Factors affecting the decision to change the family physician

• Authors: Topak Nevruz Yildirim , Demirci Hakan

Abstracts

EN

Background. Some studies on the decision of patients to choose their primary healthcare physician demonstrate that the ability to choose their physician is associated with increased patient satisfaction, confidence in the doctor and quality healthcare. Objectives. The study was aimed at evaluating factors effecting the decision to change the family physician. Material and methods. In the study, a questionnaire was used to examine the socio-demographic characteristics of the individuals, and the EUROPEP scale was used to measure the satisfaction with primary health services. Moreover, the Individual Innovativeness Scale was used in order to evaluate the innovativeness of individuals. Results. In people who apply to change their family physician, satisfaction with the previous family physician was found to be 69%. Distance (52.7%), education (25.8%) and gender (16%) were declared as the most important reasons to change the family physician. An individual’s innovation seeking behavior did not affect on their decisions to change the physician. Conclusions. In the present study, patient satisfaction was lower than the results reported in previous studies. Distance, education and gender are at the forefront in family physician preference. Patients prioritize receiving service from trained family physicians. These issues should be taken into account while planning the future of family practice.

Keywords

EN

education; gender identity; physicians; family; patient satisfaction.

• Publisher: Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
• Journal: Family Medicine & Primary Care Review
• Year: 2019
• Issue: 2
• Pages: 174-179

Contributors

author

Topak Nevruz Yildirim

author

Demirci Hakan

References

• Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. The Milbank Q 2005; 83(3): 457–502.
• Kringos D, Boerma W, Bourgueil Y, et al. The strength of primary care in Europe: an international comparative study. Br J Gen Pract 2013; 63(616): 742–750.
• Victoor A, Delnoij MJD, Friele DR. et al. Determinants of patient choice of healthcare providers: a scoping review. BMC Health Serv Res 2012; 12: 272, doi: 10.1186/1472-6963-12-272.
• Wolinsky FD, Steiber SR. Salient issues in choosing a new doctor. Soc Sci Med 1982; 16: 759–767.
• Salisbury CJ. How do people choose their doctor? Br Med J 1989; 299: 608–610.
• Billinghurst B, Whitfield M. Why do patients change their general practitioner? A postal questionnaire study of patients in Avon. Br J Gen Pract 1993; 43: 336–338.
• Bornstein BH, Marcus D, Cassidy W. Choosing a doctor: an exploratory study of factors influencing patients’ choice of a primary care doctor. J Eval Clin Pract 2000; 6: 255–262.
• Güngör G, Göksu A. Kamu inovasyon uygulaması: Türkiye örneği [cited 29.01.2019]. Available from URL: http://docplayer.biz.tr/5389102-Kamu-inovasyon-uygulamasi-turkiye-ornegi.html (in Turkish).
• Ekonomik İşbirliğive Kalkınma Örgütü, Avrupa Birliği İstatistik Ofisi. Oslo Kılavuzu: Yenilik Verilerinin Toplanması ve Yorumlanması İçin İlkeler, 3. Baskı, 2005: 93–107 (in Turkish).
• Ottenbacher M, Gnoth J. How to develop successful hospitality innovation. Cornell Hotel and Restaurant Administration Quarterly 2005; 46: 205–222.
• Luecke R. Managing Creativity and Innovation. Çeviri: Parlak T. İş Dünyasında Yenilikve Yaratıcılık. 1. Baskı. İstanbul, Türkiye İş Bankası Kültür Yayınları 2008: 3–9 (in Turkish).
• Hurt HT, Joseph K, Cook CD. Scales for the measurement of innovativeness. Human Communication Research 1977; 4: 58–65.
• Kılıçer K. Teknolojik yeniliklerin yayılmasını ve benimsenmesini arttıran etmenler. Anadolu Üniversitesi Sosyal Bilimler Dergisi 2008; 8:209–222 (in Turkish).
• Aktürk Z. Hastalar Hekimlerini Değerlendiriyor, EUROPEP Ölçeği. DEU Tıp Fakültesi Dergisi 2002; 153–160 (in Turkish).
• Birinci Basamak Sağlık Hizmetlerinde Hasta Memnuniyeti; 2012: 2–3 [cited 08.12.2017]. Available from URL: http://www.sagem.gov.tr/europeprapor.03032014.pdf(in Turkish).
• Mete B, Pehlivan E, Tekin Ç, et al. Satisfaction levels of the adults who benefit from the family medicine care in Malatya city center and the factors that affect it. Med Science 2015; 4(4): 2721–2731.
• Bostan S, Havvatoğlu K. Europep aile hekimliği memnuniyet ölçeğine göre Gümüşhane aile hekimliği memnuniyet araştırması.Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2014; 3(4): 1067–1078 (in Turkish).
• Mohan G, Nolan A, Lyons S. An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people. Soc Sci Med 2019; 220: 254–263.
• Dijs-Elsinga J, Otten W, Versluijs M, et al. Choosing a hospital for surgery: the importance of information on quality of care. Med Decis Making 2010; 30(5): 544–555, doi: 10.1177/0272989X09357474.
• Shah J, Dickinson CL. Establishing which factors patients value when selecting urology outpatient care. Br J Med Surg Urol 2010; 3:25–29.
• Exworthy M, Peckham S. Access, choice and travel: implications for health policy. Soc Pol Admin 2010; 40: 267–287.
• Krupat E, Stein T, Selby JV, et al. Choice of a primary care physician and its relationship to adherence among patients with diabetes. Am J Manag Care 2002; 8: 777–784.
• Bernard ME, Sadikman JC, Sadikman CL. Factors influencing patients’ choice of primary medical doctors. Minn Med 2006; 89: 46–50.
• Johnson A, Schnatz P, Kelsey A, et al. Do women prefer care from female or male obstetrician-gynecologists? A study of patient gender preference. BMC Med Educ 2005; 105: 369–379.
• Howell E, Gardiner B, Concato J. Do women prefer female obstetricians? Obstet Gynecol 2002; 99: 1031–1035.
• Özgür H. Bilişim Teknolojileri Öğretmen Adaylarının Eleştirel Düşünme Eğilimleri ile Bireysel Yenilikçilik Özellikleri Arasındaki İlişkinin Çeşitli Değişkenler Açısından İncelenmesi. Mersin Üniversitesi Eğitim Fakültesi Dergisi 2013; 9(2): 409–420 (in Turkish
• Çeşitli Değişkenler Açısından İncelenmesi. Mersin Üniversitesi Eğitim Fakültesi Dergisi 2013; 9(2): 409–420 (in Turkish