Impact of national health care systems on patient evaluations of general practice in Europe

Health Policy. 2004 Jun;68(3):353-7. doi: 10.1016/j.healthpol.2003.10.010.


Objective: To examine associations between patient evaluations of general practice and characteristics of national health care systems.

Methods: International comparative study in 17 countries, using international patient survey data (n= 25052) and data-bases for health care system characteristics. Dependent variable was patients' evaluation of general practice care. Five independent factors were examined: GP density, physician density, fee for service reimbursement, gatekeeper role, and first-contact role.

Results: None of the associations were statistically significant.

Conclusions: Patients were highly satisfied with general practice in different national health care systems. Descriptive tables on international variations may lead to misleading conclusions.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Europe
  • Family Practice / economics
  • Family Practice / standards*
  • Family Practice / statistics & numerical data
  • Fee-for-Service Plans
  • Gatekeeping
  • Health Care Costs
  • Health Care Surveys
  • Health Policy
  • Humans
  • Internationality
  • Israel
  • National Health Programs / organization & administration*
  • Patient Satisfaction / statistics & numerical data*
  • Patient-Centered Care / standards*
  • Surveys and Questionnaires
  • Turkey
  • United States