, Eng‐Kiong affil: Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong sug: subj: Aged Psychosocial Factors Gerontologic Care Economics Health Services Accessibility Health Care Costs Human Male Female Convenience Sample Hong Kong Aged Aged, 80 and Over Focus Groups Interviews Thematic Analysis Quality of Health Care Middle Age Quality Improvement Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Male Female ab: Abstract: Considering the ageing population in economically advanced regions across the world, measures are necessary to enhance the health of the older population as well as contain public healthcare spending. Hong Kong implements the Elderly Health Care Voucher Scheme (EHCVS), providing older people aged 65 or above an annual subsidy of visiting private healthcare service providers for chronic disease prevention and management. The services also aim at reallocating demand from the public to private sector as well as improve quality of services. This qualitative study explored the experiences of EHCVS recipients (<italic>n</italic> = 55, aged 61–94) with eight focus group interviews in Hong Kong in the year 2016. Convenience sampling was used. Research questions were: (1) Why do older people choose not to use EHCVS for preventive as well as disease management services among older people in Hong Kong? (2) What are the barriers to reallocating demand from the public to private sector? (3) In what ways did EHCVS improve the quality of primary care services for older people? Using a deductive and inductive approach, eight qualitative themes were identified. Findings suggested that the non‐targeted services and inadequate knowledge on EHCVS deterred older people from using the vouchers for disease management and prevention. The relatively expensive private services, lack of trust in the private sector, low public clinic fees and good services quality of the public sector, together with inadequate private practitioners in the healthcare market were barriers that hinder demand reallocation. Nevertheless, the quality of primary care services had been improved after the implementation of EHCVS with shortened wait times and opportunities to discuss health‐related issues with private practitioners. Findings were discussed with practice, policy and research implications. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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