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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. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    2. Xesfingi, Sofia & Vozikis, Athanasios, 2014. "What shapes patient's satisfaction in countries' health care systems?," MPRA Paper 59755, University Library of Munich, Germany.
    3. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
    4. Rockers, Peter C. & Røttingen, John-Arne & Shemilt, Ian & Tugwell, Peter & Bärnighausen, Till, 2015. "Inclusion of quasi-experimental studies in systematic reviews of health systems research," Health Policy, Elsevier, vol. 119(4), pages 511-521.
    5. Guido W. Imbens & Jeffrey M. Wooldridge, 2009. "Recent Developments in the Econometrics of Program Evaluation," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 5-86, March.
    6. Ware, John E. & Snyder, Mary K. & Wright, W. Russell & Davies, Allyson R., 1983. "Defining and measuring patient satisfaction with medical care," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 247-263, January.
    7. J. N. R. Jeffers, 1967. "Two Case Studies in the Application of Principal Component Analysis," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 16(3), pages 225-236, November.
    8. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    9. Wensing, Michel & Baker, Richard & Szecsenyi, Joachim & Grol, Richard AU -, 2004. "Impact of national health care systems on patient evaluations of general practice in Europe," Health Policy, Elsevier, vol. 68(3), pages 353-357, June.
    10. Deaton, Angus, 1985. "Panel data from time series of cross-sections," Journal of Econometrics, Elsevier, vol. 30(1-2), pages 109-126.
    11. World Bank, 2013. "Turkey - Performance Based Contracting Scheme in Family Medicine : Design and Achievements," World Bank Publications - Reports 16532, The World Bank Group.
    12. Pascoe, Gregory C., 1983. "Patient satisfaction in primary health care: A literature review and analysis," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 185-210, January.
    13. Roberts, Robert E. & Pascoe, Gregory C. & Attkisson, C. Clifford, 1983. "Relationship of service satisfaction to life satisfaction and perceived well-being," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 373-383, January.
    14. Hekkert, Karin Dorieke & Cihangir, Sezgin & Kleefstra, Sophia Martine & van den Berg, Bernard & Kool, Rudolf Bertijn, 2009. "Patient satisfaction revisited: A multilevel approach," Social Science & Medicine, Elsevier, vol. 69(1), pages 68-75, July.
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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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