scholarly journals Health Care Consumer Shopping Behaviors and Sentiment: Qualitative Study

10.2196/13924 ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. e13924 ◽  
Author(s):  
Deborah Gordon ◽  
Anna Ford ◽  
Natalie Triedman ◽  
Kamber Hart ◽  
Roy Perlis

Background Although some health care market reforms seek to better engage consumers in purchasing health care services, health consumer behavior remains poorly understood. Objective This study aimed to characterize the behaviors and sentiment of consumers who attempt to shop for health care services. Methods We used a semistructured interview guide based on grounded theory and standard qualitative research methods to examine components of a typical shopping process in a sample size of 54 insured adults. All interviews were systematically coded to capture consumer behaviors, barriers to shopping behavior, and sentiments associated with these experiences. Results Participants most commonly described determining and evaluating options, seeking value, and assessing or evaluating value. In total, 83% (45/54) of participants described engaging in negotiations regarding health care purchasing. The degree of positive sentiment expressed in the interview was positively correlated with identifying and determining the health plan, provider, or treatment options; making the decision to purchase; and evaluating the decision to purchase. Conversely, negative sentiment was correlated with seeking value and making the decision to buy. Conclusions Consumer shopping behaviors are prevalent in health care purchasing and can be mapped to established consumer behavior models.

2019 ◽  
Author(s):  
Deborah Gordon ◽  
Anna Ford ◽  
Natalie Triedman ◽  
Kamber Hart ◽  
Roy Perlis

BACKGROUND Although some health care market reforms seek to better engage consumers in purchasing health care services, health consumer behavior remains poorly understood. OBJECTIVE This study aimed to characterize the behaviors and sentiment of consumers who attempt to shop for health care services. METHODS We used a semistructured interview guide based on grounded theory and standard qualitative research methods to examine components of a typical shopping process in a sample size of 54 insured adults. All interviews were systematically coded to capture consumer behaviors, barriers to shopping behavior, and sentiments associated with these experiences. RESULTS Participants most commonly described determining and evaluating options, seeking value, and assessing or evaluating value. In total, 83% (45/54) of participants described engaging in negotiations regarding health care purchasing. The degree of positive sentiment expressed in the interview was positively correlated with identifying and determining the health plan, provider, or treatment options; making the decision to purchase; and evaluating the decision to purchase. Conversely, negative sentiment was correlated with seeking value and making the decision to buy. CONCLUSIONS Consumer shopping behaviors are prevalent in health care purchasing and can be mapped to established consumer behavior models.


2019 ◽  
Vol 7 (5) ◽  
pp. 106-110
Author(s):  
Palak Shukla ◽  
Shalini Sharma ◽  
Dr. Shine David

Analysis of how public chooses their hospital for treatment. In this study we are analysing is there any difference in choosing a hospital by male and female community. As there are many additional services which are provided by the hospital along with their basic service that is treatment. And in service industry there are various factors, which create barriers in the growth of industry. Health care market consists of both the genders i.e. male and female and by this study we found that on which factor the opinion of the genders are different. There are many facilities and services which are included in the survey provided by hospital. This study is done to have a better understanding of the both community’s needs, as satisfaction of customer increases customer retention and helps in developing customer base and capturing more market. Also it provides the analysis of market. In hospital industry the same doctor can also visit the other hospital, thus it is important to have customer retention and continuously improvement in services provided by the hospital and brief understanding of the market.


2019 ◽  
Vol 49 (2) ◽  
pp. 343-359
Author(s):  
Milton Santos ◽  
Jonathan Filippon ◽  
Áquilas Mendes ◽  
Elias Kondilis

The General Agreement on Trade in Services (GATS), established in 1994, has been a key element of market liberalization of health care services. Brazil had the provision of health care services partially protected from international competition until 2015, when a constitutional change opened the national health care market to international provision. We performed a retrospective and prospective policy analysis based on a systematic policy document review, general literature review, and secondary data analysis mapping, describing and analyzing the international trade agreements signed by Brazil with the World Trade Organization (WTO) and the available legislation relevant to health care services. The provision of health care services was not included in the WTO commitments signed by Brazil during the analyzed period (1994–2018). Financing of private health insurance was part of the agreement since 1994. There was a mild liberalization of the private health insurance sector, while provision of health care services was forbidden to foreign investors until 2015. The mode 3 of GATS presents the greatest potential impact as it exposes health care provision to international competition. The international liberalization of the provision of health care services in Brazil is now legal and an observable consequence of the pressure to gradually lift trade barriers in the health and health care sector.


