What matters to low-income patients in ambulatory care facilities?

Derek DeLia, Allyson Hall, Timothy Prinz, John Billings

Research output: Contribution to journalReview article

Abstract

Poor, uninsured, and minority patients depend disproportionately on hospital outpatient departments (OPDs) and freestanding health centers for ambulatory care. These providers confront significant challenges, including limited resources, greater demand for services, and the need to improve quality and patient satisfaction. The authors use a survey of patients in OPDs and health centers in New York City to determine which aspects of the ambulatory care visit have the greatest influence on patients' overall site evaluation. The personal interaction between patients and physicians, provider continuity, and the general cleanliness/appearance of the facility stand out as high priorities. Access to services and interactions with other facility staff are of significant, although lesser, importance. These findings suggest ways to restructure the delivery of care so that it is more responsive to the concerns of low-income patients.

Original languageEnglish (US)
Pages (from-to)352-375
Number of pages24
JournalMedical Care Research and Review
Volume61
Issue number3
DOIs
StatePublished - Sep 2004

Fingerprint

Ambulatory Care Facilities
low income
Ambulatory Care
interaction
health
Outpatients
continuity
physician
minority
staff
Hospital Departments
Health
Patient Satisfaction
demand
evaluation
resources
Physicians

Keywords

  • Ambulatory care
  • Patient experiences
  • Safety net

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

What matters to low-income patients in ambulatory care facilities? / DeLia, Derek; Hall, Allyson; Prinz, Timothy; Billings, John.

In: Medical Care Research and Review, Vol. 61, No. 3, 09.2004, p. 352-375.

Research output: Contribution to journalReview article

DeLia, Derek ; Hall, Allyson ; Prinz, Timothy ; Billings, John. / What matters to low-income patients in ambulatory care facilities?. In: Medical Care Research and Review. 2004 ; Vol. 61, No. 3. pp. 352-375.
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