Fundholders' referral patterns and perceptions of service quality in hospital provision of elective general surgery.

D K Whynes; G Reed

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Fundholders' referral patterns and perceptions of service quality in hospital provision of elective general surgery.

机译：普通全科医院提供医院时，基金持有人的推荐模式和对服务质量的看法。

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BACKGROUND. The introduction of fundholding established an internal market in public sector health care, involving purchasers and providers contracting for the supply of health care. AIM. This study set out to examine fundholders' hospital referral patterns, and to evaluate the quality of the service provided to patients undergoing elective general surgery, as perceived by fundholding general practitioners. METHOD. A questionnaire was posted to the senior partners of all fundholding practices in the Trent Regional Health Authority area. This questionnaire requested assessments of the importance of 13 specified aspects of service quality and the quality of provision by general practitioners' most frequently-used hospitals. Five-point scales were employed in each case. Respondents were asked to provide additional details about their practice. RESULTS. A 67% response rate was achieved. Confidence in the consultant's ability, short waiting times and informative feedback from the providers emerged as the most important elements in referral decisions, while the cost of treatment and patient convenience received lower importance ratings. In terms of how well their providers were seen to perform, fundholders ranked confidence in the consultant and patient convenience highest, and style of hospital management lowest. The majority of referrals seemed to be local. CONCLUSION. Judged in terms of fundholders' perceptions, sizeable variations in service quality between hospital providers of general surgery are evident.

机译：背景。资金持有的引入建立了公共部门医疗保健的内部市场，涉及购买者和提供者签订了医疗保健供应合同。目标。这项研究着眼于检查资金持有人的医院转诊模式，并评估资金持有的全科医生所认为的为接受选择性普外科手术的患者提供的服务的质量。方法。已向特伦特地区卫生局地区的所有资金持有实践的高级合作伙伴发布了调查表。该调查表要求评估13个特定方面的服务质量的重要性以及全科医生最常用的医院所提供服务的质量。在每种情况下使用五点量表。要求受访者提供有关其行为的其他详细信息。结果。达到了67％的响应率。对顾问能力的信心，较短的等待时间和提供者的信息反馈已成为转诊决策中最重要的因素，而治疗费用和患者便利性的重要性较低。就其提供者的表现如何而言，资金持有者对顾问和患者便利度的信心最高，而医院管理的风格则最低。大多数推荐人似乎是本地人。结论。从资金持有人的观点来看，普通外科医院提供者之间服务质量的巨大差异是显而易见的。

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《The British journal of general practice: the journal of the Royal College of General Practitioners》 |1994年第389期|共页
作者
D K Whynes; G Reed;
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中图分类预防医学、卫生学;
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Fundholders' referral patterns and perceptions of service quality in hospital provision of elective general surgery.

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