Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK
Identifieur interne : 003438 ( Main/Exploration ); précédent : 003437; suivant : 003439Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK
Auteurs : Catherine Exley [Royaume-Uni] ; Nikki Rousseau [Royaume-Uni] ; Cam Donaldson [Royaume-Uni] ; Jimmy G. Steele [Royaume-Uni]Source :
- BMC Health Services Research [ 1472-6963 ] ; 2012.
Abstract
Delivering appropriate and affordable healthcare is a concern across the globe. As countries grapple with the issue of delivering healthcare with finite resources and populations continue to age, more health-related care services or treatments may become an optional 'extra' to be purchased privately. It is timely to consider how, and to what extent, the individual can act as both a 'patient' and a 'consumer'. In the UK the majority of healthcare treatments are free at the point of delivery. However, increasingly some healthcare treatments are being made available via the private healthcare market. Drawing from insights from healthcare policy and social sciences, this paper uses the exemplar of private dental implant treatment provision in the UK to examine what factors people considered when deciding whether or not to pay for a costly healthcare treatment for a non-fatal condition.
Qualitative interviews with people (n = 27) who considered paying for dental implants treatments in the UK. Data collection and analysis processes followed the principles of the constant comparative methods, and thematic analysis was facilitated through the use of NVivo qualitative data software.
Decisions to pay for private healthcare treatments are not simply determined by price. Decisions are mediated by: the perceived 'status' of the healthcare treatment as either functional or aesthetic; how the individual determines and values their 'need' for the treatment; and, the impact the expenditure may have on themselves and others. Choosing a private healthcare provider is sometimes determined simply by personal rapport or extant clinical relationship, or based on the recommendation of others.
As private healthcare markets expand to provide more 'non-essential' services, patients need to develop new skills and to be supported in their new role as consumers.
Url:
DOI: 10.1186/1472-6963-12-53
PubMed: 22397733
PubMed Central: 3325847
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002847
- to stream Pmc, to step Curation: 002847
- to stream Pmc, to step Checkpoint: 001F75
- to stream Ncbi, to step Merge: 003C60
- to stream Ncbi, to step Curation: 003C60
- to stream Ncbi, to step Checkpoint: 003C60
- to stream Main, to step Merge: 003455
- to stream Main, to step Curation: 003438
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK</title><author><name sortKey="Exley, Catherine" sort="Exley, Catherine" uniqKey="Exley C" first="Catherine" last="Exley">Catherine Exley</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Health and Society and Centre for Oral Health Research, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society and Centre for Oral Health Research, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX</wicri:regionArea><wicri:noRegion>Newcastle NE2 4AX</wicri:noRegion></affiliation></author><author><name sortKey="Rousseau, Nikki" sort="Rousseau, Nikki" uniqKey="Rousseau N" first="Nikki" last="Rousseau">Nikki Rousseau</name><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Society Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX</wicri:regionArea><wicri:noRegion>Newcastle NE2 4AX</wicri:noRegion></affiliation></author><author><name sortKey="Donaldson, Cam" sort="Donaldson, Cam" uniqKey="Donaldson C" first="Cam" last="Donaldson">Cam Donaldson</name><affiliation wicri:level="1"><nlm:aff id="I3">Yunus Centre for Social Business and Health, Level 3 Buchanan House, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Yunus Centre for Social Business and Health, Level 3 Buchanan House, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA</wicri:regionArea><wicri:noRegion>Glasgow G4 0BA</wicri:noRegion></affiliation></author><author><name sortKey="Steele, Jimmy G" sort="Steele, Jimmy G" uniqKey="Steele J" first="Jimmy G" last="Steele">Jimmy G. Steele</name><affiliation wicri:level="1"><nlm:aff id="I4">Institute of Health and Society, Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle NE2 4BW, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society, Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle NE2 4BW</wicri:regionArea><wicri:noRegion>Newcastle NE2 4BW</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22397733</idno><idno type="pmc">3325847</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325847</idno><idno