| Titre : | Patient Choice and Socioeconomic Disparities in the Quality of Healthcare: Evidence from Swedish Registry Data. |
| Auteurs : | L.M. ELLEGARD, Auteur ; G. KJELLSSON, Auteur ; R. KOVACS, Auteur |
| Type de document : | Document de travail |
| Editeur : | Rochester : S.S.R.N., 2024 |
| Format : | 63p., Tab., Graph., Cartes |
| Langues: | Anglais |
| Catégories : |
[BDSP5] Ethique > Droits personne > Droit catégoriel > Droits usager > Satisfaction usager [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Critère sélection [BDSP5] Géographie > Géographie humaine > Distance [BDSP5] Géographie politique > Monde > Europe > Pays scandinaves > Suède [BDSP5] Groupe population > Patient [BDSP5] Information & communication [NI] > Information > Nature information [NI] > Donnée statistique [BDSP5] Pratique médicale > Relation soignant soigné > Relation médecin malade [BDSP5] Soins > Qualité soins [BDSP5] Système soins > Accès soins [BDSP5] Système soins > Santé communautaire > Soins santé primaire |
| Résumé : | This study explores socioeconomic disparities in how patients trade off quality against other features when choosing their primary care provider. We use a unique registry dataset linking the choices of individuals who recently moved to a new market, and therefore need to select a new provider, with detailed individual-level measures of socioeconomic status (SES) and provider-level measures of patient satisfaction, clinical quality and travel distance in a large Swedish region. We find significant disparities in patient choice based on SES, as high-SES individuals are consistently more likely to select higher quality providers. However, the results also suggest that most of the SES disparities in quality are linked to differences in the availability of high-quality providers within an acceptable travel distance. Our findings suggest that patient choice can widen, rather than reduce, disparities in population health by SES -- if spatial inequalities in access to high-quality care are not addressed beforehand. |
| En ligne : | https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4942536 |