De Maeseneer J M, De Prins L F, Heyerick J P, Mambourg F
Universitair Ziekenhuis, vakgroep Huisartsgeneeskunde en Eerstelijns-gezondheidszorg, Gent, België.
Ned Tijdschr Geneeskd. 1994 Dec 31;138(53):2649-54.
To determine the effect of a non-committal registration specifying the intention of patients to contact a particular general practitioner, on patient loyalty in Belgium.
Antwerp and Liège
Case control study.
Medical consumption was registered during one year by two health insurance companies for a group of 4000 participating patients (experimental group) and 4000 non-participants (control group) within two selected areas (Antwerp and Liège). Patient loyalty was measured by means of the normalised usual provider continuity index.
No relevant differences were found between the experimental group and the control group. Even when taking into account that a general practitioner is not available 20% of the time, the proportion of loyal patients hardly reached 70%.
A non-committal registration had no influence on patient loyalty. There is a clear difference between intention and actual behaviour. More coercive measures are needed to reach a more loyal behaviour.
