Pagar por atención médica privada vs depender del sistema público
Si actúas
Pagar sanidad privada
3,0%
Si no actúas
Depender solo de la sanidad pública
5,0%
Porcentaje de quienes luego se arrepienten de cada elección. Las barras y el registro completo aparecen abajo.
Salud
Última revisión 2026-05-01
Calidad de la evidencia 4.5/5
Puntuación de revisión en ocho dimensiones según la
rúbrica de calidad
. Cada dimensión puntuada de 1 a 5.
D1 Verificación de fuentes
5/5
D2 Autoridad e independencia de las fuentes
4/5
D3 Precisión de la tasa de arrepentimiento
2/5
D4 Comparabilidad de las fuentes
5/5
D5 Patrón de Gilovich
5/5
D6 Calidad de la prosa
5/5
D7 Completitud de las advertencias
5/5
D8 Calidad de la muestra
5/5
Media4.5/5
Arrepentimiento por acción
Pagar sanidad privada
3,0%
~3% de los pacientes de hospitales privados no recomendaría su atención
Pacientes hospitalizados de hospitales privados del Reino Unido (hospitales que reportan a PHIN, 38 hospitales de Circle Health Group), n=86.772 cuestionarios de pacientes ene-dic 2025
ene-dic 2025, publicación PHIN continua
Arrepentimiento por inacción
Depender solo de la sanidad pública
5,0%
~5% de los pacientes hospitalizados NHS no recomendaría su atención (FFT 2016-19)
Pacientes hospitalizados de NHS England, 128 proveedores agudos no especializados, abr 2016 - mar 2019 (est. 1,5M+ respuestas FFT anuales entre fideicomisos)
abril 2016 - marzo 2019 (panel a nivel de proveedor)
% que se arrepienten de esta elección
Pagar sanidad privadaDepender solo de la sanidad pública
Private hospital patients and NHS inpatients report near-identical recommendation
rates when measured with a recommend-based instrument. Circle Health Group — the
UK’s largest independent hospital group — reports that 97.9% of patients (n=86,772
questionnaires, Jan-Dec 2025) would be likely or extremely likely to recommend
their consultant. Inverting gives roughly 3% who would not recommend. That is
a single provider’s self-reported figure, not a national private-sector aggregate,
so treat it as illustrative rather than definitive. On the NHS side, Borrelli et
al. (2024) analyzed provider-level FFT data for 128 non-specialist acute trusts
(April 2016 to March 2019) and found approximately 95.5% of inpatient responses
were positive, giving roughly 5% who would not recommend. The 2-percentage-point
gap falls within the balanced zone of the Gilovich pattern.
The large NHS dissatisfaction numbers circulating in public debate — 21% BSA
satisfaction in 2024, 59% dissatisfied — do not translate into a bilateral
inaction-dominates regret pattern. Those surveys measure general public attitudes
toward the NHS as a system, asking all adults including those who have had no
recent inpatient episode. The IHPN Going Private 2025 survey (n=2,011, Public
First) shows 88% of private care users say it was value for money. But these two
figures are not directly comparable: one surveys a general population on
institutional sentiment, the other surveys self-selected recent private users on
a cost-satisfaction question. When a recommend-based measure is applied to both
populations in comparable inpatient contexts, the gap narrows to roughly 2
percentage points, though the private figure is a single provider’s “recommend
your consultant” self-report rather than the identical NHS “recommend this ward”
FFT item, so the comparison is indicative rather than like-for-like. UK private
medical insurance market growth (ABI 2024: 6.5 million
insured, up from 6.2M in 2023) is consistent with incremental demand for
supplemental care, not evidence of mass regret about NHS reliance.
