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Towards a conceptual framework of lay evaluation of health care

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  • Calnan, Michael

Abstract

It is argued in this paper that much of the empirical research into the public's and patients' perceptions of the adequacy of health care has suffered from conceptual weaknesses. In addition, and maybe as a result of these weaknesses, a contradictory pattern of findings has emerged from this research. To overcome some of these problems it is suggested that an investigation of lay evaluation of health care should be carried out within a conceptual framework which incorporates the following elements. 1. (i) The goals of those seeking health care in each specific instance. 2. (ii) The level of experience of use of health care. 3. (iii) The socio-political values upon which the particular health care system is based. 4. (iv) The images of health held by the lay population. Each of these elements interrelates with the others and their influence will be mediated through socio-demographic characteristics of the service users.

Suggested Citation

  • Calnan, Michael, 1988. "Towards a conceptual framework of lay evaluation of health care," Social Science & Medicine, Elsevier, vol. 27(9), pages 927-933, January.
    • Handle: RePEc:eee:socmed:v:27:y:1988:i:9:p:927-933
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    Cited by:

    1. Dyer, Thomas Anthony & Owens, Janine & Robinson, Peter Glenn, 2014. "The acceptability of care delegation in skill-mix: The salience of trust," Health Policy, Elsevier, vol. 117(2), pages 170-178.
    2. Choi, Kui-Son & Cho, Woo-Hyun & Lee, Sunhee & Lee, Hanjoon & Kim, Chankon, 2004. "The relationships among quality, value, satisfaction and behavioral intention in health care provider choice: A South Korean study," Journal of Business Research, Elsevier, vol. 57(8), pages 913-921, August.
    3. Olafsdottir, Sigrun & Pescosolido, Bernice A., 2011. "Constructing illness: How the public in eight Western nations respond to a clinical description of "schizophrenia"," Social Science & Medicine, Elsevier, vol. 73(6), pages 929-938, September.
    4. Atkinson, Sarah & Haran, Dave, 2005. "Individual and district scale determinants of users' satisfaction with primary health care in developing countries," Social Science & Medicine, Elsevier, vol. 60(3), pages 501-513, February.
    5. Mielck, Andreas, 1998. "Perception of health inequalities in different social classes, by health professionals and health policy makers in Germany and the United Kingdom," Discussion Papers, Research Group Public Health P 98-202, WZB Berlin Social Science Center.

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