Correlation Between Needs Satisfaction and Behavioral Intentions of Sexual Health Care

Tsai, Li-Ya; Liou, Chiou Fang; Huang, Li Hua; Huang, Cheng

doi:10.3928/00220124-20200914-07

Cited by 1 publication

(2 citation statements)

References 34 publications

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Section: Discussionmentioning

confidence: 67%

“…This finding is consistent with some studies that show service quality perception was a predictor of patient choice, 5,10 or patient satisfaction of service experience was an antecedent to behavioral intention. 35,36 This finding provides the foundation for our subsequent mediation analysis. We further found that the effect of quality perception on outpatients' choice outcome was fully mediated by the outpatient experience, which are consistent with studies in other contexts that indicated "satisfaction of service experience" as a good…”

Section: Discussionmentioning

confidence: 71%

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Quality Perceptions and Choice of Public Health Facilities: A Mediation Effect Analysis of Outpatient Experience in Rural China

Yin¹,

Hu²,

Chen³

2022

PPA

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Purpose Outpatients have choices of providers in the hierarchical health service delivery system of China. Understanding how quality perceptions and outpatient experience affect the choice of health facility would help inform decisions about priorities for action aimed at guiding the use of primary care. This study examines how quality perceptions of outpatient service affect the facility level choice in rural China. Methods Household surveys were conducted in 2011, 2012 and 2015 in Ningxia Hui Autonomous Region, China. We selected 968 respondents as the study sample, who had at least two outpatient visits to the public health facilities during each survey period. Prior quality perceptions of the outpatient service at the village clinics, township centers, and county hospitals were reported on an 8-item Quality Indicator questionnaire. Experienced quality perception from the first outpatient visit was also reported. The outcome of interest was outpatients’ facility level choices. We used regression and mediation analysis to explore whether and how outpatient experience at a specific health facility would mediate the relationship between prior quality perceptions and the facility level choice. Results Overall, the quality perception was positively and significantly associated with outpatients’ staying at the same or lower levels of care ( β =0.265, P =0.007). This effect was fully mediated by experienced quality perception (z=2.985, P =0.003). The indirect effect was significant for three particular dimensions, including quality perceptions of the environment ( β =0.075, P =0.025), doctor-patient communication ( β =0.065, P =0.022), and physician ability ( β =0.062, P =0.021). Conclusion Outpatient quality perceptions—especially positive perceptions regarding environment, doctor-patient communication, and physician ability—could contribute to minimizing upward referral via improvement in outpatient experience. Policymakers and health care providers may need to therefore optimize outpatient experience as they push to develop a more locally responsive primary care system.

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