The entry’s geographic and temporal limits bear stating directly. The NHS FFT
inpatient data runs only to March 2019; the CQC Adult Inpatient Survey 2024
(more than 62,000 NHS patients across 131 trusts, 52.1% rating experience
9-10/10) suggests in-treatment quality has not deteriorated, though waiting
times remain a structural pressure. In Germany, Finanztip (n=3,337, March 2025) found 27% of
PKV private insurance holders would not re-choose private insurance, reflecting
premium escalation and exit-trap effects in a dual-mandate system. Australia
lost approximately 1.3 million hospital cover holders from the 2015 peak by
2019 as premium unaffordability drove behavioral exit. Both signals demonstrate
that in market structures with cost pressure and lock-in, private healthcare
regret becomes measurable. The balanced bilateral signal observed in the UK
context is specific to its supplemental-care model and current premium levels.
Fuentes: acción
Registro de evidencia
Cada número a continuación es lo que reportó cada fuente, con la cita textual en la que nos basamos y cómo llegamos a nuestra cifra. Haz clic en cualquier enlace para verificarlo directamente.
1/2 fuentes verificadas de forma independiente palabra por palabra frente a la fuente citada
[1]Circle Health Group — About Circle Health Group — latest Patient Satisfaction scores
Artículo periodístico
97.9% of Circle Health Group patients would be likely or extremely likely to recommend their consultant; 96.9% rated overall service good/very good; 95.8% rated nursing care very good/excellent (n=86,772 questionnaires, Jan–Dec 2025)
Extracto
“"97.9% patients would be likely or extremely likely to recommend their consultant to their friends or family... *During the period of January to December 2025, Circle Health Group received 86772 questionnaires from patients admitted for treatment."
”
Self-reported provider satisfaction data from Circle Health Group's own "About Us" page (the UK's largest independent hospital group, 54 hospitals). 97.9% would recommend their consultant = 2.1% would not recommend, rounded up to 3% as the action-side regret proxy. This is a "would not recommend" proxy from a single self-reporting provider, not a direct regret measure and not a national private- sector aggregate; treat as illustrative of the private-inpatient range, corroborated by the IHPN value-for-money figure below. Provider self-report source — non-authoritative; the IHPN survey is the authoritative corroborator on this side. Figures verified against the archived page (Wayback, 2026-03-05).
[2]Independent Healthcare Provider Network (IHPN) / Public First — Going Private 2025: Headline Findings
Verificado
Fuente de referencia
88% of people who have accessed private healthcare say it was value for money
Extracto
“"Patient satisfaction remains very high with 88% of people who have accessed private healthcare — both through insurance and via self-pay — saying it was value for money."
”
Datos de la fuente de
2025-01-01
Accedido
2026-05-01
Verificación
Extracto recuperado de forma independiente y confirmado palabra por palabra frente a la fuente citada durante nuestra auditoría de fundamentación.
Cálculo
IHPN-commissioned Public First survey of 2,011 nationally representative GB adults. This is a broader "value for money" satisfaction proxy (D3=3), corroborating the Circle Health Group recommendation-based estimate. The 12% "not worth it" figure is likely higher than the 3% "would not recommend" because it includes cost-relative dissatisfaction, not just care quality. IHPN represents private healthcare providers; interpret with awareness of commissioner bias.
Fuentes: inacción
Registro de evidencia
Cada número a continuación es lo que reportó cada fuente, con la cita textual en la que nos basamos y cómo llegamos a nuestra cifra. Haz clic en cualquier enlace para verificarlo directamente.
[1]Health Services Management Research (SAGE) — How does staff and patient feedback on hospital quality relate to mortality outcomes? A provider-level national study
Revisado por pares
~95.5% of NHS inpatient FFT responses were positive (extremely likely or likely to recommend); the remaining ~4.5% were neutral, negative, or extremely unlikely
Extracto
“"Provider level FFT responses were obtained for 128 English non-specialist acute providers for staff and inpatients between April 2016 and March 2019."
