Freedom of choice of specialist physicians is important to Swiss resident: a cross-sectional study.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_3B78B3CA45B4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Freedom of choice of specialist physicians is important to Swiss resident: a cross-sectional study.
Journal
Swiss Medical Weekly
Author(s)
Peytremann-Bridevaux Isabelle, Ruffieux Christiane, Burnand Bernard
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
141
Pages
w13315
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Abstract
QUESTION UNDER STUDY: To assess how important the possibility to choose specialist physicians is for Swiss residents and to determine which variables are associated with this opinion.
METHODS: This cross-sectional study used data from the 2007 Swiss population-based health survey and included 13,642 non-institutionalised adults who responded to the telephone and paper questionnaires. The dependent variable included answers to the question "How important is it for you to be able to choose the specialist you would like to visit?" Independent variables included socio-demographics, health and past year healthcare use measures. Crude and adjusted logistic regressions for the importance of being able to choose specialist physicians were performed, accounting for the survey design.
RESULTS: 45% of participants found it very important to be able to choose the specialist physician they wanted to visit. The answers "rather important", "rather not important" and "not important" were reported by 28%, 20% and 7% of respondents. Women, individuals in middle/high executive position, those with an ordinary insurance scheme, those reporting ≥2 chronic conditions or poorer subjective health, or those who had had ≥2 outpatient visits in the preceding year were more likely to find this choice very important.
CONCLUSIONS: In 2007, almost half of all Swiss residents found it very important to be able to choose his/her specialist physician. The further development of physician networks or other chronic disease management initiatives in Switzerland, towards integrated care, need to pay attention to the freedom of choice of specialist physicians that Swiss residents value. Future surveys should provide information on access and consultations with specialist physicians.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Choice Behavior, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Medicine, Middle Aged, Patient Freedom of Choice Laws/statistics & numerical data, Questionnaires, Specialization, Switzerland, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
26/01/2012 9:57
Last modification date
20/08/2019 13:31
Usage data