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Voting with their feet: Public hospitals, health reform, and patient choices

Author

Listed:
  • Ansell, D.
  • Schiff, G.
  • Dick, S.
  • Cwiak, C.
  • Wright, K.

Abstract

Objectives. This study identified public hospital patients' preferences under managed care and health reform. Methods. A cross-sectional survey of 348 ambulatory public hospital patients was conducted. Results. Patients reported a high degree of loyalty to the public hospital given several hypothetical reform scenarios. Those patients who stated they would remain at the hospital increased (from 74.2% to 85.5%) when care elsewhere required copayment for medications and physician visits. Conclusions. Patients at one public hospital reported a high likelihood of remaining in the public system, and this likelihood increased when copayment for services was required elsewhere.

Suggested Citation

  • Ansell, D. & Schiff, G. & Dick, S. & Cwiak, C. & Wright, K., 1998. "Voting with their feet: Public hospitals, health reform, and patient choices," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 439-441.
    • Handle: RePEc:aph:ajpbhl:1998:88:3:439-441_4
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