Trends and Consumerism in Health Care

Topics: Health care, Nursing, Medicine Pages: 15 (646 words) Published: May 12, 2015
Consumeri
sm in
Health
Care
Nicole Bertram & LaWanda Frazier
HCS/465
May 5, 2015
Bryan Alexander

Table of Contents






Background:


Summary



Effect on Consumers’ Perspectives

Methodology:


Overview of Data Collection



Validity and Reliability

Results:


Qualitative and Quantitative Aspects






Descriptive Statistics & Inferential Statistics

Effectiveness of the Study

Conclusions:


Future Trends of Health Care Research and Consumerism

Background
Extensive research has been done to
define and measure health care
quality, yet little has been done to
address the consumers’ perspective
of high-quality health care.

Summary




Relationship of quality of care


Provider/Patient care



Access of care

Nursing knowledge






Nursing skills

Patient Demographics


Chronic illness



Census tracts

Consumer survey

Effect on Consumer Perspective


Attributes of health care important to consumers


Access to care



Coordination of services



Education



Being treated with respect



Waiting times for appointments

Overview of Data Collection




Participants completed surveys


Quality Health Care Questionnaire (QHCQ).



SF-36

Midwestern Area


Urban and Suburban area



Over 18 years of age



Not hospitalized within last 6 months

Validity and Reliability




Validity


Surveys



Previous studies

Reliability


239 consumers recruited



Results compared to other studies

Results


Most important indicators
of high quality nursing care:


Communication with nurses



Spending enough time (not rushed)



Having nurses who are up-to-date
and well informed





Nurse ability and willingness to
educate patients

Ratings differed by race,
age, education level,
income, and health status

Table 1. QHCQ Factor Score Means by Race
Caucasian
Factor

M(SD)

Medical Care
Quality

African
American
M(SD)

F

51.4 (6.2)

48.2 (8.4)

9.95

Teaching by
Nurses

48.9 (10.5)

52.6 (8.6)

6.77

Provider
Competence

49.5 (10.7)

51.9 (7.3)

2.82

Choice of
Provider

49.2 (9.7)

51.3 (10.5)

2.20

Nurse-Patient
Interaction

50.1 (9.7)

50.2 (10.6)

0.03

Convenience
of
Appointment

48.5 (9.8

53.5 (9.9)

12.24

Table 2. Correlation of QHCQ Factor Scores with Health Status and Demographic Variables
*p < .05
**p Nurse-Patient
Interaction

Convenience of
Appointments

Physical Functioning

.124

-.057

.036

.113

-.049

-.150*

Role Limitations
(Physical)

-.024

-.034

-.004

.106

-.132*

-.049

Pain

.082

-.009

-.023

.053

-.033

-.042

Vitality

.059

-.069

-.058

.127

-.130

-.089

Social Functioning

.093

-.061

-.038

References: •
Doug Smith, M. M. (2015, February). Healthcare Trends 2015. Retrieved
from www.besmith.com: https://www.besmith.com/thoughtleadership/white-papers/healthcare-trends-2015

Oermann, M. H., & Templin, T. (2000). Important Attributes of Quality
Health Care: Consumer Perspectives. Journal of Nursing Scholarship,
32(2), 167.

Rubinson, J. J. (2010). Research Techniques for the Health Sciences;
Fourth Edition. San Francisco, CA: Person Education Inc.
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