Illness Beliefs, Treatment Beliefs, and Fulfilled Treatment Expectations in Psychosomatic Rehabilitation: Associations with Patient Satisfaction

Glattacker, Manuela; Rudolph, Matthias; Bengel, Jürgen; Warth, Rieka von der

doi:10.2147/ppa.s390596

Cited by 7 publications

(8 citation statements)

References 59 publications

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“…On the other hand, compared to other psychosocial factors such as stereotypes and institutional trust affect patient satisfaction by acting on the interaction process, expectations work as a comparative expectation of similar products/services, which are more dependent on the presentation of results (52). When the results are consistent with expectations, the satisfaction level will increase, conversely, if the actual results do not match expectations, it may cause a lower satisfaction level (53). Therefore, doctorpatient interaction, as a process factor, will play a limited role in the impact of patient expectations on patient satisfaction.…”

Section: Patient Expectationmentioning

confidence: 99%

Patient satisfaction impact indicators from a psychosocial perspective

Wang

Liu²,

Wang³

2023

Front. Public Health

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BackgroundPatient satisfaction plays an important role in improving patient behavior from care, reducing healthcare costs, and improving outcomes. However, since patient satisfaction is a multidimensional concept, it remains unclear which factors are the key indicators of patient satisfaction. The purpose of this study was to verify whether and how patients' psychosocial perceptions of physicians influenced patient satisfaction.MethodIn China, 2,256 patients were surveyed on stereotypes of physicians, institutional trust, humanized perception, and communication skills, as well as patient expectations and patient satisfaction. The data were analyzed using structural equation modeling.ResultsStereotypes, institutional trust, and humanized perception have an indirect effect on patient satisfaction through communication, and patient expectations have a direct effect on patient satisfaction.Conclusions“Patient-centered” communication is the key to improving patient satisfaction, while positive stereotypes at the societal level, standardization of organizational institutions, expression of the doctor's view of humanity in the doctor-patient interaction, and reasonable guidance of patient expectations are important for improving patient satisfaction.

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Section: Patient Expectationmentioning

confidence: 99%

Patient satisfaction impact indicators from a psychosocial perspective

Wang

Liu²,

Wang³

2023

Front. Public Health

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“…In contrast to our hypotheses, neither the dimensions of illness beliefs nor rehabilitation-related treatment beliefs were significant predictors of patient satisfaction. Although previous studies with adult rehabilitation patients have shown the relevance of illness and treatment beliefs for rehabilitation outcomes in general and for patient satisfaction specifically (Glattacker et al, 2013a(Glattacker et al, , 2013b(Glattacker et al, , 2022von der Warth et al, 2022), there are currently no comparable investigations in the field of child and adolescent rehabilitation. One study conducted in the context of mental health services revealed adolescents' positive expectations of treatment as a factor related to satisfaction (Garland et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…In the context of adult rehabilitation, patients' illness and treatment beliefs have been shown to be associated with health-related quality of life (HRQOL), attendance at rehabilitation, coping with pain, and psychosocial health at the end of rehabilitation (French et al, 2006;Glattacker et al, 2013aGlattacker et al, , 2013bGlattacker, Giesler, et al, 2018;von der Warth et al, 2022). In addition to illness and treatment beliefs, fulfilled rehabilitation-related treatment expectations in particular were found to predict patient satisfaction in adult psychosomatic rehabilitation (Glattacker et al, 2022). The role of (unmet) expectations for patient satisfaction has been demonstrated in numerous studies with adults in different health care settings, with the fulfillment of expectations being the strongest predictor (Hafkamp et al, 2020;Jackson et al, 2001;Palazzo et al, 2014).…”

mentioning

confidence: 99%

Patients’ beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation.

