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- Title
The Effects of Organization Design and Patient Perceptions of Care on Switching Behavior and Reliance on a Health Care System Across Time.
- Authors
Labonte, Alan J.; Benzer, Justin K.; Burgess, James F.; Cramer, Irene E.; Meterko, Mark; Pogoda, Terri K.; Charns, Martin P.; Burgess, James F Jr
- Abstract
Sustaining ongoing relationships with patients is a strategic, clinically relevant goal of health care systems. This study develops and tests a conceptual model that aims to account for the influence of organization design, perceptions of quality of patient care, and other patient-level factors on the extent to which patients sustain reliance on a health care system. We use a longitudinal survey design and structural equation modeling to predict increases or decreases in patient reliance on the Department of Veterans Affairs health care system across a 4-year period for Veterans with Parkinson's Disease. Our findings show that specialized and integrated clinical practices have a positive association with the quality of patient care. Health care systems may be able to foster long-term relations with patients and improve service quality by allocating resources to form integrated, specialized, disease-specific centers of care designed for patients with chronic illnesses.
- Subjects
MEDICAL care research; UNITED States. Dept. of Veterans Affairs; PATIENT psychology; PARKINSON'S disease; QUALITY of service; CHRONIC diseases; MEDICAL practice
- Publication
Medical Care Research & Review, 2016, Vol 73, Issue 2, p182
- ISSN
1077-5587
- Publication type
journal article
- DOI
10.1177/1077558715601543