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Perceived access in a managed care environment: determinants of satisfaction
1The William G. McGowan School of Business, King's College, 133 North River Street, Wilkes-Barre, PA 18711, USA. fakinci@kings.edu
Health Services Management Research
|June 14, 2003
Summary
Patient satisfaction with healthcare access is significantly influenced by health insurance plans, costs, and provider availability. Understanding these factors is crucial for improving healthcare system performance and patient outcomes.
Area of Science:
- Health Services Research
- Public Health
- Healthcare Management
Background:
- Healthcare market competition and outcome assessment drive interest in patient satisfaction.
- Measuring patient satisfaction is vital for evaluating healthcare system performance.
Purpose of the Study:
- To examine the impact of predisposing, enabling, and medical need factors on perceived healthcare access.
- To specifically analyze the role of insurance plans in healthcare access limitations.
Main Methods:
- A survey questionnaire was developed to assess access limitations at health plan, provider, and organizational levels.
- Multivariate logistic regression analyzed factors influencing overall satisfaction with healthcare access.
Main Results:
- Health insurance type, premium costs, and co-payments were key determinants of satisfaction.
- Difficulty obtaining referrals, self-rated health, and opportunity costs also significantly impacted access.
Conclusions:
- Insurance plan characteristics and out-of-pocket costs are critical to patient satisfaction with healthcare access.
- Socio-demographic factors and perceived health status also play a role in healthcare access satisfaction.