Perceptions of the healthcare system among stakeholders

The U.S. healthcare system is rife with complexities and is consistently a source of political debate. One’s interaction with the system may directly impact the understanding of the system. The objective of this research is to examine the perceptions of the United States healthcare system from the v...

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Autores principales: Michael Markee, Christine Ascencio, Laura Brugger, Renee Jonas, Hisako Matsuo
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Lenguaje:EN
Publicado: The Beryl Institute 2021
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spelling oai:doaj.org-article:20250c52fb4041f4aa9067316e692a922021-11-15T04:34:02ZPerceptions of the healthcare system among stakeholders2372-0247https://doaj.org/article/20250c52fb4041f4aa9067316e692a922021-11-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss3/9https://doaj.org/toc/2372-0247The U.S. healthcare system is rife with complexities and is consistently a source of political debate. One’s interaction with the system may directly impact the understanding of the system. The objective of this research is to examine the perceptions of the United States healthcare system from the viewpoint of healthcare providers, insurers, and consumers. Using a grounded theory approach, theoretical sampling was used to explore similarities and differences between the three groups of actors in the healthcare system. Data were collected through interviews with thirty-one participants using a semi-structured interview schedule. Themes of cost, access, and inefficiency emerged from the data. The theme of cost included the ability to pay, innovative care delivery, and relation to access. Access included the need for guidance, geographical proximity to healthcare, and socioeconomic status. The theme of inefficiency included how insurance dictates care, and the unwieldy system. Similarities among groups were the high cost of care, ability to pay, and complexity. Differences discovered were the insurers’ dual role as professional and consumer, providers’ informal access to care, and differing views on who is to blame for the high cost of healthcare. This research unveils perspectives of three stakeholders of actors in the healthcare system, providing a foundation for further research to better understand these perspectives in improving equity and access in healthcare. <strong>Experience Framework</strong> This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Staff%20%26%20Provider%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-StaffProvider">Access other resources</a> related to this lens.</li> </ul>Michael MarkeeChristine AscencioLaura BruggerRenee JonasHisako MatsuoThe Beryl Institutearticlequalitative methodsperceptions of healthcarehealth policygrounded theorypatient experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution DOAJ
collection DOAJ
language EN
topic qualitative methods
perceptions of healthcare
health policy
grounded theory
patient experience
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle qualitative methods
perceptions of healthcare
health policy
grounded theory
patient experience
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Michael Markee
Christine Ascencio
Laura Brugger
Renee Jonas
Hisako Matsuo
Perceptions of the healthcare system among stakeholders
description The U.S. healthcare system is rife with complexities and is consistently a source of political debate. One’s interaction with the system may directly impact the understanding of the system. The objective of this research is to examine the perceptions of the United States healthcare system from the viewpoint of healthcare providers, insurers, and consumers. Using a grounded theory approach, theoretical sampling was used to explore similarities and differences between the three groups of actors in the healthcare system. Data were collected through interviews with thirty-one participants using a semi-structured interview schedule. Themes of cost, access, and inefficiency emerged from the data. The theme of cost included the ability to pay, innovative care delivery, and relation to access. Access included the need for guidance, geographical proximity to healthcare, and socioeconomic status. The theme of inefficiency included how insurance dictates care, and the unwieldy system. Similarities among groups were the high cost of care, ability to pay, and complexity. Differences discovered were the insurers’ dual role as professional and consumer, providers’ informal access to care, and differing views on who is to blame for the high cost of healthcare. This research unveils perspectives of three stakeholders of actors in the healthcare system, providing a foundation for further research to better understand these perspectives in improving equity and access in healthcare. <strong>Experience Framework</strong> This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Staff%20%26%20Provider%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-StaffProvider">Access other resources</a> related to this lens.</li> </ul>
format article
author Michael Markee
Christine Ascencio
Laura Brugger
Renee Jonas
Hisako Matsuo
author_facet Michael Markee
Christine Ascencio
Laura Brugger
Renee Jonas
Hisako Matsuo
author_sort Michael Markee
title Perceptions of the healthcare system among stakeholders
title_short Perceptions of the healthcare system among stakeholders
title_full Perceptions of the healthcare system among stakeholders
title_fullStr Perceptions of the healthcare system among stakeholders
title_full_unstemmed Perceptions of the healthcare system among stakeholders
title_sort perceptions of the healthcare system among stakeholders
publisher The Beryl Institute
publishDate 2021
url https://doaj.org/article/20250c52fb4041f4aa9067316e692a92
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AT christineascencio perceptionsofthehealthcaresystemamongstakeholders
AT laurabrugger perceptionsofthehealthcaresystemamongstakeholders
AT reneejonas perceptionsofthehealthcaresystemamongstakeholders
AT hisakomatsuo perceptionsofthehealthcaresystemamongstakeholders
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