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Students’ lack of knowledge regarding healthcare providers’ duties, and their preferences for information when selecting new providers

Evan Perrault

Abstract


Rationale, aims and objectives: When USA college students need medical care, their first destinations are usually campus health centers. Normally, staffed by a variety of care providers (e.g., nurse practitioners, physician assistants, physicians), students may be confused about who they may need to see and possibly hesitant to receive care. The present study sought to determine students’ knowledge about primary care providers and the qualities they would like to know about them prior to consultations. The goal of this paper is to improve the information campus health centers in terms of their ability to provide students health solutions when and where they need them.

Methods: 534 USA college students from a large Midwestern USA university completed a web-based survey about their knowledge, attitudes and information preferences regarding their various care providers. They also viewed 3 experimentally manipulated biographies of providers and chose the provider they would want to visit.

Results: The majority of students did not know the differences between physicians, physician assistants and nurse practitioners and the types of care that they could provide. About 9% stated they would not seek care and 16% would delay seeking care if unable to see a physician immediately. The most important pieces of information desired were providers’ philosophies of care, certifications, areas of specialization and length of time practising medicine. As students perceived greater similarities due to more personal information provided in the biographies, they viewed, uncertainty was reduced leading to higher levels of anticipated patient satisfaction and quality of care.

Conclusions: USA college students need greater levels of education regarding the care that can be received from a variety of healthcare professionals. Information provided should also include more personal information about the providers to help reduce students’ uncertainty and to enable students to access services that are person-centered in their nature.


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References


U.S. Centers for Medicare and Medicaid Services. Can I keep my own doctor? Available at: https://www.healthcare.gov/can-i-keep-my-own-doctor/. Accessed April 7, 2014.

Bornstein, B.H., Marcus, D. & Cassidy, W. (2000). Choosing a doctor: An exploratory study of factors influencing patients’ choice of a primary care doctor. Journal of Evaluation in Clinical Practice 6, 255-262.

Salisbury, C.J. (1989). How do people choose their doctors? British Medical Journal 299, 608-610.

American College Health Association. 2010-2011 College Health Salary and Staffing Survey Report.

American Academy of Physician Assistants. What is a PA? Available at:

European Journal for Person Centered Healthcare 2015 Volume 3

http://www.aapa.org/the_pa_profession/what_is_a_pa.aspx Accessed April 7, 2014.

American Association of Nurse Practitioners. All about NPs. Available at: https://www.aanp.org/all-about-nps. Accessed April 7, 2014.

Davies, J., McCrae, B.P., Frank, J., Dochnahl, A., Pickering, T., Harrison, B., Zakrzewski, M. & Wilson K. (2000). Identifying male college students’ perceived health needs, barriers to seeking help, and recommendations to help men adopt healthier lifestyles. Journal of American College Health 48, 259-267.

Delene, L.M. & Brogowicz, A.A. (1990). Student healthcare needs, attitudes, and behavior: Marketing implications for college health centers. Journal of American College Health 38, 157-164.

Booth, A. & Babchuk, N. (1972). Seeking health care from new resources. Journal of Health and Social Behavior 13, 90-99.

Harris. K.M. (2003). How do patients choose physicians? Evidence from a national survey of enrollees in employment-related health plans. Health Services Research 38,711-732.

Harris, K.M. & Buntin, M.B. (2008). Choosing a health care provider: The role of quality information. Robert Wood Johnson Foundation. Available at: http://www.rwjf.org/en/research-publications/find-rwjf-research/2008/05/choosing-a-health-care-provider.html. Accessed April 7, 2014.

Fox, S. (2011). The social life of health information. PEW Internet and American Life Project. Available at: http://pewInternet.org/~/media/Files/Reports/2011/PIP_Social_Life_of_Health_Info.pdf. Accessed January 12, 2013

Razzouk, N., Seitz, V. & Webb, J.M. (2004). What’s important in choosing a primary care physician: An analysis of consumer response. International Journal of Health Care Quality Assurance 17, 205-211.

