Keywords
informedness
communication
health reform
Abstract
PATIENT SATISFACTION WITH THE LEVEL OF BEING INFORMED ABOUT THE CHANGES IN SLOVENIAN HEALTHCARE SYSTEM
Introduction. Patients’ satisfaction has a very important role regarding reforms of the healthcare system, which aim at improvement of health and optimisation of costs. Informed patient is one of the factors which notably influences patients’ satisfaction.
Aim. To determine the level of satisfaction of Slovenian residents with the current healthcare system and how well informed they are about the draft law changes to the Healthcare and Health Insurance Act, debated in public in 2017.
Methods. A descriptive, non-experimental sampling method was used (snowball method). A structured questionnaire was used as a measurement tool. The number of 488 persons finished the entire online questionnaire. The data were analysed using the SPSS programme, version 21 (significance level p<0.05), and using descriptive statistics, correlation analysis, t-test and linear regression analysis.
Results. Slovenian residents are fairly (un)satisfied with the current healthcare system. Waiting lines affect satisfaction with the current health care system the most, followed by the level of trust in a doctor’s decision concerning treatment and the level of respectfulness in the communication of healthcare workers with patients. Although respondents are less informed about the proposed changes, they support the draft law changes to a high degree. They perceive the information provided on the proposed changes in healthcare as relatively understandable and evaluate them positively. Television is the most important source of information on law changes in healthcare.
Discussion and conclusions. Slovenian residents support the public healthcare system to a very high degree and are less in favour of private healthcare. In the future, more attention needs to be directed towards the related strategic communication and the choice of communication channels with the planned changes in healthcare.
References
1. Senić V, Marinković M. Patient care, satisfaction and service quality in health care. International Journal of consumer studies. 2013; 37(3): 312–319. https://doi.org/10.1111/j.1470-6431.2012.01132.x
2. Yildiz Z, Erdogmus S. Measuring patient satisfaction of the quality of health care: A study of hospitals in Turkey. Journal of medical systems. 2004;28(6): 581–589. https://doi.org/10.1023/B:JOMS.0000044960.53049.ba
3. Akbar FH, Pratiwi R, Samad R, Fanissa F. Proceedings of the health care science international conference. Advances in Health Sciences Research. 2017; 2: 92–99.
4. Mihailović N, Kocić SS, Trajković G, Jakovljević M. Satisfaction with Health Services among the Citizens of Serbia. Frontiers in Pharmacology. 2017; 8: 50. https://doi.org/10.3389/fphar.2017.00050
5. Busse R, Valentine N, Lessof S, Prasad A, van Ginneken E. Being responsive to citizens’ expectations: the role of health services inresponsiveness and satisfaction. [in:] Figueras J, McKee M, eds. Health systems, health, wealth and societal wellbeing: assessingthe case for investing in health systems. 8. Maidenhead (UK):OpenUniversity Press; 2012. s. 175-208.
6. Bleich SN, Özaltin E, Murray CK. How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization. 2009; 87(4):271–278. https://doi.org/10.2471/BLT.07.050401
7. Browne K, Roseman D, Shaller D, Edgman-Levitan S. Analysis & commentary: measuring patient experience as a strategy for improving primary care. Health Affairs (Millwood). 2010; 29(5): 921–925. https://doi.org/10.1377/hlthaff.2010.0238
8. Rechel B, Ahmedov M, Akkazieva B, et al. Lessons from two decades of health reform in Central Asia. Health Policy and Planning. 2012; 27(4): 281–287. https://doi.org/10.1093/heapol/czr040
9. Gupta D, Patel K, Lis CG. Self-rated health supersedes patient satisfaction with service quality as a predictor of survival in prostate cancer. Health and Quality of Life Outcomes. 2015; 13: 137. https://doi.org/10.1186/s12955-015-0334-1
10. Friese CR, Lake ET, Aiken LH, et al. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research. 2008; 43(4): 1145–1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x
11. Aiken LH, Cimiotti JP, Sloane DM, et al. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care. 2011; 49(12): 1047–1053. https://doi.org/10.1097/MLR.0b013e3182330b6e.
12. Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012; 344: 1717. https://doi.org/10.1136/bmj.e1717
13. Al-Refaie A. A structural model to investigate factors affect patient satisfaction and revisit intention in Jordanian hospitals. International Journal of Artificial Life Research. 2011; 2(4): 43–56. https://doi.org/10.4018/jalr.2011100105
14. Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: assessing the impact of socio-economic and healthcare provision factors. BMC Health Services Research. 2016; 16: 94. https://doi.org/10.1186/s12913-016-1327-4
15. Sofaer S, Firminger K. Patient perceptions of the quality of health services. Annual Review of Public Health. 2005; 26: 513–559. https://doi.org/10.1146/annurev.publhealth.25.050503.153958
16. Adang EM, Borm GF. Is there an association between economic performance and public satisfaction in health care? The European Journal of Health Economics, 2007; 8: 279–285. https://doi.org/10.1007/s10198-007-0045-6
17. Grol R, Wensing M, Mainz J, et al. Patients’ priorities with respect to general practice care: an international comparison. European Task Force on Patient Evaluations of General Practice (EUROPEP). Family practice. 1999; 16(1): 4–11.
18. Kersnik J. Bolnik v slovenskem zdravstvu. Monografija o zadovoljstvu bolnikov in organizaciji pritožnega sistema. Ljubljana: Združenje zdravnikov družinske medicine SZD; 2003. [in Slovenian language]
19. Robida A. Nacionalna anketa o izkušnjah pacientov v bolnišnici. Ljubljana: Ministrstvo za zdravje Republike Slovenije; 2007. [in Slovenian language]
20. Repolusk A. Zadovoljstvo uporabnikov zdravstvenih storitev osnovnega zdravstva na primarni ravni/User satisfaction with medical services of basic healthcare at the primary level: magistrska naloga. Celje: Mednarodna fakulteta za družbene in poslovne študije. [in Slovenian language]
21. Vuković M, Gvozdenović BS, Gajić T, et al. Validation of a patient satisfaction questionnaire in primary health care. Public health. 2012; 126(8): 710–718. https://doi.org/10.1016/j.puhe.2012.03.008
22. Cencič M. Kako poteka pedagoško raziskovanje: primer kvantitativne empirične neeksperimentalne raziskave. Ljubljana: Zavod Republike Slovenije za šolstvo; 2009. [in Slovenian language]
23. Kodeks etike v zdravstveni negi in oskrbi. Uradni list Republike Slovenije št. 71; 2014. Available at: https://www.uradni-list.si/glasilo-uradni-list-rs/vsebina/2014-01-2937/kodeks-etike-v-zdravstveni-negi-in-oskrbi-slovenije [in Slovenian language]
24. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. World Medical Association; 2008.
25. Standard Eurobarometer 90 – Autumn 2018 “Public opinion in the European Union, First results”; 2018. Available at: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwiht5SU2ZLhAhWyioKHXWIA6kQFjAAegQIBhAC&url=http%3A%2F%2Fec.europa.eu%2Fcommfrontoffice%2Fpublicopinion%2Findex
26. World Health Organization. World Health Survey – Slovenia; 2003. Available at: https://www.who.int/healthinfo/survey/whssvn-slovenia.pdf
27. Figueras J, McKee M, eds. Health Systems, Health, Wealth and Societal Well-Being: Assessing the Case for Investing in Health Systems. Maidenhead: The European Observatory on Health Systems and Policies; 2012.
28. Fredriksson M, Tiainen A, Hanning, M. Regional Media Coverage Influences the Public’ S Negative Attitudes to Policy Implementation Success in Sweden. Health Expectations. 2014; 18: 2731–41. doi:10.1111/hex.12247.
29. Gollust SE, Franklin Fowler E, Niederdeppe J. Television News Coverage of Public Health Issues and Implications for Public Health Policy and Practice. Annual Review of Public Health. 2019; 40: 16.1–16.19.
30. Grilli R, Ramsay C, Minozzi S. Mass Media Interventions: Effects on Health Services Utilisation. CochraneDatabase of Systematic Reviews. 2002; 1.
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