Patients' appraisals of public and private healthcare: a qualitative study of physiotherapy and osteopathy

J Health Psychol. 2013 Oct;18(10):1307-18. doi: 10.1177/1359105312465101. Epub 2012 Nov 23.

Abstract

Patients have previously reported differences in their experiences of treatments received in the public and private sectors; it remains unclear whether such perceived differences are particular to or shared across different interventions. This study explored whether patients' appraisals of public and private treatments are similar when appraising a complementary therapy (osteopathy) compared to a mainstream therapy (physiotherapy). Thirty-five qualitative interviews were analysed thematically. Patients' appraisals varied by health-care sector and therapy type: physiotherapy was appraised more negatively in the National Health Service than the private sector but osteopathy was appraised similarly within both health-care sectors. Potential reasons for this are discussed.

Keywords: appraisals/perceptions; complementary and alternative medicine; health-care systems; qualitative methods; treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Osteopathic Medicine*
  • Patient Satisfaction
  • Physical Therapy Specialty*
  • Private Sector*
  • Public Sector*
  • Qualitative Research
  • Young Adult