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The impact of the Family Medicine Model on patient satisfaction in Turkey: Panel analysis with province fixed effects

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  • Susan P Sparkes
  • Rifat Atun
  • Till Bӓrnighausen

Abstract

Background: In this study, we aim to establish the impact of the introduction of the Family Medicine Model patient satisfaction in the Turkish health system. Methods: We use data on data 69,028 primary health care (PHC) patients over the period 2010–2012. We estimate the impact of the Family Medicine Model in panel regressions with province fixed effects, exploiting the sequential introduction of this health systems transformation across Turkey's 81 provinces. We use principal component analysis to reduce the dimensionality of the data from the European Patients Evaluate General/Family Practice (EUROPEP) patient satisfaction survey, to focus on the fundamental dimensions of patient satisfaction and to decrease the need for multiple hypothesis testing. We identified two key principal components. The first captured primarily information on satisfaction with provider behavior and the second on satisfaction with the organization of care. We then use these two principal components as outcome variables in our panel analysis to estimate the causal impact of the introduction of the Family Medicine Model. Results: The Family Medicine Model significantly improved patient satisfaction across a range of dimensions. The coefficient results showed a positive and statistically significant impact (p-values

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  • Susan P Sparkes & Rifat Atun & Till Bӓrnighausen, 2019. "The impact of the Family Medicine Model on patient satisfaction in Turkey: Panel analysis with province fixed effects," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-13, January.
    • Handle: RePEc:plo:pone00:0210563
    DOI: 10.1371/journal.pone.0210563
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    1. Elena Druică & Viorel Mihăilă & Marin Burcea & Vasile Cepoi, 2019. "Combining Direct and Indirect Measurements to Assess Patients’ Satisfaction with the Quality of Public Health Services in Romania: Uncovering Structural Mechanisms and Their Implications," IJERPH, MDPI, vol. 17(1), pages 1-18, December.
    2. Emrah Konuralp & Sermin Bicer, 2021. "Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective," Review of Radical Political Economics, Union for Radical Political Economics, vol. 53(4), pages 654-674, December.

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