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. 1998 Mar;88(3):439-41.
doi: 10.2105/ajph.88.3.439.

Voting with their feet: public hospitals, health reform, and patient choices

D Ansell  1 , G Schiff, S Dick, C Cwiak, K Wright
Affiliations

Voting with their feet: public hospitals, health reform, and patient choices

D Ansell et al. Am J Public Health. 1998 Mar.

Abstract

Objectives: This study identified public hospital patients' preferences under managed care and health reform.

Methods: A cross-sectional survey of 348 ambulatory public hospital patients was conducted.

Results: Patients reported a high degree of loyalty to the public hospital given several hypothetical reform scenarios. Those patients who stated they would remain at the hospital increased (from 74.2% to 85.5%) when care elsewhere required copayment for medications and physician visits.

Conclusions: Patients at one public hospital reported a high likelihood of remaining in the public system, and this likelihood increased when copayment for services was required elsewhere.

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