type="RBID">PMC:3325847</idno><idno type="doi">10.1186/1472-6963-12-53</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002847</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002847</idno><idno type="wicri:Area/Pmc/Curation">002847</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002847</idno><idno type="wicri:Area/Pmc/Checkpoint">001F75</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001F75</idno><idno type="wicri:Area/Ncbi/Merge">003C60</idno><idno type="wicri:Area/Ncbi/Curation">003C60</idno><idno type="wicri:Area/Ncbi/Checkpoint">003C60</idno><idno type="wicri:Area/Main/Merge">003455</idno><idno type="wicri:Area/Main/Curation">003438</idno><idno type="wicri:Area/Main/Exploration">003438</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK</title><author><name sortKey="Exley, Catherine" sort="Exley, Catherine" uniqKey="Exley C" first="Catherine" last="Exley">Catherine Exley</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Health and Society and Centre for Oral Health Research, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society and Centre for Oral Health Research, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX</wicri:regionArea><wicri:noRegion>Newcastle NE2 4AX</wicri:noRegion></affiliation></author><author><name sortKey="Rousseau, Nikki" sort="Rousseau, Nikki" uniqKey="Rousseau N" first="Nikki" last="Rousseau">Nikki Rousseau</name><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Society Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX</wicri:regionArea><wicri:noRegion>Newcastle NE2 4AX</wicri:noRegion></affiliation></author><author><name sortKey="Donaldson, Cam" sort="Donaldson, Cam" uniqKey="Donaldson C" first="Cam" last="Donaldson">Cam Donaldson</name><affiliation wicri:level="1"><nlm:aff id="I3">Yunus Centre for Social Business and Health, Level 3 Buchanan House, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Yunus Centre for Social Business and Health, Level 3 Buchanan House, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA</wicri:regionArea><wicri:noRegion>Glasgow G4 0BA</wicri:noRegion></affiliation></author><author><name sortKey="Steele, Jimmy G" sort="Steele, Jimmy G" uniqKey="Steele J" first="Jimmy G" last="Steele">Jimmy G. Steele</name><affiliation wicri:level="1"><nlm:aff id="I4">Institute of Health and Society, Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle NE2 4BW, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health and Society, Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle NE2 4BW</wicri:regionArea><wicri:noRegion>Newcastle NE2 4BW</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Health Services Research</title><idno type="eISSN">1472-6963</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Delivering appropriate and affordable healthcare is a concern across the globe. As countries grapple with the issue of delivering healthcare with finite resources and populations continue to age, more health-related care services or treatments may become an optional 'extra' to be purchased privately. It is timely to consider how, and to what extent, the individual can act as both a 'patient' and a 'consumer'. In the UK the majority of healthcare treatments are free at the point of delivery. However, increasingly some healthcare treatments are being made available via the private healthcare market. Drawing from insights from healthcare policy and social sciences, this paper uses the exemplar of private dental implant treatment provision in the UK to examine what factors people considered when deciding whether or not to pay for a costly healthcare treatment for a non-fatal condition.</p></sec><sec><title>Methods</title><p>Qualitative interviews with people (n = 27) who considered paying for dental implants treatments in the UK. Data collection and analysis processes followed the principles of the constant comparative methods, and thematic analysis was facilitated through the use of NVivo qualitative data software.</p></sec><sec><title>Results</title><p>Decisions to pay for private healthcare treatments are not simply determined by price. Decisions are mediated by: the perceived 'status' of the healthcare treatment as either functional or aesthetic; how the individual determines and values their 'need' for the treatment; and, the impact the expenditure may have on themselves and others. Choosing a private healthcare provider is sometimes determined simply by personal rapport or extant clinical relationship, or based on the recommendation of others.