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PubMed1987

Evaluating the impact of a service fee on patient compliance.

This paper addresses an evaluation of an administrative decision to change the manner in which services were paid for at a Student Health Center (SHC). The impact of the change in payment was observed through monitoring the number of scheduled appointments at the SHC which the patient failed to attend, reschedule, or cancel. The impact was assessed through a comparison of the weekly no-show rates from the year prior to the change in payment practices through the year following the change. A time-series statistical package was used to analyze the no-show data. Collateral measures on the number of students attending the university, staff opinions, and usage of the SHC by different student groups were collected. Evaluations of the impact of administrative decisions on health related behavior were discussed, in addition to a discussion of the usefulness of time-series models for this type of evaluation.

Appointments and Schedules↗
PubMed1998

[Costs and fees in health care. Evaluation and assessment by cardiological patients].

PATIENTS AND METHOD: In a pilot study 70 patients treated in the Department of Cardiology were asked to asses the cost of coronary angiography, PTCA, heart transplantation, pacemakers and prosthetic heart valves. Salaries of physicians and nurses should be estimated, and causes of increase of costs in health care be defined. RESULTS: 91.7% patients criticized health care as too expensive but reasonable with regard to output and efficacy. As most important reasons for increase of cost were given "expensive drugs" (70.6%), "great number of drugs" (56.9%) and "increased number of old patients" (56.9%). Costs of coronary angiography were overestimated (twice) and those of PTCA were underestimated (half). Two thirds of the patients guessed the price of pacemakers and prosthetic heart valves much to low. Salaries of physicians had been estimated near the upper reference value, those of nurses near the lower reference value. CONCLUSION: Most of our patients were insufficiently informed about costs in health care. Clarification and more transparency are needed.

Adult↗