Is motivation enough? Responsiveness, patient-centredness, medicalization and cost in family practice and conventional care settings in Thailand
2006

Family Practice vs Conventional Care in Thailand

Sample size: 148 publication Evidence: moderate

Author Information

Author(s): Pongsupap Yongyuth, Van Lerberghe Wim

Primary Institution: National Health Security Office, Nonthaburi, Thailand

Hypothesis

Do self-styled family practices provide better patient care than conventional outpatient departments in Thailand?

Conclusion

Self-styled family practices in Thailand offer more responsive and patient-centered care at a lower cost compared to conventional care.

Supporting Evidence

  • Family practices had shorter waiting times compared to public hospitals.
  • Family practices were less costly than private clinics and hospitals.
  • Patients in family practices had more time to express their concerns.

Takeaway

In Thailand, family doctors without formal training can still provide better care than regular hospitals, helping patients feel heard and keeping costs low.

Methodology

Analysis of 148 taped consultations with simulated patients across various healthcare settings.

Potential Biases

Potential bias due to the use of simulated patients and the specific complaint chosen for the study.

Limitations

The study focused on a single complaint presented by simulated patients, which may not represent all patient interactions.

Participant Demographics

Simulated patients were three females and three males, averaging 25 years of age.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1478-4491-4-19

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