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Danish patients are positive towards fees for non-attendance in public hospitals. A qualitative study

Stina Lou1, Michal Frumer, Steen Olesen

  • 1stina.lou@stab.rm.dk.

Danish Medical Journal
|July 12, 2016
PubMed

Insights

Patients generally support a non-attendance fee for healthcare appointments, viewing it as a way to encourage attendance and respect the healthcare system. However, they suggest exemptions for certain groups and emphasize administrative simplicity.

Area of Science:

  • Healthcare Management
  • Patient Behavior Studies
  • Health Economics

Background:

  • Patient non-attendance is a significant issue in healthcare, leading to treatment delays, reduced efficiency, and increased costs.
  • Denmark has considered implementing a non-attendance fee within its tax-financed healthcare system.
  • Concerns exist regarding public reception and potential impact on patient equity.

Purpose of the Study:

  • To investigate patient attitudes towards a proposed non-attendance fee in Denmark.
  • To understand patient perspectives on financial incentives for healthcare appointment attendance.

Main Methods:

  • Qualitative sub-study involving six semi-structured focus group interviews.
  • Conducted with 44 patients informed about a potential non-attendance fee.
  • Data analyzed using qualitative content analysis after verbatim transcription.

Main Results:

  • Overall positive patient attitudes towards a non-attendance fee.
  • Patients perceive fees as a motivator for attendance and a sign of respect for the healthcare system.
  • Support for exemptions for specific groups (e.g., mentally disabled) and a need for simple administration.

Conclusions:

  • Patient attitudes towards implementing non-attendance fees are generally positive.
  • The study suggests a potential acceptance of such fees, with considerations for specific populations and administrative feasibility.
Abstract

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