2015 ◽  
Vol 23 (1) ◽  
pp. 99-108 ◽  
Author(s):  
Berit Skretting Solberg ◽  
Jan Haavik ◽  
Anne Halmøy

Objective: To evaluate health care experiences of adults with ADHD and to identify predictors for patient satisfaction. Method: Multisite, questionnaire-based survey in a cohort of adult patients diagnosed and treated for ADHD in the Bergen area of Western Norway between 2005 and 2011. Results: Among the 171 included patients, only 61 (35.7%) reported being satisfied to a large or very large extent with the received health care. The strongest predictor for overall satisfaction, independent of duration, medication, and reported outcome of treatment, was whether they were satisfied with the information they had received from clinicians regarding ADHD and treatment options. Patients who reported that they had been offered other treatments in addition to pharmacotherapy were generally more satisfied. Conclusion: Our results emphasize the importance of consistent information routines as part of ADHD management. More teaching and training about ADHD for clinicians working in adult psychiatric health services may be needed.


2009 ◽  
Vol 17 (3) ◽  
pp. 16-18 ◽  
Author(s):  
Klaus-Dirk Henke

EinleitungA working hypothesis is that the increasing “second health care market” is supporting and financing the “first health sector” in the overall health economy. The first sector refers to the protection with health care services for everyone in tax-financed or in social security type of systems whilst the second health care market is functioning as the normal economy does in industrial countries; i.e. through innovative products and services in growing markets. To justify this hypothesis there are several considerations to be taken into account and hopefully tested empirically in the future.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
B. Stöckigt ◽  
M. Teut ◽  
C. M. Witt

Background. Little data exists concerning the reasons for using complementary and alternative (CAM) therapies by seniors. Therefore, the aim of this study is to learn about motives of German seniors for using CAM therapies and their wishes for health care in general.Methods. One focus group and one “World Café” following a semistructured interview guide were conducted. All discussions were recorded digitally, transcribed, and analyzed according to Qualitative Content Analysis using the software MAXQDA.Results. In total 21 seniors participated (eighteen female, three male, mean age 72.5 ± 4.3 years). Most of the participants had lifelong experiences with medicinal herbs and home remedies due to unavailable conventional care during childhood. Also important for them were nutrition and exercise. These methods were often used as self-care to enhance wellbeing, to prevent and to cure illnesses. The participants would welcome an integration of CAM in health care services. They asked especially for more empathic physicians who are better trained in CAM and respect their experiences.Conclusion. The importance of life experience in regard to health care by senior can be seen as a resource. Qualitative studies investigating physician-patient relationships and intergenerational aspects in CAM use could be of interest for further studies.


2020 ◽  
Vol 20 (3) ◽  
pp. 525-532
Author(s):  
Torunn Hatlen Nøst ◽  
Mona Stedenfeldt ◽  
Aslak Steinsbekk

AbstractBackground and aimsFour out of 10 referrals to tertiary care pain centres in Norway are not granted pain centre treatment, confirming earlier research on that this group of patients struggle to access the highest standard of care. Still, no study investigating how people with chronic pain experience rejections from pain centres was found. The aim of the study was therefore to investigate how people with chronic pain experience receiving a rejection from tertiary care pain centres after being referred by their general practitioners (GPs).MethodsThis was a qualitative study with semi-structured individual interviews with 12 persons, seven men and five women, rejected from the four different pain centres in Norway. The data were analysed thematically using systematic text condensation.ResultsThe pain centre rejection created strong reactions, partly because the rejection was perceived as a refusal from the health care system as a whole. This was especially so because the pain centre was regarded as the last remaining treatment option, and given the rejection, they were now declined help by the experts in the field. Even though some informants had received an explanation for why they had not been granted pain centre treatment, a prominent experience was that the informants found it difficult to understand why their referral had been rejected given the severity of their pain. The incomprehensibility of the rejection together with a feeling of lack of future treatment options, increased the hopelessness and frustration of their situation and made it challenging to move on and search for help elsewhere.ConclusionsThe experiences with the pain centre rejections indicate that the rejection can have grave consequences for each individual in the following months. An improved system for how to handle expectations towards referrals, including prepare for the possibility of rejection and how to follow up a rejection, seems warranted.ImplicationsBecause a pain centre rejection most likely is received by persons in a vulnerable position, there should be available health care services to help them understand the rejections. And furthermore, help them to move from disappointment and hopelessness, towards an experience of empowerment and reorientation, by for instance planning further actions and interventions, and thereby, acknowledge their need for help.


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