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How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links

Overconsumption of health care is an ever-present and complex problem in health systems. It is especially significant in countries in transition that assign relatively small budgets to health care. In these circumstances, trust in the health system and its institutions is of utmost importance. Many...

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Autores principales: Krot, Katarzyna, Rudawska, Iga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067686/
https://www.ncbi.nlm.nih.gov/pubmed/33916992
http://dx.doi.org/10.3390/ijerph18083860
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author Krot, Katarzyna
Rudawska, Iga
author_facet Krot, Katarzyna
Rudawska, Iga
author_sort Krot, Katarzyna
collection PubMed
description Overconsumption of health care is an ever-present and complex problem in health systems. It is especially significant in countries in transition that assign relatively small budgets to health care. In these circumstances, trust in the health system and its institutions is of utmost importance. Many researchers have studied interpersonal trust. Relatively less attention, however, has been paid to public trust in health systems and its impact on overconsumption. Therefore, this paper seeks to identify and examine the link between public trust and the moral hazard experienced by the patient with regard to health care consumption. Moreover, it explores the mediating role of patient satisfaction and patient non-adherence. For these purposes, quantitative research was conducted based on a representative sample of patients in Poland. Interesting findings were made on the issues examined. Patients were shown not to overconsume health care if they trusted the system and were satisfied with their doctor-patient relationship. On the other hand, nonadherence to medical recommendations was shown to increase overuse of medical services. The present study contributes to the existing knowledge by identifying phenomena on the macro (public trust in health care) and micro (patient satisfaction and non-adherence) scales that modify patient behavior with regard to health care consumption. Our results also provide valuable knowledge for health system policymakers. They can be of benefit in developing communication plans at different levels of local government.
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spelling pubmed-80676862021-04-25 How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links Krot, Katarzyna Rudawska, Iga Int J Environ Res Public Health Article Overconsumption of health care is an ever-present and complex problem in health systems. It is especially significant in countries in transition that assign relatively small budgets to health care. In these circumstances, trust in the health system and its institutions is of utmost importance. Many researchers have studied interpersonal trust. Relatively less attention, however, has been paid to public trust in health systems and its impact on overconsumption. Therefore, this paper seeks to identify and examine the link between public trust and the moral hazard experienced by the patient with regard to health care consumption. Moreover, it explores the mediating role of patient satisfaction and patient non-adherence. For these purposes, quantitative research was conducted based on a representative sample of patients in Poland. Interesting findings were made on the issues examined. Patients were shown not to overconsume health care if they trusted the system and were satisfied with their doctor-patient relationship. On the other hand, nonadherence to medical recommendations was shown to increase overuse of medical services. The present study contributes to the existing knowledge by identifying phenomena on the macro (public trust in health care) and micro (patient satisfaction and non-adherence) scales that modify patient behavior with regard to health care consumption. Our results also provide valuable knowledge for health system policymakers. They can be of benefit in developing communication plans at different levels of local government. MDPI 2021-04-07 /pmc/articles/PMC8067686/ /pubmed/33916992 http://dx.doi.org/10.3390/ijerph18083860 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Krot, Katarzyna
Rudawska, Iga
How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title_full How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title_fullStr How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title_full_unstemmed How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title_short How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links
title_sort how public trust in health care can shape patient overconsumption in health systems? the missing links
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067686/
https://www.ncbi.nlm.nih.gov/pubmed/33916992
http://dx.doi.org/10.3390/ijerph18083860
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