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Paradox of care: High satisfaction, low perceived quality under PFHIS

By: Singh, Vanita.
Material type: materialTypeLabelBookPublisher: Economic & Political Weekly Description: 60(42), Oct 18, 2025: p.58-65. In: Economic & Political WeeklySummary: To ensure the quality of care for patients receiving free treatment under publicly funded health insurance schemes, the government has introduced patient empowerment tools, such as satisfaction surveys. These satisfaction surveys are designed based on the premise that there is a positive linear relationship between service satisfaction and service quality. However, our study finds that this positive relationship holds for patients who pay out-of-pocket (self-paid), but not for patients receiving free treatment under PFHIS. We explore the pathways that could explain these inconsistencies using structural equation modelling. – Reproduced https://www.epw.in/journal/special-articles/paradox-care.html
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Articles Articles Indian Institute of Public Administration
60(42), Oct 18, 2025: p.58-65 Available AR137804

To ensure the quality of care for patients receiving free treatment under publicly funded health insurance schemes, the government has introduced patient empowerment tools, such as satisfaction surveys. These satisfaction surveys are designed based on the premise that there is a positive linear relationship between service satisfaction and service quality. However, our study finds that this positive relationship holds for patients who pay out-of-pocket (self-paid), but not for patients receiving free treatment under PFHIS. We explore the pathways that could explain these inconsistencies using structural equation modelling. – Reproduced

https://www.epw.in/journal/special-articles/paradox-care.html

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