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16.05.2019 | Original Paper Open Access

Patient experiences with outpatient care in Hungary: results of an online population survey

Zeitschrift:
The European Journal of Health Economics
Autoren:
Óscar Brito Fernandes, Petra Baji, Dionne Kringos, Niek Klazinga, László Gulácsi, Armin Lucevic, Imre Boncz, Márta Péntek
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10198-019-01064-z) contains supplementary material, which is available to authorized users.

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Abstract

Background

Health systems are undertaking efforts to make health care more patient centered and value based. To achieve this goal, the use of patient-reported experience measures (PREMs) is increasing, especially across OECD countries. However, in Hungary, data on patients’ experiences are still lacking. Thus, our aim was twofold: first, to collect data on outpatient experience in Hungary on patient–doctor communication and patient involvement in decision making and compare it with that of other OECD countries; second, to assess associations of outpatient experience with patients’ socioeconomic characteristics.

Methods

In early 2019, we conducted a cross-sectional, online, self-administered survey in a national representative sample of Hungary’s population (n = 1000). The sample was weighted considering gender, age, highest education level attained, type of settlement, and region of residence. The survey questions were based on a set of recommended questions by the OECD.

Results

Our findings show that the proportion of reported positive experiences is as follows: doctors providing easy-to-understand explanations (93.1%) followed by time spent on the consultation (87.5%), opportunities to raise questions (85.8%), and doctors involving patients in decision making about care and treatment (80.1%). The share of positive experiences falls behind OECD’s average regarding patient–doctor communication and patient involvement in decision making, which signals room for improvement in these areas.

Conclusions

Women, younger people, people with a paid job, and patients with consultations with allied health professionals reported significant lesser positive care experiences and, hence, more targeted policies can be initiated based on our findings.

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Zusatzmaterial
Supplementary material 1 (PDF 188 kb)
10198_2019_1064_MOESM1_ESM.pdf
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