”
Datos de la fuente de
2024-05-01
Accedido
2026-05-02
Cálculo
Large-scale analysis of NHS England FFT administrative data for inpatient wards, April 2016 – March 2019, covering 128 non-specialist acute providers. Approximately 95.5% positive rate (extremely likely or likely to recommend) -> 4.5% not positive. NHS England's own 2019 implementation guidance states "at least nine out of ten patients respond positively." Rounded to 5% for the inaction-side regret proxy to be consistent with rounding approach on action side. PMC mirror: https://pmc.ncbi.nlm.nih.gov/articles/PMC11041065/ Construct limitation: "would not recommend this ward" does not equal "regret relying on NHS rather than going private."
52.1% of NHS inpatients rated their overall experience 9-10 out of 10 in 2024 (n more than 62,000 across 131 acute and specialist NHS trusts)
Extracto
“"The Adult Inpatient Survey 2024 asked patients about their experiences of inpatient care in NHS acute trusts in England."
”
Datos de la fuente de
2024-12-01
Accedido
2026-05-02
Cálculo
CQC Adult Inpatient Survey 2024, more than 62,000 NHS patients across 131 acute and specialist NHS trusts. The 52.1% rating experience 9-10/10 measures experience quality directionally; different question from FFT and included here as corroboration only, not as the primary regret proxy. Up from 50.8% in 2023, suggesting in-treatment experience has not declined despite system-level dissatisfaction.
Advertencias
Ambos lados usan "no recomendaría" como proxy para el arrepentimiento, un constructo más débil que la intención directa de re-elección o el arrepentimiento declarado. La misma formulación de la pregunta FFT en ambos lados es la principal fortaleza metodológica de la entrada; también es por eso que la brecha bilateral es estrecha. Los datos NHS FFT son de 2016-19; la experiencia de pacientes hospitalizados NHS ha cambiado desde entonces (CQC 2024: 52% califica 9-10/10, en aumento desde el 50,8% en 2023, sugiriendo que la experiencia durante el tratamiento no ha colapsado a pesar de la insatisfacción a nivel del sistema). El mercado de seguros médicos privados del Reino Unido está creciendo (+4-7% por año; ABI 2024: 6,5 millones de asegurados, en aumento desde 6,2M en 2023), y la evidencia conductual no apoya fuertemente un encuadre inaction-dominates; si los usuarios de NHS se arrepintieran ampliamente de no ir al sector privado, el crecimiento del mercado sería más pronunciado y las tasas de cancelación serían visibles. La gran brecha de satisfacción del sistema NHS (21% BSA 2024 vs 88% IHPN privado "vale la pena") confunde dos poblaciones incomparables: BSA encuesta a todos los adultos incluyendo aquellos que no han sido pacientes hospitalizados NHS recientemente; IHPN encuesta solo a usuarios privados pasados. Alemania Finanztip (n=3.337, marzo 2025): 27% de los titulares de seguros privados PKV no re-elegirían el seguro privado, mostrando que la geografía importa significativamente; en sistemas duales con trampas de salida y escalada de primas, el arrepentimiento por atención médica privada es real y medible pero estructuralmente diferente del contexto suplementario del Reino Unido. Señal conductual de Australia: pérdida neta de aproximadamente 1,3 millones de titulares de cobertura hospitalaria desde el pico de 2015 (aproximadamente 47,4% a aproximadamente 43,7% de cobertura poblacional para 2019), impulsada principalmente por la inasequibilidad de las primas, sugiriendo que la señal bilateral balanceada depende del costo. Alcance del Reino Unido: la entrada es principalmente aplicable al Reino Unido; el encuadre de EE.UU. es diferente (sin línea base universal); los sistemas alemán y australiano tienen divisiones privado/público estructuralmente diferentes. Riesgo de brecha temporal: los tiempos de espera de NHS han empeorado desde 2016-19; si los datos FFT actuales estuvieran disponibles, la tasa lado inacción "no recomendaría" podría ser mayor al 5%, potencialmente ampliando la brecha y desplazando el patrón hacia inaction_dominates.
