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Citizens' perspectives on relocating care: a scoping review.
L J Damen1, L H D Van Tuyl2, J C Korevaar2,3
1Nivel, Netherlands Institute for Health Services Research, Utrecht, the Netherlands. l.damen@nivel.nl.
BMC Health Services Research
|February 14, 2024
Summary
Citizens generally favor relocating healthcare services closer to home, with convenience and accessibility being key drivers. However, concerns about care quality and the lack of physical examination can negatively influence these attitudes.
Area of Science:
- Healthcare Management
- Public Health Policy
- Patient Experience Research
Background:
- Global healthcare systems face escalating demands and costs, coupled with a shrinking workforce, necessitating reforms for sustainability.
- Relocating healthcare services from hospitals to community-based settings is a proposed strategy to enhance sustainability and patient accessibility.
- Understanding citizens' perspectives is crucial for the successful implementation of healthcare relocation initiatives.
Purpose of the Study:
- To conduct a scoping review to identify factors influencing citizens' attitudes towards relocating healthcare services.
- To synthesize existing research on public opinion regarding the shift of care from hospitals to community settings.
Main Methods:
- A comprehensive scoping review of literature was performed.
- Searches were conducted across major databases including Pubmed, Embase, Cinahl, and Scopus.
- Inclusion criteria focused on articles concerning healthcare relocation and citizen perspectives within European countries with robust primary care systems, resulting in 70 selected articles.
Main Results:
- Positive influences on citizen attitudes include convenience, familiarity, accessibility, increased patient control, and privacy.
- Negative influences involve concerns about care quality, familiarity, lack of physical examination, reduced social contact, convenience, and privacy.
- The majority of studies indicated a preference among citizens for relocating care, particularly from hospitals to home-based settings.
Conclusions:
- Numerous factors significantly shape citizens' attitudes towards healthcare relocation, impacting their preferences for care location.
- Most citizens expressed support for relocating healthcare services, highlighting the need to incorporate their viewpoints in policy discussions.
- A notable gap exists in research addressing citizens' perspectives on relocating care, with limited studies focusing on the shift from hospital to general practitioner settings.
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