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Patient Input in Regional Healthcare Planning—A Meaningful Contribution

Author

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  • Heidrun Sturm

    (University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076 Tübingen, Germany)

  • Miriam Colombo

    (University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076 Tübingen, Germany)

  • Teresa Hebeiss

    (University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076 Tübingen, Germany)

  • Stefanie Joos

    (University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076 Tübingen, Germany)

  • Roland Koch

    (University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076 Tübingen, Germany)

Abstract

Background: There are well-known methodological and analytical challenges in planning regional healthcare services (HCS). Increasingly, the need for data-derived planning, including user-perspectives, is discussed. This study aims to better understand the possible contribution of citizen experience in the assessment of regional HCS needs in two regions of Germany. Methods: We conducted a written survey in two regions of differing size—a community (3653 inhabitants) and a county (165,211 inhabitants). Multinomial logistic regression was used to assess the impact of sociodemographic and regional factors on the assessment of HCS provided by general practitioners (GPs) and specialists. Results: Except for age and financial resources available for one’s own health, populations did not differ significantly between the regions. However, citizens’ perception of HCS (measured by satisfaction with 1 = very good to 5 = very poor) differed clearly between different services (e.g., specialists: 3.8–4.3 and pharmacies: 1.7–2.5) as well as between regions (GPs: 1.7–3.1; therapists: 2.9–4). In the multivariate model, region (next to income and age) was a consistent predictor of the perception of GP- and specialist-provided care. Discussion: Citizens’ perceptions of HCS correspond to regional provider density (the greater the density, the better the perception) and add insights into citizens’ needs. Therefore, they can provide valuable information on regional HCS strengths and weaknesses and are a valid resource to support decision makers in shaping regional care structures.

Suggested Citation

  • Heidrun Sturm & Miriam Colombo & Teresa Hebeiss & Stefanie Joos & Roland Koch, 2019. "Patient Input in Regional Healthcare Planning—A Meaningful Contribution," IJERPH, MDPI, vol. 16(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3754-:d:273682
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    References listed on IDEAS

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    1. Karen Carlisle & Jane Farmer & Judy Taylor & Sarah Larkins & Rebecca Evans, 2018. "Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 704-722, July.
    2. David Cutler & Jonathan Skinner & Ariel Dora Stern & David Wennberg, 2013. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," NBER Working Papers 19320, National Bureau of Economic Research, Inc.
    3. David Cutler & Jonathan S. Skinner & Ariel Dora Stern & David Wennberg, 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 192-221, February.
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