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New professional roles and patient satisfaction: Evidence from a European survey along three clinical pathways

Author

Listed:
  • Ruggeri, Matteo
  • Drago, Carlo
  • Moramarco, Vincenzo
  • Coretti, Silvia
  • Köppen, Julia
  • Islam, Muhammad Kamrul
  • Gibson, Jonathan
  • Busse, Reinhard
  • van Exel, Job
  • Sutton, Matthew
  • Askildsen, Jan Erik
  • Bond, Christine M.
  • Elliott, Robert F.

Abstract

This paper reports the results of an empirical analysis exploring the impact of new professions (eg a physician associate) and new professional roles on patient experiences of and satisfaction with care. A sub set of data from a patient survey conducted as part of the MUNROS programme of work was used. The overall survey aim was to describe and quantify the use of new professionals and new roles for established health care professionals other than medical doctors, in primary and secondary care sectors in three care pathways in nine European countries Ordered logit models were used to investigate the association between: (1) patient satisfaction with the last visit; (2) with their care provider; (3) with the information provided and a set of covariates explaining the involvement of new professional roles in three clinical pathways: type 2 diabetes, heart disease and breast cancer. For patients with breast cancer, high levels of satisfaction are associated with the involvement of new professions/professional roles in the provision of conditions specific education and monitoring. For patients with heart disease, the involvement of new professions/professional roles is likely to have a negative impact on satisfaction. For patients with Type 2 diabetes results are ambivalent. Patients belonging to countries experiencing innovative models of healthcare delivery and with high levels of involvement of new professions/professional roles are generally more satisfied. In conclusion, the introduction of new professions does not affect patient satisfaction negatively, therefore introducing new health professional roles is a pursuable strategy from a patient satisfaction perspective, at least for breast cancer and type 2 diabetes.

Suggested Citation

  • Ruggeri, Matteo & Drago, Carlo & Moramarco, Vincenzo & Coretti, Silvia & Köppen, Julia & Islam, Muhammad Kamrul & Gibson, Jonathan & Busse, Reinhard & van Exel, Job & Sutton, Matthew & Askildsen, Jan , 2018. "New professional roles and patient satisfaction: Evidence from a European survey along three clinical pathways," Health Policy, Elsevier, vol. 122(10), pages 1078-1084.
  • Handle: RePEc:eee:hepoli:v:122:y:2018:i:10:p:1078-1084
    DOI: 10.1016/j.healthpol.2018.07.020
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    References listed on IDEAS

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    1. Reeves, Aaron & McKee, Martin & Basu, Sanjay & Stuckler, David, 2014. "The political economy of austerity and healthcare: Cross-national analysis of expenditure changes in 27 European nations 1995–2011," Health Policy, Elsevier, vol. 115(1), pages 1-8.
    2. Marie-Laure Delamaire & Gaétan Lafortune, 2010. "Nurses in Advanced Roles: A Description and Evaluation of Experiences in 12 Developed Countries," OECD Health Working Papers 54, OECD Publishing.
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    Cited by:

    1. Balasubramanian, Madhan & Brennan, David S. & Short, Stephanie D & Gallagher, Jennifer E, 2019. "A strife of interests: A qualitative study on the challenges facing oral health workforce policy and planning," Health Policy, Elsevier, vol. 123(11), pages 1068-1075.
    2. Kuhlmann, Ellen & Groenewegen, Peter P. & Bond, Christine & Burau, Viola & Hunter, David J., 2018. "Primary care workforce development in Europe: An overview of health system responses and stakeholder views," Health Policy, Elsevier, vol. 122(10), pages 1055-1062.

    More about this item

    Keywords

    Healthcare delivery models; Patients’ satisfaction; New professional roles; European survey; Monitoring and education provision;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure

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