Journal Articles

VOICE AND CHOICE IN HEALTH CARE IN ENGLAND : UNDERSTANDING CITIZEN RESPONSES TO DISSATISFACTION

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Using data from a five-year online survey the paper examines the effects of relative satisfaction with health services on individuals' voice-and-choice activity in the English public health care system. Voice is considered in three parts – individual voice (complaints), collective voice voting and participation (collective action). Exercising choice is seen in terms of complete exit (not using health care), internal exit (choosing another public service provider) and private exit (using private health care). The interaction of satisfaction and forms of voice and choice are analysed over time. Both voice and choice are correlated with dissatisfaction with those who are unhappy with the NHS more likely to privately voice and to plan to take up private health care. Those unable to choose private provision are likely to use private voice. These factors are not affected by items associated with social capital – indeed, being more trusting leads to lower voice activity.

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Detail Information

Series Title

Public Administration

Call Number

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Publisher

Hoboken, United States : Wiley-Blackwell., 2011

Collation

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Language

English

ISBN/ISSN

00333298

Classification

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Content Type

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Media Type

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Carrier Type

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Edition

Volume 89, Issue 4, December 2011, pages 1403–1418

Subject(s)

VOICE AND CHOICE IN HEALTH CARE IN ENGLAND

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