Factors That Motivate Provider Switching: The Patients' Perspective.

IF 3.2 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Services Research Pub Date : 2025-08-14 DOI:10.1111/1475-6773.70028

Onyi Dillibe, Rahul Singh, Norman A Johnson

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引用次数: 0

Abstract

Objective: To generate evidence regarding the specific critical incidents that prompt patients to switch care providers.

Study setting and design: Building on existing work on customer switching behavior, we applied the critical incident technique (CIT) to the health services research context and analyzed primary data obtained from 555 US-based patients who reported switching providers between 2018 and 2022 to develop a typology of the critical incidents that prompt patients to switch healthcare providers.

Data sources and analytic sample: Data were obtained from an online survey of adult US-based patients who reported switching primary care providers (PCPs) for non-insurance-related reasons. The survey was conducted from August to September 2022 using a quota sampling approach.

Principal findings: We found eight critical incident categories associated with patient switching: service encounter failures, pricing, competitor attraction, inconvenience, core service failures, involuntary switching, breakdown in shared decision-making, and service environment perception.

Conclusion: We offer explanations and suggest potentially useful evidence-based strategies for further investigation.

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激励提供者转换的因素：患者的观点。

目的：产生证据关于特定的危重事件，促使患者切换护理提供者。研究设置和设计：在现有客户转换行为研究的基础上，我们将关键事件技术（CIT）应用于医疗服务研究背景，并分析了从2018年至2022年间报告转换医疗服务提供者的555名美国患者获得的主要数据，以开发促使患者转换医疗服务提供者的关键事件类型。数据来源和分析样本：数据来自对美国成年患者的在线调查，这些患者报告由于与保险无关的原因而更换初级保健提供者（pcp）。该调查于2022年8月至9月进行，采用配额抽样方法。主要发现：我们发现了与患者转换相关的八个关键事件类别：服务遭遇失败、价格、竞争对手吸引力、不便、核心服务失败、非自愿转换、共享决策的崩溃和服务环境感知。结论：我们提供了解释，并为进一步的调查提出了潜在有用的循证策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Services Research 医学-卫生保健

CiteScore

4.80

自引率

5.90%

发文量

193

审稿时长

4-8 weeks

期刊介绍： Health Services Research (HSR) is a peer-reviewed scholarly journal that provides researchers and public and private policymakers with the latest research findings, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. Rated as one of the top journals in the fields of health policy and services and health care administration, HSR publishes outstanding articles reporting the findings of original investigations that expand knowledge and understanding of the wide-ranging field of health care and that will help to improve the health of individuals and communities.