Metzner,

Höhn,

Waldeck

et al. 2024

Rehabilitation Psychology

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Objective: This study investigated the predictive value of illness and treatment beliefs for patient satisfaction and health-related quality of life (HRQOL) in adolescents receiving inpatient rehabilitation treatment. In addition, we examined the relationship between fulfilled rehabilitation-related treatment expectations and patient satisfaction. Method: In this longitudinal study (recruitment between April 2019 and March 2020), 170 participants (M = 14.3 years [SD = 1.6]) answered self-report questionnaires before and at the end of rehabilitation (6 weeks later). We applied multiple hierarchical regression analyses, controlling for sociodemographic and diagnoses variables. Results: The results showed fulfilled expectations of treatment success and sustainability to be a significant predictor of patient satisfaction (p , .01). The illness belief dimension of emotional representation predicted HRQOL (p , .01). Rehabilitation-related treatment beliefs were not predictive of any outcome. Conclusion: This study provides a first insight into the relationships between these constructs in the context of inpatient pediatric rehabilitation. However, future research is needed to further examine illness and treatment beliefs in this specific treatment setting. Practical implications concern the incorporation of children's and adolescents' beliefs into treatment management to optimize rehabilitation outcomes. Impact and ImplicationsThis is the first study that examines the impact of illness beliefs, treatment beliefs, and fulfilled treatment expectations on patient satisfaction and health-related quality of life in adolescents with chronic diseases. While pediatric treatment beliefs have primarily been studied in relation to medication treatment, we captured adolescents' treatment beliefs regarding inpatient rehabilitation treatment with a multidimensional approach. Possible practical implications include the exploration of pediatric patients' treatment expectations at the beginning of rehabilitation, the provision of appropriate information and (if necessary) the correction of unrealistic expectations, as well as interventions addressing children's and adolescents' emotional representations about their illness.

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“…When patients experience anxiety or depression, they may exhibit negative attitudes toward communicating with doctors ( Baldwin and Spears, 2019 ). Negative emotions can also influence treatment outcome expectations, resulting in lower satisfaction with treatment effectiveness ( Glattacker et al, 2022 ; Wang et al, 2023 ). Based on these findings, we propose the following hypothesis:…”

Section: Theory and Hypothesesmentioning

confidence: 99%

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

Qian,

Wang,

Huang

et al. 2024

Front. Psychol.

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IntroductionPatient satisfaction is a crucial metric to gauge the quality of medical services, but the psychological factors influencing patient satisfaction remain insufficiently explored.MethodsThis study examines these psychological factors by applying the theory of bounded rationality to 1,442 inpatients in Hangzhou, China, whose data were collected using a questionnaire. One-way ANOVA, correlation analysis, and hierarchical regression were used to analyze patient satisfaction and its associated factors. Additionally, the path analysis of the structural equation model revealed the mechanisms behind the key psychological factors that influenced patient satisfaction.ResultsMedical risk perception, the social cognition of the medical environment, and social desirability bias had significant positive impacts on patient satisfaction. By contrast, negative emotions had a significant negative impact on patient satisfaction. Notably, patients’ negative emotions had both a suppressive effect and a positive moderating effect on the relationship between medical risk perception and patient satisfaction. Similarly, social desirability bias had a suppressive effect on the correlation between the social cognition of the medical environment and patient satisfaction, albeit with a negative moderating effect.DiscussionThese results suggest that when evaluating and improving patient satisfaction, accounting only for the factors that directly influence medical service quality is insufficient, as the indirect and moderating effects of patients’ negative emotions and the social cognition of the medical environment must also be considered. Medical service providers should thus address patients’ negative emotions, establish good doctor–patient relationships, optimize service environments, provide managers with medical risk education and training on negative emotions, and prioritize patient-centered care. Additionally, the government and relevant health departments should optimize medical policies, enhance fairness and accessibility, and create a positive social cognitive environment through public education and awareness campaigns.

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Illness Beliefs, Treatment Beliefs, and Fulfilled Treatment Expectations in Psychosomatic Rehabilitation: Associations with Patient Satisfaction

Cited by 7 publications

References 59 publications

Patient satisfaction impact indicators from a psychosocial perspective

Patient satisfaction impact indicators from a psychosocial perspective

Patients’ beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation.

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

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