Engstrom, S. & Madlon-Kay, D.J. (1998). Choosing a family physician: What do patients want to know? Minnesota Medicine 81, 22-26.

Fung, C.H., Elliott, M.N., Hays, R.D., Kahn, K.L., Kanouse, D.E., McGlynn, E.A., Spranca, M.D. & Shekelle, P.G. (2005). Patients’ preferences for technical versus interpersonal quality when selecting a primary care physician. Health Services Research 40, 957-977.

Booth-Butterfield, S., Chory, R. & Beynon, W. (1997). Communication apprehension and health communication and behaviors. Communication Quarterly 45, 235-250.

Berger, C.R. & Calabrese, R.J. (1975). Some explorations in initial interaction and beyond: Toward a developmental theory of interpersonal communication. Human Communication Research 1, 99-112.

Jourard, S.M. & Landsman, M.J. (1960). Cognition, cathexis, and the “dyadic effect” in men’s self-disclosing behavior. Merrill-Palmer Quarterly 6, 178-185.

Rogers, E.M. & Bhowmik, D.K. (1970). Homophily-heterophily: Relational concepts for communication research. Public Opinion Quarterly 34, 523-538.

Hall, J.A., Horgan, T.G., Stein, T.S. & Roter, D.L. (2002). Liking in the physician-patient relationship. Patient Education and Counseling 48, 69-77.

Jayanti, R.K. & Whipple, T.W. (2008). Like me…like me not: The role of physician likability on service evaluations. Journal of Marketing Theory and Practice 16, 79-86.

Roghmann, K.J., Hengst, A. & Zastowny, T.R. (1979). Satisfaction with medical care: Its measurement and relation to utilization. Medical Care 17, 461-479.

Cabana, M.D. & Jee, S.H. (2004). Does continuity of care improve patient outcomes? Journal of Family Practice 53, 974-980.

Ettner, S.L. (1999). The relationship between continuity of care and the health behaviors of patients: Does having a usual physician make a difference? Medical Care 37, 547-555.

Gillette, J.L., Byrne, T.J. & Cranston, J.W. (1982). Variables affecting patient satisfaction with health care services in the college health setting. Journal of American College of Health 30, 167-170.

Hall, J.A., Roter, D.L., Milburn, M.A. & Daltroy, L.H. (1996). Patients’ health as a predictor of physician and patient behavior in medical visits. Medical Care 34, 1205-1218.

Varadarajulu, S., Petruff, C. & Ramsey, W.H. (2002). Patient preferences for gender of endoscopists. Gastrointestinal Endoscopy 56, 170-173.

Perrault, E.K. & Smreker, K.C. (2013). What can we learn from physicians’ online biographies to help in choosing a doctor? Not much. A content analysis of primary care physician biographies. Journal of Communication in Healthcare 6, 122-127.

McCroskey, J.C., Richmond, V.P. & Daly, J.A. (1975). The development of a measure of perceived homophily in interpersonal communication. Human Communication Research 1, 323-332.

Prisbell, M. & Andersen, J.F. (1980). The importance of perceived homophily, level of uncertainty, feeling good, safety, and self-disclosure in interpersonal relationships. Communication Quarterly 28, 22-33.

Richmond, V.P., Smith, R.S., Heisel, A.M. & McCroskey, J.C. (1998). The impact of communication apprehension and fear of talking with a physician on perceived medical outcomes. Communication Research Reports 15, 344-353.

Kulich, K.R., Berggren, U. & Hallberg, L.R. (2003). A qualitative analysis of patient-centered dentistry in consultations with dental phobic patients. Journal of Health Communication 8, 171-187.

Gelb-Safran, D., Montgomery, J.E., Chang, H., Murphy, J. & Rogers, W.H. (2001). Switching doctors: Predictors of voluntary disenrollment from a primary physician’s practice. Journal of Family Practice 50, 130-136.




DOI: http://dx.doi.org/10.5750/ejpch.v3i1.900

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