Private and public medicine: a comparison of quality perceptions.

How do physicians and patients perceive the quality of medical services offered? Is this perception the same in the private and public sector? On the basis of a survey conducted in Greece on a 2 x 2 design with 20 respondents in each cell, several interesting characteristics were identified. Patients in the public sector attribute greater importance to resources of a medical and technical nature and do not seem particularly concerned about the contextual or environmental features of a hospital. Private patients are expecting a more holistic approach to their treatment and expect some attention to be directed to their emotional needs. Private surgeons are worried about the limited basic resources in private hospitals and their inability to satisfy the non-clinical needs of their patients. Important lessons may be drawn for policy makers in terms of priorities and resource allocation in.

[1]  J. J. Peña.  Hospital quality assurance : risk management and program evaluation , 1984 .

[2]  M. Porter,et al.  Making competition in health care work. , 1994, Harvard business review.

[3]  Arch G. Woodside.  Marketing for health care organizations : Philip Kotler and Roberta N. Clarke, Englewood Cliffs, N.J.: Prentice-Hall, 1987 , 1988 .

[4]  David S.G. Sloan,et al.  Health Care and the Demand for Quality , 1992 .

[5]  U. Yucelt.  An investigation of causes of patient satisfaction/dissatisfaction with physician services. , 1995, Health marketing quarterly.

[6]  C. Marwick.  Using high-quality providers to cope with today's rising health care costs. , 1992, Journal of the American Medical Association (JAMA).

[7]  J. Cullis,et al.  The Economics of Health: An Introduction , 1991 .

[8]  Y. Debrah,et al.  Evolution and implementation of a quality improvement programme: a case study of two health care organizations , 1994 .

[9]  M. Barer.  Case mix adjustment in hospital cost analysis: information theory revisited. , 1982, Journal of health economics.

[10]  T. Hildman,et al.  Prompt Service: A Factor in Patient Satisfaction , 1990, Nursing management.

[11]  Steve Baron,et al.  Services Marketing: Text and Cases , 1995 .

[12]  David Limehouse,et al.  Know your customer , 1999 .

[13]  P. Dickens.  Quality and Excellence in Human Services , 1994 .

[14]  L B Lave,et al.  The extent of role differentiation among hospitals. , 1971, Health services research.

[15]  Harold S. Luft,et al.  Association of volume with outcome of coronary artery bypass graft surgery —scheduled vs nonscheduled operations , 1987, JAMA.

[16]  R. Feldman,et al.  Measuring the Dimensions of Physician Work , 1994, Medical care.

[17]  John A. Czepiel,et al.  The Service encounter : managing employee/customer interaction in service businesses , 1985 .

[18]  J. McMillan,et al.  Satisfaction with hospital emergency department as a function of patient triage , 1986, Health care management review.

[19]  J W Winkelman,et al.  Cost savings in a hospital clinical laboratory with a pay-for-performance incentive program for supervisors. , 1991, Archives of pathology & laboratory medicine.

[20]  Richard W. Foster,et al.  Keys for successful implementation of total quality management in hospitals , 1996, Health care management review.

[21]  M. Milakovich.  Creating a total quality health care environment , 1991, Health care management review.