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Related Experiment Videos

Patient perceptions of general practitioner fees.

D M Fergusson1, L J Horwood, F T Shannon

  • 1Christchurch Child Development Study, Department of Paediatrics, Christchurch School of Medicine, Christchurch Hospital.

The New Zealand Medical Journal
|June 14, 1989
PubMed
Summary
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Most families found general practitioner fees for both child and adult consultations to be too high. Patients perceived lower reasonable fees compared to actual charges, indicating significant cost dissatisfaction.

Area of Science:

  • Health economics
  • Primary care services
  • Patient satisfaction

Background:

  • General practitioner (GP) fees represent a significant out-of-pocket expense for families accessing primary care.
  • Understanding patient perceptions of GP fees is crucial for assessing healthcare accessibility and affordability.

Purpose of the Study:

  • To survey general practitioner fees paid by families with eleven-year-old children.
  • To assess patient opinions on the reasonableness of current GP consultation fees.
  • To analyze trends in GP fees and their relationship with patient dissatisfaction.

Main Methods:

  • A survey was conducted among 1033 families with eleven-year-old children.
  • Data collected included median fees paid for child and adult consultations.

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  • Patient estimates of reasonable fees were compared with actual fees charged.

    • Main Results:

    • Median GP fees were $12.00 for child consultations and $22.00 for adult consultations.
    • A majority of respondents found these fees to be too high, particularly adult fees (over two-thirds).
    • Patient-estimated reasonable fees were $8.00 for child and $15.00 for adult consultations.
    • A direct correlation was observed between higher fee levels and increased perception of fees being too high.
    • Child GP fees demonstrated an average annual increase of 24% between 1980 and 1988.

    Conclusions:

    • Significant dissatisfaction exists among patients regarding current general practitioner fees.
    • The substantial increase in GP fees over time likely contributes to patient concerns about affordability.
    • Findings have implications for health care delivery, policy, and patient access to primary care services.