08 July 2005
Patients are willing to ignore the government's flagship choice initiative in favour of receiving better hospital care, according to a report published this week.
A joint study by the King's Fund, researchers Rand Europe and City University, London, found that patients were more likely to choose a hospital with a good reputation over one with shorter waiting times. The findings corroborate last week's British Medical Association survey, in which patients stated preferences from a list of ten NHS priorities. Cleaner hospitals came top; choice of where to have an operation tenth.
This week's study was based on the London Patient Choice Project. Although only 35% of patients chose their local hospital, they were less likely to opt for another one if it had a poor reputation. Alternative providers were also more likely to be shunned the further away they were; if they were abroad; if patients had to organise and pay for their own travel; and if follow-up care was provided in the alternative hospital.
Lead researcher Peter Burge said: 'Waiting time isn't everything. Some patients will be prepared to wait considerable amounts of time to obtain treatment at a hospital with a better reputation.'
He added that less wealthy patients were more willing to accept treatment at hospitals with a poor reputation.
'The reality of these differences in choice raises uncomfortable questions about how best to provide a health service that ensures equal access for those in equal need.'
The report added that information on care quality was poor, but the Department of Health insisted it was enhancing its provision.
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