Rural - urban differences in determinants of patient satisfaction with primary care

Social Science & Medicine
Ines Weinhold, Sebastian Gurtner

Abstract

In light of the rising regional inequalities in primary care provider supply, to ensure equitable access is a pressing issue in health policy. Most policy approaches fall short in considering the patient perspective when defining shortage areas. As a consequence, implementations of new service delivery models might fail to be responsive to patients' expectations. To explore regional differences in the relative importance of structure and process attributes as drivers of patient satisfaction with local primary care, we collected data from residents of three objectively well-supplied urban and six objectively worse-supplied rural areas in Germany and tested a multi-group structural equation model. The results suggest that the relative importance of care attributes is different among the regional conditions rural and urban. Regardless of regional constraints, the strongest determinants of satisfaction are not related to structural aspects but are concerned with the quality of the doctor-patient relationship. A lack of available choices and a higher tolerance in terms of distances provide possible explanations for the results. The high importance rural residents attribute to the interpersonal relation should not be neglected in the...Continue Reading

Citations

Dec 7, 2019·The Australian Journal of Rural Health·Pamela HarveyBernadette Ward
Oct 20, 2019·International Journal of Environmental Research and Public Health·Jinlin Liu, Ying Mao
Nov 4, 2020·Journal of General Internal Medicine·Chao WangZuxun Lu
Jan 16, 2021·International Journal of Environmental Research and Public Health·Jianqiang XuHongtao Wu
Jul 4, 2021·Journal of Autism and Developmental Disorders·Parisa Ghanouni, Liam Seaker

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