| Paying for enhanced service: comparing patients' experiences in a concierge and general medicine practice. | |
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MedLine Citation:
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PMID: 22273085 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Concierge medical practice is a relatively new and somewhat controversial development in primary-care practice. These practices promise patients more personalized care and dedicated service, in exchange for an annual membership fee paid by patients. The experiences of patients using these practices remain largely undocumented. OBJECTIVE: To assess the experiences of patients in a concierge medicine practice compared with those in a general medicine practice. METHODS: Stratified random samples of patients empanelled to each of the four doctors who practice at both a general medicine and a concierge medicine practice separately situated at an academic medical center were drawn. Patients were eligible for the study if they had a visit with the physician between January and May 2006. The study questionnaire (Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey, supplemented with items from the Ambulatory Care Experiences Survey) was administered by mail to 100 general medicine patients per physician (n = 400) and all eligible concierge medicine patients (n = 201). Patients who completed the survey and affirmed the study physician as their primary-care physician formed the analytic sample (n = 344) that was used to compare the experiences of concierge medicine and general medicine patients. Models controlled for respondent characteristics and accounted for patient clustering within physicians using physician fixed effects. RESULTS: Patients' experiences with organizational features of care, comprising care co-ordination (p < 0.01), access to care (p < 0.001) and interactions with office staff (p < 0.001), favored concierge medicine over general medicine practice. The quality of physician-patient interactions did not differ significantly between the two groups. However, the patients of the concierge medicine practice were more likely to report that their physician spends sufficient time in clinical encounters than patients of the general medicine practice (p < 0.003). CONCLUSION: The results suggest patients of the concierge medicine practice experienced and reported enhanced service, greater access to care, and better care co-ordination than those of the general medicine practice. This suggests that further study to understand the etiology of these differences may be beneficial in enhancing patients' experience in traditional primary-care practices. |
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Authors:
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Justin M Ko; Hector P Rodriguez; David G Fairchild; Angie Mae C Rodday; Dana G Safran |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The patient Volume: 2 ISSN: 1178-1653 ISO Abbreviation: Patient Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2012-01-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101309314 Medline TA: Patient Country: England |
Other Details:
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Languages: eng Pagination: 95-103 Citation Subset: - |
Affiliation:
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1 Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA 2 Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA 3 The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA 4 Blue Cross Blue Shield of Massachusetts, Boston, Massachusetts, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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