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Patient Healthcare Seeking If There Were No Limits
Serena Lee1, Martha M Gonzalez2, Rebecca S Etz2
1From the School of Medicine, Case Western Reserve University, Cleveland, Ohio (SL); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Virginia Commonwealth University, Richmond, Virginia (MMG); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good and Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (RSE); and Center for Community Health Integration, Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Case Western Reserve University, Cleveland, Ohio (KCS). sxl2010@case.edu.
Most patients prefer primary care for their health concerns when cost and access are not barriers. This highlights the importance of strengthening primary care services for better patient outcomes.
Area of Science:
- Health Services Research
- Patient Preferences
- Healthcare Delivery Systems
Background:
- Healthcare systems face ongoing operational changes and constraints impacting patient care-seeking behaviors.
- Patient decision-making regarding healthcare access is influenced by various system-level factors.
Purpose of the Study:
- To analyze patient preferences for care seeking when financial and access limitations are removed.
- To understand the ideal first choice for healthcare needs irrespective of constraints.
Main Methods:
- A national survey was conducted (November 15-23, 2021) assessing patient preferences for healthcare sources without limitations.
- Responses were analyzed using a three-step process: grounded category identification, frequency tallying, and auditor verification.
- 1,211 usable responses were obtained for analysis.
Main Results:
- Nearly half of respondents (49.1%) preferred primary care as their first choice for handling most health concerns.
- Other significant preferences included hospital/health systems (11.9%) and convenient/accessible sources (11.6%).
- Specialists (8.0%) and sources prioritizing quality care (8.2%) were also noted preferences.
Conclusions:
- A substantial majority of patients favor primary care when barriers to access and cost are eliminated.
- Healthcare systems should align with patient preferences by supporting and enhancing primary care access.
- Strengthening primary care is crucial for improving patient care and health outcomes.
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