</p></sec><sec><title>Conclusions</title><p>As private healthcare markets expand to provide more 'non-essential' services, patients need to develop new skills and to be supported in their new role as consumers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Donaldson, C" uniqKey="Donaldson C">C Donaldson</name></author><author><name sortKey="Gerard, K" uniqKey="Gerard K">K Gerard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Exley, C" uniqKey="Exley C">C Exley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steele, J" uniqKey="Steele J">J Steele</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brekke, Kr" uniqKey="Brekke K">KR Brekke</name></author><author><name sortKey="Sorgard, L" uniqKey="Sorgard L">L Sorgard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feine, Js" uniqKey="Feine J">JS Feine</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author><author><name sortKey="Awad, Ma" uniqKey="Awad M">MA Awad</name></author><author><name sortKey="Chehade, A" uniqKey="Chehade A">A Chehade</name></author><author><name sortKey="Duncan, Wj" uniqKey="Duncan W">WJ Duncan</name></author><author><name sortKey="Gizani, S" uniqKey="Gizani S">S Gizani</name></author><author><name sortKey="Head, T" uniqKey="Head T">T Head</name></author><author><name sortKey="Heydecke, G" uniqKey="Heydecke G">G Heydecke</name></author><author><name sortKey="Lund, Jp" uniqKey="Lund J">JP Lund</name></author><author><name sortKey="Macentee, M" uniqKey="Macentee M">M MacEntee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomason, Jm" uniqKey="Thomason J">JM Thomason</name></author><author><name sortKey="Fiene, J" uniqKey="Fiene J">J Fiene</name></author><author><name sortKey="Exley, C" uniqKey="Exley C">C Exley</name></author><author><name sortKey="Moynihan, P" uniqKey="Moynihan P">P Moynihan</name></author><author><name sortKey="Muller, F" uniqKey="Muller F">F Muller</name></author><author><name sortKey="Naert, I" uniqKey="Naert I">I Naert</name></author><author><name sortKey="Ellis, Js" uniqKey="Ellis J">JS Ellis</name></author><author><name sortKey="Barclay, C" uniqKey="Barclay C">C Barclay</name></author><author><name sortKey="Butterworth, C" uniqKey="Butterworth C">C Butterworth</name></author><author><name sortKey="Scott, B" uniqKey="Scott B">B Scott</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Exley, C" uniqKey="Exley C">C Exley</name></author><author><name sortKey="Rousseau, N" uniqKey="Rousseau N">N Rousseau</name></author><author><name sortKey="Steele, J" uniqKey="Steele J">J Steele</name></author><author><name sortKey="Finch, T" uniqKey="Finch T">T Finch</name></author><author><name sortKey="Field, J" uniqKey="Field J">J Field</name></author><author><name sortKey="Donaldson, C" uniqKey="Donaldson C">C Donaldson</name></author><author><name sortKey="Thomason, J" uniqKey="Thomason J">J Thomason</name></author><author><name sortKey="May, C" uniqKey="May C">C May</name></author><author><name sortKey="Ellis, J" uniqKey="Ellis J">J Ellis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Glaser, B" uniqKey="Glaser B">B Glaser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strauss, Al" uniqKey="Strauss A">AL Strauss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gimlin, D" uniqKey="Gimlin D">D Gimlin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Calnan, M" uniqKey="Calnan M">M Calnan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rapley, T" uniqKey="Rapley T">T Rapley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zelizer, Va" uniqKey="Zelizer V">VA Zelizer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freidson, E" uniqKey="Freidson E">E Freidson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parsons, T" uniqKey="Parsons T">T Parsons</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Km" uniqKey="Harris K">KM Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lupton, D" uniqKey="Lupton D">D Lupton</name></author><author><name sortKey="Donaldson, C" uniqKey="Donaldson C">C Donaldson</name></author><author><name sortKey="Lloyd, P" uniqKey="Lloyd P">P Lloyd</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Exley, Catherine" sort="Exley, Catherine" uniqKey="Exley C" first="Catherine" last="Exley">Catherine Exley</name></noRegion><name sortKey="Donaldson, Cam" sort="Donaldson, Cam" uniqKey="Donaldson C" first="Cam" last="Donaldson">Cam Donaldson</name><name sortKey="Rousseau, Nikki" sort="Rousseau, Nikki" uniqKey="Rousseau N" first="Nikki" last="Rousseau">Nikki Rousseau</name><name sortKey="Steele, Jimmy G" sort="Steele, Jimmy G" uniqKey="Steele J" first="Jimmy G" last="Steele">Jimmy G. Steele</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003438 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003438 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3325847
|texte= Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:22397733" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |